A Supreme Court decision in U.S. v. Skrmetti, challenging Tennessee's ban on gender-affirming care for minors, is expected by mid-2025.

Since 2021, 24 states have enacted categorical bans on gender-affirming medical care.

Lucas Cameron-Vaughn, staff attorney for the ACLU of Tennessee, said the initial lawsuit is on behalf of Samantha and Brian Williams of Nashville and their 16-year-old transgender daughter, as well as two other plaintiff families filing anonymously, and a Memphis-based physician. They are anticipating the decision, which is expected next year.

"This is the first case to look at whether the equal-protection clause of the U.S. Constitution protects transgender people, in this case, transgender youths," Cameron-Vaughn explained. "And whether or not it is constitutional that the state of Tennessee passed a ban on health care for transgender youths."

The ACLU reported more than 100,000 transgender minors live in states with bans on their health care. Tennessee Attorney General Jonathan Skrmetti stated they were defending Tennessee's law safeguarding children from irreversible and unverified gender transition procedures. Tennessee argued its ban does not discriminate based on sex.

Cameron-Vaughn pointed out the broader implications of the case will depend on the justices' ruling but it could influence whether states such as Tennessee can pass sex-based laws, such as those banning IVF or birth control, and whether such laws will be seriously reviewed by courts. He argued some recently passed laws negatively target transgender youths.

"It's important for Tennesseans to understand that the Legislature, over the past few years, has passed lots of laws directed at transgender young people," Cameron-Vaughn emphasized. "It is really affecting them and their mental health."

With the new administration, Cameron-Vaughn noted politicians made many claims about gender-affirming care during the campaign. Whether the claims will materialize is uncertain. He added the ACLU is prepared to continue to fight to protect rights and stop any additional gender-affirming healthcare ban laws from passing.

The Kentucky Cabinet for Health and Family Services is reporting a second confirmed measles case in March, in a child who was traveling through the state while seeking treatment.

The first reported case this year occurred in an adult Kentucky resident in February. Measles is a highly contagious respiratory virus spread through the air that can cause serious health complications.

Cody Kemmer, communications coordinator with Kentucky Voices for Health, said declining vaccination rates in the state have allowed measles to start spreading again.

"Kentucky already had one of the lowest MMR coverages in the nation, and that brings us to our lowest coverage in seven years," said Kemmer. "In fact, we've got lower statewide coverage than some of those states that are currently experiencing outbreaks, so we are vulnerable."

The Centers for Disease Control and Prevention said as of May 1, 935 confirmed measles cases have been reported nationwide. Nearly all involve people who were unvaccinated or unsure about their vaccination status.

According to state data, vaccination rates among Kentucky kindergartners have dropped to levels lower than before the pandemic.

Kemmer said the disruption caused by COVID-19 set many families off track.

"With the pandemic, many families fell behind on their routine checkups and wellness visits," said Kemmer. "That delay created a lag in staying current with the CDC schedule for recommended vaccines."

He added that the end of the school year is a good time to start making doctor's appointments, especially for new families navigating immunization schedules.

"We want to encourage families to be proactive and make an immunization plan for their family," said Kemmer. "Staying on track with those recommended immunizations, like the MMR vaccine, lets families enjoy their summer."

A recent poll by the health policy research organization KFF found nearly a quarter of participants believed false claims about measles vaccinations and have not had their child vaccinated.



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Groups advocating for better access to health care have introduced what they call "Care4All California," a package of 13 bills designed to shore up the health system as the state braces for the possibility of huge cuts in federal funding for Medi-Cal.

The bills aim to get more people insured, connect them to care and make health care more affordable.

Chris Noble, organizing director for the nonprofit Health Access California, explained the group's priorities.

"It's crucial that our State Legislature shows their commitment to advancing a universal, affordable and equitable health care system," Noble emphasized. "This year's package of legislative and budget priorities requires no interventions by the federal government and should be adopted to safeguard our health care system in case there are federal attacks."

One bill would make sure people with Medicare supplemental insurance cannot be penalized for having preexisting conditions. Another would require hospitals to prescreen all patients to see if they are eligible for discounted or charity care programs. A third bill would allow undocumented people access to health plans on the CoveredCA exchange. Opponents cited cost concerns.

Noble emphasized the bills build on the progress California has made to lower its uninsured rate.

"These priorities will continue to cover gaps within our health care system, ensure that when people are denied or delayed care, there's certain accountability, or ensure that folks are getting access to accurate and up-to-date provider directories," Noble outlined.

Advocates have also made a number of budget requests, including one to give kids who qualify for Medi-Cal continuous coverage from birth to age 5, rather than making their parents reapply every year.

As Republican lawmakers in Washington, D.C., consider cuts to Medicaid, a new report has found thousands of veterans in Virginia could be affected.

Virginia passed Medicaid expansion in 2018, which broadened who qualified for the program, including people under 65 and without children who make 138% or less of the federal poverty level. The report by The Commonwealth Institute showed more than 47,000 Virginia veterans receive health coverage through Medicaid.

Freddy Mejia, policy director at the institute, said work requirements or cuts to the Medicaid expansion would increase barriers to Virginians' access to health care.

"We just kind of want to raise the profile of how federal cuts to Medicaid could impact not only hundreds of thousands of Virginians, nearly 629,000 Virginians that have health coverage through Medicaid expansion, but also to veterans in particular here in Virginia," Mejia outlined.

Rep. Mike Johnson, R-La., the Speaker of the House, has said the Medicaid expansion under the Affordable Care Act allowed people who did not truly need the benefit to enroll. Republicans have called for major cuts in spending across the federal government but are split on which entitlement programs should be trimmed, and by how much.

Virginia is one of eight states with what is known as an automatic trigger law in place, where states would immediately end their expansion if the federal government lowers its funding of the Medicaid expansion below 90%.

Mejia argued veterans in the Commonwealth would get caught up in the cuts.

"If the federal government decides to reduce funding for Medicaid expansion by even 1%, our state law means that it would automatically end Medicaid expansion," Mejia pointed out. "That would immediately throw potentially thousands of veterans off of coverage."

More than 20% of Virginians access health care through Medicaid.


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