Ten years after San Francisco became the first local government in the nation to offer transgender health care benefits for their employees, other public employers are beginning to follow suit.
Last month, city commissioners in Portland, Ore., voted unanimously to offer employees insurance covering gender reassignment surgery. Portland is in Multnomah County, which began providing similar benefits a year ago.
Berkeley, Calif., officials are working with the city's providers to offer transgender health care, spokeswoman Mary Kay Clunies-Ross said. Similar discussions are underway in Seattle and Fort Worth.
In 2008, the American Medical Association passed a resolution supporting public and private health insurance coverage for treatment of gender identity disorder as recommended by a physician, but most public-employee insurance plans still exclude that coverage.
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