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Florida challenges a federal health care rule on gender-affirming care

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Florida challenges a federal health care rule on gender-affirming care


Florida has filed a lawsuit challenging a new federal health-care rule, saying it clashes with the state’s efforts to restrict treatments such as hormone therapy and puberty blockers for transgender people.

The lawsuit, filed Monday in federal court in Tampa, targets a rule that affects programs such as Medicaid and the Children’s Health Insurance Program, which operates as KidCare in Florida.

The rule is designed to help carry out a law that prevents discrimination in health-care programs that receive federal money. The law prevents discrimination based on “sex,” and the rule applies that to include discrimination based on gender identity and sexual orientation.

The lawsuit contends that the U.S. Department of Health and Human Services, through the rule, “purports to override the state of Florida’s laws and regulations protecting the health and safety of its residents.”

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“HHS further threatens the loss of federal funds for states and insurance issuers that refuse to cover these interventions (such as hormone therapy and puberty blockers),” the lawsuit said. “Plaintiffs bring this action to stop HHS’s interference with the ethical practice of medicine and state police powers.”

But federal health officials said late last month the rule will help strengthen protections against discrimination.

In a statement, Department of Health and Human Services Secretary Xavier Becerra said the rule is a “giant step forward for this country toward a more equitable and inclusive health care system, and means that Americans across the country now have a clear way to act on their rights against discrimination when they go to the doctor, talk with their health plan, or engage with health programs run by HHS.”

Gov. Ron DeSantis’ administration and the Republican-controlled Legislature during the past two years have made a series of controversial decisions to prevent treatments for transgender people diagnosed with gender dysphoria.

That has included barring Medicaid coverage for treatments such as hormone therapy and puberty blockers. Also, the state has prevented doctors from providing such treatments to minors and put restrictions on the treatments for adults.

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The decisions — which are similar to moves by Republican leaders in other states — have spurred a series of legal battles that continue to play out. The issue also has become high profile politically, with President Joe Biden’s administration pushing back against Republicans.

“(The rule) prohibits health insurance issuers, state Medicaid agencies, and other covered entities from excluding categories of services in a discriminatory way. Coverage must be provided in a neutral and nondiscriminatory manner.”

Information posted on the Department of Health and Human Services website

Florida Attorney General Ashley Moody, who is helping lead the lawsuit filed Monday, joined Alabama, Georgia and South Carolina last week in filing a case challenging a new Biden administration rule on sex-based discrimination in education programs. That lawsuit alleges, in part, that the Biden administration has overstepped its legal authority in extending regulations to apply to discrimination based on sexual orientation and gender identity.

Plaintiffs in the lawsuit filed Monday are the state, the Florida Agency for Health Care Administration, the Florida Department of Management Services and the Catholic Medical Association. The Agency for Health Care Administration runs the Medicaid program, which is jointly funded by the state and federal governments. The Department of Management Services oversees a massive health-insurance program for state employees and retirees.

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The new rule, which is slated to take effect July 5, is designed to carry out part of the federal Affordable Care Act prohibiting discrimination in health-care services. But the state contends federal health officials have overstepped their authority, violating a law known as the Administrative Procedure Act.

“Under the (rule), Florida may not refuse reimbursement or coverage for gender-change interventions on the ground that they are ‘experimental’ and not medically necessary health care treatments,” the lawsuit said. “The (rule) would therefore require covering puberty blockers, cross-sex hormones, surgeries and related services to treat gender dysphoria under Florida Medicaid, CHIP (the Children’s Health Insurance Program) and other state programs … contrary to Florida law.”

The lawsuit also said that most medical providers, such as hospitals and clinics, accept federal money through Medicaid and other programs. It said the rule “will therefore force health care providers in Florida to choose between accepting federal funds and complying with Florida law regarding treatments for persons suffering from gender dysphoria.”

But the Department of Health and Human Services said in information posted on its website that the “rule does not require a specific standard of care or course of treatment for any individual, minor or adult. Providers do not have an affirmative obligation to offer any health care, including gender-affirming care, that they do not think is clinically appropriate or if religious freedom and conscience protections apply.”

The department, however, appeared to draw a distinction between decisions involving individual patients and broad policies about treatment.

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“The final rule does not require those covered, including state Medicaid agencies, to cover a particular health service for the treatment of gender dysphoria for any individual, minor or adult,” the information on the website said. “Rather, it prohibits health insurance issuers, state Medicaid agencies, and other covered entities from excluding categories of services in a discriminatory way. Coverage must be provided in a neutral and nondiscriminatory manner.”

Copyright 2024 WUSF Public Media – WUSF 89.7





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Officials withheld evidence on Florida’s ‘Alligator Alcatraz’ funding, environmental groups say

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Officials withheld evidence on Florida’s ‘Alligator Alcatraz’ funding, environmental groups say


ORLANDO, Fla. — Federal and state officials withheld evidence that the Department of Homeland Security had agreed to reimburse Florida for some of the costs of constructing an immigration detention center in the Florida Everglades known as “Alligator Alcatraz,” according to environmental groups suing to shut down the facility.

The Everglades facility remains open, still holding detainees, because an appellate court in early September relied on arguments by Florida and the Trump administration that the state hadn’t yet applied for federal reimbursement, and therefore wasn’t required to follow federal environmental law.

The new evidence — emails and documents obtained through a public records request — shows that officials had discussed federal reimbursement in June, and that the Federal Emergency Management Agency confirmed in early August that it had received from state officials a grant application. Florida was notified in late September that FEMA had approved $608 million in federal funding to support the center’s construction and operation.

“We now know that the federal and state government had records confirming that they closely partnered on this facility from the beginning but failed to disclose them to the district court,” said Tania Galloni, one of the attorneys for the environmental groups.

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An appellate panel in Atlanta put a temporary hold on a lower court judge’s ruling that would have closed the state-built facility. The new evidence should now be considered as the judges decide the facility’s permanent fate, Friends of the Everglades and the Center for Biological Diversity, said in court papers on Wednesday.

A federal judge in Miami in mid-August ordered the facility to wind down operations over two months because officials had failed to do a review of the detention center’s environmental impact according to federal law. That judge concluded that a reimbursement decision already had been made.

The Florida Department of Emergency Management, which led the efforts to build the Everglades facility, didn’t respond to an emailed inquiry on Thursday.

Florida has led other states in constructing facilities to support President Donald Trump’s immigration crackdown. Besides the Everglades facility, which received its first detainees in July, Florida has opened an immigration detention center in northeast Florida and is looking at opening a third facility in the Florida Panhandle.

The environmental lawsuit is one of three federal court challenges to the Everglades facility. In the others, detainees said Florida agencies and private contractors hired by the state have no authority to operate the center under federal law. They’re also seeking a ruling ensuring access to confidential communications with their attorneys.

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Follow Mike Schneider on the social platform Bluesky: @mikeysid.bsky.social



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Florida lawmaker files hands-free driving bill ahead of 2026 legislative session

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Florida lawmaker files hands-free driving bill ahead of 2026 legislative session


Florida lawmakers are once again trying to crack down on distracted driving, this time with a proposal that goes further than the state’s current law.

Senate Bill 1152, filed ahead of the upcoming legislative session, would make it illegal for drivers to hold a phone while operating a motor vehicle. Drivers could still use GPS, make phone calls, or use navigation apps, but only through hands-free technology such as Bluetooth or built-in vehicle systems.

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That restriction would apply even when a vehicle is stopped at a red light or in traffic. The bill defines “handheld” use broadly, including holding a phone in one or both hands or bracing it against the body.

Supporters say Florida’s existing law, which primarily targets texting while driving, doesn’t fully address the many ways drivers use their phones behind the wheel and can be difficult for law enforcement to enforce consistently.

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The bill also includes privacy protections. Law enforcement officers would not be allowed to search or confiscate a driver’s phone without a warrant.

State officials say distracted driving remains a serious and persistent problem across Florida.

By the numbers:

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The most recent available data for a single year shows nearly 300 people were killed and more than 2,200 others suffered serious injuries in crashes involving distracted drivers in 2024. A crash happens in Florida about every 44 seconds, and roughly one in seven crashes involves a distracted driver, according to state data.

Advocates point to other states with hands-free laws, saying those states have seen declines in deadly crashes after similar measures were adopted.

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READ: Trump calls for ban on Wall Street buying single-family homes, citing affordability concerns

What’s next:

The bill will be taken up during the 2026 legislative session, which begins Tuesday, Jan. 13. It must pass committee hearings and full votes in both chambers before going to the governor.

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If approved, the law would take effect Oct. 1, 2026.

The Source: This story is based on the filed text of Senate Bill 1152 and data from the Florida Department of Highway Safety and Motor Vehicles.

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Penn State OG TJ Stranahan commits to Florida Gators

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Penn State OG TJ Stranahan commits to Florida Gators


Former Penn State interior offensive lineman TJ Shanahan committed to the Florida Gators on Tuesday, Jan. 6, reuniting him with offensive line coach Phil Trautwein in Gainesville.

Trautwein’s connection with Shanahan loomed large in his recruitment. The only visit Shanahan took was to Gainesville on Saturday, and Trautwein recruited him out of high school before he moved from Florida to Texas. The hometown angle also plays a factor here. His family lives outside of Tampa, and his cousin, Jon Halapio, played at Florida from 2009 to 2013 before being drafted in the sixth round.

247Sports does not have a transfer portal grade for Shanahan, but On3 ranks him at No. 341 overall and No. 25 among interior offensive linemen in the portal. He has two years of eligibility remaining with hopes of becoming a full-time starter at Florida.

TJ Shanahan’s college career

A consensus four-star recruit and the No. 1 interior offensive lineman in the 2023 recruiting class, Shanahan chose Texas A&M after visiting several SEC programs. He appeared in three games as a true freshman before redshirting. He became a regular in the Aggies’ offensive line rotation in 2024, playing in 10 total games. He spent time at center and left guard, starting four of five games at the latter position.

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He entered the transfer portal following coaching changes at Texas A&M, ultimately landing at Penn State. He played in all 13 games for the Nittany Lions, making five starts while jumping between both guard positions. Injuries kept him from playing a bigger role at the end of the regular season, but he played nearly 80 snaps at right guard in the Pinstripe Bowl.

Pro Football Focus gave him a 63.5 overall grade on offense, a 75.1 pass-blocking grade and a 59.2 run-blocking grade in 2025.

Florida’s interior offensive line room

Florida’s interior offensive line returns starting left guard Knijeah Harris and backup guards Roderick Kearney and Tavaris Dice Jr. Assuming Harris stays at left guard, Shanhan is a strong possibility at right guard for Florida next season. Kearney and Dice could provide depth at both positions, or the former could transition to center in hopes of replacing All-American starter Jake Slaughter.

Florida is losing several interior linemen to graduation and the transfer portal. Along with Slaughter, Damieon George Jr. and Kamryn Waites have exhausted their eligibility. Noel Portnjagin and Marcus Mascoll are in the portal. Redshirt freshman Jason Zandamela is staying and received high praise from Slaughter.

Florida is expected to land Georgia Tech lineman Harrison Moore, which would reload the stable with plenty of room for competition at all three positions.

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Florida 2026 transfer portal additions

Shanahan is the 10th official transfer portal addition of the 2026 cycle for Florida.

On offense, Georgia Tech quarterback Aaron Philo, Cincinnati running back Evan Pryor, Georgia Tech wide receiver Bailey Stockton, Wake Forest receiver Micah Mays Jr., and James Madison tight end Lacota Dippre have committed. On defense, Florida has earned commitments from Baylor defensive lineman DK Kalu and Baylor safety DJ Coleman. The Gators are also adding a pair of special teamers from Tulane, kicker Patrick Durkin and punter Alec Clark.

Florida is also expected to land Georgia Tech interior offensive lineman Harrison Moore, who is on an official visit (Jan. 6).

Follow us @GatorsWire on X, formerly known as Twitter, as well as Bluesky, and like our page on Facebook to follow ongoing coverage of Florida Gators news, notes and opinions.





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