A federal appeals court ruled on Monday that state health insurance plans must provide coverage for gender-affirming care in North Carolina and West Virginia. Trans advocates say it’s a huge victory, especially since bills restricting the rights of transgender people have been on the rise in state legislatures. The 4th Circuit Court of Appeals in Richmond, Va., issued its decision about two cases. One was brought by North Carolina state employees and their dependents who are transgender and were unable to get coverage for gender-affirming care. The other lawsuit came from West Virginians who are transgender and on Medicaid. They could get coverage for some treatments — like hormones — but not for surgery.