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Expert Analysis

Full 11th Circ. Gender Care Ruling Highlights State Law Risks

By Joanne Roskey and Elizabeth Jonas ( November 10, 2025, 5:22 PM EST) -- On Sept. 9, the U.S. Court of Appeals for the Eleventh Circuit, sitting en banc in Lange v. Houston County, Georgia, found that a county health plan did not facially violate Title VII of the Civil Rights Act on the basis of sex when it covered medically necessary treatments for certain diagnoses, but excluded coverage for gender-affirming care sought by the plaintiff....

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