Mika Covington, Aiden Vasquez, f/k/a Aiden Delathower, and One Iowa, Inc. v. Kim Reynolds ex rel. State of Iowa, and Iowa Department of Human Services

IN THE COURT OF APPEALS OF IOWA

No. 19-1197
Filed August 5, 2020

MIKA COVINGTON, AIDEN VASQUEZ, f/k/a AIDEN DELATHOWER, and ONE
IOWA, INC.,
Petitioners-Appellants,

vs.

KIM REYNOLDS ex rel. STATE OF IOWA, and IOWA DEPARTMENT OF
HUMAN SERVICES,
Respondents-Appellees.
________________________________________________________________

Appeal from the Iowa District Court for Polk County, David M. Porter, Judge.

The petitioners appeal the district court order dismissing their petition for

declaratory judgment and denying their motion for injunctive relief. AFFIRMED.

Rita Bettis Austen and Shefali Aurora of ACLU of Iowa Foundation Inc., Des

Moines, and F. Thomas Hecht, Tina B. Solis, and Seth A. Horvath of Nixon

Peabody LLP, Chicago, Illinois, and John Knight of ACLU Foundation LGBT & HIV

Project, Chicago, Illinois, for appellants.

Thomas J. Miller, Attorney General, Jeffrey S. Thompson, Solicitor General

of Iowa, and Thomas J. Ogden, Assistant Attorney General, for appellees.

Considered by Bower, C.J., and Doyle and Schumacher, JJ.
2

DOYLE, Judge.

Mika Covington, Aiden Vasquez, and One Iowa, Inc. brought a declaratory

judgment action regarding an amendment to the Iowa Civil Rights Act (ICRA) that

exempts transgender Iowans seeking gender-affirming surgical procedures from

protection against discrimination by state and local government. The Iowa

legislature passed the amendment following our supreme court’s decision in Good

v. Iowa Department of Human Services, 924 N.W.2d 853, 858-59, 862 (Iowa

2019), in which the Iowa Supreme Court held an administrative rule excluding

surgeries “for the purpose of sex reassignment” and procedures “related to

transsexualism, hermaphroditism, gender identity disorders, and body dysmorphic

disorders” from Medicaid coverage violated the ICRA’s prohibition against

discrimination based on gender identity.1 As amended, the ICRA states that it

“shall not require any state or local government unit or tax-supported district to

provide for sex reassignment surgery or any other cosmetic, reconstructive, or

plastic surgery procedure related to transsexualism, hermaphroditism, gender

identity disorder, or body dysmorphic disorder.” See 2019 Iowa Acts ch. 85, § 93

(codified at Iowa Code § 216.7(3) (Supp. 2019)). The petitioners alleged the

amendment violates provisions of the Iowa Constitution and moved for temporary

and permanent injunctions to prevent its enforcement. The district court granted

1 The petitioners in Good were two transgender women whose Medicaid providers
denied them coverage for gender-affirming surgical procedures. Good, 924
N.W.2d at 857-59. Each woman unsuccessfully pursued administrative appeals
before petitioning the court for judicial review, arguing the rule violated ICRA and
the Equal Protection Clause of the Iowa Constitution. Id. at 858-59. Because the
supreme court determined the rule violated the ICRA, it did not address the
question of whether the rule violated protections afforded by the Iowa Constitution.
Id. at 863 (following the doctrine of constitutional avoidance).
3

the State’s motion to dismiss the action and denied the petitioners request for

injunctive relief on the basis that Covington and Vasquez had adequate remedies

at law and their claims were not ripe for adjudication, and One Iowa2 lacked

standing to challenge the legislative amendment.

We review the district court’s grant of a motion to dismiss for correction of

errors at law. See Hedlund v. State, 875 N.W.2d 720, 724 (Iowa 2016). In

reviewing the ruling, we accept the petitioners’ factual allegations as true. See id.

Dismissal is appropriate only if the petition, on its face, shows no right of recovery

under any state of facts. See Rieff v. Evans, 630 N.W.2d 278, 284 (Iowa 2001).

I. Declaratory Judgement.

The petitioners first challenge the dismissal of their petition for declaratory

judgment on ripeness grounds. An action for declaratory judgment is available to

any person “whose rights, status or other legal relations are affected by any

statute” for the purpose determining its validity. Iowa R. Civ. P. 1.1102. But “[a]

constitutional question does not arise merely because it is raised and a decision

thereof sought.” Vietnam Veterans Against the War v. Veterans Mem’l Auditorium

Comm’n, 211 N.W.2d 333, 335 (Iowa 1973) (citation omitted). Rather, there must

be “a substantial controversy between parties having adverse legal interests of

2 The petition for declaratory judgment describes One Iowa as a nonpartisan,
nonprofit organization with the purpose of advancing, empowering, and improving
the lives of LGBTQ Iowans statewide. “Its work includes educating Iowans about
the LGBTQ community, training healthcare providers, law enforcement, business
leaders, and others to ensure LGBTQ Iowans are respected in every facet and
stage of their lives, promoting policies within state and local government that
protect the civil rights, health, and safety of LGBTQ Iowans, empowering
tomorrow’s LGBTQ leaders through training and mentorship, and connecting
LGBTQ Iowans with vital resources.” “One Iowa has a major focus on increasing
healthcare access for transgender Iowans.”
4

sufficient immediacy and reality to warrant a declaratory judgment.” Sierra Club

Iowa Chapter v. Iowa Dep’t of Transp., 832 N.W.2d 636, 648 (Iowa 2013); Lewis

Consol. Sch. Dist. of Cass Cty. v. Johnston, 127 N.W.2d 118, 122 (Iowa 1964)

(“[N]o one may question the constitutionality of a statute unless he can show that

he is injured by it.”). The legal interest must be greater than that of the general

public. See Vietnam Veterans, 211 N.W.2d at 335. And the action must involve a

controversy that presently exists rather than “a mere abstract question.” Citizens

for Responsible Choices v. City of Shenandoah, 686 N.W.2d 470, 474 (Iowa 2004)

(citations omitted); Katz Inv. Co. v. Lynch, 47 N.W.2d 800, 805 (Iowa 1951) (noting

that “courts frequently decline to pass upon remote, future, or contingent rights

which may never arise, at least where there is no present need for such

determination or, because of absence of parties or otherwise, the determination

may not be final”). In making these determinations, we ask: “(1) are the relevant

issues sufficiently focused to permit judicial resolution without further factual

development and (2) would the parties suffer any hardship by postponing judicial

action?” Sierra Club, 832 N.W.2d at 649. Typically, both questions must be

answered in the affirmative before a case is considered ripe. See David Floren,

Pre-Enforcement Ripeness Doctrine: The Fitness of Hardship, 80 Or. L. Rev. 1107,

1112 (2001).

Our supreme court has illustrated when there is sufficient immediacy for an

issue to be ripe for adjudication by contrasting the facts presented in two cases.

See Sierra Club, 832 N.W.2d at 649. It noted that in Citizens for Responsible

Choices, it determined that a nonprofit citizens group’s objection to a public
5

improvement project that included a recreational lake and public park was not ripe

for adjudication:

There, the city had to issue bonds and establish a water recreational
area before proceeding with the project. Before the city could issue
the bonds, the Code required the city to hold a public hearing. At
the time of the suit, the public hearing had not taken place nor had
the city established the recreational area. Under these facts, we held
the action failed for ripeness.

Sierra Club, 832 N.W.2d at 649. But the court in Sierra Club determined that under

the facts before it, a challenge to the Iowa Department of Transportation’s decision

on a highway’s location was ripe for adjudication:

The decision where to locate a highway rests solely within the
discretion of IDOT. According to the record before us, IDOT has
made the decision to locate the Highway 100 extension adjacent to
and through two nature preserves. There are no other decisions to
make concerning the highway’s location. Although the actual
building of the highway may be contingent on future funding, IDOT
has committed funds in excess of 4.3 million dollars in the 2012–
2014 funding plan to obtain the right-of-way and for wetland
mitigation at the chosen location. This commitment of funds supports
the fact that IDOT has selected the site for the highway. Thus, there
are no other facts that need to be resolved for the court to determine
whether IDOT complied with sections 314.23(3) and 314.24 when it
decided to locate the Highway 100 extension.

Id. (internal citations omitted).

Here, the factual scenario presented is more akin to that in Citizens for

Responsible Choices. Covington and Vasquez have not requested Medicaid pre-

authorization, their Medicaid providers have not evaluated the request, and no

notice of decision had been issued. The district court determined that until their

Medicaid providers deny them coverage, the controversy is purely abstract

because they have not been adversely affected in a concrete way. We agree.

Although the ICRA amendment is clearly calculated to allow Medicaid providers to
6

deny gender-affirming surgical procedures to transgender Iowans, nothing

prohibits Medicaid providers from allowing such a claim. Thus, any dispute is

speculative until a denial occurs and the matter is not ripe for adjudication.

II. Injunctive Relief.

Next, we address the denial of the petitioners’ motion for injunctive relief.

Because the question of whether to issue a temporary injunction rests within the

discretion of the district court, we review the denial for an abuse of discretion. See

Lewis Investments, Inc. v. City of Iowa City, 703 N.W.2d 180, 184 (Iowa 2005).

A temporary injunction is available only if the party seeking injunctive relief

shows the likelihood of success on the merits of the underlying claim. See id. In

other words, in order to grant temporary injunctive relief, the court must find it is

likely the petitioners will succeed in obtaining a permanent injunction. See id.

Because the court may grant permanent injunctive relief only if there is no other

way to avoid irreparable harm to the plaintiff, it will not issue if there is an adequate

remedy at law available. Id. at 185; see also Ney v. Ney, 891 N.W.2d 446, 451

(Iowa 2017) (“Generally, a party seeking an injunction must prove ‘(1) an invasion

or threatened invasion of a right; (2) that substantial injury or damages will result

unless the request for an injunction is granted; and (3) that there is [not another]

adequate [means of protection] available.’” (citation omitted) (alteration in

original)).

In denying temporary injunctive relief, the district court determined that the

petitioners have an adequate remedy at law by means of administrative challenge.

It noted that the petitioners in Good, pursued and exhausted their administrative

appeals, providing the district court a complete factual record from which the court
7

could engage in constitutional analysis. On this record, the supreme court

determined that the administrative rule enacted by the Iowa Department of Human

Services (DHS) to allow Medicaid providers to deny transgender Iowans gender-

affirming surgery violated the ICRA. Although the legislature has amended the

ICRA so that the administrative rule no longer violates the law, the question of

whether Medicaid must provide a recipient with a gender-affirming surgical

procedure still resides, ultimately, with the DHS. See Iowa Admin. Code r. 441-

73.13 (providing that a Medicaid recipient may appeal a denial decision of their

managed care organization “in accordance with the appeal process available to all

persons receiving Medicaid-funded services as set forth in 441—Chapter 7”); see

also Iowa Admin. Code r. 441-7.4(3)(b) (pertaining to the appeal of medical

services coverage under Medicaid managed care). On that basis, the petitioners

have a legally adequate means of legal redress through the DHS’s administrative

process.

III. Standing.

Finally, we address One Iowa’s challenge to the district court’s

determination that it lacks standing. We review the decision to dismiss One Iowa

from the case based on lack of standing for errors at law. See Hawkeye Foodserv.

Distrib., Inc. v. Iowa Educators Corp., 812 N.W.2d 600, 604 (Iowa 2012). In order

to have standing, a party “must (1) have a specific personal or legal interest in the

litigation, and (2) be injuriously affected.” Id. at 606 (citation omitted). The first

element is satisfied if the litigant alleges an injury different than that of the general

population. See id. The second element is satisfied when the injury is concrete

and actual or imminent rather than conjectural or hypothetical. See id. In
8

dismissing it as a party to the action, the district court determined that One Iowa

failed to show the required actual or imminent injury to maintain standing. As

stated above, we agree that any injury is hypothetical or speculative at this time.

The district court also found that One Iowa failed to show it has

representational standing. An organization may rest its right to sue on the rights

of its members. Citizens for Washington Square v. City of Davenport, 277 N.W.2d

882, 886 (Iowa 1979) (citing Hunt v. Washington Apple Advert. Comm’n, 432 U.S.

333, 342 (1977)); see also Arizonans for Official English v. Arizona, 520 U.S. 43,

65-66 (1997) (stating that an association has standing “only if its members would

have standing in their own right”). But in order to do so, it “must allege that its

members, or any one of them, are suffering immediate or threatened injury as a

result of the challenged action of the sort that would make out a justiciable case

had the members themselves brought suit.” Hunt, 432 U.S. at 342. As stated

above, the matter is not ripe for adjudication and therefore is not justiciable. As

such, One Iowa is without standing to bring this action. It is seeking general

vindication of the public interest in seeing that the legislature acts in conformity

with the constitution “is an admirable interest, but not one that is alone sufficient to

establish the personal injury required for standing.” See Godfrey v. State, 752

N.W.2d 413, 424 (Iowa 2008).

Because the district court committed no legal error or abuse of discretion in

dismissing this action for declaratory judgment and injunctive relief, we affirm.

AFFIRMED.