The Associated Press reported.Judge William Kelly said Iowa's Department of Human Services had to provide Medicaid coverage for the surgeries when medically ordered to treat gender dysphoria.Gender dysphoria is defined by the Mayo Clinic as the "feeling of discomfort or distress that might occur in people whose gender identity differs from their sex assigned at birth or sex-related physical characteristics."Gender dysphoria commonly begins during childhood, although some people don't experience it until after puberty or later in life.The ruling follows a lawsuit brought in April by Aiden Vasquez and Mika Covington, two Iowa residents who worked with the ACLU of Iowa to bring their case to the state.According to Kelly, the state's defense of.