In a case of first impression, Robins Kaplan got a significant court ruling clarifying that the Affordable Care Act’s civil rights protections extend to transgender individuals seeking medical care.

Born female, Jakob Rumble identified as a man. In 2013, at age 18, he went to an emergency room in Edina, Minnesota, after having a high fever and extreme pain in his genitals. Once there, a clerk allegedly made him wear a hospital bracelet with an “F” on it, and he waited for nearly five hours to see a doctor, who then allegedly performed a painful exam. The doctor also asked questions in a “hostile and aggressive manner” about Rumble’s sex life and use of male hormones, according to Rumble’s lawsuit.

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