U.S. District Court Judge Robert C. Chambers ruled this week that West Virginia’s Medicaid program can no longer exclude gender-affirming medical care for its transgender members. The ruling will apply to the approximately 579,000 West Virginians enrolled in Medicaid. Since 2013, the state’s Medicaid program has denied coverage for “[s]urgical or pharmaceutical treatments associated with gender dysphoria or any physical, psychiatric, or psychological examinations, testing, treatments or services provided or performed in preparation for, or as a result of, sex transformation surgery.”