It makes sense, recently in NC we unbanned gender-affirming care for Government funded medical programs, as the Judge ruled that since the legal team arguing in favor of the unban showed that trans healthcare is not substantially more expensive (for insurers) than everyone else's and there was enough evidence to show that the care could not be considered elective under these cirucmstances, that discrimination was the only possible motive for barring it and since those arguing in favor of the ban had no arguments that hadn't been debunked..... the ban was lifted and now Government Funded Medical Programs in NC HAVE to cover Gender Affirming care

If the Judge wasn't allowed to talk about LGBT Discrimination, and was forced to frame it in terms of "States Rights" then the ban wouldn't have been lifted