A female who identifies as male works at a hospital in New York as a cleaning and sanitation specialist. He is a member of 1199 SEIU United Healthcare Workers East. He has health insurance through the union’s self-insured plan. Two years ago when he sought authorization for his hysterectomy, he was told that it would not be covered. According to the union, “gender re-assignment surgery is not a covered benefit.” However, the union’s health plan does not contain a clause prohibiting gender transition-related care. Upon closer look (and with, shall we say “encouragement” from the Transgender Legal Defense & Education Fund), the SEIU changed its tune. Now, the official SEIU position is that it is “not the policy of our health funds to exclude coverage for gender reassignment.”