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The Obama administration proposed a rule Thursday that would forbid most health insurers and medical providers to discriminate against transgender patients, including by prohibiting insurers from categorically denying coverage of care related to gender transition. The proposal clarifies a civil rights provision of the Affordable Care Act that bans “any health program or activity” that receives federal funds from discriminating based on race, national origin, sex, age or disability. The proposed regulation expands on that broad language, specifying that the administration considers discrimination on the basis of gender identity a form of sex discrimination. (Goodnough and Sanger-Katz, 9/4)

The ACA already bars discrimination based on sex and other factors, but the long-delayed proposed regulation issued Thursday explains how the protections will be applied to insurers and health-care providers, such as hospitals and doctors who receive Medicare and Medicaid payments, and it clarifies the standards federal officials would use in implementing the law. The proposed regulation comes as social attitudes about sexuality and gender are undergoing major shifts. (Sun and Bernstein, 9/3)

Federal officials have been wrestling for years about how to handle the Affordable Care Act’s provision that requires health insurers and providers to ensure they treat patients equally, including on the basis of their sex and race. The requirement has been in effect since 2010, the year the law was passed, but the administration is still fleshing out its details. The thorniest issue has been whether federal officials also can use the provision to bar bias based on sexual orientation. (Radnofsky, 9/3)

Doctors and hospitals that treat Medicaid patients and insurance companies participating in health law marketplaces would be banned from discriminating against transgender people under rules proposed Thursday by the Health and Human Services Department. Health plans would be prohibited from issuing a blanket denial of services to help a person transition to another gender, although the insurers still could refuse to cover surgery or other care on a case-by-case basis if the decisions are based on a legitimate rationale. (Attias, 9/3)

The Obama administration on Thursday issued a long-awaited proposed rule explaining how it will enforce a wide-ranging ban on health care discrimination. With that release, HHS is seeking to cement one of Obamacare’s key promises — equal access to health care regardless of a person’s race, color, nationality or disability. The rule would also ban health care discrimination on the basis of sex for the first time. (Millman, 9/3)

The Obama administration issued a sweeping proposal Thursday to bolster civil rights protections in health care, barring medical providers and insurers from discriminating based on gender, whether in treatments or access to facilities or services. The long-awaited rules from the Office of Civil Rights in the Department of Health and Human Services further define protections included in the Affordable Care Act, particularly broadening those for transgender Americans. The proposal also includes provisions requiring medical providers to bolster their communication efforts for people with disabilities or limited English proficiency. (Appleby, 9/3)

Transgender individuals would gain new health-care protections in rules proposed today by U.S. regulators. Under the rules, discrimination against transgender people would be a form of sex discrimination. That would block insurers from categorically denying coverage for treatments that help people transition to another gender, according to a fact sheet released today by the Department of Health and Human Services. Some exclusions for transition treatments will be evaluated case-by-case, the agency said. (Tracer, 9/3)

Mirroring a shift in society, the Obama administration proposed Thursday to ban discrimination against transgender people throughout the health care system. Once the proposed regulations are final, they should expand insurance coverage for gender transition and prohibit health care facilities from denying transgender people access to restrooms that match their individual gender identity. (Alonso-Zaldivar, 9/3)

The Affordable Care Act, also known as Obamacare, was passed in 2010 and included anti-discrimination provisions to prevent insurers from charging customers more or denying coverage based on age or sex. That law left some areas open to interpretation and thousands of consumers complain each year about being discriminated against, the U.S. Department of Health and Human Services said on Thursday. (9/3)

The Obama administration is making a major push for transgender rights by prohibiting health insurance companies and medical providers from discriminating against patients because of their gender identities. Under a proposed regulation issued by the Department of Health and Human Services Thursday, transgender people would be entitled to equal treatment in health care and would gain the legal right to make civil rights claims against insurers, doctors, hospitals and others who deny them coverage or necessary care because they are transgender. That includes forbidding health insurers from categorically excluding treatments related to gender transitions. (Young, 9/3)

The Obama administration proposed a new rule Thursday that would ban discrimination against transgender people in the health care system, saying stereotypes about sexual identity have no place in provision of health insurance or medical care. (Fox, 9/3)