Judge rules BCBSIL cannot exclude gender-affirming care from plans Dec 22, 2023 | Federal Government, Insurance, Top Stories A federal judge ruled this week that Blue Cross Blue Shield of Illinois cannot exclude gender-affirming care from any health insurance plan it administers.To access this content, you must purchase 1 Year Health News Illinois Subscription or 1 Year Group Subscription - Up to 5 Users, or log in if you are a member.