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A federal judge in Washington state ruled Dec. 19 that Blue Cross Blue Shield of Illinois discriminated against transgender individuals by denying coverage for medically necessary gender-affirming care, reports Becker’s Payer Issues. In November, the court had earlier granted a class action against BCBS that accused the payer of denying gender-affirming care coverage under a self-funded health plan, thereby violating the anti-discrimination provision of the Affordable Care Act.