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DOJ sues Utah for discriminating against incarcerated trans woman who self-castrated

Kristen Clarke Assistant Attorney General Civil Rights US Department of Justice speaks on stage National Urban League Conference Plenary II State of Black America Houston Texas
Arturo Holmes/Getty Images for National Urban League

Assistant Attorney General Kristen Clarke

People with gender dysphoria are protected by the Americans With Disabilities Act, said Assistant Attorney General Kristen Clarke, and their rights "are not given up at the jailhouse door."

The Department of Justice is suing Utah and its corrections department for discriminating against an incarcerated transgender woman by denying her access to gender-affirming care.

The inmate, whose name was not released, was repeatedly denied hormone therapy by the corrections department, which also failed to make other reasonable accommodations such as housing, changing pat-down procedures, and allowing her to buy women's clothing like bras and blouses from the prison commissary. Out of distress, the woman removed her testicles via self-surgery while in custody.

The complaint filed Tuesday by the DOJ accuses the Utah Department of Corrections of imposing "unnecessary barriers to treatment for incarcerated individuals with gender dysphoria that are not required for other health conditions," in violation of the Americans With Disabilities Act.

Utah Department of CorrectionsUtah Department of Corrections

The DOJ's Civil Rights Division recently filed a statement of interest aiming to clarify that gender dysphoria can be a covered disability under the ADA. Correctional institutions would therefore be in violation of the Eighth Amendment when they refuse to provide gender-affirming care to incarcerated individuals with gender dysphoria.

“People with gender dysphoria, including those held in jails and prisons, are protected by the Americans With Disabilities Act and are entitled to equal access to medical care just like anyone else with a disability,” explained Kristen Clarke, assistant attorney general for the DOJ’s Civil Rights Division, in a news release.

The DOJ first released its findings on the case last week. The investigation into the UDOC’s practices is part of the department's broader efforts to combat discrimination against people with gender dysphoria.

“Delays or refusals to provide medical treatment for people with gender dysphoria can cause irreparable harm, including debilitating distress, depression, attempts at self-treatment and even death by suicide," Clarke continued. "The Civil Rights Division is committed to protecting the rights of all people with disabilities in our country, including those who experience gender dysphoria — and those rights are not given up at the jailhouse door."

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Ryan Adamczeski

Ryan is a staff writer at The Advocate, and a graduate of New York University Tisch's Department of Dramatic Writing, with a focus in television writing and comedy. She first became a published author at the age of 15 with her YA novel "Someone Else's Stars," and is now a member of GALECA, the LGBTQ+ society of entertainment critics. In her free time, Ryan likes watching New York Rangers hockey, listening to the Beach Boys, and practicing witchcraft.
Ryan is a staff writer at The Advocate, and a graduate of New York University Tisch's Department of Dramatic Writing, with a focus in television writing and comedy. She first became a published author at the age of 15 with her YA novel "Someone Else's Stars," and is now a member of GALECA, the LGBTQ+ society of entertainment critics. In her free time, Ryan likes watching New York Rangers hockey, listening to the Beach Boys, and practicing witchcraft.