- Transgender insureds can sue over health plan exclusion, U.S. appeals court affirms. In 2018, the North Carolina State Health Plan decided to exclude all coverage for gender dysphoria counseling, hormone therapy and other transition-related treatment. https://www.nbcnews.com/nbc-out/out-news/transgender-insureds-can-sue-health-plan-exclusion-us-appeals-court-af-rcna1890 17 comments politics