Legislation & Policy
Federal AIDS Policy Partnership
NCLR is a member of the Federal AIDS Policy Partnership (FAPP), which is a national coalition of more than 120 local, regional, and national organizations advocating for federal funding, legislation and policy to end the HIV epidemic in the United States, and is active in the Structural Interventions Working Group.
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Equality Act
- Discrimination > Healthcare
- Discrimination > Housing & Public Accommodations
- Discrimination > Employment
- Youth > Education
URGENT ACTION: Tell Your Senators to Vote for the Equality Act!
The Equality Act (H.R. 5) would prohibit discrimination based on an individual’s sexual orientation or gender identity in employment, housing, credit, education, public accommodations (things like restaurants, hotels, and theaters), and jury service. It would also prohibit discrimination based on sex, sexual orientation, and gender identity in programs receiving federal funding. The bill was passed by the House of Representatives in the last Congress in May 2019 with a bipartisan vote of 236 to 173 but was blocked from consideration in the Senate by then-Majority Leader Mitch McConnell. The bill was reintroduced by Rep. David Cicilline (RI-1) and Sen. Jeff Merkley (OR) in the 117th Session of the United States Congress on February 18, 2021. A vote is expected in the House shortly, with action following soon after in the Senate.
NCLR has played a leading role in drafting the Equality Act and working for its eventual passage. We have partnered with Black and Pink and others to educate Congress and the public on the Act’s potential to reform the U.S. criminal legal system for LGBTQ people and people of color.
Currently, only 22 states have non-discrimination protections that fully protect LGBTQ individuals. According to the Center for American Progress, more than 1 in 3 LGBTQ Americans have reported facing some form of discrimination within the past year, with the number increasing to 3 in 5 for transgender individuals. This discrimination often causes substantial harm to the psychological and economic wellbeing of the LGBTQ community and creates undue difficulties for many LGBTQ people in accessing medically necessary healthcare – most dramatically for the transgender population and people of color.
The most recent polling from the nonpartisan Public Religion Research Institute (PRRI) shows that more than 80 percent of all Americans (including a majority of Democrats, Independents, and Republicans) support comprehensive nondiscrimination protections that include LGBTQ individuals. FiveThirtyEight has also similarly found that President Biden’s executive order mandating that federal agencies implement the Supreme Court’s ruling in Bostock v. Clayton County in nondiscrimination policies was the most popular of his early executive actions, with the support of an overwhelming 83% of Americans.
More than 600 national, state, and local organizations have signed on to urge the swift passage of the Equality Act, in addition to a broad coalition of faith-based groups and 335 major corporations, showing the breadth of support the legislation has maintained since its passage in the House in 2019. NCLR is a member of the Freedom and Opportunity for All coalition (along with 16 other partner organizations) advocating for the urgent passage of the Equality Act.
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Parties Settle Landmark Lawsuit by Transgender Employee Who Was Unlawfully Denied Medically Necessary Care
Cases & Advocacy
Edmo v. Idaho Department of Correction
- Racial & Economic Justice
- Racial & Economic Justice > Criminalization & Incarceration
- Discrimination
- Discrimination > Healthcare
NCLR, along with co-counsel Rifkin Law Office, Hadsell Stormer & Renick LLP, and Ferguson Durham, PLLC, represents Adree Edmo, a Native American transgender woman in the custody of the Idaho Department of Correction (IDOC).
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Ketcham v. Regence Bluecross Blueshield of Oregon
- Racial & Economic Justice
- Racial & Economic Justice > Rural communities
- Discrimination
- Discrimination > Employment
- Discrimination > Healthcare
Christina Ketcham is a 60-year-old transgender woman who started her transition over four years ago and continues to experience significant distress from the incongruence between her typically masculine facial features and her identity as a woman. To alleviate that distress, Christina’s treating healthcare providers determined that certain facial feminization procedures are medically necessary to treat her gender dysphoria. But, the health insurance offered by her employer has a categorical exclusion for all facial feminization procedures.
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June Medical Services v. Russo Amicus
- Relationships & Family
- Relationships & Family > Reproductive Justice
- Discrimination
- Discrimination > Healthcare
On December 2, 2019, NCLR filed an amicus brief in the United States Supreme Court. The case involves a challenge to a law in Louisiana that would force all but one abortion clinic in that state to close, a law that is virtually identical to one in Texas that the Supreme Court struck down as unconstitutional just three years ago in the landmark case <em>Whole Woman’s Health v. Hellerstedt</em>.
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New York v. U.S. Department of Health and Human Services and Other Lawsuits Challenging the “Denial of Care” Rule Amicus
- Relationships & Family
- Relationships & Family > Reproductive Justice
- Discrimination
- Discrimination > Healthcare
- Discrimination > Faith & Religion
In 2019, NCLR filed four amicus briefs in eight federal lawsuits challenging a regulation from the U.S. Department of Health and Human Services called “Protecting Statutory Conscience Rights in Health Care.” The Trump Administration’s regulation, more aptly referred to as the “denial of care” rule, would allow health care professionals to deny certain medical treatments or services to patients based on the provider’s own religious or moral beliefs.
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Title X Gag Rule Cases Amicus
- Relationships & Family
- Relationships & Family > Reproductive Justice
- Discrimination
- Discrimination > Healthcare
In 2019, NCLR and other LGBTQ organizations filed briefs in multiple challenges to the Trump administration’s domestic “gag rule.” The cases concern a set of regulations from the Department of Health and Human Services that require clinics that provide the full range of reproductive health care – family planning and abortion – to create complete physical and financial separation between abortion and family planning services.
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Federal Appeals Court Rules Idaho Department of Corrections Must Provide Gender Confirmation Surgery to Transgender Woman
Press & Media