James Strawser and John Humphrey applied for a marriage license in Mobile County, Alabama, but were denied. Strawser faced significant health issues. Despite having a medical power of attorney, Humphrey was told by a hospital where Strawser was receiving medical treatment that they would not honor the document because Humphrey was not a family member or spouse. The couple filed a federal challenge to Alabama’s marriage ban, a companion case to a case filed by Mobile couple Cari Searcy and Kimberly McKeand, who married in California but whose marriage Alabama refuses to recognize.