West Virginia's and North Carolina's refusal to cover certain health care for transgender people with government-sponsored insurance is discriminatory, a federal appeals court ruled Monday in a case likely headed to the U.S. Supreme Court.The Richmond-based 4th U.S. Circuit Court of Appeals ruled 8-6 in the case involving coverage of gender-affirming care by North Carolinas state employee health plan and the coverage of gender-affirming surgery by West Virginia Medicaid.After the ruling, West Virginia plaintiff Shauntae Anderson, a Black transgender woman and West Virginia Medicaid participant, called her state's refusal to cover her care deeply dehumanizing."I am so relieved that this court ruling puts us one step closer to the day when Medicaid can no longer deny transgender West Virginians access to the essential healthcare that our doctors say is necessary for us, Anderson said in a statement.West Virginia Attorney General Patrick Morrisey immediately released a statement announcing his office's intention to appeal.Decisions like this one, from a court dominated by Obama- and Biden-appointees, cannot stand: well take this up to the Supreme Court and win, Morrisey said.