Surgeons perform a bilateral mastectomy on a transgender patient at a hospital in Boston on Friday, July 15, 2016. On Wednesday, July 3, 2024, a U.S. federal district court judge temporarily halted parts of a nondiscrimination rule that would have kept insurers and medical professionals from denying hormone therapy, gender transition surgeries and similar medical care for transgender people. (Christine Hochkeppel/Worcester Telegram & Gazette via AP, File)