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Anna Lange, a sheriff's sergeant in Houston County, Ga., poses for a picture, Nov. 14, 2023. A federal appeals court has upheld a lower court’s ruling that a Georgia county illegally discriminated against the sheriff’s deputy by failing to pay for her gender-affirming surgery. In its ruling Monday, May 13, 2024 the 11th U.S. Circuit Court of Appeals said it was tasked with determining whether a health insurance provider can be held liable under the Civil Rights Act of 1964 for denying coverage for a procedure because an employee is transgender. (AP Photo/Jeff Amy, file)

Anna Lange, a sheriff's sergeant in Houston County, Ga., poses for a picture, Nov. 14, 2023. A federal appeals court has upheld a lower court’s ruling that a Georgia county illegally discriminated against the sheriff’s deputy by failing to pay for her gender-affirming surgery. In its ruling Monday, May 13, 2024 the 11th U.S. Circuit Court of Appeals said it was tasked with determining whether a health insurance provider can be held liable under the Civil Rights Act of 1964 for denying coverage for a procedure because an employee is transgender. (AP Photo/Jeff Amy, file)

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