North Dakota
North Dakota joins states challenging health care protections for transgender Americans
A federal rule seeks to add protections to a section of the Affordable Care Act that prevent health care providers who discriminate on the basis of gender identity or sexual orientation from receiving federal funding, including through Medicaid and the Children’s Health Insurance Program (photo illustration by Ross Williams/Georgia Recorder).
BY: ANNELISE HANSHAW
BISMARCK, N.D. (North Dakota Monitor) – North Dakota has joined a coalition of seven states challenging a rule by the Biden administration that would preempt state restrictions on gender-affirming care.
The legal challenge, which is led by Missouri Attorney General Andrew Bailey, was filed in United States District Court for the Eastern District of Missouri on Wednesday. The states are seeking to block the regulation and prevent the federal government from enforcing similar mandates.
The rule seeks to add protections to a section of the Affordable Care Act that prevent health care providers who discriminate on the basis of gender identity or sexual orientation from receiving federal funding, including through Medicaid and the Children’s Health Insurance Program.
The rule was set to go into effect July 5, with some provisions beginning later. But another coalition of attorneys general succeeded in their petition to block its implementation just two days prior. The judge in that case cited the recent U.S. Supreme Court decision to overturn “Chevron Deference,” a precedent that gave regulatory authority to federal agencies when statute is unclear.
Bailey, along with attorneys general from Utah, North Dakota, South Dakota, Iowa, Idaho and Arkansas, argues that the rule conflicts with their states’ restrictions on gender-affirming care for minors. Each has varying restrictions on payments for gender-affirming treatment, with Missouri blocking payment for all treatments for medical transition through Medicaid and CHIP.
“… states will be unable to enforce these duly enacted laws and longstanding policies without coming into conflict with the rule,” the attorneys general wrote in the lawsuit.
The American College of Pediatricians joins the attorneys general as a plaintiff. The ACPeds is a group of 400 physicians and other healthcare professionals in 47 states with a history of anti-LGBTQ advocacy.
“ACPeds members categorically do not provide medical interventions or referrals for, and do not facilitate or speak in ways that affirm the legitimacy of, the practice of ‘gender transition,’” the attorneys general wrote.
The lawsuit alleges that the organization’s pediatricians would suffer “significant financial harm to lose eligibility to participate in federal healthcare programs such as Medicare, Medicaid, and CHIP.”
One pediatrician in Utah is quoted in the lawsuit saying he would not “self-censor his opinions on transition efforts if the rule goes into effect.”
Predicting his noncompliance with the rule, the Utah pediatrician “faces the prospect of no longer caring for his patients, being fired from his employment and being unable to practice medicine in most settings,” the attorneys general wrote.
The rule violates physicians’ freedom of assembly, the lawsuit states, “by coercing them to participate in facilities, programs, groups and other healthcare-related endeavors that are contrary to their views and that express messages with which they disagree.”
The lawsuit also says it “coerces ACPeds members’ speech.”
“By forcing ACPeds members to tell patients directly, on their walls, and on their websites that they do not discriminate on the basis of gender identity, the rule forces ACPeds members to speak falsely, and it forces ACPeds members to fatally undermine their communication of their own medical ethical standards,” it says.
Beyond questions of constitutionality, the attorneys general allege that the rule goes beyond congressional authorization.
The rule interprets gender identity as protected by both including gender dysphoria as a disability and interpreting sex discrimination to include gender identity. The attorneys general disagree with this application.
Key to the case will be the judge’s interpretation of the 2020 U.S. Supreme Court Case Bostock v. Clayton County, in which a majority of justices ruled that gender identity was protected under Title VII, which is on employment discrimination.
The rule leans on some courts’ interpretation that transfers the Bostock decision to Title IX and the Affordable Care Act, according to its publication in the Federal Register. But the attorneys general cite decisions from judges in red states that do not allow Bostock to apply outside of Title VII.
The Department of Health and Human Services, which is the defendant in the litigation, did not respond to a request for comment.
Vernon Dale Krause, 93, of Fargo, ND, formerly of Wahpeton, ND, passed away peacefully on Friday, July 10, 2026, at Heather’s House in Fargo, ND, under the care of HIA Hospice.
A Celebration of life will be held on Monday, July 20, 2026, at Vertin-Munson Funeral Home, Wahpeton. Visitation will be from 9:30 a.m. to 10:00 a.m., followed by a service at 10:00 a.m., with burial immediately following at Fairview Cemetery in Wahpeton.
Vern was born on February 16, 1933, in rural Wyndmere, ND, one of eleven children born to Theodore and Ella (Rohl) Krause. He grew up in Wyndmere and attended Wyndmere Public School, where he left his studies behind to volunteer for the United States Army. Vern proudly served from 1953 to 1956 before transferring to the Army Reserves. He was awarded the National Defense Service Medal and, throughout his life, carried great pride in his years of military service.
He married Jean (Carey) Krause, and together they built a life and raised their family in Wahpeton, where he would spend most of his years. They were blessed with two children. In his later years, after developing severe dementia, Vernon moved to Fargo so he could receive the care he needed and be closer to family.
For 41 years, he worked for the City of Wahpeton Water & Sewer Department, where he was highly regarded and known for knowing every inch of the city like the back of his hand. Even after retirement, he continued to volunteer his time and expertise whenever the City needed him. Among the accomplishments he was most proud of were his early years helping develop the Chahinkapa Zoo.
Above all, he cherished his family. He loved anything to do with his grandchildren — from crafting chairs out of tree trunks and splitting wood, to watching their sporting events and helping them grow into who they were meant to be. His great-grandchildren were a true blessing to him — even if their energy made him a little nervous, he always looked forward to their visits. His nieces and nephews brought him great joy as well especially in his later years and he loved being an uncle to them. When his brother Leyone “Spud” moved to town, Vern couldn’t wait to deliver him the daily newspaper and share a chat. He loved tinkering in the garage, always engineering new ways to drain water, and he was the biggest Green Bay Packers fan around — proud to call himself a team shareholder. After moving to Fargo, Vernon was grateful for the time he was able to spend with his sister, Carole Jean, who had always been his protector.
Vernon will be remembered for his steady hands, his quiet devotion to family and community, and the example he set of showing up — for his country, for his city, and most of all, for the people he loved. He will be deeply missed.
Vern is survived by his son, Mark Krause, Fargo; two sisters-in-law, Priscilla Krause and Donna Krause; two brothers-in-law, Ron Carey and Don Carey; eight grandchildren, Carey, Danielle, Margo, Jodi, Nikki, Kevin, Brad and Tracee; 13 great-grandchildren; and many nieces and nephews.
He was preceded in death by his parents; his wife, Jean Krause; his daughter, Deb Christopher; five brothers, Alfred, Donald, Willard, Kenneth and Leyone Krause; five sisters, Dorothy Peterson, Loretta Dable, LaVelle Odegard, Lucille Kruchek and Carole Jean Johnson-Bohlken; sisters-in-law, Viola Krause, Marleen Krause, Amy Carey and Linda Carey; brothers-in-law, Elroy Odegard, Robert Johnson, Willis Bohlken, Pete Peterson, Johnny Kruchek and Frank Dable; granddaughter, Robyn Krause; and grandson, Jack Bollman.
GRAFTON, N.D. — Two North Dakota men are speaking out about a 38-year-long alleged mistake that altered their entire lives.
The men and their families are suing Unity Medical Center in Grafton, saying the hospital is responsible for
switching them at birth in 1988
. The hospital denies the allegations.
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There are moments that remind us exactly who we are as a community, and the recent fire at Antelope Creek Bar and Grill in Mooreton was one of them. Many already know the awful loss that unfolded. It was a brutally hot day, the kind where the sun feels heavy and the air is so thick, and social media quickly filled with photos, videos, and comments documenting the devastation. Heartbreaking. Gut‑wrenching. A place that held memories for so many suddenly only visions smoke and charred remains.
But even in the middle of all that loss, something else rose up, something that always seems to show itself around here when life gets hard. Kindness. Pure, steady kindness.
The volunteer firefighters were the first reminder. They never cease to amaze me. They drop everything … work, family, whatever they were in the middle of and suit up in layers of gear despite the heat and humidity. They’re regular people with regular jobs, yet they show up like it’s the most natural thing in the world. No spotlight. No applause. Just service. Just heart.
Then came the folks who arrived with water, Gatorade, and anything they could think of to help ease the burden of those battling the blaze. Nobody organized it. Nobody asked. They simply showed up because that’s what people do here. That alone would have been enough to warm my heart.
But it didn’t stop there.
As the day went on, I saw posts from other regional businesses, specifically other bar and grills, reaching out with messages of support. These are places that could easily be seen as competition, yet there they were, offering help, extending care, and standing shoulder to shoulder with the owners who had just watched their livelihood disappear. “We are here. How can we help?” they wrote. No rivalry. No hesitation. Just neighbors being neighbors.
If you ever need a reminder of what makes this valley special, it’s moments like that. People who could have stayed quiet choosing instead to lift someone else up. Businesses that could have focused on themselves choosing instead to stand with another in their darkest moment. It’s the best of us. The part of small town life that doesn’t make headlines but makes all the difference.
We talk a lot about community, but this, this right here is what it looks like. It looks like firefighters sweating through their gear on a 90‑degree day. It looks like strangers handing out cold drinks. It looks like business owners reaching across the aisle to say, “You’re not alone.” It looks like compassion showing up before anyone has time to think twice.
Loss has a way of revealing character. And what I saw in the wake of that fire was a valley full of people who still believe in showing up, still believe in helping, still believe in each other. In a world that can feel divided and loud, this quiet, steady goodness is worth noticing. Worth celebrating. Worth holding onto.
Because when the smoke clears and the debris settles, what remains is the strength of a community that refuses to let anyone face hardship alone. And that, more than anything, is the story worth telling.
That is the true Best of the Valley. The people.
Bobbi Steffens resides in the Southern Valley and discovered her passion for writing through an unexpected path.
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