The Iowa Supreme Court issued a ruling today that Iowa’s Medicaid program may not categorically discriminate against transgender people seeking gender-affirming, medically necessary care. The ACLU of Iowa, on behalf of EerieAnna Good of southwest Iowa and Carol Ann Beal of northwest Iowa, brought the lawsuit because the Iowa Department of Human Services had in place a sweeping, categorical ban on Medicaid coverage for gender-affirming medical care for transgender Iowans, even when deemed necessary by their doctors, the ACLU said in a press release. The two women were denied coverage for that medical care. In a unanimous decision, the court rejected the arguments made by the Iowa Department of Human Services, which administers Medicaid, that such medical care was primarily for psychological or cosmetic reasons.