Federal Workers Sue Over Trump Rule Barring Gender-Affirming Care Coverage
Federal employees filed a class-action complaint on August 3, 2026, in federal court in Washington, D.C., challenging a Trump administration rule that bars gender-affirming care from federal health plans.[1]
The suit names Office of Personnel Management Director Scott Kupor as the defendant and says the categorical ban on "chemical and surgical modification" is unlawful sex-based discrimination.[1] Plaintiffs say the rule has imposed severe financial burdens, including one State Department employee's estimate of about $100,000 in out-of-pocket costs for surgery.[1] They seek a permanent injunction, retroactive coverage of denied gender-affirming care, and damages and attorneys' fees.[1]
In January 2026, the administration issued a rule excluding gender-affirming treatments from the Federal Employees Health Benefits program and Postal Service health plans.[1] The rule described a categorical exclusion of "chemical and surgical modification" from coverage and prompted immediate legal and political challenges.[1]
Research cited in the complaint estimates at least 39,400 transgender enrollees in FEHB plans could be affected by the exclusion.[1]
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📌 Key Facts
- On August 3, 2026, a class-action complaint was filed in D.C. federal court challenging the Trump administration’s January 2026 rule excluding gender-affirming care from FEHB and Postal Service Health Benefits coverage.
- The lawsuit names Office of Personnel Management Director Scott Kupor as defendant and alleges the categorical ban on "chemical and surgical modification" is unlawful sex-based discrimination.
- Plaintiffs describe severe financial burdens, including an estimated $100,000 out-of-pocket cost for one State Department employee’s surgery, and cite Williams Institute research that at least 39,400 transgender FEHB enrollees could be affected.
- The suit seeks a permanent injunction, retroactive coverage of denied gender-affirming care, and damages and attorneys' fees.
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