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Atlanta’s top LGBTQ score reflects rare provision of transgender health benefits

gay pride parade

The Human Rights Campaign Foundation awarded a perfect score of 100 to the Atlanta city government for its inclusionary LGBTQ policies. Credit: davidatlanta.com

By David Pendered

Atlanta is among dozens of U.S. municipal governments that are providing equity to the LGBTQ community even as state legislatures are moving in the opposite direction, according to a report from the Human Rights Campaign Foundation.

gay pride parade

The Human Rights Campaign Foundation awarded a perfect score of 100 to the Atlanta city government for its inclusionary LGBTQ policies. Credit: davidatlanta.com

Atlanta’s distinction is evident in its standing among just 17 percent of cities that offer transgender-inclusive healthcare benefits. Of 506 cities evaluated, 86 offer such benefits, according to HRC.

These benefits provide medical services related to gender transition such as mental health care, hormone therapy, gender affirmation therapy and other gender-affirming care, according to a report by HRC.

Atlanta marked its fourth perfect score on HRC’s 2016 Municipal Equality Index. Atlanta achieved a top score of 100. In addition, Atlanta earned four bonus points for two categories:

  • Atlanta has an enforcement mechanism to, “ensure LGBTQ constituents are included in city services and programs:” 2 bonus points;
  • Atlanta has openly LGBTQ elected or appointed municipal leaders: 2 bonus points.

The perfect score comes after the Legislature this year passed, and Gov. Nathan Deal vetoed, House Bill 757. Dubbed the “religious liberty” bill, HB 757 would have given faith-based organizations in Georgia the legal authority to deny jobs and services to the LGBTQ community.

HRC President Chad Griffin said in a statement released Monday that cities are serving as a bulwark against efforts such as those named in HB 757.

lgbtq, hrc score oct. 19, 2016

Atlanta’s city government received a perfect score of 100 for its LGBTQ inclusionary policies, plus four bonus points for additional programs. Credit: hrc.org

“Local governments are at the forefront of our fight for equality,” Griffin said. “Unfortunately, our opponents have witnessed this progress too, and in recent years, anti-LGBTQ lawmakers have pushed spiteful legislation aimed at pre-empting local protections. That’s why it’s so important that we continue to not only fight for equality at the state and local levels, but to enact comprehensive federal protections for LGBTQ people under the Equality Act.”

Atlanta Mayor Kasim Reed expressed strong support for the programs that resulted in the city’s scores on the HRC evaluation.

“I am very proud of the City of Atlanta’s fourth consecutive perfect score on the Human Rights Campaign’s Municipal Equality Index,” Reed said in a statement released Tuesday. “My Administration has worked to make sure our policies and practices speak to our values. Our performance shows that our work is making a difference to Atlanta’s LGBT community, and setting the standard for cities in the Southeast.”

Kasim Reed

Atlanta Mayor Kasim Reed

Reed has said in the past that his own thoughts on some LGBTQ issues have evolved over time. Reed spoke of them in a statement his administration released Dec. 3, 2012, when he signed legislation passed by the Atlanta City Council. The resolution sponsored by Councilmember Alex Wan supports marriage equality for same-sex couples.

“I believe in tolerance and acceptance, regardless of a person’s race, ethnicity, gender, religion, sexual orientation or gender identity,” Reed said in the statement. “That creed has been a guiding force for me throughout my life, as reflected by my actions and votes as a lifelong Democrat and elected official in the state of Georgia for more than 14 years.”

HRC scores cities on 44 criteria that fall into five categories:

  • Non-discrimination laws;
  • Municipal employment policies, including transgender-inclusive insurance coverage and non-discrimination requirements for contractors;
  • Inclusiveness of city services;
  • Law enforcement, including hate crimes reporting;
  • Municipal leadership on matters of equality.
gender transition care costs, insurance

The HRC provides this illustration to indicate the relative cost of gender transition health care. Credit: hrc.org

Reed’s statement issued Tuesday provides the following snapshot of LGBTQ-related steps taken during his administration:

  • Reed serves as Honorary Co-Chair of the Mayors for Freedom to Marry campaign;
  • The appointment of the first transgender individual to the Atlanta Citizen Review Board in the city’s history;
  • Support for President Obama’s executive action to ensure transgender women and men have access to their preferred restroom;
  • Atlanta City Hall offers single-occupancy restrooms to staff and the public.
  • Atlanta provides transgender-inclusive health insurance coverage for city employees;
  • Amending the city code of ordinances to include gender identity in all non-discrimination provisions;
  • The appointment in 2013 of Robin Shahar, then the law department’s chief legal counsel, as Mayoral Advisor on LGBT issues; Shahar has handled numerous LGBTQ-related cases.


David Pendered

David Pendered, Managing Editor, is an Atlanta journalist with more than 30 years experience reporting on the region’s urban affairs, from Atlanta City Hall to the state Capitol. Since 2008, he has written for print and digital publications, and advised on media and governmental affairs. Previously, he spent more than 26 years with The Atlanta Journal-Constitution and won awards for his coverage of schools and urban development. David graduated from North Carolina State University and was a Western Knight Center Fellow.


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