Delaware AG Wins Court Fight Over Trans Health Coverage
State of DE - Delaware Attorney General Kathy Jennings has announced a win in a case over health coverage for transgender residents. A federal court struck down part of a Trump Administration rule that would have removed certain gender-affirming care from required coverage under the Affordable Care Act.
The ruling came last week from the U.S. District Court for the District of Massachusetts. The court found that the rule broke away from a key piece of the ACA, which requires certain health benefits to be covered and protected from high out-of-pocket costs.
The rule in question is called the "Marketplace Integrity and Affordability" rule. The Trump Administration proposed it in March 2025, saying it was meant to cut down on ACA enrollment fraud and reduce federal spending on subsidies that help people afford coverage.
Along with other changes, the rule would have taken certain types of gender-affirming care off the list of essential health benefits under the ACA. Removing that coverage would have made it harder and more expensive for transgender people to get the care they need.
In July 2025, Attorney General Jennings joined a coalition of states in a lawsuit against nine parts of the rule. The coalition argued the changes would make ACA coverage harder to get, raise costs for states, and weaken protections built into the law.
Seven of those nine provisions were already struck down in a separate case, City of Columbus et al. v. Kennedy et al., heard in the U.S. District Court for the District of Maryland. Yesterday's ruling in Massachusetts addressed another one, finding that the administration changed the essential health benefit categories without following the process required by law.
Attorney General Jennings spoke about the ruling and what it means for the transgender community.
"Since day one, my office has been fighting to stop the Trump Administration's war on transgender Americans because it's not just despicable and cruel - it's also plainly illegal," said Attorney General Kathy Jennings. "The transgender community was here long before this corrupt Administration put a target on their backs, and they'll be here long after it's been confined to the dust heap of history."
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