This chapter "rewrites" Smith v. Rasmussen, 249 F.3d 755 (8th Cir. 2001), which affirmed Iowa’s Medicaid agency's refusal to cover gender affirmation surgery for a beneficiary. The rewritten opinion "conclude[s] that the exclusion regulation discriminates based on sex, thereby failing to satisfy the Medicaid statute’s reasonableness requirements."

Commentary, Heather Walter McCabe

Judgment, Craig Konnoth

Craig Konnoth & Heather Walter McCabe, SMITH V. RASMUSSEN, in Feminist Judgments: Rewritten Health Law Opinions, Cambridge University Press, 237–263 (2022).