Paxton Enstad, left, addresses a news conference about a lawsuit filed over refusal by an insurance plan to cover his gender-reassignment surgery as his parents, Cheryl and Mark Enstad, look on Thursday, Oct. 5, 2017, in Seattle. The American Civil Liberties Union of Washington filed the discrimination lawsuit against PeaceHealth in federal court on behalf of Cheryl Enstad, of Bellingham, and her son. The lawsuit cites violations of the federal Affordable Care Act as well as Washington state anti-discrimination law. (AP Photo/Elaine Thompson)
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