As a result of federal litigation, the Alaska Dept. of Health & Social Services has agreed to regulation changes, which now permit the state to access public funds to pay for surgery and hormones that alter a person’s appearance in order to make them look like a member of the opposite sex.

Alaska’s motivation for agreeing to include these controversial surgeries in its Medicaid program stem from a federal lawsuit in Alaska District Court challenging state regulations that prohibited using public funds to underwrite “treatment, therapy, surgery, or other procedures related to gender reassignment” or for “transsexual surgical procedures or secondary consequences.”

Plaintiffs alleged that Alaska’s regulations governing transgender health care, violated the Equal Protection Clause of the 14th Amendment by subjecting transgender beneficiaries of Alaska Medicaid to unlawful discrimination on the basis of transgender status and sex. They also claimed that Alaska’s regulations violated the Affordable Care Act which they argue prohibits discrimination on the basis of sex in a health program that receives federal funds. Alaska’s Medicaid program is funded through a 50-50 split of state and federal dollars.

According to a court settlement, ordered by U.S. District Judge Russel Holland, the three plaintiffs should each receive $60,000 from the state for their “economic and non-economic damages.” Additionally, the state has agreed to pay plaintiffs’ attorney fees and have budgeted $100,000 annually to pay for transgender procedures and treatments. This include $28,000 from the general fund and $72,000 from federal matching funds.

Surgeries include removing breasts, mutilating sexual organs to make them appear differently and shaving facial bones.

According to the Mayo Clinic website, non-surgical gender reassignment services typically include hormones that either “maximize feminization or masculinization.” Hormones can also minimize breasts or facial hair to enable a person to appear as the opposite sex.

Non-hormonal treatments can also include counseling to instruct a person on how to publicly come out, how to be comfortable expressing their new gender identity, and how to develop vocal characteristics matching their preferred gender expression. Additional non-surgical services include breast binding, breast padding and aesthetic services, such as makeup application or wardrobe consultation.

Surgical procedures include removing breasts, mutilating sexual organs to make them appear differently, shaving facial bones to alter outward appearance, and other manipulations of the body.

Persons after sex reassignment, have “considerably higher risks for mortality, suicidal behavior, and psychiatric morbidity than the general population.”

The new Alaska regulations go into effect July 25. They were adopted after a public comment process concluded in April.

A notice from Medicaid Specialist Susan Dunkin states that the regulation change is proposed by the Alaska Department of Law and is being considered due to an “internal program review as a result of federal litigation.”


According to a detailed and comprehensive study published on the National Center for Biotechnology Information website, sex-change operations come with serious and harmful life altering side effects. Coupled with the fact that many young people grow out of their gender confusion, the NCBI recommends psychological methods of treatment.

“There are serious risks associated with sex change,” the center warns. “They include the risk of depressive illness and suicide. Physicians and mental-health professionals should know these risks and the regrets of those who have been through sex-change operations. These patients and their families also should be informed of other treatment options.”

The NCBI also city a 2015 study of 180 transsexual youth who had undergone sex-change surgery.

“These youth had a twofold to threefold increased risk of psychiatric disorders, including depression, anxiety disorder, suicidal ideation, suicide attempt, self-harm without lethal intent, and both inpatient and outpatient mental health treatment compared to a control group of youth,” NCBI states.

Men on hormone therapy to “transition” to women were more than 46 times more likely to suffer from breast cancer.

It also highlights the largest study to date of the long-term psychological state of post-sex reassignment surgery. An analysis of over 300 people who had undergone these procedures in Sweden over the past 30 years demonstrated that persons after sex reassignment, have “considerably higher risks for mortality, suicidal behavior, and psychiatric morbidity than the general population.”

The use of powerful transgender hormones are also a highly controversial topic in the medical field, especially as they relate to younger people.

Dr. Michelle Cretella, president of the American College of Pediatricians, called it child abuse to promote transgender therapies for children. In a speech given at the Heritage Foundation last October she spoke of dangers associated with the practice.

“Chemical castration is what you’re doing when you put any biologically normal child on puberty blockers,” Cretella was quoted in a LifeSiteNews article. “It’s treating puberty like a disease, arresting a normal process which is critical to normal development.”

Dr. Cretella added that medical professionals who promote these treatments on confused youth are engaging in “experimentation on children.” She observed that gender confusion is common in preadolescents and adolescents and usually resolves after puberty.

Men on hormone therapy to “transition” to women were more than 46 times more likely to suffer from breast cancer.

Transgender hormonal treatment for adults is also controversial.

The National Breast Cancer Foundation reports that just one in every 1,000 men is ever diagnosed with breast cancer. However, according to a May 2019 study in the British Medical Journal, men on hormone therapy to “transition” to women were more than 46 times more likely to suffer from breast cancer. Similarly, gender-confused women taking testosterone to “transition” to men were almost 60 times more likely to develop breast cancer. The study followed 2,260 gender-confused men and 1,229 gender-confused women.


  • Click here to contact the Alaska Department of Health & Social Services
  • Click here to contact Gov. Mike Dunleavy.

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Alaska will use public funds to pay for transgender surgery following court settlement

Joel Davidson
Joel is Editor-in-Chief of the Alaska Watchman. Joel is an award winning journalist and has been reporting for over 24 years, He is a proud father of 8 children, and lives in Palmer, Alaska.


  • Timothy Colbath says:

    Absolute insanity.

  • Ekim Kcidrub says:

    Sounds like an elective surgery to me. If I want an elective surgery I have to pay for it. So’oo anyone who wants a Addadicktome or the opposite surgery they should have to pay for it themselves. The tax payers or the State nor the Feds should Pay for someone to have their MALE reproductive parts cut off and or Whoremone shots to grow Boob’s. Also the opposite. If you have a penis you are MALE PERIOD!! If you have a VAGINA your are FEMALE PERIOD!!

  • Lobo says:

    “As a result of FEDERAL LITIGATION”.. I want to know why the federal government is sticking it’s nose into this.. I don’t think it would survive a SCOTUS challenge.. Also,, why is the governor not challenging this federal interference. This is not a civil rights issue.

  • Vonda Sanders says:

    We should not have to pay for this!!! I have to pay for my own doctor bills!!! This is their choice.

  • Elizabeth Henry says:

    The Hippocratic oath is apparently, obviously, dead for many, too many, health care practitioners as they have given themselves over to deluded psychopathy. Maiming and permanently disfiguring children for life! Using public money, with the public having no say is this devastating evil, and our governor is not standing up to this? Can we sink any lower in darkness and depravity? Lord have mercy and deliver this state, our governor, send the rest of this nation from such retched blindness.

    • Elizabeth Henry says:

      The word ‘send’ should be ‘and’. Surely there is a way to add an edit function to the comments?

  • Elizabeth Henry says:

    I am still fuming over this.
    Cut and pasted from article ——
    “As the result of federal litigation, the Alaska Dept. of Health & Social Services agreed to quietly change to its regulations, so that the state can publicly pay for powerful hormonal therapy and other surgical procedures related to transgender reassignment.”
    “Agreed” with whom? The word ‘agreed’ does not indicate DHSS was ‘ordered’ to change regulations. What is the catch here? Besides the evil factor I already ranted about above, what is wrong with our state leadership that they would not ‘man up’ and say ‘heck no’! You can bet there are other states that will indeed do that.
    This is unconscionable.

  • NAV says:

    Dunleavy is a demon in the flesh!!!

  • Mo says:

    C’mon Dunleavy! Really?!!!

  • EscapedAnchorage says:

    I find it bizarre he OKed this but says no to abortion. Maybe it’s just me, but both of these things fit in the same category of evil. Children should be allowed to live and live without being sexualized. Transgenderism has turned into sexualizing children, drag queen story hour recently showed us that by asking young kids if they know what bisexual means and flashing their panties.

    Not only that, this is elective surgery that very rarely helps the mental health of the person. Tax payers can barely afford their own cancer treatments and we have the pay for this? Elective surgery needs to be on your own dime.

  • Patrick Brennan says:

    Absolute insanity and don’t look for my vote ever again dumbleavy

  • Jen says:

    I think Dunleavy doesnt agree with Transgenders getting Medicaid to pay for their elective operation. But! What do you do when you have to work with a noisy Legislative House who like things such as LGBTQ and you have to get them to agree with such budget line items as a dividend higher than 1000.

    This is what happens when the people of Alaska arent involved in local politics. When we finally get a smart leader, as in Dunleavy, the political environment isn’t as ideal for them to stay his course, and they are forced into compromising so to get other more pressing matters met.

    • Jen says:

      Furthermore, when the budget finally gets cut this extra addition may just get cut out anyway in the future.
      The state isnt obligated into continuing paying for non medical emergency costs if it has less money for it while Medicaid recipients need dental and eye attention. What is more important when money is tight your eyes and teeth or sex hormones? Which will more likely get the cut in the future? Maybe Dunleavy sees it that way.

  • Kathy says:

    What we need is Public Safety and we get this? C’mon Mike get real

  • Michael Alexander says:

    This insanity probably gained favor with the governor due to the loss of his testicles two years ago.

  • Esther says:

    This makes me wonder what they’ve got on him…and anyone who caves to the seemingly all-powerful cabal of sexual deviants.

    How close to home do these evils have to hit before we take positive action against them?

    It’s past time to resist -to say NO to the rainbow.

  • Terry says:

    This is absolute insanity. Seems to all started when the State of Alaska ok on same sex marriages. This started then and opens up another whole large can of Bullshit?

  • LARRY WOOD says:

    Mike can kiss reelection good-bye. This is the dumbest decision that he’s made to date. A good Christian? I am beginning to wonder. The state should have fought hard to protect the kids, instead, it rolled over like my granddaughter’s dog wanting its belly scratched.
    Where is Adam Crum in this, another good Christian?
    I am appalled.
    I’ve read the studies.
    The hormone treatments also leach calcium out of the bones, making the person’s skeletal system weaker, more prone to injury. The suicide rate is through the roof as it is, after surgery and hormone treatment, gets worse. These people are in need of mental health care, not encouragement to destroy their self identity and self-esteem. Incredible.
    The monsters are those encouraging kids under 18.
    The Legislature needs to address this and to bar transgender surgery, peer pressure, pressure by the LGBTQ nut jobs–they need to recruit, they are manufacturing more nut jobs by influencing the vulnerable.

  • Getyup says:

    So, the State of Alaska will pay a person suffering from psychiatric issues to medically alter their sexual orientation when studies show its contrary to their life longevity. Sounds to me like the SOA is complicit in the possible untimely (suicide) death of an individual who suffers from psychiatric issue. Can you see very large law suits agains the “deep” pocket of the state for untimely deaths.

  • G Aleution says:

    I am reminded of the PFD statute directing annual distribution of PFD dividends. Are these both examples of only “pretended” acts of legislation?

  • G Aleution says:

    We are the political sovereigns. Do we consent to the above acts? It is from our consent or not the elected public servants have any authority to act.


    So let me get this straight. Kids cannot get counseling for sexual idenity issues (in Anchorage), but they can get counseling for sex changes? And, the state government has been cutting our PFD’s for several years (against the law and intention for the PFD): but now will be using funds for body mutilations? AAAARRRRGGGGHHHH! I give up. The entire world has gone mad (as many prophets have fortold). Get ready, things are going to get REALLY bad for the human race.

    • Michael S Totten says:

      It’s the government tyrants. If they turn all the potential fighting boys into little girls then their are no men left to fight them off when they finally HUGO CHAVEZ the united states. It’s all by design. They want an absolutely dependant society that they can manipulate however they want. This is the new slave class. And after they take out what little resistance is left after gen x dies. Because thats what they’re waiting for. The remaining mask slaves and gender confused slaves will do whatever their told.

  • Christopher Meltz says:

    I just called Mike Dunleavy’s Anchorage office (Juneau hung-up on me) and requested an answer in regards to his stance on this issue and if he’s not onboard, what his actions will be going forward.
    Answer pending, please stand by for update…if you never hear from me again, you’ll know how far I got.

  • Michael S Totten says:

    And they will allocate more of the dividend to pay for it. Don’t believe me? WATCH!