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This undated photo provided by ACLU of Iowa shows Carol Ann Beal. The Iowa Supreme Court on Friday, March 8, 2019 upheld a judge’s earlier ruling that found the state cannot deny two transgender women Medicaid coverage for sex reassignment surgery.  The  ruling comes in the consolidated cases of Beal, 43, and EerieAnna Good, 29,both were born male but have identified as female since childhood and applied to have surgery to their medical providers under the state's Medicaid program. They were denied by the providers, appealed to the state agency, which oversees the program, and were again denied.   (ACLU of Iowa via AP)

This undated photo provided by ACLU of Iowa shows Carol Ann Beal. The Iowa Supreme Court on Friday, March 8, 2019 upheld a judge’s earlier ruling that found the state cannot deny two transgender women Medicaid coverage for sex reassignment surgery. The ruling comes in the consolidated cases of Beal, 43, and EerieAnna Good, 29,both were born male but have identified as female since childhood and applied to have surgery to their medical providers under the state's Medicaid program. They were denied by the providers, appealed to the state agency, which oversees the program, and were again denied. (ACLU of Iowa via AP)

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