Connor Thonen-Fleck addresses reporters while his parents stand by his side, Monday March 11, 2019, in Durham, N.C., at the announcement of a lawsuit against North Carolina officials over how the state health plan is run. A federal appeals court is considering cases out of North Carolina and West Virginia that could have broad-ranging implications on whether individual states are constitutionally required to cover healthcare for transgender people with government-sponsored insurance. (AP Photo/ Jonathan Drew, FIle)