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  "path": "/2026/04/27/repub/court-ruling-limiting-adult-gender-affirming-medicaid-coverage-could-have-national-impacts/",
  "publishedAt": "2026-04-27T04:05:22.000Z",
  "site": "https://floridaphoenix.com",
  "tags": [
    "Health",
    "LBGTQ",
    "Politics & Law",
    "Andrea Segovia",
    "Carmel Shachar",
    "Elana Redfield",
    "Ellen Pogemiller",
    "Erick Harris",
    "Fourth Circuit",
    "gender-affirmation",
    "Hailey Briggs",
    "Ken Paxton",
    "Medicaid",
    "Movement Advancement Project",
    "National Center for LGBTQ Rights",
    "Oklahomans For Equality",
    "Shannon Minter",
    "transgender",
    "Transgender Education Network of Texas",
    "Williams Institute"
  ],
  "textContent": "A U.S. appeals court ruling last month that upheld West Virginia’s ban on Medicaid coverage for adult gender-affirming surgeries could embolden other states seeking to impose similar restrictions. The 4th U.S. Circuit Court of Appeals in March overturned a lower court decision in Anderson v. Crouch that had reversed West Virginia’s ban on Medicaid coverage […]",
  "title": "Court ruling limiting adult gender-affirming Medicaid coverage could have national impacts"
}