Mayor Andrew J. Ginther, City of Columbus | City of Columbus website
Mayor Andrew J. Ginther, City of Columbus | City of Columbus website
Yesterday, the Human Rights Campaign (HRC) released its 2024 Municipal Equality Index (MEI) scores. This index evaluates the inclusivity of municipal laws, policies, and services in cities and towns across the United States. Many cities in Ohio saw a decrease in their scores due to a recent ban by the Ohio State Legislature on age-appropriate, medically necessary health care for transgender youth.
Despite Akron, Cleveland, Columbus, and Toledo offering transgender-inclusive health care benefits to employees and their dependents, the state’s ban on gender-affirming care for young people has impacted these cities' MEI scores negatively. The restriction prevents access to essential health care benefits for transgender and gender-nonconforming youth.
Some Ohio cities managed to maintain strong scores because of local policies that support LGBTQ+ residents. However, the impact of the state's anti-trans law extends beyond scorecards. It affects healthcare access, business attraction, tourism, and reputation across Ohio's cities. Most importantly, it harms children and families residing in these areas.
According to a 2023 study by HRC, 42.9% of LGBTQ+ adults in Ohio would consider relocating if such a ban were enacted. The legislation is opposed by many Ohioans and numerous major U.S. corporations. Governor Mike DeWine initially vetoed the gender-affirming care ban but was overridden by the state legislature in 2024. Additionally, Ohio Senate Bill 104—an anti-trans bathroom ban—is nearing enactment.
“These laws and proposals serve no purpose other than to encourage hate and exclusion,” stated Mayor Andrew J. Ginther of Columbus who maintained a perfect score on the MEI. “While our city does everything we can to empower and lift up all our youth, the state law prevents parents in our city from making health care decisions for and with their child.”
Cleveland Mayor Justin M. Bibb remarked on his city's efforts despite challenging legislation: “As mayors, we play a powerful role in protecting our LGBTQ+ communities... In Cleveland... we know we have work to do.”
Toledo Mayor Wade Kapszukiewicz expressed pride in his city's commitment: “Toledo is proud to champion welcoming and inclusive policies... Our consistently strong rankings are a testament to that commitment.”
Akron Mayor Shammas Malik highlighted the importance of gender-affirming care: “A recent study found that 82% of transgender individuals experience suicidal ideation... Offering these important benefits has helped ensure Akron has earned a perfect score.”