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The conservative Democrat announced his retirement from the Senate, sparking speculation about the future political landscape and a potential third-party presidential run.
"I am ashamed and embarrassed and heartbroken for those I have hurt. I must do better, and I will," Bob Huggins said.
The Supreme Court has previously declined to weigh in on other high-profile cases concerning the rights of trans students.
The law is within the state's interest in providing athletic opportunities for girls and women, according to U.S. District Judge Joseph R. Goodwin.
Denial of the coverage "invidiously discriminates on the basis of sex and transgender status," a federal judge wrote.
Tech. Sgt. Kristin Kingrey has filed a lawsuit alleging sex discrimination, harassment, and retaliation.
The federal judge blocked the state from enforcing its trans-exclusionary school sports law against 11-year-old Becky Pepper-Jackson.
"I'm not ashamed of it. I'm not embarrassed by it, it's part of who I am," Christian conservative Josh Higginbotham said in a video.
Jim Justice could not cite one factual example of trans girls or women exerting an advantage over cisgender athletes.
Gov. Jim Justice said signing the bill was the right thing to do and that he was proud to do so despite the threat of repercussions.
The state's Senate approved a bill with such a ban Thursday, after the House of Delegates OK'd a slightly different version; they must be reconciled before going to Gov. Jim Justice.
West Virginia's Medicaid program and its state employee health plan both refuse to pay for gender-confirmation care.