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A lawsuit accusing Blue Cross Blue Shield of Illinois of violating an anti-discrimination provision of the Affordable Care Act by refusing to cover a transgender teenager's gender-affirming care can go forward as a class action, a federal judge has ruled, Reuters reports. U.S. District Judge Robert Bryan in Tacoma, Washington found Wednesday that Patricia and Nolle Pritchard and their son could represent a class of transgender beneficiaries of health plans administered by the insurer.