id	sid	tid	token	lemma	pos
elements-8890	1	1	while	while	SCONJ
elements-8890	1	2	public	public	ADJ
elements-8890	1	3	awareness	awareness	NOUN
elements-8890	1	4	of	of	ADP
elements-8890	1	5	the	the	DET
elements-8890	1	6	gay	gay	ADJ
elements-8890	1	7	,	,	PUNCT
elements-8890	1	8	lesbian	lesbian	ADJ
elements-8890	1	9	,	,	PUNCT
elements-8890	1	10	and	and	CCONJ
elements-8890	1	11	bisexual	bisexual	ADJ
elements-8890	1	12	civil	civil	ADJ
elements-8890	1	13	rights	right	NOUN
elements-8890	1	14	movement	movement	NOUN
elements-8890	1	15	is	be	AUX
elements-8890	1	16	growing	grow	VERB
elements-8890	1	17	,	,	PUNCT
elements-8890	1	18	the	the	DET
elements-8890	1	19	average	average	ADJ
elements-8890	1	20	person	person	NOUN
elements-8890	1	21	knows	know	VERB
elements-8890	1	22	very	very	ADV
elements-8890	1	23	little	little	ADJ
elements-8890	1	24	about	about	ADP
elements-8890	1	25	the	the	DET
elements-8890	1	26	psychological	psychological	ADJ
elements-8890	1	27	condition	condition	NOUN
elements-8890	1	28	of	of	ADP
elements-8890	1	29	gender	gender	NOUN
elements-8890	1	30	identity	identity	NOUN
elements-8890	1	31	disorder	disorder	NOUN
elements-8890	1	32	and	and	CCONJ
elements-8890	1	33	the	the	DET
elements-8890	1	34	process	process	NOUN
elements-8890	1	35	of	of	ADP
elements-8890	1	36	sex	sex	NOUN
elements-8890	1	37	reassignment	reassignment	NOUN
elements-8890	1	38	.	.	PUNCT
elements-8890	1	39	"	"	PUNCT
elements-8890	2	1	t	t	PROPN
elements-8890	2	2	r	r	NOUN
elements-8890	2	3	a	a	DET
elements-8890	2	4	n	n	NOUN
elements-8890	2	5	s	s	PART
elements-8890	2	6	a	a	DET
elements-8890	2	7	c	c	NOUN
elements-8890	2	8	t	t	NOUN
elements-8890	3	1	i	i	PRON
elements-8890	3	2	o	o	VERB
elements-8890	3	3	n	n	ADP
elements-8890	3	4	fees	fee	VERB
elements-8890	3	5	public	public	ADJ
elements-8890	3	6	insurance	insurance	NOUN
elements-8890	3	7	,	,	PUNCT
elements-8890	3	8	medical	medical	ADJ
elements-8890	3	9	necessity	necessity	NOUN
elements-8890	3	10	,	,	PUNCT
elements-8890	3	11	and	and	CCONJ
elements-8890	3	12	sex	sex	NOUN
elements-8890	3	13	reassignment	reassignment	NOUN
elements-8890	3	14	surgery	surgery	NOUN
elements-8890	3	15	c	c	PROPN
elements-8890	4	1	a	a	DET
elements-8890	4	2	i	i	NOUN
elements-8890	4	3	t	t	NOUN
elements-8890	5	1	l	l	NOUN
elements-8890	6	1	i	i	PRON
elements-8890	6	2	n	n	CCONJ
elements-8890	6	3	p	p	X
elements-8890	6	4	e	e	NOUN
elements-8890	6	5	t	t	NOUN
elements-8890	6	6	e	e	X
elements-8890	6	7	r	r	NOUN
elements-8890	6	8	s	s	PROPN
elements-8890	6	9	o	o	NOUN
elements-8890	6	10	n	n	PROPN
elements-8890	6	11	d	d	X
elements-8890	6	12	u	u	X
elements-8890	6	13	e	e	PROPN
elements-8890	6	14	t	t	NOUN
elements-8890	6	15	o	o	NOUN
elements-8890	6	16	a	a	DET
elements-8890	6	17	g	g	NOUN
elements-8890	6	18	e	e	NOUN
elements-8890	6	19	n	n	NOUN
elements-8890	6	20	e	e	NOUN
elements-8890	6	21	r	r	NOUN
elements-8890	6	22	a	a	DET
elements-8890	6	23	l	l	NOUN
elements-8890	6	24	l	l	NOUN
elements-8890	7	1	a	a	PRON
elements-8890	7	2	c	c	NOUN
elements-8890	7	3	k	k	NOUN
elements-8890	7	4	o	o	X
elements-8890	7	5	f	f	X
elements-8890	7	6	u	u	PROPN
elements-8890	7	7	n	n	PROPN
elements-8890	7	8	d	d	NOUN
elements-8890	7	9	e	e	NOUN
elements-8890	7	10	r	r	NOUN
elements-8890	7	11	s	s	PROPN
elements-8890	7	12	t	t	NOUN
elements-8890	7	13	a	a	DET
elements-8890	7	14	n	n	NOUN
elements-8890	7	15	d	d	NOUN
elements-8890	7	16	i	i	PRON
elements-8890	7	17	n	n	CCONJ
elements-8890	7	18	g	g	NOUN
elements-8890	7	19	r	r	NOUN
elements-8890	7	20	e	e	NOUN
elements-8890	7	21	g	g	NOUN
elements-8890	7	22	a	a	DET
elements-8890	7	23	r	r	NOUN
elements-8890	8	1	d	d	NOUN
elements-8890	9	1	i	i	PRON
elements-8890	10	1	n	n	CCONJ
elements-8890	10	2	g	g	PROPN
elements-8890	10	3	t	t	PROPN
elements-8890	10	4	r	r	NOUN
elements-8890	10	5	a	a	DET
elements-8890	10	6	n	n	NOUN
elements-8890	10	7	s	s	NOUN
elements-8890	10	8	g	g	NOUN
elements-8890	10	9	e	e	PROPN
elements-8890	10	10	n	n	NOUN
elements-8890	10	11	d	d	X
elements-8890	10	12	e	e	NOUN
elements-8890	10	13	r	r	NOUN
elements-8890	10	14	p	p	NOUN
elements-8890	10	15	e	e	NOUN
elements-8890	10	16	r	r	NOUN
elements-8890	10	17	s	s	PROPN
elements-8890	10	18	o	o	NOUN
elements-8890	10	19	n	n	SYM
elements-8890	10	20	s	s	PROPN
elements-8890	10	21	,	,	PUNCT
elements-8890	11	1	t	t	PROPN
elements-8890	11	2	h	h	NOUN
elements-8890	12	1	i	i	PRON
elements-8890	12	2	s	s	VERB
elements-8890	12	3	g	g	PROPN
elements-8890	12	4	r	r	NOUN
elements-8890	12	5	o	o	NOUN
elements-8890	12	6	u	u	NOUN
elements-8890	13	1	p	p	NOUN
elements-8890	13	2	o	o	X
elements-8890	13	3	f	f	X
elements-8890	14	1	i	i	PRON
elements-8890	14	2	n	n	VERB
elements-8890	15	1	d	d	NOUN
elements-8890	15	2	i	i	PRON
elements-8890	15	3	v	v	VERB
elements-8890	16	1	i	i	NOUN
elements-8890	16	2	d	d	NOUN
elements-8890	16	3	u	u	NOUN
elements-8890	16	4	a	a	DET
elements-8890	16	5	l	l	NOUN
elements-8890	16	6	s	s	VERB
elements-8890	17	1	i	i	NOUN
elements-8890	17	2	s	s	VERB
elements-8890	17	3	p	p	NOUN
elements-8890	17	4	u	u	X
elements-8890	17	5	t	t	PROPN
elements-8890	17	6	a	a	DET
elements-8890	17	7	t	t	NOUN
elements-8890	17	8	p	p	NOUN
elements-8890	17	9	a	a	DET
elements-8890	17	10	r	r	NOUN
elements-8890	17	11	t	t	NOUN
elements-8890	18	1	i	i	PRON
elements-8890	18	2	c	c	NOUN
elements-8890	18	3	u	u	NOUN
elements-8890	18	4	l	l	NOUN
elements-8890	18	5	a	a	DET
elements-8890	18	6	r	r	NOUN
elements-8890	18	7	r	r	NOUN
elements-8890	19	1	i	i	PRON
elements-8890	19	2	s	s	VERB
elements-8890	19	3	k	k	NOUN
elements-8890	20	1	o	o	X
elements-8890	20	2	f	f	PROPN
elements-8890	21	1	d	d	X
elements-8890	21	2	i	i	PRON
elements-8890	21	3	s	s	VERB
elements-8890	21	4	c	c	NOUN
elements-8890	22	1	r	r	NOUN
elements-8890	23	1	i	i	PRON
elements-8890	23	2	m	m	VERB
elements-8890	23	3	i	i	PRON
elements-8890	23	4	n	n	ADV
elements-8890	23	5	a	a	DET
elements-8890	23	6	t	t	NOUN
elements-8890	24	1	i	i	PRON
elements-8890	24	2	o	o	INTJ
elements-8890	25	1	n	n	VERB
elements-8890	26	1	i	i	PRON
elements-8890	26	2	n	n	VERB
elements-8890	26	3	t	t	NOUN
elements-8890	26	4	h	h	NOUN
elements-8890	26	5	e	e	NOUN
elements-8890	26	6	a	a	DET
elements-8890	26	7	r	r	NOUN
elements-8890	26	8	e	e	NOUN
elements-8890	26	9	a	a	NOUN
elements-8890	26	10	o	o	X
elements-8890	26	11	f	f	X
elements-8890	26	12	l	l	NOUN
elements-8890	26	13	a	a	DET
elements-8890	26	14	w	w	NOUN
elements-8890	26	15	a	a	DET
elements-8890	26	16	n	n	NOUN
elements-8890	26	17	d	d	NOUN
elements-8890	26	18	m	m	NOUN
elements-8890	26	19	e	e	NOUN
elements-8890	27	1	d	d	NOUN
elements-8890	27	2	i	i	PRON
elements-8890	27	3	c	c	VERB
elements-8890	27	4	i	i	PRON
elements-8890	27	5	n	n	NOUN
elements-8890	27	6	e	e	NOUN
elements-8890	27	7	.	.	PUNCT
elements-8890	28	1	t	t	PROPN
elements-8890	28	2	h	h	NOUN
elements-8890	29	1	e	e	NOUN
elements-8890	29	2	q	q	PUNCT
elements-8890	29	3	u	u	X
elements-8890	29	4	e	e	X
elements-8890	29	5	s	s	PROPN
elements-8890	29	6	t	t	X
elements-8890	30	1	i	i	PRON
elements-8890	30	2	o	o	VERB
elements-8890	31	1	n	n	X
elements-8890	32	1	o	o	X
elements-8890	32	2	f	f	X
elements-8890	32	3	p	p	X
elements-8890	32	4	u	u	PROPN
elements-8890	32	5	b	b	X
elements-8890	32	6	l	l	NOUN
elements-8890	33	1	i	i	NOUN
elements-8890	33	2	c	c	VERB
elements-8890	34	1	i	i	PRON
elements-8890	34	2	n	n	NOUN
elements-8890	34	3	s	s	VERB
elements-8890	34	4	u	u	NOUN
elements-8890	34	5	r	r	NOUN
elements-8890	34	6	a	a	NOUN
elements-8890	34	7	n	n	NOUN
elements-8890	34	8	c	c	NOUN
elements-8890	34	9	e	e	NOUN
elements-8890	34	10	c	c	NOUN
elements-8890	34	11	o	o	X
elements-8890	34	12	v	v	X
elements-8890	34	13	e	e	X
elements-8890	34	14	r	r	NOUN
elements-8890	34	15	a	a	DET
elements-8890	34	16	g	g	NOUN
elements-8890	34	17	e	e	NOUN
elements-8890	34	18	f	f	NOUN
elements-8890	34	19	o	o	NOUN
elements-8890	34	20	r	r	NOUN
elements-8890	34	21	m	m	NOUN
elements-8890	34	22	e	e	NOUN
elements-8890	35	1	d	d	NOUN
elements-8890	35	2	i	i	PRON
elements-8890	35	3	c	c	VERB
elements-8890	35	4	a	a	DET
elements-8890	35	5	l	l	NOUN
elements-8890	35	6	t	t	NOUN
elements-8890	35	7	r	r	NOUN
elements-8890	35	8	e	e	PROPN
elements-8890	35	9	a	a	PROPN
elements-8890	35	10	t	t	NOUN
elements-8890	35	11	m	m	NOUN
elements-8890	35	12	e	e	NOUN
elements-8890	35	13	n	n	ADP
elements-8890	35	14	t	t	X
elements-8890	36	1	o	o	X
elements-8890	36	2	f	f	X
elements-8890	36	3	g	g	PROPN
elements-8890	36	4	e	e	PROPN
elements-8890	36	5	n	n	PROPN
elements-8890	36	6	d	d	X
elements-8890	36	7	e	e	NOUN
elements-8890	37	1	r	r	NOUN
elements-8890	37	2	i	i	NOUN
elements-8890	37	3	d	d	X
elements-8890	37	4	e	e	PROPN
elements-8890	37	5	n	n	NUM
elements-8890	37	6	t	t	NOUN
elements-8890	38	1	i	i	PRON
elements-8890	38	2	t	t	VERB
elements-8890	38	3	y	y	PROPN
elements-8890	39	1	d	d	NOUN
elements-8890	39	2	i	i	PRON
elements-8890	39	3	s	s	VERB
elements-8890	39	4	o	o	NOUN
elements-8890	39	5	r	r	NOUN
elements-8890	39	6	d	d	NOUN
elements-8890	39	7	e	e	NOUN
elements-8890	39	8	r	r	NOUN
elements-8890	39	9	is	be	AUX
elements-8890	39	10	o	o	NOUN
elements-8890	39	11	n	n	ADP
elements-8890	40	1	e	e	X
elements-8890	40	2	o	o	X
elements-8890	40	3	f	f	NOUN
elements-8890	40	4	t	t	NOUN
elements-8890	40	5	h	h	NOUN
elements-8890	41	1	e	e	NOUN
elements-8890	41	2	m	m	VERB
elements-8890	41	3	o	o	NOUN
elements-8890	41	4	s	s	X
elements-8890	41	5	t	t	X
elements-8890	41	6	p	p	NOUN
elements-8890	41	7	r	r	NOUN
elements-8890	41	8	e	e	NOUN
elements-8890	41	9	s	s	NOUN
elements-8890	41	10	s	s	X
elements-8890	41	11	i	i	PRON
elements-8890	41	12	n	n	CCONJ
elements-8890	41	13	g	g	NOUN
elements-8890	42	1	i	i	PRON
elements-8890	42	2	s	s	PROPN
elements-8890	42	3	s	s	NOUN
elements-8890	42	4	u	u	NOUN
elements-8890	42	5	e	e	X
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elements-8890	42	8	n	n	NOUN
elements-8890	43	1	t	t	NOUN
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elements-8890	44	3	f	f	X
elements-8890	45	1	i	i	NOUN
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elements-8890	45	3	l	l	NOUN
elements-8890	45	4	d	d	X
elements-8890	45	5	.	.	PUNCT
elements-8890	46	1	t	t	PROPN
elements-8890	46	2	h	h	NOUN
elements-8890	47	1	i	i	PRON
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elements-8890	47	3	p	p	NOUN
elements-8890	47	4	a	a	DET
elements-8890	47	5	p	p	X
elements-8890	47	6	e	e	NOUN
elements-8890	47	7	r	r	NOUN
elements-8890	47	8	w	w	NOUN
elements-8890	48	1	i	i	NOUN
elements-8890	48	2	l	l	NOUN
elements-8890	48	3	l	l	NOUN
elements-8890	49	1	p	p	NOUN
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elements-8890	49	3	o	o	X
elements-8890	49	4	v	v	INTJ
elements-8890	49	5	i	i	NOUN
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elements-8890	49	7	e	e	X
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elements-8890	50	4	o	o	X
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elements-8890	50	6	t	t	PROPN
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elements-8890	50	8	a	a	DET
elements-8890	50	9	n	n	NOUN
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elements-8890	50	32	s	s	PART
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elements-8890	55	6	t	t	X
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elements-8890	56	7	a	a	DET
elements-8890	56	8	l	l	NOUN
elements-8890	56	9	n	n	ADP
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elements-8890	56	11	c	c	X
elements-8890	56	12	e	e	X
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elements-8890	60	4	x	x	SYM
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elements-8890	60	10	i	i	NOUN
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elements-8890	60	12	n	n	CCONJ
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elements-8890	60	24	a	a	DET
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elements-8890	109	13	but	but	CCONJ
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elements-8890	111	8	already	already	ADV
elements-8890	111	9	been	be	AUX
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elements-8890	111	11	to	to	PART
elements-8890	111	12	include	include	VERB
elements-8890	111	13	sexual	sexual	ADJ
elements-8890	111	14	orientation	orientation	NOUN
elements-8890	111	15	continue	continue	VERB
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elements-8890	111	17	ignore	ignore	VERB
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elements-8890	111	59	sex	sex	NOUN
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elements-8890	111	61	.	.	PUNCT
elements-8890	112	1	the	the	DET
elements-8890	112	2	combination	combination	NOUN
elements-8890	112	3	of	of	ADP
elements-8890	112	4	neglect	neglect	NOUN
elements-8890	112	5	and	and	CCONJ
elements-8890	112	6	ignorance	ignorance	NOUN
elements-8890	112	7	surrounding	surround	VERB
elements-8890	112	8	transgender	transgender	NOUN
elements-8890	112	9	issues	issue	NOUN
elements-8890	112	10	,	,	PUNCT
elements-8890	112	11	when	when	SCONJ
elements-8890	112	12	viewed	view	VERB
elements-8890	112	13	from	from	ADP
elements-8890	112	14	the	the	DET
elements-8890	112	15	perspectives	perspective	NOUN
elements-8890	112	16	of	of	ADP
elements-8890	112	17	medicine	medicine	NOUN
elements-8890	112	18	and	and	CCONJ
elements-8890	112	19	law	law	NOUN
elements-8890	112	20	,	,	PUNCT
elements-8890	112	21	presents	present	VERB
elements-8890	112	22	the	the	DET
elements-8890	112	23	possibility	possibility	NOUN
elements-8890	112	24	of	of	ADP
elements-8890	112	25	abuse	abuse	NOUN
elements-8890	112	26	and	and	CCONJ
elements-8890	112	27	discrimination	discrimination	NOUN
elements-8890	112	28	of	of	ADP
elements-8890	112	29	transgender	transgender	NOUN
elements-8890	112	30	patients	patient	NOUN
elements-8890	112	31	'	'	PART
elements-8890	112	32	rights	right	NOUN
elements-8890	112	33	to	to	PART
elements-8890	112	34	receive	receive	VERB
elements-8890	112	35	insurance	insurance	NOUN
elements-8890	112	36	coverage	coverage	NOUN
elements-8890	112	37	for	for	ADP
elements-8890	112	38	medical	medical	ADJ
elements-8890	112	39	treatment	treatment	NOUN
elements-8890	112	40	surrounding	surround	VERB
elements-8890	112	41	their	their	PRON
elements-8890	112	42	condition	condition	NOUN
elements-8890	112	43	.	.	PUNCT
elements-8890	113	1	the	the	DET
elements-8890	113	2	medical	medical	ADJ
elements-8890	113	3	procedures	procedure	NOUN
elements-8890	113	4	involved	involve	VERB
elements-8890	113	5	in	in	ADP
elements-8890	113	6	changing	change	VERB
elements-8890	113	7	one	one	NUM
elements-8890	113	8	's	's	PART
elements-8890	113	9	gender	gender	NOUN
elements-8890	113	10	,	,	PUNCT
elements-8890	113	11	especially	especially	ADV
elements-8890	113	12	sex	sex	NOUN
elements-8890	113	13	reassignment	reassignment	NOUN
elements-8890	113	14	surgery	surgery	NOUN
elements-8890	113	15	,	,	PUNCT
elements-8890	113	16	are	be	AUX
elements-8890	113	17	particularly	particularly	ADV
elements-8890	113	18	unfamiliar	unfamiliar	ADJ
elements-8890	113	19	because	because	SCONJ
elements-8890	113	20	the	the	DET
elements-8890	113	21	topic	topic	NOUN
elements-8890	113	22	is	be	AUX
elements-8890	113	23	often	often	ADV
elements-8890	113	24	regarded	regard	VERB
elements-8890	113	25	as	as	ADP
elements-8890	113	26	taboo	taboo	NOUN
elements-8890	113	27	.	.	PUNCT
elements-8890	114	1	private	private	ADJ
elements-8890	114	2	insurance	insurance	NOUN
elements-8890	114	3	companies	company	NOUN
elements-8890	114	4	do	do	AUX
elements-8890	114	5	not	not	PART
elements-8890	114	6	provide	provide	VERB
elements-8890	114	7	coverage	coverage	NOUN
elements-8890	114	8	for	for	ADP
elements-8890	114	9	such	such	ADJ
elements-8890	114	10	procedures	procedure	NOUN
elements-8890	114	11	because	because	SCONJ
elements-8890	114	12	they	they	PRON
elements-8890	114	13	consider	consider	VERB
elements-8890	114	14	them	they	PRON
elements-8890	114	15	to	to	PART
elements-8890	114	16	be	be	AUX
elements-8890	114	17	elective.11	elective.11	VERB
elements-8890	114	18	this	this	DET
elements-8890	114	19	paper	paper	NOUN
elements-8890	114	20	wi	wi	PROPN
elements-8890	114	21	l	l	PROPN
elements-8890	114	22	l	l	NOUN
elements-8890	114	23	not	not	PART
elements-8890	114	24	address	address	VERB
elements-8890	114	25	the	the	DET
elements-8890	114	26	issue	issue	NOUN
elements-8890	114	27	of	of	ADP
elements-8890	114	28	private	private	ADJ
elements-8890	114	29	insurance	insurance	NOUN
elements-8890	114	30	companies	company	NOUN
elements-8890	114	31	'	'	PART
elements-8890	114	32	policies	policy	NOUN
elements-8890	114	33	because	because	SCONJ
elements-8890	114	34	these	these	DET
elements-8890	114	35	procedures	procedure	NOUN
elements-8890	114	36	are	be	AUX
elements-8890	114	37	nearly	nearly	ADV
elements-8890	114	38	always	always	ADV
elements-8890	114	39	categorically	categorically	ADV
elements-8890	114	40	excluded	exclude	VERB
elements-8890	114	41	in	in	ADP
elements-8890	114	42	private	private	ADJ
elements-8890	114	43	contracts	contract	NOUN
elements-8890	114	44	.	.	PUNCT
elements-8890	115	1	1	1	NUM
elements-8890	115	2	1	1	NUM
elements-8890	115	3	1	1	NUM
elements-8890	115	4	however	however	ADV
elements-8890	115	5	,	,	PUNCT
elements-8890	115	6	examining	examine	VERB
elements-8890	115	7	the	the	DET
elements-8890	115	8	funding	funding	NOUN
elements-8890	115	9	policies	policy	NOUN
elements-8890	115	10	of	of	ADP
elements-8890	115	11	governmentrun	governmentrun	NOUN
elements-8890	115	12	programs	program	NOUN
elements-8890	115	13	such	such	ADJ
elements-8890	115	14	as	as	ADP
elements-8890	115	15	medicare	medicare	PROPN
elements-8890	115	16	and	and	CCONJ
elements-8890	115	17	medicaid	medicaid	PROPN
elements-8890	115	18	can	can	AUX
elements-8890	115	19	provide	provide	VERB
elements-8890	115	20	a	a	DET
elements-8890	115	21	unique	unique	ADJ
elements-8890	115	22	perspective	perspective	NOUN
elements-8890	115	23	on	on	ADP
elements-8890	115	24	the	the	DET
elements-8890	115	25	ethicality	ethicality	NOUN
elements-8890	115	26	of	of	ADP
elements-8890	115	27	current	current	ADJ
elements-8890	115	28	regulations	regulation	NOUN
elements-8890	115	29	regarding	regard	VERB
elements-8890	115	30	insurance	insurance	NOUN
elements-8890	115	31	coverage	coverage	NOUN
elements-8890	115	32	.	.	PUNCT
elements-8890	116	1	the	the	DET
elements-8890	116	2	objective	objective	NOUN
elements-8890	116	3	of	of	ADP
elements-8890	116	4	this	this	DET
elements-8890	116	5	study	study	NOUN
elements-8890	116	6	is	be	AUX
elements-8890	116	7	to	to	PART
elements-8890	116	8	shed	shed	VERB
elements-8890	116	9	light	light	NOUN
elements-8890	116	10	on	on	ADP
elements-8890	116	11	the	the	DET
elements-8890	116	12	process	process	NOUN
elements-8890	116	13	of	of	ADP
elements-8890	116	14	transitioning	transition	VERB
elements-8890	116	15	frequently	frequently	ADV
elements-8890	116	16	undergone	undergo	VERB
elements-8890	116	17	by	by	ADP
elements-8890	116	18	transgender	transgender	NOUN
elements-8890	116	19	persons	person	NOUN
elements-8890	116	20	in	in	ADP
elements-8890	116	21	order	order	NOUN
elements-8890	116	22	to	to	PART
elements-8890	116	23	determine	determine	VERB
elements-8890	116	24	the	the	DET
elements-8890	116	25	appropriateness	appropriateness	NOUN
elements-8890	116	26	of	of	ADP
elements-8890	116	27	current	current	ADJ
elements-8890	116	28	state	state	NOUN
elements-8890	116	29	-	-	PUNCT
elements-8890	116	30	run	run	VERB
elements-8890	116	31	insurance	insurance	NOUN
elements-8890	116	32	policies	policy	NOUN
elements-8890	116	33	toward	toward	ADP
elements-8890	116	34	procedures	procedure	NOUN
elements-8890	116	35	associated	associate	VERB
elements-8890	116	36	with	with	ADP
elements-8890	116	37	changing	change	VERB
elements-8890	116	38	one	one	NUM
elements-8890	116	39	's	's	PART
elements-8890	116	40	gender	gender	NOUN
elements-8890	116	41	and	and	CCONJ
elements-8890	116	42	sexual	sexual	ADJ
elements-8890	116	43	identity	identity	NOUN
elements-8890	116	44	.	.	PUNCT
elements-8890	117	1	this	this	DET
elements-8890	117	2	paper	paper	NOUN
elements-8890	117	3	wi	wi	PROPN
elements-8890	117	4	l	l	PROPN
elements-8890	117	5	l	l	NOUN
elements-8890	117	6	first	first	ADV
elements-8890	117	7	give	give	VERB
elements-8890	117	8	an	an	DET
elements-8890	117	9	overview	overview	NOUN
elements-8890	117	10	of	of	ADP
elements-8890	117	11	the	the	DET
elements-8890	117	12	medical	medical	ADJ
elements-8890	117	13	aspects	aspect	NOUN
elements-8890	117	14	of	of	ADP
elements-8890	117	15	being	be	AUX
elements-8890	117	16	transgender	transgender	NOUN
elements-8890	117	17	and	and	CCONJ
elements-8890	117	18	the	the	DET
elements-8890	117	19	surgical	surgical	ADJ
elements-8890	117	20	procedures	procedure	NOUN
elements-8890	117	21	that	that	PRON
elements-8890	117	22	often	often	ADV
elements-8890	117	23	accompany	accompany	VERB
elements-8890	117	24	gender	gender	NOUN
elements-8890	117	25	transitions	transition	NOUN
elements-8890	117	26	i	i	PRON
elements-8890	117	27	n	n	VERB
elements-8890	117	28	an	an	DET
elements-8890	117	29	attempt	attempt	NOUN
elements-8890	117	30	to	to	PART
elements-8890	117	31	assess	assess	VERB
elements-8890	117	32	the	the	DET
elements-8890	117	33	medical	medical	ADJ
elements-8890	117	34	necessity	necessity	NOUN
elements-8890	117	35	of	of	ADP
elements-8890	117	36	sex	sex	NOUN
elements-8890	117	37	reassignment	reassignment	NOUN
elements-8890	117	38	surgery	surgery	NOUN
elements-8890	117	39	(	(	PUNCT
elements-8890	117	40	srs	srs	PROPN
elements-8890	117	41	)	)	PUNCT
elements-8890	117	42	and	and	CCONJ
elements-8890	117	43	other	other	ADJ
elements-8890	117	44	medical	medical	ADJ
elements-8890	117	45	treatments	treatment	NOUN
elements-8890	117	46	associated	associate	VERB
elements-8890	117	47	with	with	ADP
elements-8890	117	48	gender	gender	NOUN
elements-8890	117	49	identity	identity	NOUN
elements-8890	117	50	disorder	disorder	NOUN
elements-8890	117	51	.	.	PUNCT
elements-8890	118	1	it	it	PRON
elements-8890	118	2	wi	wi	PROPN
elements-8890	118	3	l	l	PROPN
elements-8890	118	4	l	l	NOUN
elements-8890	118	5	subsequently	subsequently	ADV
elements-8890	118	6	analyze	analyze	VERB
elements-8890	118	7	the	the	DET
elements-8890	118	8	status	status	NOUN
elements-8890	118	9	of	of	ADP
elements-8890	118	10	medicaid	medicaid	PROPN
elements-8890	118	11	policy	policy	NOUN
elements-8890	118	12	as	as	SCONJ
elements-8890	118	13	it	it	PRON
elements-8890	118	14	pertains	pertain	VERB
elements-8890	118	15	to	to	ADP
elements-8890	118	16	srs	srs	PROPN
elements-8890	118	17	and	and	CCONJ
elements-8890	118	18	related	related	ADJ
elements-8890	118	19	services	service	NOUN
elements-8890	118	20	as	as	ADV
elements-8890	118	21	well	well	ADV
elements-8890	118	22	as	as	ADP
elements-8890	118	23	the	the	DET
elements-8890	118	24	denial	denial	NOUN
elements-8890	118	25	of	of	ADP
elements-8890	118	26	medically	medically	ADV
elements-8890	118	27	necessary	necessary	ADJ
elements-8890	118	28	services	service	NOUN
elements-8890	118	29	to	to	ADP
elements-8890	118	30	patients	patient	NOUN
elements-8890	118	31	under	under	ADP
elements-8890	118	32	medicaid	medicaid	PROPN
elements-8890	118	33	.	.	PUNCT
elements-8890	119	1	the	the	DET
elements-8890	119	2	cases	case	NOUN
elements-8890	119	3	i	i	PRON
elements-8890	119	4	n	n	VERB
elements-8890	119	5	which	which	DET
elements-8890	119	6	state	state	NOUN
elements-8890	119	7	insurance	insurance	NOUN
elements-8890	119	8	coverage	coverage	NOUN
elements-8890	119	9	has	have	AUX
elements-8890	119	10	been	be	AUX
elements-8890	119	11	permitted	permit	VERB
elements-8890	119	12	or	or	CCONJ
elements-8890	119	13	denied	deny	VERB
elements-8890	119	14	wi	wi	PROPN
elements-8890	119	15	l	l	PROPN
elements-8890	119	16	l	l	NOUN
elements-8890	119	17	then	then	ADV
elements-8890	119	18	be	be	AUX
elements-8890	119	19	reexamined	reexamine	VERB
elements-8890	119	20	in	in	ADP
elements-8890	119	21	light	light	NOUN
elements-8890	119	22	of	of	ADP
elements-8890	119	23	these	these	DET
elements-8890	119	24	findings	finding	NOUN
elements-8890	119	25	,	,	PUNCT
elements-8890	119	26	and	and	CCONJ
elements-8890	119	27	the	the	DET
elements-8890	119	28	overall	overall	ADJ
elements-8890	119	29	ethicality	ethicality	NOUN
elements-8890	119	30	of	of	ADP
elements-8890	119	31	these	these	DET
elements-8890	119	32	cases	case	NOUN
elements-8890	119	33	and	and	CCONJ
elements-8890	119	34	their	their	PRON
elements-8890	119	35	related	relate	VERB
elements-8890	119	36	policies	policy	NOUN
elements-8890	119	37	wi	wi	PROPN
elements-8890	119	38	l	l	PROPN
elements-8890	119	39	l	l	NOUN
elements-8890	119	40	be	be	AUX
elements-8890	119	41	assessed	assess	VERB
elements-8890	119	42	.	.	PUNCT
elements-8890	120	1	t	t	PROPN
elements-8890	120	2	h	h	NOUN
elements-8890	120	3	e	e	PROPN
elements-8890	120	4	a	a	DET
elements-8890	120	5	m	m	NOUN
elements-8890	120	6	b	b	NOUN
elements-8890	120	7	i	i	PRON
elements-8890	120	8	g	g	PROPN
elements-8890	120	9	u	u	INTJ
elements-8890	121	1	i	i	PRON
elements-8890	121	2	t	t	VERB
elements-8890	122	1	i	i	PRON
elements-8890	122	2	e	e	NOUN
elements-8890	122	3	s	s	NOUN
elements-8890	122	4	of	of	ADP
elements-8890	122	5	g	g	PROPN
elements-8890	122	6	e	e	PROPN
elements-8890	122	7	n	n	PROPN
elements-8890	122	8	d	d	NOUN
elements-8890	122	9	e	e	NOUN
elements-8890	123	1	r	r	NOUN
elements-8890	123	2	i	i	NOUN
elements-8890	123	3	d	d	X
elements-8890	123	4	e	e	PROPN
elements-8890	123	5	n	n	NUM
elements-8890	123	6	t	t	NOUN
elements-8890	124	1	i	i	PRON
elements-8890	124	2	t	t	VERB
elements-8890	124	3	y	y	PROPN
elements-8890	125	1	d	d	NOUN
elements-8890	125	2	i	i	PRON
elements-8890	125	3	s	s	VERB
elements-8890	125	4	o	o	NOUN
elements-8890	125	5	r	r	NOUN
elements-8890	125	6	d	d	X
elements-8890	125	7	e	e	NOUN
elements-8890	125	8	r	r	NOUN
elements-8890	125	9	!	!	PUNCT
elements-8890	126	1	a	a	DET
elements-8890	126	2	n	n	NUM
elements-8890	126	3	o	o	NOUN
elements-8890	126	4	v	v	NOUN
elements-8890	126	5	e	e	NOUN
elements-8890	126	6	r	r	NOUN
elements-8890	126	7	v	v	NOUN
elements-8890	127	1	i	i	NOUN
elements-8890	127	2	e	e	NOUN
elements-8890	127	3	w	w	NOUN
elements-8890	127	4	fluid	fluid	ADJ
elements-8890	127	5	and	and	CCONJ
elements-8890	127	6	socially	socially	ADV
elements-8890	127	7	-	-	PUNCT
elements-8890	127	8	charged	charge	VERB
elements-8890	127	9	terms	term	NOUN
elements-8890	127	10	such	such	ADJ
elements-8890	127	11	as	as	ADP
elements-8890	127	12	those	those	PRON
elements-8890	127	13	surrounding	surround	VERB
elements-8890	127	14	sex	sex	NOUN
elements-8890	127	15	and	and	CCONJ
elements-8890	127	16	gender	gender	NOUN
elements-8890	127	17	are	be	AUX
elements-8890	127	18	particularly	particularly	ADV
elements-8890	127	19	difficult	difficult	ADJ
elements-8890	127	20	to	to	PART
elements-8890	127	21	define	define	VERB
elements-8890	127	22	.	.	PUNCT
elements-8890	128	1	some	some	PRON
elements-8890	128	2	of	of	ADP
elements-8890	128	3	the	the	DET
elements-8890	128	4	confusion	confusion	NOUN
elements-8890	128	5	surrounding	surround	VERB
elements-8890	128	6	transgender	transgender	NOUN
elements-8890	128	7	identity	identity	NOUN
elements-8890	128	8	and	and	CCONJ
elements-8890	128	9	the	the	DET
elements-8890	128	10	proper	proper	ADJ
elements-8890	128	11	treatment	treatment	NOUN
elements-8890	128	12	of	of	ADP
elements-8890	128	13	transgender	transgender	NOUN
elements-8890	128	14	persons	person	NOUN
elements-8890	128	15	can	can	AUX
elements-8890	128	16	be	be	AUX
elements-8890	128	17	attributed	attribute	VERB
elements-8890	128	18	to	to	ADP
elements-8890	128	19	the	the	DET
elements-8890	128	20	ambiguity	ambiguity	NOUN
elements-8890	128	21	regarding	regard	VERB
elements-8890	128	22	gender	gender	NOUN
elements-8890	128	23	identity	identity	NOUN
elements-8890	128	24	terminology	terminology	NOUN
elements-8890	128	25	.	.	PUNCT
elements-8890	129	1	this	this	DET
elements-8890	129	2	section	section	NOUN
elements-8890	129	3	wi	wi	PROPN
elements-8890	129	4	l	l	PROPN
elements-8890	129	5	l	l	PROPN
elements-8890	129	6	attempt	attempt	NOUN
elements-8890	129	7	to	to	PART
elements-8890	129	8	illuminate	illuminate	VERB
elements-8890	129	9	some	some	PRON
elements-8890	129	10	of	of	ADP
elements-8890	129	11	the	the	DET
elements-8890	129	12	problems	problem	NOUN
elements-8890	129	13	and	and	CCONJ
elements-8890	129	14	definitions	definition	NOUN
elements-8890	129	15	of	of	ADP
elements-8890	129	16	sex	sex	NOUN
elements-8890	129	17	and	and	CCONJ
elements-8890	129	18	gender	gender	NOUN
elements-8890	129	19	as	as	SCONJ
elements-8890	129	20	they	they	PRON
elements-8890	129	21	relate	relate	VERB
elements-8890	129	22	to	to	ADP
elements-8890	129	23	transsexuality	transsexuality	NOUN
elements-8890	129	24	.	.	PUNCT
elements-8890	130	1	g	g	PROPN
elements-8890	130	2	e	e	PROPN
elements-8890	130	3	n	n	PROPN
elements-8890	130	4	d	d	X
elements-8890	130	5	e	e	NOUN
elements-8890	130	6	r	r	NOUN
elements-8890	130	7	i	i	NOUN
elements-8890	130	8	d	d	X
elements-8890	130	9	e	e	PROPN
elements-8890	130	10	n	n	NUM
elements-8890	130	11	t	t	NOUN
elements-8890	131	1	i	i	PRON
elements-8890	131	2	t	t	VERB
elements-8890	131	3	y	y	PROPN
elements-8890	132	1	d	d	NOUN
elements-8890	132	2	i	i	PRON
elements-8890	132	3	s	s	VERB
elements-8890	133	1	o	o	NOUN
elements-8890	133	2	r	r	NOUN
elements-8890	133	3	d	d	X
elements-8890	133	4	e	e	NOUN
elements-8890	133	5	r	r	NOUN
elements-8890	133	6	a	a	PRON
elements-8890	133	7	n	n	NOUN
elements-8890	133	8	d	d	NOUN
elements-8890	133	9	t	t	NOUN
elements-8890	133	10	r	r	NOUN
elements-8890	133	11	a	a	DET
elements-8890	133	12	n	n	NOUN
elements-8890	133	13	s	s	NOUN
elements-8890	133	14	s	s	X
elements-8890	133	15	e	e	NOUN
elements-8890	133	16	x	x	X
elements-8890	133	17	u	u	PROPN
elements-8890	133	18	a	a	NOUN
elements-8890	133	19	l	l	NOUN
elements-8890	134	1	i	i	PRON
elements-8890	134	2	t	t	VERB
elements-8890	134	3	y	y	NOUN
elements-8890	134	4	transgender	transgender	NOUN
elements-8890	134	5	and	and	CCONJ
elements-8890	134	6	transsexual	transsexual	ADJ
elements-8890	134	7	are	be	AUX
elements-8890	134	8	terms	term	NOUN
elements-8890	134	9	used	use	VERB
elements-8890	134	10	to	to	PART
elements-8890	134	11	describe	describe	VERB
elements-8890	134	12	some	some	DET
elements-8890	134	13	people	people	NOUN
elements-8890	134	14	with	with	ADP
elements-8890	134	15	the	the	DET
elements-8890	134	16	psychological	psychological	ADJ
elements-8890	134	17	condition	condition	NOUN
elements-8890	134	18	known	know	VERB
elements-8890	134	19	as	as	ADP
elements-8890	134	20	gender	gender	NOUN
elements-8890	134	21	identity	identity	NOUN
elements-8890	134	22	disorder	disorder	NOUN
elements-8890	134	23	(	(	PUNCT
elements-8890	134	24	gid	gid	PROPN
elements-8890	134	25	)	)	PUNCT
elements-8890	134	26	.	.	PUNCT
elements-8890	135	1	the	the	DET
elements-8890	135	2	psychological	psychological	ADJ
elements-8890	135	3	diagnosis	diagnosis	NOUN
elements-8890	135	4	of	of	ADP
elements-8890	135	5	gid	gid	PROPN
elements-8890	135	6	is	be	AUX
elements-8890	135	7	often	often	ADV
elements-8890	135	8	accompanied	accompany	VERB
elements-8890	135	9	by	by	ADP
elements-8890	135	10	physical	physical	ADJ
elements-8890	135	11	ramifications	ramification	NOUN
elements-8890	135	12	,	,	PUNCT
elements-8890	135	13	but	but	CCONJ
elements-8890	135	14	not	not	PART
elements-8890	135	15	all	all	DET
elements-8890	135	16	persons	person	NOUN
elements-8890	135	17	with	with	ADP
elements-8890	135	18	gid	gid	PROPN
elements-8890	135	19	feel	feel	VERB
elements-8890	135	20	the	the	DET
elements-8890	135	21	need	need	NOUN
elements-8890	135	22	to	to	PART
elements-8890	135	23	surgically	surgically	ADV
elements-8890	135	24	alter	alter	VERB
elements-8890	135	25	their	their	PRON
elements-8890	135	26	bodies	body	NOUN
elements-8890	135	27	to	to	PART
elements-8890	135	28	physically	physically	ADV
elements-8890	135	29	match	match	VERB
elements-8890	135	30	the	the	DET
elements-8890	135	31	bodies	body	NOUN
elements-8890	135	32	of	of	ADP
elements-8890	135	33	their	their	PRON
elements-8890	135	34	target	target	NOUN
elements-8890	135	35	sex.lv	sex.lv	PUNCT
elements-8890	135	36	as	as	SCONJ
elements-8890	135	37	such	such	ADJ
elements-8890	135	38	,	,	PUNCT
elements-8890	135	39	this	this	DET
elements-8890	135	40	paper	paper	NOUN
elements-8890	135	41	wi	wi	PROPN
elements-8890	135	42	l	l	PROPN
elements-8890	135	43	l	l	NOUN
elements-8890	135	44	use	use	VERB
elements-8890	135	45	the	the	DET
elements-8890	135	46	term	term	NOUN
elements-8890	135	47	"	"	PUNCT
elements-8890	135	48	transgender	transgender	NOUN
elements-8890	135	49	"	"	PUNCT
elements-8890	135	50	as	as	ADP
elements-8890	135	51	an	an	DET
elements-8890	135	52	umbrella	umbrella	NOUN
elements-8890	135	53	term	term	NOUN
elements-8890	135	54	encompassing	encompass	VERB
elements-8890	135	55	all	all	DET
elements-8890	135	56	those	those	DET
elements-8890	135	57	persons	person	NOUN
elements-8890	135	58	who	who	PRON
elements-8890	135	59	were	be	AUX
elements-8890	135	60	assigned	assign	VERB
elements-8890	135	61	a	a	DET
elements-8890	135	62	gender	gender	NOUN
elements-8890	135	63	at	at	ADP
elements-8890	135	64	birth	birth	NOUN
elements-8890	135	65	that	that	PRON
elements-8890	135	66	differs	differ	VERB
elements-8890	135	67	from	from	ADP
elements-8890	135	68	their	their	PRON
elements-8890	135	69	internal	internal	ADJ
elements-8890	135	70	gender	gender	NOUN
elements-8890	135	71	identity	identity	NOUN
elements-8890	135	72	(	(	PUNCT
elements-8890	135	73	target	target	NOUN
elements-8890	135	74	gender	gender	NOUN
elements-8890	135	75	)	)	PUNCT
elements-8890	135	76	.	.	PUNCT
elements-8890	136	1	the	the	DET
elements-8890	136	2	term	term	NOUN
elements-8890	136	3	"	"	PUNCT
elements-8890	136	4	transsexual	transsexual	ADJ
elements-8890	136	5	"	"	PUNCT
elements-8890	136	6	wi	wi	PROPN
elements-8890	136	7	l	l	PROPN
elements-8890	136	8	l	l	NOUN
elements-8890	136	9	only	only	ADV
elements-8890	136	10	be	be	AUX
elements-8890	136	11	used	use	VERB
elements-8890	136	12	i	i	PRON
elements-8890	136	13	n	n	PRON
elements-8890	136	14	reference	reference	NOUN
elements-8890	136	15	to	to	ADP
elements-8890	136	16	those	those	DET
elements-8890	136	17	persons	person	NOUN
elements-8890	136	18	undergoing	undergo	VERB
elements-8890	136	19	srs	srs	PROPN
elements-8890	136	20	.	.	PUNCT
elements-8890	137	1	the	the	DET
elements-8890	137	2	diagnostic	diagnostic	ADJ
elements-8890	137	3	and	and	CCONJ
elements-8890	137	4	statistical	statistical	ADJ
elements-8890	137	5	manual	manual	NOUN
elements-8890	137	6	of	of	ADP
elements-8890	137	7	mental	mental	ADJ
elements-8890	137	8	disorders	disorder	NOUN
elements-8890	137	9	(	(	PUNCT
elements-8890	137	10	dsm	dsm	NOUN
elements-8890	137	11	-	-	PUNCT
elements-8890	137	12	iv	iv	NOUN
elements-8890	137	13	)	)	PUNCT
elements-8890	137	14	,	,	PUNCT
elements-8890	137	15	generally	generally	ADV
elements-8890	137	16	regarded	regard	VERB
elements-8890	137	17	as	as	ADP
elements-8890	137	18	the	the	DET
elements-8890	137	19	bible	bible	NOUN
elements-8890	137	20	of	of	ADP
elements-8890	137	21	psychological	psychological	ADJ
elements-8890	137	22	diagnosis	diagnosis	NOUN
elements-8890	137	23	,	,	PUNCT
elements-8890	137	24	describes	describe	VERB
elements-8890	137	25	individuals	individual	NOUN
elements-8890	137	26	with	with	ADP
elements-8890	137	27	gid	gid	PROPN
elements-8890	137	28	as	as	ADP
elements-8890	137	29	those	those	PRON
elements-8890	137	30	who	who	PRON
elements-8890	137	31	have	have	VERB
elements-8890	137	32	"	"	PUNCT
elements-8890	137	33	a	a	DET
elements-8890	137	34	strong	strong	ADJ
elements-8890	137	35	and	and	CCONJ
elements-8890	137	36	persistent	persistent	ADJ
elements-8890	137	37	identification	identification	NOUN
elements-8890	137	38	with	with	ADP
elements-8890	137	39	the	the	DET
elements-8890	137	40	opposite	opposite	ADJ
elements-8890	137	41	gender	gender	NOUN
elements-8890	137	42	.	.	PUNCT
elements-8890	138	1	there	there	PRON
elements-8890	138	2	is	be	VERB
elements-8890	138	3	a	a	DET
elements-8890	138	4	sense	sense	NOUN
elements-8890	138	5	of	of	ADP
elements-8890	138	6	discomfort	discomfort	NOUN
elements-8890	138	7	in	in	ADP
elements-8890	138	8	their	their	PRON
elements-8890	138	9	own	own	ADJ
elements-8890	138	10	e	e	NOUN
elements-8890	138	11	l	l	NOUN
elements-8890	138	12	e	e	X
elements-8890	138	13	m	m	PROPN
elements-8890	138	14	e	e	NOUN
elements-8890	138	15	n	n	PROPN
elements-8890	138	16	t	t	PROPN
elements-8890	138	17	s	s	PROPN
elements-8890	138	18	f	f	PROPN
elements-8890	138	19	a	a	DET
elements-8890	138	20	l	l	NOUN
elements-8890	138	21	l	l	NOUN
elements-8890	138	22	08	08	NUM
elements-8890	138	23	gender	gender	NOUN
elements-8890	138	24	and	and	CCONJ
elements-8890	138	25	may	may	AUX
elements-8890	138	26	feel	feel	VERB
elements-8890	138	27	they	they	PRON
elements-8890	138	28	were	be	AUX
elements-8890	138	29	'	'	PUNCT
elements-8890	138	30	born	bear	VERB
elements-8890	138	31	the	the	DET
elements-8890	138	32	wrong	wrong	ADJ
elements-8890	138	33	sex	sex	NOUN
elements-8890	138	34	.	.	PUNCT
elements-8890	139	1	"'v	"'v	NOUN
elements-8890	140	1	i	i	PRON
elements-8890	140	2	n	n	PRON
elements-8890	140	3	addition	addition	NOUN
elements-8890	140	4	,	,	PUNCT
elements-8890	140	5	gid	gid	PROPN
elements-8890	140	6	is	be	AUX
elements-8890	140	7	a	a	DET
elements-8890	140	8	particularly	particularly	ADV
elements-8890	140	9	sensitive	sensitive	ADJ
elements-8890	140	10	diagnosis	diagnosis	NOUN
elements-8890	140	11	because	because	SCONJ
elements-8890	140	12	it	it	PRON
elements-8890	140	13	is	be	AUX
elements-8890	140	14	often	often	ADV
elements-8890	140	15	,	,	PUNCT
elements-8890	140	16	though	though	SCONJ
elements-8890	140	17	not	not	PART
elements-8890	140	18	always	always	ADV
elements-8890	140	19	,	,	PUNCT
elements-8890	140	20	diagnosed	diagnose	VERB
elements-8890	140	21	in	in	ADP
elements-8890	140	22	conjunction	conjunction	NOUN
elements-8890	140	23	with	with	ADP
elements-8890	140	24	depression	depression	NOUN
elements-8890	140	25	and	and	CCONJ
elements-8890	140	26	suicidal	suicidal	ADJ
elements-8890	140	27	thoughts.v	thoughts.v	PUNCT
elements-8890	140	28	)	)	PUNCT
elements-8890	141	1	the	the	DET
elements-8890	141	2	lingering	linger	VERB
elements-8890	141	3	effects	effect	NOUN
elements-8890	141	4	of	of	ADP
elements-8890	141	5	these	these	DET
elements-8890	141	6	other	other	ADJ
elements-8890	141	7	afflictions	affliction	NOUN
elements-8890	141	8	could	could	AUX
elements-8890	141	9	distort	distort	VERB
elements-8890	141	10	assessments	assessment	NOUN
elements-8890	141	11	of	of	ADP
elements-8890	141	12	the	the	DET
elements-8890	141	13	efficacy	efficacy	NOUN
elements-8890	141	14	of	of	ADP
elements-8890	141	15	srs	srs	PROPN
elements-8890	141	16	,	,	PUNCT
elements-8890	141	17	an	an	DET
elements-8890	141	18	issue	issue	NOUN
elements-8890	141	19	that	that	PRON
elements-8890	141	20	needs	need	VERB
elements-8890	141	21	to	to	PART
elements-8890	141	22	be	be	AUX
elements-8890	141	23	taken	take	VERB
elements-8890	141	24	into	into	ADP
elements-8890	141	25	account	account	NOUN
elements-8890	141	26	when	when	SCONJ
elements-8890	141	27	the	the	DET
elements-8890	141	28	medical	medical	ADJ
elements-8890	141	29	necessity	necessity	NOUN
elements-8890	141	30	of	of	ADP
elements-8890	141	31	srs	srs	PROPN
elements-8890	141	32	is	be	AUX
elements-8890	141	33	assessed	assess	VERB
elements-8890	141	34	.	.	PUNCT
elements-8890	142	1	p	p	X
elements-8890	142	2	r	r	NOUN
elements-8890	142	3	e	e	NOUN
elements-8890	142	4	v	v	ADP
elements-8890	142	5	a	a	DET
elements-8890	142	6	l	l	NOUN
elements-8890	142	7	e	e	NOUN
elements-8890	142	8	n	n	NOUN
elements-8890	142	9	c	c	NOUN
elements-8890	142	10	e	e	NOUN
elements-8890	142	11	o	o	X
elements-8890	142	12	f	f	X
elements-8890	142	13	t	t	PROPN
elements-8890	142	14	r	r	PROPN
elements-8890	142	15	a	a	DET
elements-8890	142	16	n	n	NOUN
elements-8890	142	17	s	s	NOUN
elements-8890	142	18	c	c	NOUN
elements-8890	142	19	e	e	X
elements-8890	142	20	n	n	PROPN
elements-8890	142	21	d	d	X
elements-8890	142	22	e	e	NOUN
elements-8890	142	23	r	r	NOUN
elements-8890	142	24	p	p	NOUN
elements-8890	142	25	e	e	NOUN
elements-8890	142	26	r	r	NOUN
elements-8890	142	27	s	s	PROPN
elements-8890	142	28	o	o	NOUN
elements-8890	142	29	n	n	NOUN
elements-8890	142	30	s	s	NOUN
elements-8890	142	31	estimates	estimate	NOUN
elements-8890	142	32	regarding	regard	VERB
elements-8890	142	33	the	the	DET
elements-8890	142	34	prevalence	prevalence	NOUN
elements-8890	142	35	of	of	ADP
elements-8890	142	36	transgender	transgender	NOUN
elements-8890	142	37	persons	person	NOUN
elements-8890	142	38	range	range	VERB
elements-8890	142	39	from	from	ADP
elements-8890	142	40	i	i	PRON
elements-8890	142	41	in	in	ADP
elements-8890	142	42	11,900	11,900	NUM
elements-8890	142	43	to	to	PART
elements-8890	142	44	1	1	NUM
elements-8890	142	45	i	i	NOUN
elements-8890	142	46	n	n	ADV
elements-8890	142	47	37,000	37,000	NUM
elements-8890	142	48	for	for	ADP
elements-8890	142	49	assigned	assign	VERB
elements-8890	142	50	males	male	NOUN
elements-8890	142	51	and	and	CCONJ
elements-8890	142	52	1	1	NUM
elements-8890	142	53	i	i	NOUN
elements-8890	142	54	n	n	ADV
elements-8890	142	55	30,400	30,400	NUM
elements-8890	142	56	to	to	PART
elements-8890	142	57	1	1	NUM
elements-8890	142	58	in	in	ADP
elements-8890	142	59	107,000	107,000	NUM
elements-8890	142	60	for	for	ADP
elements-8890	142	61	assigned	assign	VERB
elements-8890	142	62	females	female	NOUN
elements-8890	142	63	.	.	PUNCT
elements-8890	143	1	v	v	NOUN
elements-8890	143	2	i	i	PRON
elements-8890	144	1	i	i	PRON
elements-8890	144	2	it	it	PRON
elements-8890	144	3	must	must	AUX
elements-8890	144	4	be	be	AUX
elements-8890	144	5	noted	note	VERB
elements-8890	144	6	,	,	PUNCT
elements-8890	144	7	however	however	ADV
elements-8890	144	8	,	,	PUNCT
elements-8890	144	9	that	that	SCONJ
elements-8890	144	10	many	many	ADJ
elements-8890	144	11	self	self	NOUN
elements-8890	144	12	-	-	PUNCT
elements-8890	144	13	identified	identify	VERB
elements-8890	144	14	transgender	transgender	NOUN
elements-8890	144	15	individuals	individual	NOUN
elements-8890	144	16	are	be	AUX
elements-8890	144	17	not	not	PART
elements-8890	144	18	professionally	professionally	ADV
elements-8890	144	19	diagnosed	diagnose	VERB
elements-8890	144	20	,	,	PUNCT
elements-8890	144	21	do	do	AUX
elements-8890	144	22	not	not	PART
elements-8890	144	23	undergo	undergo	VERB
elements-8890	144	24	surgery	surgery	NOUN
elements-8890	144	25	,	,	PUNCT
elements-8890	144	26	or	or	CCONJ
elements-8890	144	27	deal	deal	VERB
elements-8890	144	28	with	with	ADP
elements-8890	144	29	their	their	PRON
elements-8890	144	30	transgender	transgender	NOUN
elements-8890	144	31	identity	identity	NOUN
elements-8890	144	32	in	in	ADP
elements-8890	144	33	alternative	alternative	ADJ
elements-8890	144	34	ways	way	NOUN
elements-8890	144	35	(	(	PUNCT
elements-8890	144	36	such	such	ADJ
elements-8890	144	37	as	as	ADP
elements-8890	144	38	cross	cross	ADJ
elements-8890	144	39	-	-	ADJ
elements-8890	144	40	dressing	dress	VERB
elements-8890	144	41	)	)	PUNCT
elements-8890	144	42	,	,	PUNCT
elements-8890	144	43	which	which	PRON
elements-8890	144	44	makes	make	VERB
elements-8890	144	45	accurate	accurate	ADJ
elements-8890	144	46	statistics	statistic	NOUN
elements-8890	144	47	assessing	assess	VERB
elements-8890	144	48	the	the	DET
elements-8890	144	49	pervasiveness	pervasiveness	NOUN
elements-8890	144	50	of	of	ADP
elements-8890	144	51	transgender	transgender	NOUN
elements-8890	144	52	persons	person	NOUN
elements-8890	144	53	difficult	difficult	ADJ
elements-8890	144	54	to	to	PART
elements-8890	144	55	acquired	acquire	VERB
elements-8890	144	56	"	"	PUNCT
elements-8890	144	57	t	t	PROPN
elements-8890	144	58	r	r	NOUN
elements-8890	145	1	a	a	DET
elements-8890	145	2	n	n	NOUN
elements-8890	145	3	s	s	NOUN
elements-8890	145	4	s	s	X
elements-8890	145	5	e	e	NOUN
elements-8890	145	6	x	x	X
elements-8890	145	7	u	u	PROPN
elements-8890	145	8	a	a	NOUN
elements-8890	145	9	l	l	NOUN
elements-8890	146	1	i	i	PRON
elements-8890	146	2	t	t	VERB
elements-8890	146	3	y	y	PROPN
elements-8890	147	1	i	i	PRON
elements-8890	147	2	n	n	VERB
elements-8890	147	3	t	t	NOUN
elements-8890	147	4	h	h	NOUN
elements-8890	148	1	e	e	NOUN
elements-8890	148	2	c	c	NOUN
elements-8890	148	3	o	o	X
elements-8890	148	4	u	u	NOUN
elements-8890	148	5	r	r	NOUN
elements-8890	148	6	t	t	NOUN
elements-8890	148	7	s	s	VERB
elements-8890	148	8	the	the	DET
elements-8890	148	9	term	term	NOUN
elements-8890	148	10	transsexual	transsexual	NOUN
elements-8890	148	11	,	,	PUNCT
elements-8890	148	12	as	as	SCONJ
elements-8890	148	13	defined	define	VERB
elements-8890	148	14	by	by	ADP
elements-8890	148	15	the	the	DET
elements-8890	148	16	dsm	dsm	PROPN
elements-8890	148	17	-	-	PUNCT
elements-8890	148	18	iv	iv	NUM
elements-8890	148	19	diagnosis	diagnosis	NOUN
elements-8890	148	20	of	of	ADP
elements-8890	148	21	gid	gid	PROPN
elements-8890	148	22	,	,	PUNCT
elements-8890	148	23	can	can	AUX
elements-8890	148	24	describe	describe	VERB
elements-8890	148	25	individuals	individual	NOUN
elements-8890	148	26	at	at	ADP
elements-8890	148	27	any	any	DET
elements-8890	148	28	stage	stage	NOUN
elements-8890	148	29	i	i	PRON
elements-8890	148	30	n	n	VERB
elements-8890	148	31	the	the	DET
elements-8890	148	32	transition	transition	NOUN
elements-8890	148	33	process	process	NOUN
elements-8890	148	34	(	(	PUNCT
elements-8890	148	35	before	before	ADV
elements-8890	148	36	,	,	PUNCT
elements-8890	148	37	during	during	ADP
elements-8890	148	38	,	,	PUNCT
elements-8890	148	39	or	or	CCONJ
elements-8890	148	40	after	after	ADP
elements-8890	148	41	hormones	hormone	NOUN
elements-8890	148	42	and	and	CCONJ
elements-8890	148	43	surgical	surgical	ADJ
elements-8890	148	44	procedures	procedure	NOUN
elements-8890	148	45	)	)	PUNCT
elements-8890	148	46	.	.	PUNCT
elements-8890	149	1	i	i	PRON
elements-8890	149	2	n	n	VERB
elements-8890	149	3	spite	spite	NOUN
elements-8890	149	4	of	of	ADP
elements-8890	149	5	this	this	PRON
elements-8890	149	6	,	,	PUNCT
elements-8890	149	7	where	where	SCONJ
elements-8890	149	8	the	the	DET
elements-8890	149	9	law	law	NOUN
elements-8890	149	10	is	be	AUX
elements-8890	149	11	concerned	concern	VERB
elements-8890	149	12	the	the	DET
elements-8890	149	13	exact	exact	ADJ
elements-8890	149	14	operative	operative	ADJ
elements-8890	149	15	state	state	NOUN
elements-8890	149	16	of	of	ADP
elements-8890	149	17	a	a	DET
elements-8890	149	18	transgender	transgender	NOUN
elements-8890	149	19	individual	individual	NOUN
elements-8890	149	20	is	be	AUX
elements-8890	149	21	often	often	ADV
elements-8890	149	22	a	a	DET
elements-8890	149	23	necessary	necessary	ADJ
elements-8890	149	24	detail	detail	NOUN
elements-8890	149	25	.	.	PUNCT
elements-8890	150	1	some	some	DET
elements-8890	150	2	court	court	NOUN
elements-8890	150	3	cases	case	NOUN
elements-8890	150	4	have	have	AUX
elements-8890	150	5	allowed	allow	VERB
elements-8890	150	6	the	the	DET
elements-8890	150	7	use	use	NOUN
elements-8890	150	8	of	of	ADP
elements-8890	150	9	the	the	DET
elements-8890	150	10	"	"	PUNCT
elements-8890	150	11	he	he	PRON
elements-8890	150	12	"	"	PUNCT
elements-8890	150	13	pronoun	pronoun	NOUN
elements-8890	150	14	to	to	PART
elements-8890	150	15	describe	describe	VERB
elements-8890	150	16	a	a	DET
elements-8890	150	17	pre	pre	ADJ
elements-8890	150	18	-	-	ADJ
elements-8890	150	19	operative	operative	ADJ
elements-8890	150	20	or	or	CCONJ
elements-8890	150	21	mid	mid	ADJ
elements-8890	150	22	-	-	ADJ
elements-8890	150	23	operative	operative	ADJ
elements-8890	150	24	female	female	NOUN
elements-8890	150	25	-	-	PUNCT
elements-8890	150	26	to	to	ADP
elements-8890	150	27	-	-	PUNCT
elements-8890	150	28	male	male	NOUN
elements-8890	150	29	transsexual	transsexual	ADJ
elements-8890	150	30	,	,	PUNCT
elements-8890	150	31	or	or	CCONJ
elements-8890	150	32	the	the	DET
elements-8890	150	33	"	"	PUNCT
elements-8890	150	34	she	she	PRON
elements-8890	150	35	"	"	PUNCT
elements-8890	150	36	pronoun	pronoun	NOUN
elements-8890	150	37	for	for	ADP
elements-8890	150	38	a	a	DET
elements-8890	150	39	transitioning	transition	VERB
elements-8890	150	40	male	male	NOUN
elements-8890	150	41	-	-	PUNCT
elements-8890	150	42	to	to	ADP
elements-8890	150	43	-	-	PUNCT
elements-8890	150	44	female	female	ADJ
elements-8890	150	45	transsexual.1	transsexual.1	VERB
elements-8890	150	46	*	*	NOUN
elements-8890	150	47	when	when	SCONJ
elements-8890	150	48	the	the	DET
elements-8890	150	49	sex	sex	NOUN
elements-8890	150	50	of	of	ADP
elements-8890	150	51	the	the	DET
elements-8890	150	52	individual	individual	NOUN
elements-8890	150	53	is	be	AUX
elements-8890	150	54	an	an	DET
elements-8890	150	55	integral	integral	ADJ
elements-8890	150	56	part	part	NOUN
elements-8890	150	57	of	of	ADP
elements-8890	150	58	the	the	DET
elements-8890	150	59	issue	issue	NOUN
elements-8890	150	60	at	at	ADP
elements-8890	150	61	hand	hand	NOUN
elements-8890	150	62	in	in	ADP
elements-8890	150	63	the	the	DET
elements-8890	150	64	trial	trial	NOUN
elements-8890	150	65	,	,	PUNCT
elements-8890	150	66	however	however	ADV
elements-8890	150	67	,	,	PUNCT
elements-8890	150	68	courts	court	NOUN
elements-8890	150	69	generally	generally	ADV
elements-8890	150	70	do	do	AUX
elements-8890	150	71	not	not	PART
elements-8890	150	72	recognize	recognize	VERB
elements-8890	150	73	the	the	DET
elements-8890	150	74	gender	gender	NOUN
elements-8890	150	75	transition	transition	NOUN
elements-8890	150	76	as	as	SCONJ
elements-8890	150	77	having	having	AUX
elements-8890	150	78	taken	take	VERB
elements-8890	150	79	place	place	NOUN
elements-8890	150	80	unti	unti	ADV
elements-8890	150	81	l	l	NOUN
elements-8890	150	82	the	the	DET
elements-8890	150	83	genitals	genital	NOUN
elements-8890	150	84	of	of	ADP
elements-8890	150	85	the	the	DET
elements-8890	150	86	person	person	NOUN
elements-8890	150	87	have	have	AUX
elements-8890	150	88	been	be	AUX
elements-8890	150	89	altered	alter	VERB
elements-8890	150	90	,	,	PUNCT
elements-8890	150	91	or	or	CCONJ
elements-8890	150	92	,	,	PUNCT
elements-8890	151	1	i	i	PRON
elements-8890	151	2	n	n	PRON
elements-8890	151	3	other	other	ADJ
elements-8890	151	4	words	word	NOUN
elements-8890	151	5	,	,	PUNCT
elements-8890	151	6	unti	unti	PROPN
elements-8890	151	7	l	l	NOUN
elements-8890	151	8	the	the	DET
elements-8890	151	9	individual	individual	NOUN
elements-8890	151	10	has	have	AUX
elements-8890	151	11	undergone	undergo	VERB
elements-8890	151	12	srs.x	srs.x	ADJ
elements-8890	151	13	persons	person	NOUN
elements-8890	151	14	who	who	PRON
elements-8890	151	15	do	do	AUX
elements-8890	151	16	not	not	PART
elements-8890	151	17	desire	desire	VERB
elements-8890	151	18	srs	srs	PROPN
elements-8890	151	19	can	can	AUX
elements-8890	151	20	not	not	PART
elements-8890	151	21	,	,	PUNCT
elements-8890	151	22	despite	despite	SCONJ
elements-8890	151	23	their	their	PRON
elements-8890	151	24	gender	gender	NOUN
elements-8890	151	25	identity	identity	NOUN
elements-8890	151	26	and	and	CCONJ
elements-8890	151	27	outward	outward	VERB
elements-8890	151	28	gender	gender	NOUN
elements-8890	151	29	expression	expression	NOUN
elements-8890	151	30	,	,	PUNCT
elements-8890	151	31	be	be	AUX
elements-8890	151	32	considered	consider	VERB
elements-8890	151	33	a	a	DET
elements-8890	151	34	member	member	NOUN
elements-8890	151	35	of	of	ADP
elements-8890	151	36	that	that	DET
elements-8890	151	37	gender	gender	NOUN
elements-8890	151	38	.	.	PUNCT
elements-8890	152	1	massachusetts	massachusetts	PROPN
elements-8890	152	2	general	general	PROPN
elements-8890	152	3	law	law	PROPN
elements-8890	152	4	,	,	PUNCT
elements-8890	152	5	for	for	ADP
elements-8890	152	6	example	example	NOUN
elements-8890	152	7	,	,	PUNCT
elements-8890	152	8	holds	hold	VERB
elements-8890	152	9	that	that	SCONJ
elements-8890	152	10	birth	birth	NOUN
elements-8890	152	11	certificates	certificate	NOUN
elements-8890	152	12	can	can	AUX
elements-8890	152	13	be	be	AUX
elements-8890	152	14	amended	amend	VERB
elements-8890	152	15	to	to	PART
elements-8890	152	16	reflect	reflect	VERB
elements-8890	152	17	new	new	ADJ
elements-8890	152	18	gender	gender	NOUN
elements-8890	152	19	identity	identity	NOUN
elements-8890	152	20	,	,	PUNCT
elements-8890	152	21	but	but	CCONJ
elements-8890	152	22	only	only	ADV
elements-8890	152	23	providing	provide	VERB
elements-8890	152	24	the	the	DET
elements-8890	152	25	person	person	NOUN
elements-8890	152	26	has	have	AUX
elements-8890	152	27	completed	complete	VERB
elements-8890	152	28	sex	sex	NOUN
elements-8890	152	29	reassignment	reassignment	NOUN
elements-8890	152	30	surgery.xi	surgery.xi	PROPN
elements-8890	152	31	even	even	ADV
elements-8890	152	32	if	if	SCONJ
elements-8890	152	33	,	,	PUNCT
elements-8890	152	34	in	in	ADP
elements-8890	152	35	all	all	DET
elements-8890	152	36	other	other	ADJ
elements-8890	152	37	respects	respect	NOUN
elements-8890	152	38	,	,	PUNCT
elements-8890	152	39	the	the	DET
elements-8890	152	40	person	person	NOUN
elements-8890	152	41	appears	appear	VERB
elements-8890	152	42	to	to	PART
elements-8890	152	43	be	be	AUX
elements-8890	152	44	the	the	DET
elements-8890	152	45	opposite	opposite	ADJ
elements-8890	152	46	gender	gender	NOUN
elements-8890	152	47	,	,	PUNCT
elements-8890	152	48	most	most	ADJ
elements-8890	152	49	courts	court	NOUN
elements-8890	152	50	follow	follow	VERB
elements-8890	152	51	"	"	PUNCT
elements-8890	152	52	the	the	DET
elements-8890	152	53	...	...	PUNCT
elements-8890	152	54	dsm	dsm	NOUN
elements-8890	152	55	-	-	PUNCT
elements-8890	152	56	iv	iv	NOUN
elements-8890	152	57	...	...	PUNCT
elements-8890	152	58	describes	describe	VERB
elements-8890	152	59	individuals	individual	NOUN
elements-8890	152	60	with	with	ADP
elements-8890	152	61	gid	gid	PROPN
elements-8890	152	62	as	as	ADP
elements-8890	152	63	those	those	PRON
elements-8890	152	64	who	who	PRON
elements-8890	152	65	have	have	VERB
elements-8890	152	66	...	...	PUNCT
elements-8890	152	67	.	.	PUNCT
elements-8890	153	1	'	'	PUNCT
elements-8890	153	2	a	a	DET
elements-8890	153	3	sense	sense	NOUN
elements-8890	153	4	of	of	ADP
elements-8890	153	5	discomfort	discomfort	NOUN
elements-8890	153	6	in	in	ADP
elements-8890	153	7	their	their	PRON
elements-8890	153	8	own	own	ADJ
elements-8890	153	9	gender	gender	NOUN
elements-8890	153	10	and	and	CCONJ
elements-8890	153	11	may	may	AUX
elements-8890	153	12	feel	feel	VERB
elements-8890	153	13	they	they	PRON
elements-8890	153	14	were	be	AUX
elements-8890	153	15	"	"	PUNCT
elements-8890	153	16	born	bear	VERB
elements-8890	153	17	the	the	DET
elements-8890	153	18	wrong	wrong	ADJ
elements-8890	153	19	sex	sex	NOUN
elements-8890	153	20	.	.	PUNCT
elements-8890	153	21	'	'	PUNCT
elements-8890	154	1	"	"	PUNCT
elements-8890	154	2	"	"	PUNCT
elements-8890	154	3	massachusetts	massachusetts	PROPN
elements-8890	154	4	and	and	CCONJ
elements-8890	154	5	still	still	ADV
elements-8890	154	6	regard	regard	VERB
elements-8890	154	7	the	the	DET
elements-8890	154	8	individual	individual	NOUN
elements-8890	154	9	as	as	ADP
elements-8890	154	10	officially	officially	ADV
elements-8890	154	11	his	his	PRON
elements-8890	154	12	or	or	CCONJ
elements-8890	154	13	her	her	PRON
elements-8890	154	14	originally	originally	ADV
elements-8890	154	15	assigned	assign	VERB
elements-8890	154	16	sex	sex	NOUN
elements-8890	154	17	unti	unti	PROPN
elements-8890	154	18	l	l	PROPN
elements-8890	154	19	srs	srs	PROPN
elements-8890	154	20	is	be	AUX
elements-8890	154	21	complete	complete	ADJ
elements-8890	154	22	.	.	PUNCT
elements-8890	155	1	x	x	PUNCT
elements-8890	156	1	i	i	PRON
elements-8890	156	2	i	i	PRON
elements-8890	156	3	this	this	PRON
elements-8890	156	4	can	can	AUX
elements-8890	156	5	create	create	VERB
elements-8890	156	6	problems	problem	NOUN
elements-8890	156	7	for	for	ADP
elements-8890	156	8	individuals	individual	NOUN
elements-8890	156	9	who	who	PRON
elements-8890	156	10	,	,	PUNCT
elements-8890	156	11	for	for	ADP
elements-8890	156	12	instance	instance	NOUN
elements-8890	156	13	,	,	PUNCT
elements-8890	156	14	wish	wish	VERB
elements-8890	156	15	to	to	PART
elements-8890	156	16	claim	claim	VERB
elements-8890	156	17	discrimination	discrimination	NOUN
elements-8890	156	18	based	base	VERB
elements-8890	156	19	on	on	ADP
elements-8890	156	20	sex	sex	NOUN
elements-8890	156	21	but	but	CCONJ
elements-8890	156	22	have	have	AUX
elements-8890	156	23	not	not	PART
elements-8890	156	24	completed	complete	VERB
elements-8890	156	25	male	male	NOUN
elements-8890	156	26	-	-	PUNCT
elements-8890	156	27	to	to	ADP
elements-8890	156	28	-	-	PUNCT
elements-8890	156	29	female	female	ADJ
elements-8890	156	30	srs	srs	NOUN
elements-8890	156	31	,	,	PUNCT
elements-8890	156	32	and	and	CCONJ
elements-8890	156	33	thus	thus	ADV
elements-8890	156	34	can	can	AUX
elements-8890	156	35	not	not	PART
elements-8890	156	36	qualify	qualify	VERB
elements-8890	156	37	as	as	ADP
elements-8890	156	38	female	female	ADJ
elements-8890	156	39	in	in	ADP
elements-8890	156	40	the	the	DET
elements-8890	156	41	courts	court	NOUN
elements-8890	156	42	.	.	PUNCT
elements-8890	157	1	this	this	DET
elements-8890	157	2	problem	problem	NOUN
elements-8890	157	3	creates	create	VERB
elements-8890	157	4	a	a	DET
elements-8890	157	5	legal	legal	ADJ
elements-8890	157	6	necessity	necessity	NOUN
elements-8890	157	7	for	for	ADP
elements-8890	157	8	srs	srs	PROPN
elements-8890	157	9	x	x	PROPN
elements-8890	157	10	m	m	PROPN
elements-8890	157	11	that	that	PRON
elements-8890	157	12	wi	wi	PROPN
elements-8890	157	13	l	l	PROPN
elements-8890	157	14	l	l	NOUN
elements-8890	157	15	be	be	AUX
elements-8890	157	16	returned	return	VERB
elements-8890	157	17	to	to	PART
elements-8890	157	18	further	far	ADV
elements-8890	157	19	on	on	ADV
elements-8890	157	20	in	in	ADP
elements-8890	157	21	the	the	DET
elements-8890	157	22	assessment	assessment	NOUN
elements-8890	157	23	of	of	ADP
elements-8890	157	24	medicaid	medicaid	PROPN
elements-8890	157	25	funding	funding	NOUN
elements-8890	157	26	for	for	ADP
elements-8890	157	27	srs	srs	PROPN
elements-8890	157	28	.	.	PROPN
elements-8890	158	1	a	a	DET
elements-8890	158	2	n	n	NUM
elements-8890	158	3	o	o	NOUN
elements-8890	158	4	v	v	NOUN
elements-8890	158	5	e	e	NOUN
elements-8890	158	6	r	r	NOUN
elements-8890	158	7	v	v	NOUN
elements-8890	159	1	i	i	NOUN
elements-8890	159	2	e	e	PROPN
elements-8890	159	3	w	w	PROPN
elements-8890	159	4	of	of	ADP
elements-8890	159	5	srs	srs	PROPN
elements-8890	159	6	p	p	PROPN
elements-8890	159	7	r	r	NOUN
elements-8890	159	8	o	o	NOUN
elements-8890	159	9	c	c	NOUN
elements-8890	159	10	e	e	X
elements-8890	159	11	d	d	X
elements-8890	159	12	u	u	X
elements-8890	159	13	r	r	NOUN
elements-8890	159	14	e	e	NOUN
elements-8890	159	15	s	s	VERB
elements-8890	159	16	the	the	DET
elements-8890	159	17	harry	harry	PROPN
elements-8890	159	18	benjamin	benjamin	PROPN
elements-8890	159	19	international	international	PROPN
elements-8890	159	20	gender	gender	PROPN
elements-8890	159	21	dysphoria	dysphoria	PROPN
elements-8890	159	22	association	association	NOUN
elements-8890	159	23	's	's	PART
elements-8890	159	24	standards	standard	NOUN
elements-8890	159	25	of	of	ADP
elements-8890	159	26	care	care	NOUN
elements-8890	159	27	for	for	ADP
elements-8890	159	28	gender	gender	NOUN
elements-8890	159	29	identity	identity	NOUN
elements-8890	159	30	disorders	disorder	NOUN
elements-8890	159	31	(	(	PUNCT
elements-8890	159	32	hereafter	hereafter	ADV
elements-8890	159	33	known	know	VERB
elements-8890	159	34	as	as	ADP
elements-8890	159	35	standards	standard	NOUN
elements-8890	159	36	of	of	ADP
elements-8890	159	37	care	care	NOUN
elements-8890	159	38	or	or	CCONJ
elements-8890	159	39	soc	soc	NOUN
elements-8890	159	40	)	)	PUNCT
elements-8890	159	41	provides	provide	VERB
elements-8890	159	42	an	an	DET
elements-8890	159	43	in	in	ADP
elements-8890	159	44	-	-	PUNCT
elements-8890	159	45	depth	depth	NOUN
elements-8890	159	46	outline	outline	NOUN
elements-8890	159	47	,	,	PUNCT
elements-8890	159	48	for	for	ADP
elements-8890	159	49	both	both	DET
elements-8890	159	50	patients	patient	NOUN
elements-8890	159	51	and	and	CCONJ
elements-8890	159	52	therapists	therapist	NOUN
elements-8890	159	53	,	,	PUNCT
elements-8890	159	54	of	of	ADP
elements-8890	159	55	the	the	DET
elements-8890	159	56	suggested	suggest	VERB
elements-8890	159	57	approach	approach	NOUN
elements-8890	159	58	for	for	ADP
elements-8890	159	59	treating	treat	VERB
elements-8890	159	60	patients	patient	NOUN
elements-8890	159	61	with	with	ADP
elements-8890	159	62	gid	gid	PROPN
elements-8890	159	63	.	.	PUNCT
elements-8890	160	1	a	a	DET
elements-8890	160	2	brief	brief	ADJ
elements-8890	160	3	overview	overview	NOUN
elements-8890	160	4	of	of	ADP
elements-8890	160	5	the	the	DET
elements-8890	160	6	methods	method	NOUN
elements-8890	160	7	and	and	CCONJ
elements-8890	160	8	procedures	procedure	NOUN
elements-8890	160	9	wi	wi	PROPN
elements-8890	160	10	l	l	PROPN
elements-8890	160	11	l	l	NOUN
elements-8890	160	12	be	be	AUX
elements-8890	160	13	outlined	outline	VERB
elements-8890	160	14	here	here	ADV
elements-8890	160	15	in	in	ADP
elements-8890	160	16	order	order	NOUN
elements-8890	160	17	to	to	PART
elements-8890	160	18	demonstrate	demonstrate	VERB
elements-8890	160	19	the	the	DET
elements-8890	160	20	extensive	extensive	ADJ
elements-8890	160	21	process	process	NOUN
elements-8890	160	22	involved	involve	VERB
elements-8890	160	23	in	in	ADP
elements-8890	160	24	undergoing	undergo	VERB
elements-8890	160	25	a	a	DET
elements-8890	160	26	sex	sex	NOUN
elements-8890	160	27	change	change	NOUN
elements-8890	160	28	.	.	PUNCT
elements-8890	161	1	by	by	ADP
elements-8890	161	2	showing	show	VERB
elements-8890	161	3	the	the	DET
elements-8890	161	4	vast	vast	ADJ
elements-8890	161	5	array	array	NOUN
elements-8890	161	6	of	of	ADP
elements-8890	161	7	criteria	criterion	NOUN
elements-8890	161	8	one	one	PRON
elements-8890	161	9	must	must	AUX
elements-8890	161	10	fulfill	fulfill	VERB
elements-8890	161	11	before	before	ADP
elements-8890	161	12	obtaining	obtain	VERB
elements-8890	161	13	srs	srs	PROPN
elements-8890	161	14	,	,	PUNCT
elements-8890	161	15	this	this	DET
elements-8890	161	16	section	section	NOUN
elements-8890	161	17	wi	wi	PROPN
elements-8890	161	18	l	l	PROPN
elements-8890	161	19	l	l	NOUN
elements-8890	161	20	challenge	challenge	NOUN
elements-8890	161	21	the	the	DET
elements-8890	161	22	claim	claim	NOUN
elements-8890	161	23	that	that	SCONJ
elements-8890	161	24	srs	srs	PROPN
elements-8890	161	25	and	and	CCONJ
elements-8890	161	26	related	related	ADJ
elements-8890	161	27	medical	medical	ADJ
elements-8890	161	28	procedures	procedure	NOUN
elements-8890	161	29	are	be	AUX
elements-8890	161	30	often	often	ADV
elements-8890	161	31	performed	perform	VERB
elements-8890	161	32	whimsically	whimsically	ADV
elements-8890	161	33	.	.	PUNCT
elements-8890	162	1	x	x	X
elements-8890	162	2	l	l	NOUN
elements-8890	162	3	v	v	ADP
elements-8890	162	4	the	the	DET
elements-8890	162	5	process	process	NOUN
elements-8890	162	6	is	be	AUX
elements-8890	162	7	broken	break	VERB
elements-8890	162	8	into	into	ADP
elements-8890	162	9	three	three	NUM
elements-8890	162	10	distinct	distinct	ADJ
elements-8890	162	11	phases	phase	NOUN
elements-8890	162	12	,	,	PUNCT
elements-8890	162	13	although	although	SCONJ
elements-8890	162	14	soc	soc	NOUN
elements-8890	162	15	acknowledges	acknowledge	VERB
elements-8890	162	16	that	that	SCONJ
elements-8890	162	17	fulfillment	fulfillment	NOUN
elements-8890	162	18	of	of	ADP
elements-8890	162	19	all	all	DET
elements-8890	162	20	three	three	NUM
elements-8890	162	21	stages	stage	NOUN
elements-8890	162	22	is	be	AUX
elements-8890	162	23	not	not	PART
elements-8890	162	24	appropriate	appropriate	ADJ
elements-8890	162	25	for	for	ADP
elements-8890	162	26	all	all	DET
elements-8890	162	27	patients	patient	NOUN
elements-8890	162	28	,	,	PUNCT
elements-8890	162	29	and	and	CCONJ
elements-8890	162	30	some	some	DET
elements-8890	162	31	wi	wi	PROPN
elements-8890	162	32	l	l	PROPN
elements-8890	162	33	l	l	NOUN
elements-8890	162	34	be	be	AUX
elements-8890	162	35	satisfied	satisfied	ADJ
elements-8890	162	36	with	with	ADP
elements-8890	162	37	completion	completion	NOUN
elements-8890	162	38	of	of	ADP
elements-8890	162	39	one	one	NUM
elements-8890	162	40	or	or	CCONJ
elements-8890	162	41	two	two	NUM
elements-8890	162	42	phases	phase	NOUN
elements-8890	162	43	,	,	PUNCT
elements-8890	162	44	rendering	render	VERB
elements-8890	162	45	complete	complete	ADJ
elements-8890	162	46	srs	srs	PROPN
elements-8890	162	47	unnecessary.xv	unnecessary.xv	PROPN
elements-8890	162	48	t	t	PROPN
elements-8890	162	49	r	r	NOUN
elements-8890	162	50	a	a	DET
elements-8890	162	51	n	n	NOUN
elements-8890	162	52	s	s	PART
elements-8890	162	53	a	a	PRON
elements-8890	162	54	c	c	NOUN
elements-8890	162	55	t	t	NOUN
elements-8890	163	1	i	i	PRON
elements-8890	163	2	o	o	VERB
elements-8890	164	1	n	n	X
elements-8890	165	1	f	f	X
elements-8890	165	2	e	e	X
elements-8890	165	3	e	e	PROPN
elements-8890	165	4	s	s	PROPN
elements-8890	165	5	t	t	NOUN
elements-8890	165	6	h	h	NOUN
elements-8890	165	7	e	e	NOUN
elements-8890	166	1	f	f	X
elements-8890	167	1	i	i	PRON
elements-8890	167	2	r	r	NOUN
elements-8890	167	3	s	s	PROPN
elements-8890	167	4	t	t	X
elements-8890	167	5	p	p	NOUN
elements-8890	167	6	h	h	NOUN
elements-8890	167	7	a	a	DET
elements-8890	167	8	s	s	X
elements-8890	167	9	e	e	NOUN
elements-8890	167	10	!	!	PUNCT
elements-8890	168	1	p	p	X
elements-8890	168	2	s	s	X
elements-8890	168	3	y	y	NOUN
elements-8890	168	4	c	c	NOUN
elements-8890	169	1	h	h	NOUN
elements-8890	170	1	o	o	NOUN
elements-8890	170	2	t	t	NOUN
elements-8890	170	3	h	h	NOUN
elements-8890	170	4	e	e	NOUN
elements-8890	170	5	r	r	NOUN
elements-8890	170	6	a	a	DET
elements-8890	170	7	p	p	X
elements-8890	170	8	y	y	NOUN
elements-8890	170	9	while	while	SCONJ
elements-8890	170	10	soc	soc	NOUN
elements-8890	170	11	acknowledges	acknowledge	VERB
elements-8890	170	12	that	that	SCONJ
elements-8890	170	13	psychotherapy	psychotherapy	NOUN
elements-8890	170	14	is	be	AUX
elements-8890	170	15	not	not	PART
elements-8890	170	16	necessary	necessary	ADJ
elements-8890	170	17	in	in	ADP
elements-8890	170	18	all	all	DET
elements-8890	170	19	cases	case	NOUN
elements-8890	170	20	,	,	PUNCT
elements-8890	170	21	it	it	PRON
elements-8890	170	22	is	be	AUX
elements-8890	170	23	certainly	certainly	ADV
elements-8890	170	24	highly	highly	ADV
elements-8890	170	25	recommended	recommend	VERB
elements-8890	170	26	for	for	ADP
elements-8890	170	27	patients	patient	NOUN
elements-8890	170	28	who	who	PRON
elements-8890	170	29	wish	wish	VERB
elements-8890	170	30	to	to	PART
elements-8890	170	31	undergo	undergo	VERB
elements-8890	170	32	srs	srs	PROPN
elements-8890	170	33	in	in	ADP
elements-8890	170	34	order	order	NOUN
elements-8890	170	35	to	to	PART
elements-8890	170	36	provide	provide	VERB
elements-8890	170	37	options	option	NOUN
elements-8890	170	38	and	and	CCONJ
elements-8890	170	39	assess	assess	NOUN
elements-8890	170	40	eligibility	eligibility	NOUN
elements-8890	170	41	and	and	CCONJ
elements-8890	170	42	readiness	readiness	NOUN
elements-8890	170	43	for	for	ADP
elements-8890	170	44	the	the	DET
elements-8890	170	45	life	life	NOUN
elements-8890	170	46	adjustments	adjustment	NOUN
elements-8890	170	47	involved	involve	VERB
elements-8890	170	48	in	in	ADP
elements-8890	170	49	sex	sex	NOUN
elements-8890	170	50	change	change	NOUN
elements-8890	170	51	.	.	PUNCT
elements-8890	171	1	psychotherapy	psychotherapy	NOUN
elements-8890	171	2	also	also	ADV
elements-8890	171	3	addresses	address	VERB
elements-8890	171	4	the	the	DET
elements-8890	171	5	effects	effect	NOUN
elements-8890	171	6	of	of	ADP
elements-8890	171	7	gid	gid	NOUN
elements-8890	171	8	on	on	ADP
elements-8890	171	9	the	the	DET
elements-8890	171	10	patients	patient	NOUN
elements-8890	171	11	'	'	PART
elements-8890	171	12	work	work	NOUN
elements-8890	171	13	,	,	PUNCT
elements-8890	171	14	education	education	NOUN
elements-8890	171	15	,	,	PUNCT
elements-8890	171	16	and	and	CCONJ
elements-8890	171	17	family	family	NOUN
elements-8890	171	18	life.3	life.3	PROPN
elements-8890	171	19	™	™	VERB
elements-8890	171	20	there	there	PRON
elements-8890	171	21	is	be	VERB
elements-8890	171	22	no	no	DET
elements-8890	171	23	required	required	ADJ
elements-8890	171	24	number	number	NOUN
elements-8890	171	25	of	of	ADP
elements-8890	171	26	sessions	session	NOUN
elements-8890	171	27	of	of	ADP
elements-8890	171	28	psychotherapy	psychotherapy	NOUN
elements-8890	171	29	because	because	SCONJ
elements-8890	171	30	patients	patient	NOUN
elements-8890	171	31	vary	vary	VERB
elements-8890	171	32	greatly	greatly	ADV
elements-8890	171	33	in	in	ADP
elements-8890	171	34	emotional	emotional	ADJ
elements-8890	171	35	state	state	NOUN
elements-8890	171	36	and	and	CCONJ
elements-8890	171	37	psychological	psychological	ADJ
elements-8890	171	38	history	history	NOUN
elements-8890	171	39	,	,	PUNCT
elements-8890	171	40	and	and	CCONJ
elements-8890	171	41	soc	soc	NOUN
elements-8890	171	42	wishes	wish	VERB
elements-8890	171	43	to	to	PART
elements-8890	171	44	avoid	avoid	VERB
elements-8890	171	45	patients	patient	NOUN
elements-8890	171	46	seeing	see	VERB
elements-8890	171	47	psychotherapy	psychotherapy	NOUN
elements-8890	171	48	as	as	ADP
elements-8890	171	49	simply	simply	ADV
elements-8890	171	50	a	a	DET
elements-8890	171	51	hurdle	hurdle	NOUN
elements-8890	171	52	on	on	ADP
elements-8890	171	53	their	their	PRON
elements-8890	171	54	way	way	NOUN
elements-8890	171	55	towards	towards	ADP
elements-8890	171	56	their	their	PRON
elements-8890	171	57	ultimate	ultimate	ADJ
elements-8890	171	58	goal	goal	NOUN
elements-8890	171	59	of	of	ADP
elements-8890	171	60	srs.x	srs.x	PROPN
elements-8890	171	61	v	v	X
elements-8890	171	62	i	i	PRON
elements-8890	171	63	i	i	PRON
elements-8890	171	64	a	a	DET
elements-8890	171	65	woman	woman	NOUN
elements-8890	171	66	in	in	ADP
elements-8890	171	67	a	a	DET
elements-8890	171	68	psychoth	psychoth	NOUN
elements-8890	171	69	eraphy	eraphy	NOUN
elements-8890	171	70	sess	sess	NOUN
elements-8890	171	71	ion	ion	NOUN
elements-8890	171	72	,	,	PUNCT
elements-8890	171	73	often	often	ADV
elements-8890	171	74	t	t	NOUN
elements-8890	171	75	h	h	NOUN
elements-8890	171	76	e	e	NOUN
elements-8890	171	77	first	first	ADJ
elements-8890	171	78	step	step	NOUN
elements-8890	171	79	toward	toward	ADP
elements-8890	171	80	srs	srs	PROPN
elements-8890	171	81	.	.	PROPN
elements-8890	172	1	during	during	ADP
elements-8890	172	2	psychotherapy	psychotherapy	NOUN
elements-8890	172	3	the	the	DET
elements-8890	172	4	therapist	therapist	NOUN
elements-8890	172	5	encourages	encourage	VERB
elements-8890	172	6	the	the	DET
elements-8890	172	7	patient	patient	NOUN
elements-8890	172	8	to	to	PART
elements-8890	172	9	experiment	experiment	VERB
elements-8890	172	10	with	with	ADP
elements-8890	172	11	brief	brief	ADJ
elements-8890	172	12	forays	foray	NOUN
elements-8890	172	13	into	into	ADP
elements-8890	172	14	the	the	DET
elements-8890	172	15	world	world	NOUN
elements-8890	172	16	of	of	ADP
elements-8890	172	17	the	the	DET
elements-8890	172	18	opposite	opposite	ADJ
elements-8890	172	19	sex	sex	NOUN
elements-8890	172	20	through	through	ADP
elements-8890	172	21	cross	cross	ADJ
elements-8890	172	22	-	-	ADJ
elements-8890	172	23	dressing	dress	VERB
elements-8890	172	24	as	as	ADV
elements-8890	172	25	well	well	ADV
elements-8890	172	26	as	as	ADP
elements-8890	172	27	basic	basic	ADJ
elements-8890	172	28	cosmetic	cosmetic	ADJ
elements-8890	172	29	alterations	alteration	NOUN
elements-8890	172	30	such	such	ADJ
elements-8890	172	31	as	as	ADP
elements-8890	172	32	the	the	DET
elements-8890	172	33	removal	removal	NOUN
elements-8890	172	34	of	of	ADP
elements-8890	172	35	facial	facial	ADJ
elements-8890	172	36	hair	hair	NOUN
elements-8890	172	37	for	for	ADP
elements-8890	172	38	men	man	NOUN
elements-8890	172	39	or	or	CCONJ
elements-8890	172	40	breast	breast	NOUN
elements-8890	172	41	-	-	PUNCT
elements-8890	172	42	binding	bind	VERB
elements-8890	172	43	for	for	ADP
elements-8890	172	44	women	woman	NOUN
elements-8890	172	45	.	.	PUNCT
elements-8890	172	46	"	"	PUNCT
elements-8890	173	1	'	'	PUNCT
elements-8890	173	2	1	1	NUM
elements-8890	173	3	1	1	NUM
elements-8890	173	4	in	in	ADP
elements-8890	173	5	order	order	NOUN
elements-8890	173	6	to	to	PART
elements-8890	173	7	proceed	proceed	VERB
elements-8890	173	8	to	to	ADP
elements-8890	173	9	the	the	DET
elements-8890	173	10	second	second	ADJ
elements-8890	173	11	stage	stage	NOUN
elements-8890	173	12	of	of	ADP
elements-8890	173	13	hormone	hormone	NOUN
elements-8890	173	14	treatment	treatment	NOUN
elements-8890	173	15	,	,	PUNCT
elements-8890	173	16	a	a	DET
elements-8890	173	17	patient	patient	NOUN
elements-8890	173	18	must	must	AUX
elements-8890	173	19	meet	meet	VERB
elements-8890	173	20	several	several	ADJ
elements-8890	173	21	criteria	criterion	NOUN
elements-8890	173	22	.	.	PUNCT
elements-8890	174	1	"	"	PUNCT
elements-8890	174	2	without	without	ADP
elements-8890	174	3	first	first	ADJ
elements-8890	174	4	meeting	meeting	NOUN
elements-8890	174	5	these	these	DET
elements-8890	174	6	recommended	recommend	VERB
elements-8890	174	7	eligibility	eligibility	NOUN
elements-8890	174	8	requirements	requirement	NOUN
elements-8890	174	9	,	,	PUNCT
elements-8890	174	10	"	"	PUNCT
elements-8890	174	11	soc	soc	NOUN
elements-8890	174	12	explains	explain	VERB
elements-8890	174	13	,	,	PUNCT
elements-8890	174	14	"	"	PUNCT
elements-8890	174	15	the	the	DET
elements-8890	174	16	patient	patient	NOUN
elements-8890	174	17	and	and	CCONJ
elements-8890	174	18	the	the	DET
elements-8890	174	19	therapist	therapist	NOUN
elements-8890	174	20	should	should	AUX
elements-8890	174	21	not	not	PART
elements-8890	174	22	request	request	VERB
elements-8890	174	23	hormones	hormone	NOUN
elements-8890	174	24	or	or	CCONJ
elements-8890	174	25	surgery	surgery	NOUN
elements-8890	174	26	.	.	PUNCT
elements-8890	174	27	"	"	PUNCT
elements-8890	175	1	x	x	X
elements-8890	175	2	i	i	NOUN
elements-8890	175	3	x	x	VERB
elements-8890	175	4	these	these	DET
elements-8890	175	5	criteria	criterion	NOUN
elements-8890	175	6	should	should	AUX
elements-8890	175	7	be	be	AUX
elements-8890	175	8	indicated	indicate	VERB
elements-8890	175	9	in	in	ADP
elements-8890	175	10	a	a	DET
elements-8890	175	11	documentation	documentation	NOUN
elements-8890	175	12	letter	letter	NOUN
elements-8890	175	13	written	write	VERB
elements-8890	175	14	by	by	ADP
elements-8890	175	15	the	the	DET
elements-8890	175	16	mental	mental	ADJ
elements-8890	175	17	health	health	PROPN
elements-8890	175	18	professional	professional	NOUN
elements-8890	175	19	.	.	PUNCT
elements-8890	176	1	they	they	PRON
elements-8890	176	2	include	include	VERB
elements-8890	176	3	evidence	evidence	NOUN
elements-8890	176	4	that	that	SCONJ
elements-8890	176	5	the	the	DET
elements-8890	176	6	patient	patient	NOUN
elements-8890	176	7	is	be	AUX
elements-8890	176	8	fully	fully	ADV
elements-8890	176	9	aware	aware	ADJ
elements-8890	176	10	and	and	CCONJ
elements-8890	176	11	has	have	AUX
elements-8890	176	12	been	be	AUX
elements-8890	176	13	counseled	counsel	VERB
elements-8890	176	14	on	on	ADP
elements-8890	176	15	the	the	DET
elements-8890	176	16	effects	effect	NOUN
elements-8890	176	17	of	of	ADP
elements-8890	176	18	hormones	hormone	NOUN
elements-8890	176	19	,	,	PUNCT
elements-8890	176	20	and	and	CCONJ
elements-8890	176	21	that	that	SCONJ
elements-8890	176	22	he	he	PRON
elements-8890	176	23	or	or	CCONJ
elements-8890	176	24	she	she	PRON
elements-8890	176	25	is	be	AUX
elements-8890	176	26	over	over	ADP
elements-8890	176	27	eighteen	eighteen	NUM
elements-8890	176	28	years	year	NOUN
elements-8890	176	29	of	of	ADP
elements-8890	176	30	age	age	NOUN
elements-8890	176	31	and	and	CCONJ
elements-8890	176	32	has	have	AUX
elements-8890	176	33	either	either	CCONJ
elements-8890	176	34	lived	live	VERB
elements-8890	176	35	for	for	ADP
elements-8890	176	36	three	three	NUM
elements-8890	176	37	months	month	NOUN
elements-8890	176	38	as	as	ADP
elements-8890	176	39	the	the	DET
elements-8890	176	40	opposite	opposite	ADJ
elements-8890	176	41	gender	gender	NOUN
elements-8890	176	42	or	or	CCONJ
elements-8890	176	43	has	have	AUX
elements-8890	176	44	undergone	undergo	VERB
elements-8890	176	45	a	a	DET
elements-8890	176	46	sufficient	sufficient	ADJ
elements-8890	176	47	amount	amount	NOUN
elements-8890	176	48	of	of	ADP
elements-8890	176	49	psychotherapy	psychotherapy	NOUN
elements-8890	176	50	(	(	PUNCT
elements-8890	176	51	also	also	ADV
elements-8890	176	52	usually	usually	ADV
elements-8890	176	53	three	three	NUM
elements-8890	176	54	months	month	NOUN
elements-8890	176	55	)	)	PUNCT
elements-8890	176	56	.	.	PUNCT
elements-8890	177	1	x	x	PUNCT
elements-8890	177	2	x	x	X
elements-8890	177	3	in	in	ADP
elements-8890	177	4	addition	addition	NOUN
elements-8890	177	5	,	,	PUNCT
elements-8890	177	6	the	the	DET
elements-8890	177	7	patient	patient	NOUN
elements-8890	177	8	must	must	AUX
elements-8890	177	9	demonstrate	demonstrate	VERB
elements-8890	177	10	that	that	SCONJ
elements-8890	177	11	he	he	PRON
elements-8890	177	12	or	or	CCONJ
elements-8890	177	13	she	she	PRON
elements-8890	177	14	is	be	AUX
elements-8890	177	15	ready	ready	ADJ
elements-8890	177	16	to	to	PART
elements-8890	177	17	continue	continue	VERB
elements-8890	177	18	the	the	DET
elements-8890	177	19	process	process	NOUN
elements-8890	177	20	in	in	ADP
elements-8890	177	21	a	a	DET
elements-8890	177	22	responsible	responsible	ADJ
elements-8890	177	23	manner	manner	NOUN
elements-8890	177	24	by	by	ADP
elements-8890	177	25	showing	show	VERB
elements-8890	177	26	he	he	PRON
elements-8890	177	27	or	or	CCONJ
elements-8890	177	28	she	she	PRON
elements-8890	177	29	has	have	AUX
elements-8890	177	30	made	make	VERB
elements-8890	177	31	progress	progress	NOUN
elements-8890	177	32	overcoming	overcome	VERB
elements-8890	177	33	other	other	ADJ
elements-8890	177	34	identified	identify	VERB
elements-8890	177	35	problems	problem	NOUN
elements-8890	177	36	such	such	ADJ
elements-8890	177	37	as	as	ADP
elements-8890	177	38	alcoholism	alcoholism	NOUN
elements-8890	177	39	or	or	CCONJ
elements-8890	177	40	suicidal	suicidal	ADJ
elements-8890	177	41	tendencies	tendency	NOUN
elements-8890	177	42	.	.	PUNCT
elements-8890	178	1	™	™	PROPN
elements-8890	178	2	t	t	NOUN
elements-8890	178	3	h	h	NOUN
elements-8890	178	4	e	e	NOUN
elements-8890	178	5	s	s	PROPN
elements-8890	178	6	e	e	X
elements-8890	178	7	c	c	NOUN
elements-8890	178	8	o	o	NOUN
elements-8890	179	1	n	n	X
elements-8890	179	2	d	d	X
elements-8890	179	3	p	p	NOUN
elements-8890	179	4	h	h	NOUN
elements-8890	180	1	a	a	DET
elements-8890	180	2	s	s	X
elements-8890	180	3	e	e	NOUN
elements-8890	180	4	:	:	PUNCT
elements-8890	180	5	h	h	NOUN
elements-8890	181	1	o	o	NOUN
elements-8890	182	1	r	r	NOUN
elements-8890	182	2	m	m	VERB
elements-8890	182	3	o	o	NOUN
elements-8890	182	4	n	n	ADP
elements-8890	182	5	e	e	NOUN
elements-8890	182	6	t	t	NOUN
elements-8890	182	7	r	r	NOUN
elements-8890	182	8	e	e	PROPN
elements-8890	182	9	a	a	PROPN
elements-8890	182	10	t	t	NOUN
elements-8890	182	11	m	m	NOUN
elements-8890	182	12	e	e	PROPN
elements-8890	182	13	n	n	ADP
elements-8890	182	14	t	t	PROPN
elements-8890	182	15	once	once	ADV
elements-8890	182	16	the	the	DET
elements-8890	182	17	patient	patient	NOUN
elements-8890	182	18	's	's	PART
elements-8890	182	19	eligibility	eligibility	NOUN
elements-8890	182	20	and	and	CCONJ
elements-8890	182	21	readiness	readiness	NOUN
elements-8890	182	22	is	be	AUX
elements-8890	182	23	assessed	assess	VERB
elements-8890	182	24	,	,	PUNCT
elements-8890	182	25	he	he	PRON
elements-8890	182	26	or	or	CCONJ
elements-8890	182	27	she	she	PRON
elements-8890	182	28	qualifies	qualify	VERB
elements-8890	182	29	for	for	ADP
elements-8890	182	30	hormone	hormone	NOUN
elements-8890	182	31	treatment	treatment	NOUN
elements-8890	182	32	.	.	PUNCT
elements-8890	183	1	biological	biological	ADJ
elements-8890	183	2	males	male	NOUN
elements-8890	183	3	are	be	AUX
elements-8890	183	4	treated	treat	VERB
elements-8890	183	5	with	with	ADP
elements-8890	183	6	estrogen	estrogen	NOUN
elements-8890	183	7	in	in	ADP
elements-8890	183	8	order	order	NOUN
elements-8890	183	9	to	to	PART
elements-8890	183	10	allow	allow	VERB
elements-8890	183	11	breast	breast	NOUN
elements-8890	183	12	growth	growth	NOUN
elements-8890	183	13	,	,	PUNCT
elements-8890	183	14	increase	increase	VERB
elements-8890	183	15	body	body	NOUN
elements-8890	183	16	fat	fat	NOUN
elements-8890	183	17	and	and	CCONJ
elements-8890	183	18	curviness	curviness	NOUN
elements-8890	183	19	,	,	PUNCT
elements-8890	183	20	decrease	decrease	VERB
elements-8890	183	21	body	body	NOUN
elements-8890	183	22	hair	hair	NOUN
elements-8890	183	23	,	,	PUNCT
elements-8890	183	24	and	and	CCONJ
elements-8890	183	25	shrink	shrink	VERB
elements-8890	183	26	the	the	DET
elements-8890	183	27	testicles	testicle	NOUN
elements-8890	183	28	.	.	PUNCT
elements-8890	184	1	biological	biological	ADJ
elements-8890	184	2	females	female	NOUN
elements-8890	184	3	treated	treat	VERB
elements-8890	184	4	with	with	ADP
elements-8890	184	5	testosterone	testosterone	NOUN
elements-8890	184	6	experience	experience	NOUN
elements-8890	184	7	a	a	DET
elements-8890	184	8	decrease	decrease	NOUN
elements-8890	184	9	in	in	ADP
elements-8890	184	10	breast	breast	NOUN
elements-8890	184	11	mass	mass	PROPN
elements-8890	184	12	,	,	PUNCT
elements-8890	184	13	increased	increase	VERB
elements-8890	184	14	body	body	NOUN
elements-8890	184	15	weight	weight	NOUN
elements-8890	184	16	and	and	CCONJ
elements-8890	184	17	upper	upper	ADJ
elements-8890	184	18	body	body	NOUN
elements-8890	184	19	strength	strength	NOUN
elements-8890	184	20	,	,	PUNCT
elements-8890	184	21	increase	increase	VERB
elements-8890	184	22	in	in	ADP
elements-8890	184	23	facial	facial	ADJ
elements-8890	184	24	and	and	CCONJ
elements-8890	184	25	body	body	NOUN
elements-8890	184	26	hair	hair	NOUN
elements-8890	184	27	,	,	PUNCT
elements-8890	184	28	and	and	CCONJ
elements-8890	184	29	enlarging	enlarging	NOUN
elements-8890	184	30	of	of	ADP
elements-8890	184	31	the	the	DET
elements-8890	184	32	clitoris	clitoris	NOUN
elements-8890	184	33	.	.	PUNCT
elements-8890	185	1	x	x	PUNCT
elements-8890	185	2	x	x	X
elements-8890	185	3	"	"	PUNCT
elements-8890	185	4	in	in	ADP
elements-8890	185	5	essence	essence	NOUN
elements-8890	185	6	,	,	PUNCT
elements-8890	185	7	the	the	DET
elements-8890	185	8	patient	patient	NOUN
elements-8890	185	9	undergoes	undergo	VERB
elements-8890	185	10	a	a	DET
elements-8890	185	11	"	"	PUNCT
elements-8890	185	12	psychologically	psychologically	ADV
elements-8890	185	13	unbalancing	unbalancing	ADJ
elements-8890	185	14	"	"	PUNCT
elements-8890	185	15	or	or	CCONJ
elements-8890	185	16	"	"	PUNCT
elements-8890	185	17	second	second	ADJ
elements-8890	185	18	puberty	puberty	NOUN
elements-8890	185	19	.	.	PUNCT
elements-8890	185	20	"	"	PUNCT
elements-8890	186	1	x	x	X
elements-8890	186	2	x	x	PUNCT
elements-8890	186	3	l	l	NOUN
elements-8890	186	4	"	"	PUNCT
elements-8890	186	5	for	for	ADP
elements-8890	186	6	biological	biological	ADJ
elements-8890	186	7	females	female	NOUN
elements-8890	186	8	,	,	PUNCT
elements-8890	186	9	a	a	DET
elements-8890	186	10	mastectomy	mastectomy	NOUN
elements-8890	186	11	can	can	AUX
elements-8890	186	12	be	be	AUX
elements-8890	186	13	performed	perform	VERB
elements-8890	186	14	during	during	ADP
elements-8890	186	15	this	this	DET
elements-8890	186	16	stage	stage	NOUN
elements-8890	186	17	along	along	ADP
elements-8890	186	18	with	with	ADP
elements-8890	186	19	the	the	DET
elements-8890	186	20	hormone	hormone	NOUN
elements-8890	186	21	treatments.	treatments.	NOUN
elements-8890	186	22	™	™	PROPN
elements-8890	186	23	7	7	NUM
elements-8890	186	24	it	it	PRON
elements-8890	186	25	is	be	AUX
elements-8890	186	26	usually	usually	ADV
elements-8890	186	27	necessary	necessary	ADJ
elements-8890	186	28	for	for	SCONJ
elements-8890	186	29	hormone	hormone	NOUN
elements-8890	186	30	treatment	treatment	NOUN
elements-8890	186	31	to	to	PART
elements-8890	186	32	continue	continue	VERB
elements-8890	186	33	for	for	ADP
elements-8890	186	34	two	two	NUM
elements-8890	186	35	years	year	NOUN
elements-8890	186	36	before	before	SCONJ
elements-8890	186	37	its	its	PRON
elements-8890	186	38	full	full	ADJ
elements-8890	186	39	effects	effect	NOUN
elements-8890	186	40	are	be	AUX
elements-8890	186	41	realized	realize	VERB
elements-8890	186	42	,	,	PUNCT
elements-8890	186	43	and	and	CCONJ
elements-8890	186	44	patients	patient	NOUN
elements-8890	186	45	generally	generally	ADV
elements-8890	186	46	must	must	AUX
elements-8890	186	47	continue	continue	VERB
elements-8890	186	48	treatment	treatment	NOUN
elements-8890	186	49	throughout	throughout	ADP
elements-8890	186	50	their	their	PRON
elements-8890	186	51	lives	life	NOUN
elements-8890	186	52	to	to	PART
elements-8890	186	53	maintain	maintain	VERB
elements-8890	186	54	the	the	DET
elements-8890	186	55	desired	desire	VERB
elements-8890	186	56	effects	effect	NOUN
elements-8890	186	57	.	.	PUNCT
elements-8890	187	1	x	x	X
elements-8890	187	2	x	x	X
elements-8890	187	3	v	v	NOUN
elements-8890	187	4	at	at	ADV
elements-8890	187	5	least	least	ADV
elements-8890	187	6	one	one	NUM
elements-8890	187	7	year	year	NOUN
elements-8890	187	8	of	of	ADP
elements-8890	187	9	this	this	DET
elements-8890	187	10	two	two	NUM
elements-8890	187	11	-	-	PUNCT
elements-8890	187	12	year	year	NOUN
elements-8890	187	13	period	period	NOUN
elements-8890	187	14	is	be	AUX
elements-8890	187	15	also	also	ADV
elements-8890	187	16	required	require	VERB
elements-8890	187	17	for	for	ADP
elements-8890	187	18	the	the	DET
elements-8890	187	19	individual	individual	NOUN
elements-8890	187	20	,	,	PUNCT
elements-8890	188	1	i	i	PRON
elements-8890	188	2	f	f	VERB
elements-8890	189	1	he	he	PRON
elements-8890	189	2	or	or	CCONJ
elements-8890	189	3	she	she	PRON
elements-8890	189	4	desires	desire	VERB
elements-8890	189	5	,	,	PUNCT
elements-8890	189	6	to	to	PART
elements-8890	189	7	pass	pass	VERB
elements-8890	189	8	to	to	ADP
elements-8890	189	9	the	the	DET
elements-8890	189	10	subsequent	subsequent	ADJ
elements-8890	189	11	and	and	CCONJ
elements-8890	189	12	final	final	ADJ
elements-8890	189	13	stage	stage	NOUN
elements-8890	189	14	of	of	ADP
elements-8890	189	15	gender	gender	NOUN
elements-8890	189	16	reassignment	reassignment	NOUN
elements-8890	189	17	.	.	PUNCT
elements-8890	190	1	more	more	ADJ
elements-8890	190	2	assessment	assessment	NOUN
elements-8890	190	3	and	and	CCONJ
elements-8890	190	4	psychotherapy	psychotherapy	NOUN
elements-8890	190	5	is	be	AUX
elements-8890	190	6	necessary	necessary	ADJ
elements-8890	190	7	,	,	PUNCT
elements-8890	190	8	sultan	sultan	NOUN
elements-8890	190	9	explains	explain	VERB
elements-8890	190	10	,	,	PUNCT
elements-8890	190	11	because	because	SCONJ
elements-8890	190	12	the	the	DET
elements-8890	190	13	treating	treat	VERB
elements-8890	190	14	physician	physician	NOUN
elements-8890	190	15	must	must	AUX
elements-8890	190	16	be	be	AUX
elements-8890	190	17	certain	certain	ADJ
elements-8890	190	18	that	that	SCONJ
elements-8890	190	19	the	the	DET
elements-8890	190	20	gender	gender	NOUN
elements-8890	190	21	dysphasia	dysphasia	NOUN
elements-8890	190	22	is	be	AUX
elements-8890	190	23	real	real	ADJ
elements-8890	190	24	and	and	CCONJ
elements-8890	190	25	that	that	SCONJ
elements-8890	190	26	"	"	PUNCT
elements-8890	190	27	[	[	X
elements-8890	190	28	t]he	t]he	ADJ
elements-8890	190	29	disorder	disorder	NOUN
elements-8890	190	30	is	be	AUX
elements-8890	190	31	not	not	PART
elements-8890	190	32	a	a	DET
elements-8890	190	33	symptom	symptom	NOUN
elements-8890	190	34	of	of	ADP
elements-8890	190	35	another	another	DET
elements-8890	190	36	mental	mental	ADJ
elements-8890	190	37	disorder	disorder	NOUN
elements-8890	190	38	"	"	PUNCT
elements-8890	190	39	;	;	PUNCT
elements-8890	190	40	that	that	PRON
elements-8890	190	41	is	is	ADV
elements-8890	190	42	,	,	PUNCT
elements-8890	190	43	that	that	SCONJ
elements-8890	190	44	the	the	DET
elements-8890	190	45	person	person	NOUN
elements-8890	190	46	genuinely	genuinely	ADV
elements-8890	190	47	has	have	VERB
elements-8890	190	48	deep	deep	ADV
elements-8890	190	49	-	-	PUNCT
elements-8890	190	50	seated	seat	VERB
elements-8890	190	51	,	,	PUNCT
elements-8890	190	52	irreversible	irreversible	ADJ
elements-8890	190	53	issues	issue	NOUN
elements-8890	190	54	with	with	ADP
elements-8890	190	55	his	his	PRON
elements-8890	190	56	gender	gender	NOUN
elements-8890	190	57	and	and	CCONJ
elements-8890	190	58	that	that	SCONJ
elements-8890	190	59	the	the	DET
elements-8890	190	60	feelings	feeling	NOUN
elements-8890	190	61	of	of	ADP
elements-8890	190	62	dysphasia	dysphasia	NOUN
elements-8890	190	63	are	be	AUX
elements-8890	190	64	not	not	PART
elements-8890	190	65	manifestations	manifestation	NOUN
elements-8890	190	66	of	of	ADP
elements-8890	190	67	paranoia	paranoia	NOUN
elements-8890	190	68	,	,	PUNCT
elements-8890	190	69	schizophrenia	schizophrenia	NOUN
elements-8890	190	70	,	,	PUNCT
elements-8890	190	71	or	or	CCONJ
elements-8890	190	72	other	other	ADJ
elements-8890	190	73	afflictions	affliction	NOUN
elements-8890	190	74	.	.	PUNCT
elements-8890	191	1	x	x	PUNCT
elements-8890	192	1	x	x	X
elements-8890	192	2	v	v	X
elements-8890	192	3	i	i	NOUN
elements-8890	192	4	e	e	NOUN
elements-8890	192	5	l	l	NOUN
elements-8890	192	6	e	e	X
elements-8890	192	7	m	m	PROPN
elements-8890	192	8	e	e	NOUN
elements-8890	192	9	n	n	PROPN
elements-8890	192	10	t	t	PROPN
elements-8890	192	11	s	s	PROPN
elements-8890	192	12	f	f	PROPN
elements-8890	192	13	a	a	PRON
elements-8890	192	14	l	l	NOUN
elements-8890	192	15	l	l	NOUN
elements-8890	192	16	0	0	NUM
elements-8890	192	17	8	8	NUM
elements-8890	192	18	t	t	NOUN
elements-8890	192	19	h	h	NOUN
elements-8890	193	1	e	e	PROPN
elements-8890	193	2	t	t	NOUN
elements-8890	193	3	h	h	NOUN
elements-8890	194	1	i	i	NOUN
elements-8890	194	2	r	r	NOUN
elements-8890	195	1	d	d	X
elements-8890	195	2	p	p	NOUN
elements-8890	195	3	h	h	NOUN
elements-8890	195	4	a	a	DET
elements-8890	195	5	s	s	X
elements-8890	195	6	e	e	NOUN
elements-8890	195	7	!	!	PUNCT
elements-8890	196	1	s	s	PART
elements-8890	197	1	e	e	NOUN
elements-8890	197	2	x	x	PUNCT
elements-8890	197	3	r	r	NOUN
elements-8890	197	4	e	e	X
elements-8890	197	5	a	a	DET
elements-8890	197	6	s	s	X
elements-8890	197	7	s	s	VERB
elements-8890	197	8	i	i	NOUN
elements-8890	197	9	g	g	PROPN
elements-8890	197	10	n	n	CCONJ
elements-8890	197	11	m	m	PROPN
elements-8890	197	12	e	e	NOUN
elements-8890	197	13	n	n	PROPN
elements-8890	197	14	t	t	PROPN
elements-8890	197	15	s	s	X
elements-8890	197	16	u	u	NOUN
elements-8890	197	17	r	r	NOUN
elements-8890	197	18	g	g	NOUN
elements-8890	197	19	e	e	NOUN
elements-8890	197	20	r	r	NOUN
elements-8890	197	21	y	y	PROPN
elements-8890	197	22	requirements	requirement	NOUN
elements-8890	197	23	for	for	ADP
elements-8890	197	24	passage	passage	NOUN
elements-8890	197	25	into	into	ADP
elements-8890	197	26	this	this	DET
elements-8890	197	27	most	most	ADV
elements-8890	197	28	drastic	drastic	ADJ
elements-8890	197	29	phase	phase	NOUN
elements-8890	197	30	of	of	ADP
elements-8890	197	31	sex	sex	NOUN
elements-8890	197	32	reassignment	reassignment	NOUN
elements-8890	197	33	are	be	AUX
elements-8890	197	34	stringent	stringent	ADJ
elements-8890	197	35	.	.	PUNCT
elements-8890	198	1	the	the	DET
elements-8890	198	2	soc	soc	NOUN
elements-8890	198	3	requires	require	VERB
elements-8890	198	4	that	that	SCONJ
elements-8890	198	5	the	the	DET
elements-8890	198	6	patient	patient	NOUN
elements-8890	198	7	live	live	VERB
elements-8890	198	8	as	as	ADP
elements-8890	198	9	a	a	DET
elements-8890	198	10	member	member	NOUN
elements-8890	198	11	of	of	ADP
elements-8890	198	12	their	their	PRON
elements-8890	198	13	target	target	NOUN
elements-8890	198	14	gender	gender	NOUN
elements-8890	198	15	and	and	CCONJ
elements-8890	198	16	undergo	undergo	VERB
elements-8890	198	17	hormone	hormone	NOUN
elements-8890	198	18	therapy	therapy	NOUN
elements-8890	198	19	for	for	ADP
elements-8890	198	20	at	at	ADV
elements-8890	198	21	least	least	ADV
elements-8890	198	22	twelve	twelve	NUM
elements-8890	198	23	continuous	continuous	ADJ
elements-8890	198	24	months	month	NOUN
elements-8890	198	25	prior	prior	ADV
elements-8890	198	26	to	to	ADP
elements-8890	198	27	undergoing	undergo	VERB
elements-8890	198	28	srs	srs	PROPN
elements-8890	198	29	.	.	PUNCT
elements-8890	199	1	in	in	ADP
elements-8890	199	2	addition	addition	NOUN
elements-8890	199	3	,	,	PUNCT
elements-8890	199	4	he	he	PRON
elements-8890	199	5	or	or	CCONJ
elements-8890	199	6	she	she	PRON
elements-8890	199	7	must	must	AUX
elements-8890	199	8	be	be	AUX
elements-8890	199	9	completely	completely	ADV
elements-8890	199	10	aware	aware	ADJ
elements-8890	199	11	of	of	ADP
elements-8890	199	12	the	the	DET
elements-8890	199	13	financial	financial	ADJ
elements-8890	199	14	burdens	burden	NOUN
elements-8890	199	15	,	,	PUNCT
elements-8890	199	16	hospitalizations	hospitalization	NOUN
elements-8890	199	17	,	,	PUNCT
elements-8890	199	18	and	and	CCONJ
elements-8890	199	19	possible	possible	ADJ
elements-8890	199	20	risks	risk	NOUN
elements-8890	199	21	and	and	CCONJ
elements-8890	199	22	side	side	NOUN
elements-8890	199	23	effects	effect	NOUN
elements-8890	199	24	associated	associate	VERB
elements-8890	199	25	with	with	ADP
elements-8890	199	26	srs	srs	PROPN
elements-8890	199	27	and	and	CCONJ
elements-8890	199	28	must	must	AUX
elements-8890	199	29	obtain	obtain	VERB
elements-8890	199	30	a	a	DET
elements-8890	199	31	competent	competent	ADJ
elements-8890	199	32	sex	sex	NOUN
elements-8890	199	33	reassignment	reassignment	NOUN
elements-8890	199	34	surgeon	surgeon	NOUN
elements-8890	199	35	.	.	PUNCT
elements-8890	200	1	-	-	PUNCT
elements-8890	200	2	™	™	VERB
elements-8890	200	3	'	'	PUNCT
elements-8890	200	4	when	when	SCONJ
elements-8890	200	5	all	all	PRON
elements-8890	200	6	of	of	ADP
elements-8890	200	7	these	these	DET
elements-8890	200	8	requirements	requirement	NOUN
elements-8890	200	9	are	be	AUX
elements-8890	200	10	demonstrable	demonstrable	ADJ
elements-8890	200	11	,	,	PUNCT
elements-8890	200	12	a	a	DET
elements-8890	200	13	mental	mental	ADJ
elements-8890	200	14	health	health	NOUN
elements-8890	200	15	professional	professional	NOUN
elements-8890	200	16	must	must	AUX
elements-8890	200	17	perform	perform	VERB
elements-8890	200	18	a	a	DET
elements-8890	200	19	comprehensive	comprehensive	ADJ
elements-8890	200	20	evaluation	evaluation	NOUN
elements-8890	200	21	of	of	ADP
elements-8890	200	22	h	h	NOUN
elements-8890	201	1	i	i	PRON
elements-8890	201	2	m	m	VERB
elements-8890	201	3	or	or	CCONJ
elements-8890	201	4	her	she	PRON
elements-8890	202	1	and	and	CCONJ
elements-8890	202	2	then	then	ADV
elements-8890	202	3	write	write	VERB
elements-8890	202	4	a	a	DET
elements-8890	202	5	letter	letter	NOUN
elements-8890	202	6	describing	describe	VERB
elements-8890	202	7	the	the	DET
elements-8890	202	8	patient	patient	NOUN
elements-8890	202	9	's	's	PART
elements-8890	202	10	condition	condition	NOUN
elements-8890	202	11	and	and	CCONJ
elements-8890	202	12	mental	mental	ADJ
elements-8890	202	13	status	status	NOUN
elements-8890	202	14	as	as	ADP
elements-8890	202	15	ready	ready	ADJ
elements-8890	202	16	for	for	ADP
elements-8890	202	17	surgery	surgery	NOUN
elements-8890	202	18	.	.	PUNCT
elements-8890	203	1	this	this	DET
elements-8890	203	2	letter	letter	NOUN
elements-8890	203	3	is	be	AUX
elements-8890	203	4	required	require	VERB
elements-8890	203	5	before	before	SCONJ
elements-8890	203	6	a	a	DET
elements-8890	203	7	surgeon	surgeon	NOUN
elements-8890	203	8	can	can	AUX
elements-8890	203	9	proceed	proceed	VERB
elements-8890	203	10	with	with	ADP
elements-8890	203	11	srs	srs	PROPN
elements-8890	203	12	,	,	PUNCT
elements-8890	203	13	meaning	mean	VERB
elements-8890	203	14	that	that	SCONJ
elements-8890	203	15	srs	srs	PROPN
elements-8890	203	16	is	be	AUX
elements-8890	203	17	not	not	PART
elements-8890	203	18	simply	simply	ADV
elements-8890	203	19	an	an	DET
elements-8890	203	20	elective	elective	ADJ
elements-8890	203	21	procedure	procedure	NOUN
elements-8890	203	22	.	.	PUNCT
elements-8890	204	1	™	™	VERB
elements-8890	204	2	1	1	NUM
elements-8890	204	3	1	1	NUM
elements-8890	204	4	1	1	NUM
elements-8890	204	5	patients	patient	NOUN
elements-8890	204	6	also	also	ADV
elements-8890	204	7	must	must	AUX
elements-8890	204	8	be	be	AUX
elements-8890	204	9	completely	completely	ADV
elements-8890	204	10	aware	aware	ADJ
elements-8890	204	11	of	of	ADP
elements-8890	204	12	all	all	DET
elements-8890	204	13	the	the	DET
elements-8890	204	14	particulars	particular	NOUN
elements-8890	204	15	regarding	regard	VERB
elements-8890	204	16	the	the	DET
elements-8890	204	17	surgical	surgical	ADJ
elements-8890	204	18	process	process	NOUN
elements-8890	204	19	itself	itself	PRON
elements-8890	204	20	.	.	PUNCT
elements-8890	205	1	in	in	ADP
elements-8890	205	2	female	female	NOUN
elements-8890	205	3	-	-	PUNCT
elements-8890	205	4	to	to	ADP
elements-8890	205	5	-	-	PUNCT
elements-8890	205	6	male	male	ADJ
elements-8890	205	7	patients	patient	NOUN
elements-8890	205	8	,	,	PUNCT
elements-8890	205	9	srs	srs	PROPN
elements-8890	205	10	involves	involve	VERB
elements-8890	205	11	a	a	DET
elements-8890	205	12	phalloplasty	phalloplasty	NOUN
elements-8890	205	13	in	in	ADP
elements-8890	205	14	which	which	PRON
elements-8890	205	15	a	a	DET
elements-8890	205	16	phallus	phallus	NOUN
elements-8890	205	17	is	be	AUX
elements-8890	205	18	created	create	VERB
elements-8890	205	19	from	from	ADP
elements-8890	205	20	the	the	DET
elements-8890	205	21	patient	patient	NOUN
elements-8890	205	22	's	's	PART
elements-8890	205	23	forearm	forearm	NOUN
elements-8890	205	24	tissues	tissue	NOUN
elements-8890	205	25	x	x	PUNCT
elements-8890	206	1	x	x	X
elements-8890	206	2	i	i	NOUN
elements-8890	206	3	x	x	PUNCT
elements-8890	206	4	testes	testis	NOUN
elements-8890	206	5	are	be	AUX
elements-8890	206	6	created	create	VERB
elements-8890	206	7	and	and	CCONJ
elements-8890	206	8	attached	attach	VERB
elements-8890	206	9	,	,	PUNCT
elements-8890	206	10	and	and	CCONJ
elements-8890	206	11	the	the	DET
elements-8890	206	12	woman	woman	NOUN
elements-8890	206	13	becoming	become	VERB
elements-8890	206	14	a	a	DET
elements-8890	206	15	man	man	NOUN
elements-8890	206	16	generally	generally	ADV
elements-8890	206	17	has	have	VERB
elements-8890	206	18	a	a	DET
elements-8890	206	19	hysterectomy	hysterectomy	NOUN
elements-8890	206	20	and	and	CCONJ
elements-8890	206	21	salpingo	salpingo	NOUN
elements-8890	206	22	-	-	PUNCT
elements-8890	206	23	oophorectomy	oophorectomy	NOUN
elements-8890	206	24	to	to	PART
elements-8890	206	25	remove	remove	VERB
elements-8890	206	26	reproductive	reproductive	ADJ
elements-8890	206	27	organs	organ	NOUN
elements-8890	206	28	.	.	PUNCT
elements-8890	206	29	'	'	PUNCT
elements-8890	207	1	v	v	ADP
elements-8890	207	2	other	other	ADJ
elements-8890	207	3	procedures	procedure	NOUN
elements-8890	207	4	include	include	VERB
elements-8890	207	5	a	a	DET
elements-8890	207	6	vaginectomy	vaginectomy	NOUN
elements-8890	207	7	,	,	PUNCT
elements-8890	207	8	metoidioplasty	metoidioplasty	NOUN
elements-8890	207	9	(	(	PUNCT
elements-8890	207	10	creating	create	VERB
elements-8890	207	11	a	a	DET
elements-8890	207	12	micro	micro	ADJ
elements-8890	207	13	penis	penis	NOUN
elements-8890	207	14	from	from	ADP
elements-8890	207	15	the	the	DET
elements-8890	207	16	enlarged	enlarge	VERB
elements-8890	207	17	clitoris	clitoris	NOUN
elements-8890	207	18	by	by	ADP
elements-8890	207	19	severing	sever	VERB
elements-8890	207	20	connecting	connect	VERB
elements-8890	207	21	tissue	tissue	NOUN
elements-8890	207	22	5	5	NUM
elements-8890	207	23	0	0	NUM
elements-8890	207	24	™	™	NOUN
elements-8890	207	25	)	)	PUNCT
elements-8890	207	26	,	,	PUNCT
elements-8890	207	27	scrotoplasty	scrotoplasty	NOUN
elements-8890	207	28	,	,	PUNCT
elements-8890	207	29	and	and	CCONJ
elements-8890	207	30	urethroplasty	urethroplasty	ADJ
elements-8890	207	31	in	in	ADP
elements-8890	207	32	order	order	NOUN
elements-8890	207	33	to	to	PART
elements-8890	207	34	create	create	VERB
elements-8890	207	35	a	a	DET
elements-8890	207	36	urethra	urethra	NOUN
elements-8890	207	37	and	and	CCONJ
elements-8890	207	38	scrotum	scrotum	NOUN
elements-8890	207	39	.	.	PUNCT
elements-8890	208	1	in	in	ADP
elements-8890	208	2	male	male	NOUN
elements-8890	208	3	-	-	PUNCT
elements-8890	208	4	to	to	ADP
elements-8890	208	5	-	-	PUNCT
elements-8890	208	6	female	female	ADJ
elements-8890	208	7	patients	patient	NOUN
elements-8890	208	8	,	,	PUNCT
elements-8890	208	9	srs	srs	PROPN
elements-8890	208	10	involves	involve	VERB
elements-8890	208	11	an	an	DET
elements-8890	208	12	orchiectomy	orchiectomy	NOUN
elements-8890	208	13	(	(	PUNCT
elements-8890	208	14	removal	removal	NOUN
elements-8890	208	15	of	of	ADP
elements-8890	208	16	the	the	DET
elements-8890	208	17	testicles	testicle	NOUN
elements-8890	208	18	)	)	PUNCT
elements-8890	208	19	,	,	PUNCT
elements-8890	208	20	penectomy	penectomy	NOUN
elements-8890	208	21	,	,	PUNCT
elements-8890	208	22	vaginoplasty	vaginoplasty	NOUN
elements-8890	208	23	,	,	PUNCT
elements-8890	208	24	clitoroplasty	clitoroplasty	NOUN
elements-8890	208	25	,	,	PUNCT
elements-8890	208	26	and	and	CCONJ
elements-8890	208	27	labiaplasty.v	labiaplasty.v	X
elements-8890	208	28	x	x	NOUN
elements-8890	208	29	"	"	PUNCT
elements-8890	208	30	in	in	ADP
elements-8890	208	31	essence	essence	NOUN
elements-8890	208	32	,	,	PUNCT
elements-8890	208	33	"	"	PUNCT
elements-8890	208	34	this	this	DET
elements-8890	208	35	surgery	surgery	NOUN
elements-8890	208	36	involves	involve	VERB
elements-8890	208	37	removal	removal	NOUN
elements-8890	208	38	of	of	ADP
elements-8890	208	39	most	most	ADJ
elements-8890	208	40	of	of	ADP
elements-8890	208	41	the	the	DET
elements-8890	208	42	penis	penis	NOUN
elements-8890	208	43	and	and	CCONJ
elements-8890	208	44	the	the	DET
elements-8890	208	45	entire	entire	ADJ
elements-8890	208	46	testes	testis	NOUN
elements-8890	208	47	,	,	PUNCT
elements-8890	208	48	with	with	SCONJ
elements-8890	208	49	the	the	DET
elements-8890	208	50	remaining	remain	VERB
elements-8890	208	51	penis	penis	NOUN
elements-8890	208	52	turned	turn	VERB
elements-8890	208	53	'	'	PUNCT
elements-8890	208	54	inside	inside	ADV
elements-8890	208	55	-	-	PUNCT
elements-8890	208	56	out	out	NOUN
elements-8890	208	57	'	'	PUNCT
elements-8890	208	58	and	and	CCONJ
elements-8890	208	59	then	then	ADV
elements-8890	208	60	grafted	graft	VERB
elements-8890	208	61	to	to	ADP
elements-8890	208	62	the	the	DET
elements-8890	208	63	newly	newly	ADV
elements-8890	208	64	constructed	construct	VERB
elements-8890	208	65	vaginal	vaginal	ADJ
elements-8890	208	66	opening	opening	NOUN
elements-8890	208	67	.	.	PUNCT
elements-8890	208	68	"	"	PUNCT
elements-8890	209	1	x	x	X
elements-8890	209	2	x	x	PUNCT
elements-8890	209	3	x	x	VERB
elements-8890	209	4	i	i	PRON
elements-8890	209	5	u	u	X
elements-8890	209	6	labia	labia	PROPN
elements-8890	209	7	and	and	CCONJ
elements-8890	209	8	a	a	DET
elements-8890	209	9	clitoris	clitoris	NOUN
elements-8890	209	10	are	be	AUX
elements-8890	209	11	then	then	ADV
elements-8890	209	12	created	create	VERB
elements-8890	209	13	with	with	ADP
elements-8890	209	14	excess	excess	ADJ
elements-8890	209	15	tissue	tissue	NOUN
elements-8890	209	16	.	.	PUNCT
elements-8890	210	1	for	for	ADP
elements-8890	210	2	both	both	DET
elements-8890	210	3	transformations	transformation	NOUN
elements-8890	210	4	,	,	PUNCT
elements-8890	210	5	several	several	ADJ
elements-8890	210	6	procedures	procedure	NOUN
elements-8890	210	7	are	be	AUX
elements-8890	210	8	often	often	ADV
elements-8890	210	9	necessary	necessary	ADJ
elements-8890	210	10	in	in	SCONJ
elements-8890	210	11	order	order	NOUN
elements-8890	210	12	to	to	PART
elements-8890	210	13	obtain	obtain	VERB
elements-8890	210	14	full	full	ADJ
elements-8890	210	15	sexual	sexual	ADJ
elements-8890	210	16	function	function	NOUN
elements-8890	210	17	and	and	CCONJ
elements-8890	210	18	coital	coital	ADJ
elements-8890	210	19	ability	ability	NOUN
elements-8890	210	20	,	,	PUNCT
elements-8890	210	21	and	and	CCONJ
elements-8890	210	22	occasionally	occasionally	ADV
elements-8890	210	23	full	full	ADJ
elements-8890	210	24	function	function	NOUN
elements-8890	210	25	is	be	AUX
elements-8890	210	26	not	not	PART
elements-8890	210	27	achieved	achieve	VERB
elements-8890	210	28	.	.	PUNCT
elements-8890	211	1	x	x	PUNCT
elements-8890	212	1	x	x	PUNCT
elements-8890	212	2	x	x	X
elements-8890	212	3	i	i	PRON
elements-8890	212	4	v	v	VERB
elements-8890	212	5	after	after	ADP
elements-8890	212	6	srs	srs	PROPN
elements-8890	212	7	,	,	PUNCT
elements-8890	212	8	follow	follow	VERB
elements-8890	212	9	-	-	PUNCT
elements-8890	212	10	up	up	ADP
elements-8890	212	11	therapy	therapy	NOUN
elements-8890	212	12	is	be	AUX
elements-8890	212	13	often	often	ADV
elements-8890	212	14	necessary	necessary	ADJ
elements-8890	212	15	and	and	CCONJ
elements-8890	212	16	always	always	ADV
elements-8890	212	17	one	one	NUM
elements-8890	212	18	of	of	ADP
elements-8890	212	19	t	t	NOUN
elements-8890	212	20	h	h	NOUN
elements-8890	213	1	e	e	ADP
elements-8890	213	2	several	several	ADJ
elements-8890	213	3	surgical	surgical	ADJ
elements-8890	213	4	procedures	procedure	NOUN
elements-8890	213	5	srs	srs	PROPN
elements-8890	213	6	patients	patient	NOUN
elements-8890	213	7	must	must	AUX
elements-8890	213	8	undergo	undergo	VERB
elements-8890	213	9	.	.	PUNCT
elements-8890	214	1	recommended	recommend	VERB
elements-8890	214	2	to	to	PART
elements-8890	214	3	assess	assess	VERB
elements-8890	214	4	possible	possible	ADJ
elements-8890	214	5	long	long	ADJ
elements-8890	214	6	-	-	PUNCT
elements-8890	214	7	term	term	NOUN
elements-8890	214	8	medical	medical	ADJ
elements-8890	214	9	conditions	condition	NOUN
elements-8890	214	10	resulting	result	VERB
elements-8890	214	11	from	from	ADP
elements-8890	214	12	srs	srs	PROPN
elements-8890	214	13	and	and	CCONJ
elements-8890	214	14	hormone	hormone	NOUN
elements-8890	214	15	treatment	treatment	NOUN
elements-8890	214	16	.	.	PUNCT
elements-8890	215	1	x	x	PUNCT
elements-8890	215	2	x	x	PUNCT
elements-8890	215	3	x	x	SYM
elements-8890	215	4	v	v	NOUN
elements-8890	215	5	as	as	SCONJ
elements-8890	215	6	demonstrated	demonstrate	VERB
elements-8890	215	7	by	by	ADP
elements-8890	215	8	this	this	DET
elements-8890	215	9	section	section	NOUN
elements-8890	215	10	,	,	PUNCT
elements-8890	215	11	the	the	DET
elements-8890	215	12	claim	claim	NOUN
elements-8890	215	13	that	that	SCONJ
elements-8890	215	14	srs	srs	PROPN
elements-8890	215	15	is	be	AUX
elements-8890	215	16	performed	perform	VERB
elements-8890	215	17	whimsically	whimsically	ADV
elements-8890	215	18	and	and	CCONJ
elements-8890	215	19	treated	treat	VERB
elements-8890	215	20	as	as	ADP
elements-8890	215	21	an	an	DET
elements-8890	215	22	elective	elective	ADJ
elements-8890	215	23	or	or	CCONJ
elements-8890	215	24	cosmetic	cosmetic	ADJ
elements-8890	215	25	surgery	surgery	NOUN
elements-8890	215	26	is	be	AUX
elements-8890	215	27	not	not	PART
elements-8890	215	28	supported	support	VERB
elements-8890	215	29	by	by	ADP
elements-8890	215	30	evidence	evidence	NOUN
elements-8890	215	31	,	,	PUNCT
elements-8890	215	32	which	which	PRON
elements-8890	215	33	shows	show	VERB
elements-8890	215	34	the	the	DET
elements-8890	215	35	highly	highly	ADV
elements-8890	215	36	complicated	complicated	ADJ
elements-8890	215	37	and	and	CCONJ
elements-8890	215	38	time	time	NOUN
elements-8890	215	39	-	-	PUNCT
elements-8890	215	40	consuming	consume	VERB
elements-8890	215	41	process	process	NOUN
elements-8890	215	42	that	that	PRON
elements-8890	215	43	transsexual	transsexual	ADJ
elements-8890	215	44	individuals	individual	NOUN
elements-8890	215	45	must	must	AUX
elements-8890	215	46	go	go	VERB
elements-8890	215	47	through	through	ADP
elements-8890	215	48	in	in	ADP
elements-8890	215	49	order	order	NOUN
elements-8890	215	50	to	to	PART
elements-8890	215	51	alter	alter	VERB
elements-8890	215	52	their	their	PRON
elements-8890	215	53	biological	biological	ADJ
elements-8890	215	54	sex	sex	NOUN
elements-8890	215	55	.	.	PUNCT
elements-8890	216	1	the	the	DET
elements-8890	216	2	subsequent	subsequent	ADJ
elements-8890	216	3	section	section	NOUN
elements-8890	216	4	wil	wil	X
elements-8890	216	5	l	l	PROPN
elements-8890	216	6	present	present	VERB
elements-8890	216	7	a	a	DET
elements-8890	216	8	brief	brief	ADJ
elements-8890	216	9	history	history	NOUN
elements-8890	216	10	and	and	CCONJ
elements-8890	216	11	outline	outline	NOUN
elements-8890	216	12	of	of	ADP
elements-8890	216	13	the	the	DET
elements-8890	216	14	rules	rule	NOUN
elements-8890	216	15	of	of	ADP
elements-8890	216	16	government	government	NOUN
elements-8890	216	17	-	-	PUNCT
elements-8890	216	18	funded	fund	VERB
elements-8890	216	19	medical	medical	ADJ
elements-8890	216	20	insurance	insurance	NOUN
elements-8890	216	21	programs	program	NOUN
elements-8890	216	22	,	,	PUNCT
elements-8890	216	23	in	in	ADP
elements-8890	216	24	an	an	DET
elements-8890	216	25	attempt	attempt	NOUN
elements-8890	216	26	to	to	PART
elements-8890	216	27	explain	explain	VERB
elements-8890	216	28	why	why	SCONJ
elements-8890	216	29	coverage	coverage	NOUN
elements-8890	216	30	is	be	AUX
elements-8890	216	31	so	so	ADV
elements-8890	216	32	frequently	frequently	ADV
elements-8890	216	33	,	,	PUNCT
elements-8890	216	34	and	and	CCONJ
elements-8890	216	35	often	often	ADV
elements-8890	216	36	categorically	categorically	ADV
elements-8890	216	37	,	,	PUNCT
elements-8890	216	38	denied	deny	VERB
elements-8890	216	39	to	to	ADP
elements-8890	216	40	transgender	transgender	NOUN
elements-8890	216	41	patients	patient	NOUN
elements-8890	216	42	.	.	PUNCT
elements-8890	217	1	t	t	NOUN
elements-8890	217	2	h	h	NOUN
elements-8890	217	3	e	e	NOUN
elements-8890	217	4	r	r	NOUN
elements-8890	217	5	u	u	NOUN
elements-8890	217	6	l	l	NOUN
elements-8890	217	7	e	e	NOUN
elements-8890	217	8	s	s	NOUN
elements-8890	217	9	o	o	X
elements-8890	217	10	f	f	X
elements-8890	217	11	g	g	NOUN
elements-8890	217	12	o	o	X
elements-8890	217	13	v	v	NOUN
elements-8890	217	14	e	e	NOUN
elements-8890	217	15	r	r	NOUN
elements-8890	217	16	n	n	NOUN
elements-8890	217	17	m	m	NOUN
elements-8890	217	18	e	e	NOUN
elements-8890	217	19	n	n	ADP
elements-8890	217	20	t	t	PROPN
elements-8890	217	21	f	f	PROPN
elements-8890	217	22	u	u	PROPN
elements-8890	217	23	n	n	PROPN
elements-8890	217	24	d	d	X
elements-8890	217	25	e	e	X
elements-8890	217	26	d	d	NOUN
elements-8890	217	27	h	h	NOUN
elements-8890	218	1	e	e	PROPN
elements-8890	218	2	a	a	PROPN
elements-8890	218	3	l	l	NOUN
elements-8890	218	4	t	t	NOUN
elements-8890	218	5	h	h	NOUN
elements-8890	219	1	c	c	NOUN
elements-8890	219	2	o	o	X
elements-8890	219	3	v	v	NUM
elements-8890	219	4	e	e	NOUN
elements-8890	219	5	r	r	NOUN
elements-8890	219	6	a	a	DET
elements-8890	219	7	g	g	NOUN
elements-8890	219	8	e	e	PROPN
elements-8890	219	9	medicare	medicare	PROPN
elements-8890	219	10	and	and	CCONJ
elements-8890	219	11	medicaid	medicaid	PROPN
elements-8890	219	12	were	be	AUX
elements-8890	219	13	both	both	PRON
elements-8890	219	14	part	part	NOUN
elements-8890	219	15	of	of	ADP
elements-8890	219	16	programs	program	NOUN
elements-8890	219	17	conceived	conceive	VERB
elements-8890	219	18	in	in	ADP
elements-8890	219	19	the	the	DET
elements-8890	219	20	1960s	1960	NOUN
elements-8890	219	21	and	and	CCONJ
elements-8890	219	22	passed	pass	VERB
elements-8890	219	23	in	in	ADP
elements-8890	219	24	1965	1965	NUM
elements-8890	219	25	as	as	ADP
elements-8890	219	26	part	part	NOUN
elements-8890	219	27	of	of	ADP
elements-8890	219	28	the	the	DET
elements-8890	219	29	social	social	ADJ
elements-8890	219	30	security	security	NOUN
elements-8890	219	31	act	act	NOUN
elements-8890	219	32	.	.	PUNCT
elements-8890	219	33	"	"	PUNCT
elements-8890	220	1	x	x	PUNCT
elements-8890	220	2	x	x	SYM
elements-8890	220	3	s	s	X
elements-8890	220	4	!	!	PUNCT
elements-8890	221	1	medicare	medicare	PROPN
elements-8890	221	2	provides	provide	VERB
elements-8890	221	3	health	health	NOUN
elements-8890	221	4	insurance	insurance	NOUN
elements-8890	221	5	coverage	coverage	NOUN
elements-8890	221	6	for	for	ADP
elements-8890	221	7	retired	retired	ADJ
elements-8890	221	8	persons	person	NOUN
elements-8890	221	9	,	,	PUNCT
elements-8890	221	10	therefore	therefore	ADV
elements-8890	221	11	its	its	PRON
elements-8890	221	12	role	role	NOUN
elements-8890	221	13	in	in	ADP
elements-8890	221	14	this	this	DET
elements-8890	221	15	paper	paper	NOUN
elements-8890	221	16	is	be	AUX
elements-8890	221	17	minimal	minimal	ADJ
elements-8890	221	18	.	.	PUNCT
elements-8890	222	1	as	as	SCONJ
elements-8890	222	2	it	it	PRON
elements-8890	222	3	is	be	AUX
elements-8890	222	4	highly	highly	ADV
elements-8890	222	5	unlikely	unlikely	ADJ
elements-8890	222	6	for	for	SCONJ
elements-8890	222	7	a	a	DET
elements-8890	222	8	person	person	NOUN
elements-8890	222	9	over	over	ADP
elements-8890	222	10	65	65	NUM
elements-8890	222	11	to	to	PART
elements-8890	222	12	begin	begin	VERB
elements-8890	222	13	srs	srs	PROPN
elements-8890	222	14	,	,	PUNCT
elements-8890	222	15	conflicts	conflict	NOUN
elements-8890	222	16	with	with	ADP
elements-8890	222	17	funding	funding	NOUN
elements-8890	222	18	and	and	CCONJ
elements-8890	222	19	medicare	medicare	PROPN
elements-8890	222	20	are	be	AUX
elements-8890	222	21	extremely	extremely	ADV
elements-8890	222	22	rare	rare	ADJ
elements-8890	222	23	.	.	PUNCT
elements-8890	223	1	x	x	PUNCT
elements-8890	223	2	x	x	PUNCT
elements-8890	223	3	x	x	X
elements-8890	223	4	v	v	INTJ
elements-8890	223	5	i	i	PRON
elements-8890	223	6	i	i	PRON
elements-8890	223	7	medicaid	medicaid	VERB
elements-8890	223	8	,	,	PUNCT
elements-8890	223	9	on	on	ADP
elements-8890	223	10	the	the	DET
elements-8890	223	11	other	other	ADJ
elements-8890	223	12	hand	hand	NOUN
elements-8890	223	13	,	,	PUNCT
elements-8890	223	14	provides	provide	VERB
elements-8890	223	15	coverage	coverage	NOUN
elements-8890	223	16	for	for	ADP
elements-8890	223	17	the	the	DET
elements-8890	223	18	indigent	indigent	NOUN
elements-8890	223	19	.	.	PUNCT
elements-8890	224	1	before	before	SCONJ
elements-8890	224	2	one	one	PRON
elements-8890	224	3	can	can	AUX
elements-8890	224	4	adequately	adequately	ADV
elements-8890	224	5	address	address	VERB
elements-8890	224	6	the	the	DET
elements-8890	224	7	true	true	ADJ
elements-8890	224	8	issue	issue	NOUN
elements-8890	224	9	of	of	ADP
elements-8890	224	10	funding	funding	NOUN
elements-8890	224	11	for	for	ADP
elements-8890	224	12	srs	srs	PROPN
elements-8890	224	13	under	under	ADP
elements-8890	224	14	public	public	ADJ
elements-8890	224	15	insurance	insurance	NOUN
elements-8890	224	16	programs	program	NOUN
elements-8890	224	17	,	,	PUNCT
elements-8890	224	18	the	the	DET
elements-8890	224	19	history	history	NOUN
elements-8890	224	20	and	and	CCONJ
elements-8890	224	21	rules	rule	NOUN
elements-8890	224	22	regarding	regard	VERB
elements-8890	224	23	the	the	DET
elements-8890	224	24	programs	program	NOUN
elements-8890	224	25	themselves	themselves	PRON
elements-8890	224	26	must	must	AUX
elements-8890	224	27	be	be	AUX
elements-8890	224	28	understood	understand	VERB
elements-8890	224	29	.	.	PUNCT
elements-8890	225	1	t	t	PROPN
elements-8890	225	2	r	r	PROPN
elements-8890	225	3	a	a	DET
elements-8890	225	4	n	n	NOUN
elements-8890	225	5	s	s	PART
elements-8890	225	6	a	a	DET
elements-8890	225	7	c	c	NOUN
elements-8890	225	8	t	t	NOUN
elements-8890	226	1	i	i	PRON
elements-8890	226	2	o	o	VERB
elements-8890	227	1	n	n	X
elements-8890	227	2	f	f	X
elements-8890	227	3	e	e	X
elements-8890	227	4	e	e	NOUN
elements-8890	227	5	s	s	PART
elements-8890	227	6	m	m	NOUN
elements-8890	227	7	e	e	NOUN
elements-8890	227	8	d	d	NOUN
elements-8890	227	9	i	i	PRON
elements-8890	227	10	c	c	VERB
elements-8890	227	11	a	a	PRON
elements-8890	228	1	i	i	NOUN
elements-8890	228	2	d	d	PROPN
elements-8890	228	3	a	a	DET
elements-8890	228	4	n	n	NOUN
elements-8890	228	5	d	d	NOUN
elements-8890	228	6	t	t	NOUN
elements-8890	228	7	h	h	NOUN
elements-8890	229	1	e	e	X
elements-8890	229	2	l	l	NOUN
elements-8890	229	3	o	o	X
elements-8890	230	1	o	o	X
elements-8890	231	1	p	p	X
elements-8890	231	2	h	h	NOUN
elements-8890	232	1	o	o	NOUN
elements-8890	232	2	l	l	NOUN
elements-8890	232	3	e	e	X
elements-8890	233	1	o	o	X
elements-8890	233	2	f	f	X
elements-8890	234	1	j	j	X
elements-8890	234	2	o	o	INTJ
elements-8890	235	1	i	i	PRON
elements-8890	235	2	n	n	VERB
elements-8890	235	3	t	t	X
elements-8890	235	4	f	f	X
elements-8890	235	5	e	e	X
elements-8890	235	6	d	d	X
elements-8890	235	7	­	­	NUM
elements-8890	235	8	e	e	NOUN
elements-8890	235	9	r	r	NOUN
elements-8890	235	10	a	a	DET
elements-8890	235	11	l	l	NOUN
elements-8890	235	12	a	a	PRON
elements-8890	235	13	n	n	NOUN
elements-8890	235	14	d	d	PROPN
elements-8890	235	15	s	s	PROPN
elements-8890	235	16	t	t	PROPN
elements-8890	235	17	a	a	DET
elements-8890	235	18	t	t	NOUN
elements-8890	235	19	e	e	X
elements-8890	235	20	c	c	NOUN
elements-8890	235	21	o	o	PROPN
elements-8890	235	22	n	n	ADP
elements-8890	235	23	t	t	NOUN
elements-8890	235	24	r	r	NOUN
elements-8890	235	25	o	o	PROPN
elements-8890	235	26	l	l	NOUN
elements-8890	235	27	medicaid	medicaid	PROPN
elements-8890	235	28	,	,	PUNCT
elements-8890	235	29	besides	besides	SCONJ
elements-8890	235	30	having	have	VERB
elements-8890	235	31	a	a	DET
elements-8890	235	32	target	target	NOUN
elements-8890	235	33	user	user	NOUN
elements-8890	235	34	group	group	NOUN
elements-8890	235	35	in	in	ADP
elements-8890	235	36	a	a	DET
elements-8890	235	37	lower	low	ADJ
elements-8890	235	38	age	age	NOUN
elements-8890	235	39	bracket	bracket	NOUN
elements-8890	235	40	,	,	PUNCT
elements-8890	235	41	is	be	AUX
elements-8890	235	42	a	a	DET
elements-8890	235	43	cooperative	cooperative	ADJ
elements-8890	235	44	federal	federal	ADJ
elements-8890	235	45	and	and	CCONJ
elements-8890	235	46	state	state	NOUN
elements-8890	235	47	program	program	NOUN
elements-8890	235	48	.	.	PUNCT
elements-8890	236	1	both	both	CCONJ
elements-8890	236	2	the	the	DET
elements-8890	236	3	state	state	NOUN
elements-8890	236	4	and	and	CCONJ
elements-8890	236	5	the	the	DET
elements-8890	236	6	federal	federal	ADJ
elements-8890	236	7	government	government	NOUN
elements-8890	236	8	help	help	NOUN
elements-8890	236	9	to	to	PART
elements-8890	236	10	fund	fund	VERB
elements-8890	236	11	medicaid	medicaid	PROPN
elements-8890	236	12	.	.	PUNCT
elements-8890	237	1	the	the	DET
elements-8890	237	2	federal	federal	ADJ
elements-8890	237	3	government	government	NOUN
elements-8890	237	4	provides	provide	VERB
elements-8890	237	5	the	the	DET
elements-8890	237	6	basic	basic	ADJ
elements-8890	237	7	regulations	regulation	NOUN
elements-8890	237	8	and	and	CCONJ
elements-8890	237	9	goals	goal	NOUN
elements-8890	237	10	of	of	ADP
elements-8890	237	11	the	the	DET
elements-8890	237	12	program	program	NOUN
elements-8890	237	13	,	,	PUNCT
elements-8890	237	14	but	but	CCONJ
elements-8890	237	15	leaves	leave	VERB
elements-8890	237	16	it	it	PRON
elements-8890	237	17	to	to	ADP
elements-8890	237	18	the	the	DET
elements-8890	237	19	states	state	NOUN
elements-8890	237	20	to	to	PART
elements-8890	237	21	decide	decide	VERB
elements-8890	237	22	exactly	exactly	ADV
elements-8890	237	23	which	which	DET
elements-8890	237	24	procedures	procedure	NOUN
elements-8890	237	25	are	be	AUX
elements-8890	237	26	covered	cover	VERB
elements-8890	237	27	.	.	PUNCT
elements-8890	238	1	x	x	PUNCT
elements-8890	238	2	x	x	PUNCT
elements-8890	238	3	x	x	SYM
elements-8890	238	4	v	v	ADP
elements-8890	238	5	m	m	PROPN
elements-8890	238	6	medicaid	medicaid	PROPN
elements-8890	238	7	was	be	AUX
elements-8890	238	8	created	create	VERB
elements-8890	238	9	by	by	ADP
elements-8890	238	10	title	title	NOUN
elements-8890	238	11	xix	xix	PROPN
elements-8890	238	12	of	of	ADP
elements-8890	238	13	the	the	DET
elements-8890	238	14	social	social	ADJ
elements-8890	238	15	security	security	NOUN
elements-8890	238	16	act	act	NOUN
elements-8890	238	17	of	of	ADP
elements-8890	238	18	1965.v	1965.v	PROPN
elements-8890	238	19	:	:	PUNCT
elements-8890	238	20	v	v	NOUN
elements-8890	238	21	because	because	SCONJ
elements-8890	238	22	it	it	PRON
elements-8890	238	23	allows	allow	VERB
elements-8890	238	24	the	the	DET
elements-8890	238	25	states	state	NOUN
elements-8890	238	26	to	to	PART
elements-8890	238	27	create	create	VERB
elements-8890	238	28	their	their	PRON
elements-8890	238	29	own	own	ADJ
elements-8890	238	30	programs	program	NOUN
elements-8890	238	31	based	base	VERB
elements-8890	238	32	off	off	ADP
elements-8890	238	33	of	of	ADP
elements-8890	238	34	loose	loose	ADJ
elements-8890	238	35	federal	federal	ADJ
elements-8890	238	36	regulations	regulation	NOUN
elements-8890	238	37	,	,	PUNCT
elements-8890	238	38	any	any	DET
elements-8890	238	39	lawsuits	lawsuit	NOUN
elements-8890	238	40	brought	bring	VERB
elements-8890	238	41	against	against	ADP
elements-8890	238	42	the	the	DET
elements-8890	238	43	states	state	NOUN
elements-8890	238	44	must	must	AUX
elements-8890	238	45	be	be	AUX
elements-8890	238	46	based	base	VERB
elements-8890	238	47	on	on	ADP
elements-8890	238	48	these	these	DET
elements-8890	238	49	federal	federal	ADJ
elements-8890	238	50	regulations	regulation	NOUN
elements-8890	238	51	.	.	PUNCT
elements-8890	238	52	''	''	PUNCT
elements-8890	239	1	the	the	DET
elements-8890	239	2	preamble	preamble	NOUN
elements-8890	239	3	of	of	ADP
elements-8890	239	4	title	title	NOUN
elements-8890	239	5	xix	xix	PROPN
elements-8890	239	6	designates	designate	VERB
elements-8890	239	7	the	the	DET
elements-8890	239	8	intended	intend	VERB
elements-8890	239	9	recipients	recipient	NOUN
elements-8890	239	10	of	of	ADP
elements-8890	239	11	medicaid	medicaid	PROPN
elements-8890	239	12	to	to	PART
elements-8890	239	13	be	be	AUX
elements-8890	239	14	those	those	PRON
elements-8890	239	15	who	who	PRON
elements-8890	239	16	can	can	AUX
elements-8890	239	17	not	not	PART
elements-8890	239	18	afford	afford	VERB
elements-8890	239	19	"	"	PUNCT
elements-8890	239	20	medically	medically	ADV
elements-8890	239	21	necessary	necessary	ADJ
elements-8890	239	22	"	"	PUNCT
elements-8890	239	23	services	service	NOUN
elements-8890	239	24	,	,	PUNCT
elements-8890	239	25	the	the	DET
elements-8890	239	26	first	first	ADJ
elements-8890	239	27	of	of	ADP
elements-8890	239	28	a	a	DET
elements-8890	239	29	plethora	plethora	NOUN
elements-8890	239	30	of	of	ADP
elements-8890	239	31	vague	vague	ADJ
elements-8890	239	32	terms	term	NOUN
elements-8890	239	33	used	use	VERB
elements-8890	239	34	to	to	PART
elements-8890	239	35	describe	describe	VERB
elements-8890	239	36	the	the	DET
elements-8890	239	37	functions	function	NOUN
elements-8890	239	38	of	of	ADP
elements-8890	239	39	medicaid	medicaid	NOUN
elements-8890	239	40	,	,	PUNCT
elements-8890	239	41	including	include	VERB
elements-8890	239	42	requirement	requirement	NOUN
elements-8890	239	43	that	that	SCONJ
elements-8890	239	44	standards	standard	NOUN
elements-8890	239	45	be	be	AUX
elements-8890	239	46	"	"	PUNCT
elements-8890	239	47	reasonable	reasonable	ADJ
elements-8890	239	48	,	,	PUNCT
elements-8890	239	49	"	"	PUNCT
elements-8890	239	50	"	"	PUNCT
elements-8890	239	51	consistent	consistent	ADJ
elements-8890	239	52	with	with	ADP
elements-8890	239	53	the	the	DET
elements-8890	239	54	objectives	objective	NOUN
elements-8890	239	55	"	"	PUNCT
elements-8890	239	56	of	of	ADP
elements-8890	239	57	title	title	NOUN
elements-8890	239	58	xix	xix	PROPN
elements-8890	239	59	and	and	CCONJ
elements-8890	239	60	the	the	DET
elements-8890	239	61	services	service	NOUN
elements-8890	239	62	covered	cover	VERB
elements-8890	239	63	must	must	AUX
elements-8890	239	64	"	"	PUNCT
elements-8890	239	65	reasonably	reasonably	ADV
elements-8890	239	66	achieve	achieve	VERB
elements-8890	239	67	the	the	DET
elements-8890	239	68	purpose	purpose	NOUN
elements-8890	239	69	"	"	PUNCT
elements-8890	239	70	of	of	ADP
elements-8890	239	71	the	the	DET
elements-8890	239	72	services/	services/	NUM
elements-8890	239	73	states	state	NOUN
elements-8890	239	74	must	must	AUX
elements-8890	239	75	create	create	VERB
elements-8890	239	76	a	a	DET
elements-8890	239	77	program	program	NOUN
elements-8890	239	78	that	that	PRON
elements-8890	239	79	is	be	AUX
elements-8890	239	80	in	in	ADP
elements-8890	239	81	the	the	DET
elements-8890	239	82	best	good	ADJ
elements-8890	239	83	interest	interest	NOUN
elements-8890	239	84	of	of	ADP
elements-8890	239	85	medicaid	medicaid	PROPN
elements-8890	239	86	recipients	recipient	NOUN
elements-8890	239	87	,	,	PUNCT
elements-8890	239	88	and	and	CCONJ
elements-8890	239	89	one	one	NUM
elements-8890	239	90	that	that	PRON
elements-8890	239	91	has	have	VERB
elements-8890	239	92	a	a	DET
elements-8890	239	93	method	method	NOUN
elements-8890	239	94	of	of	ADP
elements-8890	239	95	reviewing	review	VERB
elements-8890	239	96	claims	claim	NOUN
elements-8890	239	97	to	to	PART
elements-8890	239	98	ensure	ensure	VERB
elements-8890	239	99	that	that	SCONJ
elements-8890	239	100	appropriate	appropriate	ADJ
elements-8890	239	101	claims	claim	NOUN
elements-8890	239	102	are	be	AUX
elements-8890	239	103	funded	fund	VERB
elements-8890	239	104	.	.	PUNCT
elements-8890	240	1	one	one	NUM
elements-8890	240	2	slightly	slightly	ADV
elements-8890	240	3	less	less	ADV
elements-8890	240	4	ambiguous	ambiguous	ADJ
elements-8890	240	5	aspect	aspect	NOUN
elements-8890	240	6	of	of	ADP
elements-8890	240	7	the	the	DET
elements-8890	240	8	statute	statute	NOUN
elements-8890	240	9	is	be	AUX
elements-8890	240	10	the	the	DET
elements-8890	240	11	prohibition	prohibition	NOUN
elements-8890	240	12	of	of	ADP
elements-8890	240	13	discrimination	discrimination	NOUN
elements-8890	240	14	or	or	CCONJ
elements-8890	240	15	preclusion	preclusion	NOUN
elements-8890	240	16	of	of	ADP
elements-8890	240	17	funding	funding	NOUN
elements-8890	240	18	based	base	VERB
elements-8890	240	19	solely	solely	ADV
elements-8890	240	20	on	on	ADP
elements-8890	240	21	the	the	DET
elements-8890	240	22	type	type	NOUN
elements-8890	240	23	of	of	ADP
elements-8890	240	24	illness/	illness/	NUM
elements-8890	240	25	'	'	PUNCT
elements-8890	240	26	"	"	PUNCT
elements-8890	240	27	overall	overall	ADJ
elements-8890	240	28	,	,	PUNCT
elements-8890	240	29	however	however	ADV
elements-8890	240	30	,	,	PUNCT
elements-8890	240	31	the	the	DET
elements-8890	240	32	statutes	statute	NOUN
elements-8890	240	33	surrounding	surround	VERB
elements-8890	240	34	medicaid	medicaid	PROPN
elements-8890	240	35	are	be	AUX
elements-8890	240	36	sufficiently	sufficiently	ADV
elements-8890	240	37	vague	vague	ADJ
elements-8890	240	38	to	to	PART
elements-8890	240	39	provide	provide	VERB
elements-8890	240	40	a	a	DET
elements-8890	240	41	vast	vast	ADJ
elements-8890	240	42	array	array	NOUN
elements-8890	240	43	of	of	ADP
elements-8890	240	44	interpretations	interpretation	NOUN
elements-8890	240	45	of	of	ADP
elements-8890	240	46	the	the	DET
elements-8890	240	47	requirements	requirement	NOUN
elements-8890	240	48	and	and	CCONJ
elements-8890	240	49	role	role	NOUN
elements-8890	240	50	of	of	ADP
elements-8890	240	51	the	the	DET
elements-8890	240	52	states	state	NOUN
elements-8890	240	53	in	in	ADP
elements-8890	240	54	determining	determine	VERB
elements-8890	240	55	funding	funding	NOUN
elements-8890	240	56	for	for	ADP
elements-8890	240	57	procedures	procedure	NOUN
elements-8890	240	58	.	.	PUNCT
elements-8890	241	1	i	i	PRON
elements-8890	241	2	n	n	VERB
elements-8890	241	3	c	c	NOUN
elements-8890	241	4	r	r	NOUN
elements-8890	241	5	e	e	PROPN
elements-8890	241	6	a	a	PRON
elements-8890	241	7	s	s	X
elements-8890	241	8	e	e	NOUN
elements-8890	241	9	d	d	NOUN
elements-8890	241	10	r	r	NOUN
elements-8890	241	11	e	e	NOUN
elements-8890	241	12	s	s	PROPN
elements-8890	241	13	t	t	NOUN
elements-8890	241	14	r	r	NOUN
elements-8890	242	1	i	i	NOUN
elements-8890	243	1	c	c	NOUN
elements-8890	244	1	t	t	NOUN
elements-8890	245	1	i	i	PRON
elements-8890	245	2	o	o	VERB
elements-8890	246	1	n	n	NOUN
elements-8890	246	2	s	s	X
elements-8890	246	3	o	o	NOUN
elements-8890	247	1	n	n	X
elements-8890	247	2	s	s	NOUN
elements-8890	247	3	e	e	NOUN
elements-8890	247	4	r	r	NOUN
elements-8890	247	5	v	v	NOUN
elements-8890	247	6	i	i	PRON
elements-8890	247	7	c	c	NOUN
elements-8890	248	1	e	e	NOUN
elements-8890	248	2	s	s	X
elements-8890	248	3	at	at	ADP
elements-8890	248	4	the	the	DET
elements-8890	248	5	advent	advent	NOUN
elements-8890	248	6	of	of	ADP
elements-8890	248	7	private	private	ADJ
elements-8890	248	8	insurance	insurance	NOUN
elements-8890	248	9	,	,	PUNCT
elements-8890	248	10	medicare	medicare	PROPN
elements-8890	248	11	,	,	PUNCT
elements-8890	248	12	and	and	CCONJ
elements-8890	248	13	medicaid	medicaid	PROPN
elements-8890	248	14	,	,	PUNCT
elements-8890	248	15	insurers	insurer	NOUN
elements-8890	248	16	relied	rely	VERB
elements-8890	248	17	almost	almost	ADV
elements-8890	248	18	entirely	entirely	ADV
elements-8890	248	19	on	on	ADP
elements-8890	248	20	doctors	doctor	NOUN
elements-8890	248	21	to	to	PART
elements-8890	248	22	determine	determine	VERB
elements-8890	248	23	the	the	DET
elements-8890	248	24	necessity	necessity	NOUN
elements-8890	248	25	of	of	ADP
elements-8890	248	26	services	service	NOUN
elements-8890	248	27	.	.	PUNCT
elements-8890	249	1	eventually	eventually	ADV
elements-8890	249	2	,	,	PUNCT
elements-8890	249	3	however	however	ADV
elements-8890	249	4	,	,	PUNCT
elements-8890	249	5	private	private	ADJ
elements-8890	249	6	insurers	insurer	NOUN
elements-8890	249	7	,	,	PUNCT
elements-8890	249	8	and	and	CCONJ
elements-8890	249	9	in	in	ADP
elements-8890	249	10	turn	turn	NOUN
elements-8890	249	11	medicare	medicare	PROPN
elements-8890	249	12	and	and	CCONJ
elements-8890	249	13	medicaid	medicaid	PROPN
elements-8890	249	14	,	,	PUNCT
elements-8890	249	15	realized	realize	VERB
elements-8890	249	16	that	that	SCONJ
elements-8890	249	17	they	they	PRON
elements-8890	249	18	were	be	AUX
elements-8890	249	19	being	be	AUX
elements-8890	249	20	charged	charge	VERB
elements-8890	249	21	for	for	ADP
elements-8890	249	22	procedures	procedure	NOUN
elements-8890	249	23	that	that	PRON
elements-8890	249	24	were	be	AUX
elements-8890	249	25	entirely	entirely	ADV
elements-8890	249	26	cosmetic	cosmetic	ADJ
elements-8890	249	27	or	or	CCONJ
elements-8890	249	28	unnecessary	unnecessary	ADJ
elements-8890	249	29	.	.	PUNCT
elements-8890	250	1	private	private	ADJ
elements-8890	250	2	insurers	insurer	NOUN
elements-8890	250	3	inserted	insert	VERB
elements-8890	250	4	phrases	phrase	NOUN
elements-8890	250	5	restricting	restrict	VERB
elements-8890	250	6	procedures	procedure	NOUN
elements-8890	250	7	to	to	ADP
elements-8890	250	8	those	those	PRON
elements-8890	250	9	considered	consider	VERB
elements-8890	250	10	"	"	PUNCT
elements-8890	250	11	medically	medically	ADV
elements-8890	250	12	necessary	necessary	ADJ
elements-8890	250	13	,	,	PUNCT
elements-8890	250	14	"	"	PUNCT
elements-8890	250	15	but	but	CCONJ
elements-8890	250	16	when	when	SCONJ
elements-8890	250	17	they	they	PRON
elements-8890	250	18	continued	continue	VERB
elements-8890	250	19	to	to	PART
elements-8890	250	20	lose	lose	VERB
elements-8890	250	21	cases	case	NOUN
elements-8890	250	22	well	well	ADV
elements-8890	250	23	into	into	ADP
elements-8890	250	24	the	the	DET
elements-8890	250	25	1970s	1970	NOUN
elements-8890	250	26	,	,	PUNCT
elements-8890	250	27	they	they	PRON
elements-8890	250	28	began	begin	VERB
elements-8890	250	29	wording	word	VERB
elements-8890	250	30	their	their	PRON
elements-8890	250	31	contracts	contract	NOUN
elements-8890	250	32	more	more	ADV
elements-8890	250	33	strictly	strictly	ADV
elements-8890	250	34	.	.	PUNCT
elements-8890	251	1	medicaid	medicaid	PROPN
elements-8890	251	2	also	also	ADV
elements-8890	251	3	inserted	insert	VERB
elements-8890	251	4	statutes	statute	NOUN
elements-8890	251	5	forbidding	forbid	VERB
elements-8890	251	6	"	"	PUNCT
elements-8890	251	7	experimental	experimental	ADJ
elements-8890	251	8	"	"	PUNCT
elements-8890	251	9	and	and	CCONJ
elements-8890	251	10	"	"	PUNCT
elements-8890	251	11	cosmetic	cosmetic	ADJ
elements-8890	251	12	"	"	PUNCT
elements-8890	251	13	treatment	treatment	NOUN
elements-8890	251	14	at	at	ADP
elements-8890	251	15	this	this	DET
elements-8890	251	16	t	t	NOUN
elements-8890	251	17	i	i	PRON
elements-8890	251	18	m	m	VERB
elements-8890	251	19	e	e	NOUN
elements-8890	251	20	.	.	PUNCT
elements-8890	252	1	x	x	X
elements-8890	253	1	l	l	NOUN
elements-8890	253	2	i	i	PRON
elements-8890	253	3	n	n	PRON
elements-8890	253	4	hall	hall	NOUN
elements-8890	253	5	explains	explain	VERB
elements-8890	253	6	that	that	SCONJ
elements-8890	253	7	the	the	DET
elements-8890	253	8	"	"	PUNCT
elements-8890	253	9	experimental	experimental	ADJ
elements-8890	253	10	treatment	treatment	NOUN
elements-8890	253	11	"	"	PUNCT
elements-8890	253	12	in	in	ADP
elements-8890	253	13	health	health	NOUN
elements-8890	253	14	insurance	insurance	NOUN
elements-8890	253	15	policies	policy	NOUN
elements-8890	253	16	today	today	NOUN
elements-8890	253	17	responds	respond	VERB
elements-8890	253	18	to	to	ADP
elements-8890	253	19	a	a	DET
elements-8890	253	20	growing	grow	VERB
elements-8890	253	21	concern	concern	NOUN
elements-8890	253	22	"	"	PUNCT
elements-8890	253	23	that	that	SCONJ
elements-8890	253	24	most	most	ADJ
elements-8890	253	25	current	current	ADJ
elements-8890	253	26	medical	medical	ADJ
elements-8890	253	27	procedures	procedure	NOUN
elements-8890	253	28	were	be	AUX
elements-8890	253	29	adopted	adopt	VERB
elements-8890	253	30	without	without	ADP
elements-8890	253	31	ever	ever	ADV
elements-8890	253	32	having	having	AUX
elements-8890	253	33	been	be	AUX
elements-8890	253	34	tested	test	VERB
elements-8890	253	35	rigorously	rigorously	ADV
elements-8890	253	36	and	and	CCONJ
elements-8890	253	37	that	that	SCONJ
elements-8890	253	38	at	at	ADV
elements-8890	253	39	least	least	ADJ
elements-8890	253	40	some	some	PRON
elements-8890	253	41	of	of	ADP
elements-8890	253	42	the	the	DET
elements-8890	253	43	procedures	procedure	NOUN
elements-8890	253	44	commonly	commonly	ADV
elements-8890	253	45	used	use	VERB
elements-8890	253	46	today	today	NOUN
elements-8890	253	47	have	have	AUX
elements-8890	253	48	limited	limit	VERB
elements-8890	253	49	or	or	CCONJ
elements-8890	253	50	no	no	DET
elements-8890	253	51	medical	medical	ADJ
elements-8890	253	52	value	value	NOUN
elements-8890	253	53	.	.	PUNCT
elements-8890	253	54	"	"	PUNCT
elements-8890	254	1	x	x	X
elements-8890	254	2	l	l	NOUN
elements-8890	254	3	l	l	NOUN
elements-8890	254	4	v	v	NOUN
elements-8890	254	5	likewise	likewise	ADV
elements-8890	254	6	,	,	PUNCT
elements-8890	254	7	the	the	DET
elements-8890	254	8	"	"	PUNCT
elements-8890	254	9	cosmetic	cosmetic	ADJ
elements-8890	254	10	"	"	PUNCT
elements-8890	254	11	exclusion	exclusion	NOUN
elements-8890	254	12	came	come	VERB
elements-8890	254	13	about	about	ADP
elements-8890	254	14	as	as	SCONJ
elements-8890	254	15	people	people	NOUN
elements-8890	254	16	began	begin	VERB
elements-8890	254	17	to	to	PART
elements-8890	254	18	look	look	VERB
elements-8890	254	19	to	to	ADP
elements-8890	254	20	medicine	medicine	NOUN
elements-8890	254	21	for	for	ADP
elements-8890	254	22	weight	weight	NOUN
elements-8890	254	23	loss	loss	NOUN
elements-8890	254	24	and	and	CCONJ
elements-8890	254	25	plastic	plastic	ADJ
elements-8890	254	26	surgery	surgery	NOUN
elements-8890	254	27	.	.	PUNCT
elements-8890	255	1	"1	"1	NOUN
elements-8890	255	2	''	''	PUNCT
elements-8890	255	3	these	these	PRON
elements-8890	255	4	are	be	AUX
elements-8890	255	5	two	two	NUM
elements-8890	255	6	of	of	ADP
elements-8890	255	7	three	three	NUM
elements-8890	255	8	chief	chief	ADJ
elements-8890	255	9	explanations	explanation	NOUN
elements-8890	255	10	,	,	PUNCT
elements-8890	255	11	medical	medical	ADJ
elements-8890	255	12	necessity	necessity	NOUN
elements-8890	255	13	being	be	AUX
elements-8890	255	14	the	the	DET
elements-8890	255	15	third	third	ADJ
elements-8890	255	16	,	,	PUNCT
elements-8890	255	17	that	that	PRON
elements-8890	255	18	have	have	AUX
elements-8890	255	19	been	be	AUX
elements-8890	255	20	used	use	VERB
elements-8890	255	21	in	in	ADP
elements-8890	255	22	courts	court	NOUN
elements-8890	255	23	to	to	PART
elements-8890	255	24	explain	explain	VERB
elements-8890	255	25	medicaid	medicaid	PROPN
elements-8890	255	26	's	's	PART
elements-8890	255	27	(	(	PUNCT
elements-8890	255	28	as	as	ADV
elements-8890	255	29	well	well	ADV
elements-8890	255	30	as	as	ADP
elements-8890	255	31	private	private	ADJ
elements-8890	255	32	insurers	insurer	NOUN
elements-8890	255	33	'	'	PART
elements-8890	255	34	)	)	PUNCT
elements-8890	255	35	reasons	reason	NOUN
elements-8890	255	36	for	for	ADP
elements-8890	255	37	not	not	PART
elements-8890	255	38	funding	fund	VERB
elements-8890	255	39	srs	srs	PROPN
elements-8890	255	40	.	.	PUNCT
elements-8890	256	1	d	d	PROPN
elements-8890	256	2	e	e	NOUN
elements-8890	256	3	n	n	CCONJ
elements-8890	256	4	i	i	PRON
elements-8890	256	5	a	a	DET
elements-8890	256	6	l	l	NOUN
elements-8890	256	7	o	o	X
elements-8890	256	8	f	f	X
elements-8890	256	9	m	m	NOUN
elements-8890	256	10	e	e	NOUN
elements-8890	257	1	d	d	NOUN
elements-8890	257	2	i	i	PRON
elements-8890	257	3	c	c	VERB
elements-8890	257	4	a	a	DET
elements-8890	257	5	l	l	NOUN
elements-8890	257	6	l	l	NOUN
elements-8890	257	7	y	y	NOUN
elements-8890	257	8	n	n	NOUN
elements-8890	257	9	e	e	X
elements-8890	257	10	c	c	X
elements-8890	257	11	e	e	X
elements-8890	257	12	s	s	NOUN
elements-8890	257	13	s	s	X
elements-8890	257	14	a	a	DET
elements-8890	257	15	r	r	NOUN
elements-8890	258	1	y	y	NOUN
elements-8890	258	2	p	p	NOUN
elements-8890	258	3	r	r	NOUN
elements-8890	258	4	o	o	NOUN
elements-8890	258	5	c	c	NOUN
elements-8890	259	1	e	e	NOUN
elements-8890	259	2	­	­	PROPN
elements-8890	259	3	d	d	PROPN
elements-8890	259	4	u	u	NOUN
elements-8890	259	5	r	r	NOUN
elements-8890	259	6	e	e	NOUN
elements-8890	259	7	s	s	PROPN
elements-8890	259	8	a	a	DET
elements-8890	259	9	n	n	NOUN
elements-8890	259	10	d	d	NOUN
elements-8890	259	11	t	t	NOUN
elements-8890	259	12	h	h	NOUN
elements-8890	259	13	e	e	NOUN
elements-8890	259	14	c	c	NOUN
elements-8890	259	15	o	o	PROPN
elements-8890	259	16	s	s	X
elements-8890	259	17	t	t	X
elements-8890	259	18	f	f	PROPN
elements-8890	259	19	a	a	DET
elements-8890	259	20	c	c	NOUN
elements-8890	259	21	t	t	NOUN
elements-8890	260	1	o	o	NOUN
elements-8890	260	2	r	r	NOUN
elements-8890	260	3	it	it	PRON
elements-8890	260	4	is	be	AUX
elements-8890	260	5	important	important	ADJ
elements-8890	260	6	to	to	PART
elements-8890	260	7	consider	consider	VERB
elements-8890	260	8	one	one	NUM
elements-8890	260	9	other	other	ADJ
elements-8890	260	10	aspect	aspect	NOUN
elements-8890	260	11	of	of	ADP
elements-8890	260	12	title	title	NOUN
elements-8890	260	13	xix	xix	PROPN
elements-8890	260	14	before	before	ADP
elements-8890	260	15	attempting	attempt	VERB
elements-8890	260	16	to	to	PART
elements-8890	260	17	apply	apply	VERB
elements-8890	260	18	it	it	PRON
elements-8890	260	19	to	to	ADP
elements-8890	260	20	srs	srs	PROPN
elements-8890	260	21	.	.	PROPN
elements-8890	261	1	as	as	SCONJ
elements-8890	261	2	finley	finley	PROPN
elements-8890	261	3	points	point	VERB
elements-8890	261	4	out	out	ADP
elements-8890	261	5	,	,	PUNCT
elements-8890	261	6	congress	congress	PROPN
elements-8890	261	7	never	never	ADV
elements-8890	261	8	defines	define	VERB
elements-8890	261	9	the	the	DET
elements-8890	261	10	term	term	NOUN
elements-8890	261	11	"	"	PUNCT
elements-8890	261	12	necessary	necessary	ADJ
elements-8890	261	13	medical	medical	ADJ
elements-8890	261	14	services	service	NOUN
elements-8890	261	15	.	.	PUNCT
elements-8890	261	16	"	"	PUNCT
elements-8890	262	1	x	x	X
elements-8890	263	1	l	l	NOUN
elements-8890	263	2	v	v	NOUN
elements-8890	264	1	i	i	PRON
elements-8890	264	2	he	he	PRON
elements-8890	264	3	argues	argue	VERB
elements-8890	264	4	for	for	ADP
elements-8890	264	5	further	further	ADJ
elements-8890	264	6	investigation	investigation	NOUN
elements-8890	264	7	into	into	ADP
elements-8890	264	8	the	the	DET
elements-8890	264	9	true	true	ADJ
elements-8890	264	10	meaning	meaning	NOUN
elements-8890	264	11	of	of	ADP
elements-8890	264	12	the	the	DET
elements-8890	264	13	medicaid	medicaid	PROPN
elements-8890	264	14	statutes	statute	NOUN
elements-8890	264	15	and	and	CCONJ
elements-8890	264	16	how	how	SCONJ
elements-8890	264	17	they	they	PRON
elements-8890	264	18	are	be	AUX
elements-8890	264	19	applicable	applicable	ADJ
elements-8890	264	20	in	in	ADP
elements-8890	264	21	an	an	DET
elements-8890	264	22	ever	ever	ADV
elements-8890	264	23	-	-	PUNCT
elements-8890	264	24	changing	change	VERB
elements-8890	264	25	,	,	PUNCT
elements-8890	264	26	ever	ever	ADV
elements-8890	264	27	more	more	ADV
elements-8890	264	28	expensive	expensive	ADJ
elements-8890	264	29	medical	medical	ADJ
elements-8890	264	30	world	world	NOUN
elements-8890	264	31	.	.	PUNCT
elements-8890	265	1	title	title	NOUN
elements-8890	265	2	xix	xix	PROPN
elements-8890	265	3	,	,	PUNCT
elements-8890	265	4	finley	finley	PROPN
elements-8890	265	5	argues	argue	VERB
elements-8890	265	6	,	,	PUNCT
elements-8890	265	7	is	be	AUX
elements-8890	265	8	very	very	ADV
elements-8890	265	9	interested	interested	ADJ
elements-8890	265	10	in	in	ADP
elements-8890	265	11	cost	cost	NOUN
elements-8890	265	12	-	-	PUNCT
elements-8890	265	13	control	control	NOUN
elements-8890	265	14	and	and	CCONJ
elements-8890	265	15	management	management	NOUN
elements-8890	265	16	of	of	ADP
elements-8890	265	17	resources	resource	NOUN
elements-8890	265	18	,	,	PUNCT
elements-8890	265	19	and	and	CCONJ
elements-8890	265	20	many	many	ADJ
elements-8890	265	21	of	of	ADP
elements-8890	265	22	the	the	DET
elements-8890	265	23	statutes	statute	NOUN
elements-8890	265	24	reference	reference	VERB
elements-8890	265	25	this	this	DET
elements-8890	265	26	goal	goal	NOUN
elements-8890	265	27	.	.	PUNCT
elements-8890	266	1	x	x	X
elements-8890	267	1	l	l	NOUN
elements-8890	267	2	v	v	NOUN
elements-8890	267	3	n	n	CCONJ
elements-8890	267	4	unfortunately	unfortunately	ADV
elements-8890	267	5	,	,	PUNCT
elements-8890	267	6	state	state	NOUN
elements-8890	267	7	investment	investment	NOUN
elements-8890	267	8	in	in	ADP
elements-8890	267	9	keeping	keep	VERB
elements-8890	267	10	costs	cost	NOUN
elements-8890	267	11	down	down	ADV
elements-8890	267	12	comes	come	VERB
elements-8890	267	13	directly	directly	ADV
elements-8890	267	14	into	into	ADP
elements-8890	267	15	conflict	conflict	NOUN
elements-8890	267	16	with	with	ADP
elements-8890	267	17	providing	provide	VERB
elements-8890	267	18	all	all	DET
elements-8890	267	19	"	"	PUNCT
elements-8890	267	20	necessary	necessary	ADJ
elements-8890	267	21	medical	medical	ADJ
elements-8890	267	22	services	service	NOUN
elements-8890	267	23	"	"	PUNCT
elements-8890	267	24	as	as	SCONJ
elements-8890	267	25	indicated	indicate	VERB
elements-8890	267	26	in	in	ADP
elements-8890	267	27	section	section	NOUN
elements-8890	267	28	1396	1396	NUM
elements-8890	267	29	.	.	PUNCT
elements-8890	268	1	"	"	PUNCT
elements-8890	269	1	i	i	PRON
elements-8890	269	2	f	f	PROPN
elements-8890	270	1	a	a	DET
elements-8890	270	2	state	state	NOUN
elements-8890	270	3	is	be	AUX
elements-8890	270	4	required	require	VERB
elements-8890	270	5	to	to	PART
elements-8890	270	6	fund	fund	VERB
elements-8890	270	7	all	all	DET
elements-8890	270	8	medically	medically	ADV
elements-8890	270	9	necessary	necessary	ADJ
elements-8890	270	10	services	service	NOUN
elements-8890	270	11	"	"	PUNCT
elements-8890	270	12	,	,	PUNCT
elements-8890	270	13	finley	finley	PROPN
elements-8890	270	14	writes	write	VERB
elements-8890	270	15	,	,	PUNCT
elements-8890	270	16	"	"	PUNCT
elements-8890	270	17	other	other	ADJ
elements-8890	270	18	viable	viable	ADJ
elements-8890	270	19	objectives	objective	NOUN
elements-8890	270	20	—	—	PUNCT
elements-8890	270	21	especially	especially	ADV
elements-8890	270	22	those	those	PRON
elements-8890	270	23	of	of	ADP
elements-8890	270	24	cost	cost	NOUN
elements-8890	270	25	control	control	NOUN
elements-8890	270	26	and	and	CCONJ
elements-8890	270	27	state	state	NOUN
elements-8890	270	28	discretion	discretion	NOUN
elements-8890	270	29	to	to	PART
elements-8890	270	30	meet	meet	VERB
elements-8890	270	31	fiscal	fiscal	ADJ
elements-8890	270	32	concerns	concern	NOUN
elements-8890	270	33	—	—	PUNCT
elements-8890	270	34	will	will	AUX
elements-8890	270	35	be	be	AUX
elements-8890	270	36	undercut	undercut	VERB
elements-8890	270	37	.	.	PUNCT
elements-8890	271	1	therefore	therefore	ADV
elements-8890	271	2	,	,	PUNCT
elements-8890	271	3	it	it	PRON
elements-8890	271	4	is	be	AUX
elements-8890	271	5	unlikely	unlikely	ADJ
elements-8890	271	6	that	that	SCONJ
elements-8890	271	7	congress	congress	PROPN
elements-8890	271	8	intended	intend	VERB
elements-8890	271	9	that	that	SCONJ
elements-8890	271	10	a	a	DET
elements-8890	271	11	requirement	requirement	NOUN
elements-8890	271	12	be	be	AUX
elements-8890	271	13	inferred	infer	VERB
elements-8890	271	14	from	from	ADP
elements-8890	271	15	section	section	NOUN
elements-8890	271	16	1396	1396	NUM
elements-8890	271	17	,	,	PUNCT
elements-8890	271	18	since	since	SCONJ
elements-8890	271	19	such	such	DET
elements-8890	271	20	a	a	DET
elements-8890	271	21	construction	construction	NOUN
elements-8890	271	22	would	would	AUX
elements-8890	271	23	be	be	AUX
elements-8890	271	24	detrimental	detrimental	ADJ
elements-8890	271	25	to	to	ADP
elements-8890	271	26	other	other	ADJ
elements-8890	271	27	statutory	statutory	ADJ
elements-8890	271	28	concerns	concern	NOUN
elements-8890	271	29	.	.	PUNCT
elements-8890	271	30	"	"	PUNCT
elements-8890	272	1	x	x	X
elements-8890	272	2	l	l	NOUN
elements-8890	272	3	v	v	VERB
elements-8890	272	4	i	i	PRON
elements-8890	272	5	n	n	CCONJ
elements-8890	272	6	in	in	ADP
elements-8890	272	7	other	other	ADJ
elements-8890	272	8	words	word	NOUN
elements-8890	272	9	,	,	PUNCT
elements-8890	272	10	finley	finley	PROPN
elements-8890	272	11	shows	show	VERB
elements-8890	272	12	that	that	SCONJ
elements-8890	272	13	title	title	NOUN
elements-8890	272	14	xix	xix	NOUN
elements-8890	272	15	does	do	AUX
elements-8890	272	16	not	not	PART
elements-8890	272	17	mandate	mandate	VERB
elements-8890	272	18	funding	funding	NOUN
elements-8890	272	19	of	of	ADP
elements-8890	272	20	all	all	DET
elements-8890	272	21	medically	medically	ADV
elements-8890	272	22	necessary	necessary	ADJ
elements-8890	272	23	services	service	NOUN
elements-8890	272	24	,	,	PUNCT
elements-8890	272	25	but	but	CCONJ
elements-8890	272	26	rather	rather	ADV
elements-8890	272	27	it	it	PRON
elements-8890	272	28	requires	require	VERB
elements-8890	272	29	that	that	SCONJ
elements-8890	272	30	any	any	DET
elements-8890	272	31	limitations	limitation	NOUN
elements-8890	272	32	on	on	ADP
elements-8890	272	33	medically	medically	ADV
elements-8890	272	34	necessary	necessary	ADJ
elements-8890	272	35	services	service	NOUN
elements-8890	272	36	be	be	AUX
elements-8890	272	37	reasonable	reasonable	ADJ
elements-8890	272	38	.	.	PUNCT
elements-8890	272	39	!	!	PUNCT
elements-8890	273	1	this	this	PRON
elements-8890	273	2	means	mean	VERB
elements-8890	273	3	that	that	SCONJ
elements-8890	273	4	while	while	SCONJ
elements-8890	273	5	medical	medical	ADJ
elements-8890	273	6	necessity	necessity	NOUN
elements-8890	273	7	e	e	X
elements-8890	273	8	l	l	NOUN
elements-8890	273	9	e	e	X
elements-8890	273	10	m	m	PROPN
elements-8890	273	11	e	e	NOUN
elements-8890	273	12	n	n	PROPN
elements-8890	273	13	t	t	PROPN
elements-8890	273	14	s	s	PROPN
elements-8890	273	15	f	f	PROPN
elements-8890	273	16	a	a	DET
elements-8890	273	17	l	l	NOUN
elements-8890	273	18	l	l	NOUN
elements-8890	273	19	0	0	NUM
elements-8890	273	20	8	8	NUM
elements-8890	273	21	should	should	AUX
elements-8890	273	22	be	be	AUX
elements-8890	273	23	the	the	DET
elements-8890	273	24	goal	goal	NOUN
elements-8890	273	25	of	of	ADP
elements-8890	273	26	funding	funding	NOUN
elements-8890	273	27	,	,	PUNCT
elements-8890	273	28	the	the	DET
elements-8890	273	29	federal	federal	ADJ
elements-8890	273	30	government	government	NOUN
elements-8890	273	31	recognizes	recognize	VERB
elements-8890	273	32	that	that	SCONJ
elements-8890	273	33	there	there	PRON
elements-8890	273	34	are	be	VERB
elements-8890	273	35	other	other	ADJ
elements-8890	273	36	factors	factor	NOUN
elements-8890	273	37	in	in	ADP
elements-8890	273	38	determining	determine	VERB
elements-8890	273	39	the	the	DET
elements-8890	273	40	"	"	PUNCT
elements-8890	273	41	reasonableness	reasonableness	NOUN
elements-8890	273	42	"	"	PUNCT
elements-8890	273	43	of	of	ADP
elements-8890	273	44	claims	claim	NOUN
elements-8890	273	45	,	,	PUNCT
elements-8890	273	46	such	such	ADJ
elements-8890	273	47	as	as	ADP
elements-8890	273	48	cost	cost	NOUN
elements-8890	273	49	.	.	PUNCT
elements-8890	274	1	this	this	DET
elements-8890	274	2	l	l	NOUN
elements-8890	274	3	imiting	imite	VERB
elements-8890	274	4	objective	objective	NOUN
elements-8890	274	5	is	be	AUX
elements-8890	274	6	indicated	indicate	VERB
elements-8890	274	7	in	in	ADP
elements-8890	274	8	the	the	DET
elements-8890	274	9	evolution	evolution	NOUN
elements-8890	274	10	of	of	ADP
elements-8890	274	11	medicaid	medicaid	PROPN
elements-8890	274	12	and	and	CCONJ
elements-8890	274	13	the	the	DET
elements-8890	274	14	additions	addition	NOUN
elements-8890	274	15	congress	congress	PROPN
elements-8890	274	16	made	make	VERB
elements-8890	274	17	to	to	PART
elements-8890	274	18	title	title	VERB
elements-8890	274	19	xix	xix	NOUN
elements-8890	274	20	after	after	ADP
elements-8890	274	21	its	its	PRON
elements-8890	274	22	inception	inception	NOUN
elements-8890	274	23	.	.	PUNCT
elements-8890	275	1	it	it	PRON
elements-8890	275	2	shows	show	VERB
elements-8890	275	3	that	that	SCONJ
elements-8890	275	4	,	,	PUNCT
elements-8890	275	5	despite	despite	SCONJ
elements-8890	275	6	congress	congress	PROPN
elements-8890	275	7	'	'	PART
elements-8890	275	8	ambitious	ambitious	ADJ
elements-8890	275	9	intentions	intention	NOUN
elements-8890	275	10	regarding	regard	VERB
elements-8890	275	11	the	the	DET
elements-8890	275	12	program	program	NOUN
elements-8890	275	13	,	,	PUNCT
elements-8890	275	14	the	the	DET
elements-8890	275	15	last	last	ADJ
elements-8890	275	16	few	few	ADJ
elements-8890	275	17	decades	decade	NOUN
elements-8890	275	18	have	have	AUX
elements-8890	275	19	brought	bring	VERB
elements-8890	275	20	about	about	ADP
elements-8890	275	21	expensive	expensive	ADJ
elements-8890	275	22	advancements	advancement	NOUN
elements-8890	275	23	in	in	ADP
elements-8890	275	24	the	the	DET
elements-8890	275	25	realm	realm	NOUN
elements-8890	275	26	of	of	ADP
elements-8890	275	27	healthcare	healthcare	NOUN
elements-8890	275	28	,	,	PUNCT
elements-8890	275	29	and	and	CCONJ
elements-8890	275	30	new	new	ADJ
elements-8890	275	31	medicaid	medicaid	PROPN
elements-8890	275	32	restrictions	restriction	NOUN
elements-8890	275	33	must	must	AUX
elements-8890	275	34	reflect	reflect	VERB
elements-8890	275	35	the	the	DET
elements-8890	275	36	changing	change	VERB
elements-8890	275	37	times	time	NOUN
elements-8890	275	38	.	.	PUNCT
elements-8890	276	1	whether	whether	SCONJ
elements-8890	276	2	or	or	CCONJ
elements-8890	276	3	not	not	PART
elements-8890	276	4	srs	srs	PROPN
elements-8890	276	5	is	be	AUX
elements-8890	276	6	cons	con	NOUN
elements-8890	276	7	idered	idere	VERB
elements-8890	276	8	a	a	DET
elements-8890	276	9	'	'	PUNCT
elements-8890	276	10	necessary	necessary	ADJ
elements-8890	276	11	medical	medical	ADJ
elements-8890	276	12	procedure	procedure	NOUN
elements-8890	276	13	'	'	PUNCT
elements-8890	276	14	is	be	AUX
elements-8890	276	15	an	an	DET
elements-8890	276	16	o	o	NOUN
elements-8890	276	17	n	n	CCONJ
elements-8890	276	18	g	g	NOUN
elements-8890	277	1	o	o	X
elements-8890	278	1	i	i	PRON
elements-8890	278	2	n	n	CCONJ
elements-8890	278	3	g	g	NOUN
elements-8890	278	4	q	q	X
elements-8890	278	5	u	u	PROPN
elements-8890	278	6	e	e	X
elements-8890	278	7	s	s	PROPN
elements-8890	278	8	t	t	X
elements-8890	279	1	i	i	PRON
elements-8890	279	2	o	o	INTJ
elements-8890	279	3	n	n	INTJ
elements-8890	279	4	.	.	PUNCT
elements-8890	280	1	s	s	PART
elements-8890	280	2	r	r	NOUN
elements-8890	280	3	s	s	NOUN
elements-8890	280	4	!	!	PUNCT
elements-8890	281	1	d	d	X
elements-8890	281	2	o	o	X
elements-8890	281	3	t	t	NOUN
elements-8890	281	4	h	h	NOUN
elements-8890	282	1	e	e	NOUN
elements-8890	282	2	r	r	NOUN
elements-8890	282	3	e	e	NOUN
elements-8890	282	4	s	s	PROPN
elements-8890	282	5	t	t	NOUN
elements-8890	282	6	r	r	NOUN
elements-8890	283	1	i	i	NOUN
elements-8890	283	2	c	c	NOUN
elements-8890	284	1	t	t	NOUN
elements-8890	285	1	i	i	PRON
elements-8890	285	2	o	o	VERB
elements-8890	286	1	n	n	X
elements-8890	286	2	s	s	VERB
elements-8890	286	3	a	a	DET
elements-8890	286	4	p	p	X
elements-8890	286	5	p	p	NOUN
elements-8890	286	6	l	l	NOUN
elements-8890	286	7	y	y	PROPN
elements-8890	286	8	?	?	PUNCT
elements-8890	287	1	while	while	SCONJ
elements-8890	287	2	male	male	NOUN
elements-8890	287	3	-	-	PUNCT
elements-8890	287	4	to	to	ADP
elements-8890	287	5	-	-	PUNCT
elements-8890	287	6	female	female	ADJ
elements-8890	287	7	transitions	transition	NOUN
elements-8890	287	8	are	be	AUX
elements-8890	287	9	significantly	significantly	ADV
elements-8890	287	10	less	less	ADV
elements-8890	287	11	expensive	expensive	ADJ
elements-8890	287	12	than	than	ADP
elements-8890	287	13	female	female	NOUN
elements-8890	287	14	-	-	PUNCT
elements-8890	287	15	to	to	ADP
elements-8890	287	16	-	-	PUNCT
elements-8890	287	17	male	male	ADJ
elements-8890	287	18	transitions	transition	NOUN
elements-8890	287	19	,	,	PUNCT
elements-8890	287	20	(	(	PUNCT
elements-8890	287	21	with	with	ADP
elements-8890	287	22	the	the	DET
elements-8890	287	23	former	former	ADJ
elements-8890	287	24	costing	costing	NOUN
elements-8890	287	25	between	between	ADP
elements-8890	287	26	$	$	SYM
elements-8890	287	27	18,000	18,000	NUM
elements-8890	287	28	and	and	CCONJ
elements-8890	287	29	$	$	SYM
elements-8890	287	30	35,000	35,000	NUM
elements-8890	287	31	and	and	CCONJ
elements-8890	287	32	the	the	DET
elements-8890	287	33	latter	latter	ADJ
elements-8890	287	34	costing	cost	VERB
elements-8890	287	35	over	over	ADP
elements-8890	287	36	$	$	SYM
elements-8890	287	37	50,000	50,000	NUM
elements-8890	287	38	)	)	PUNCT
elements-8890	287	39	the	the	DET
elements-8890	287	40	financial	financial	ADJ
elements-8890	287	41	burden	burden	NOUN
elements-8890	287	42	associated	associate	VERB
elements-8890	287	43	with	with	ADP
elements-8890	287	44	srs	srs	PROPN
elements-8890	287	45	is	be	AUX
elements-8890	287	46	astronomical	astronomical	ADJ
elements-8890	287	47	regardless	regardless	ADV
elements-8890	287	48	of	of	ADP
elements-8890	287	49	the	the	DET
elements-8890	287	50	original	original	ADJ
elements-8890	287	51	biological	biological	ADJ
elements-8890	287	52	sex	sex	NOUN
elements-8890	287	53	of	of	ADP
elements-8890	287	54	the	the	DET
elements-8890	287	55	individual	individual	NOUN
elements-8890	287	56	.	.	PUNCT
elements-8890	288	1	it	it	PRON
elements-8890	288	2	is	be	AUX
elements-8890	288	3	here	here	ADV
elements-8890	288	4	,	,	PUNCT
elements-8890	288	5	in	in	ADP
elements-8890	288	6	light	light	NOUN
elements-8890	288	7	of	of	ADP
elements-8890	288	8	the	the	DET
elements-8890	288	9	limits	limit	NOUN
elements-8890	288	10	agreed	agree	VERB
elements-8890	288	11	upon	upon	SCONJ
elements-8890	288	12	in	in	ADP
elements-8890	288	13	the	the	DET
elements-8890	288	14	previous	previous	ADJ
elements-8890	288	15	section	section	NOUN
elements-8890	288	16	,	,	PUNCT
elements-8890	288	17	that	that	SCONJ
elements-8890	288	18	the	the	DET
elements-8890	288	19	question	question	NOUN
elements-8890	288	20	of	of	ADP
elements-8890	288	21	insurance	insurance	NOUN
elements-8890	288	22	coverage	coverage	NOUN
elements-8890	288	23	for	for	ADP
elements-8890	288	24	such	such	ADJ
elements-8890	288	25	procedures	procedure	NOUN
elements-8890	288	26	wil	wil	VERB
elements-8890	288	27	l	l	NOUN
elements-8890	288	28	be	be	AUX
elements-8890	288	29	analyzed	analyze	VERB
elements-8890	288	30	.	.	PUNCT
elements-8890	289	1	while	while	SCONJ
elements-8890	289	2	the	the	DET
elements-8890	289	3	subject	subject	NOUN
elements-8890	289	4	of	of	ADP
elements-8890	289	5	private	private	ADJ
elements-8890	289	6	insurance	insurance	NOUN
elements-8890	289	7	coverage	coverage	NOUN
elements-8890	289	8	for	for	ADP
elements-8890	289	9	srs	srs	PROPN
elements-8890	289	10	and	and	CCONJ
elements-8890	289	11	related	related	ADJ
elements-8890	289	12	procedures	procedure	NOUN
elements-8890	289	13	is	be	AUX
elements-8890	289	14	outside	outside	ADP
elements-8890	289	15	the	the	DET
elements-8890	289	16	scope	scope	NOUN
elements-8890	289	17	of	of	ADP
elements-8890	289	18	this	this	DET
elements-8890	289	19	paper	paper	NOUN
elements-8890	289	20	,	,	PUNCT
elements-8890	289	21	determinations	determination	NOUN
elements-8890	289	22	regarding	regard	VERB
elements-8890	289	23	coverage	coverage	NOUN
elements-8890	289	24	of	of	ADP
elements-8890	289	25	such	such	ADJ
elements-8890	289	26	treatments	treatment	NOUN
elements-8890	289	27	are	be	AUX
elements-8890	289	28	relevant	relevant	ADJ
elements-8890	289	29	to	to	ADP
elements-8890	289	30	both	both	CCONJ
elements-8890	289	31	public	public	ADJ
elements-8890	289	32	and	and	CCONJ
elements-8890	289	33	private	private	ADJ
elements-8890	289	34	insurance	insurance	NOUN
elements-8890	289	35	policies	policy	NOUN
elements-8890	289	36	.	.	PUNCT
elements-8890	290	1	this	this	DET
elements-8890	290	2	section	section	NOUN
elements-8890	290	3	wil	wil	PROPN
elements-8890	290	4	l	l	PROPN
elements-8890	290	5	apply	apply	VERB
elements-8890	290	6	relevant	relevant	ADJ
elements-8890	290	7	data	datum	NOUN
elements-8890	290	8	regarding	regard	VERB
elements-8890	290	9	srs	srs	PROPN
elements-8890	290	10	and	and	CCONJ
elements-8890	290	11	related	related	ADJ
elements-8890	290	12	procedures	procedure	NOUN
elements-8890	290	13	to	to	PART
elements-8890	290	14	first	first	ADV
elements-8890	290	15	assess	assess	VERB
elements-8890	290	16	why	why	SCONJ
elements-8890	290	17	sex	sex	NOUN
elements-8890	290	18	change	change	NOUN
elements-8890	290	19	treatments	treatment	NOUN
elements-8890	290	20	are	be	AUX
elements-8890	290	21	neither	neither	CCONJ
elements-8890	290	22	cosmetic	cosmetic	ADJ
elements-8890	290	23	nor	nor	CCONJ
elements-8890	290	24	experimental	experimental	ADJ
elements-8890	290	25	,	,	PUNCT
elements-8890	290	26	and	and	CCONJ
elements-8890	290	27	why	why	SCONJ
elements-8890	290	28	they	they	PRON
elements-8890	290	29	should	should	AUX
elements-8890	290	30	be	be	AUX
elements-8890	290	31	considered	consider	VERB
elements-8890	290	32	medically	medically	ADV
elements-8890	290	33	necessary	necessary	ADJ
elements-8890	290	34	.	.	PUNCT
elements-8890	291	1	once	once	SCONJ
elements-8890	291	2	the	the	DET
elements-8890	291	3	medical	medical	ADJ
elements-8890	291	4	necessity	necessity	NOUN
elements-8890	291	5	of	of	ADP
elements-8890	291	6	srs	srs	PROPN
elements-8890	291	7	is	be	AUX
elements-8890	291	8	assessed	assess	VERB
elements-8890	291	9	,	,	PUNCT
elements-8890	291	10	the	the	DET
elements-8890	291	11	appropriateness	appropriateness	NOUN
elements-8890	291	12	of	of	ADP
elements-8890	291	13	their	their	PRON
elements-8890	291	14	coverage	coverage	NOUN
elements-8890	291	15	under	under	ADP
elements-8890	291	16	medicaid	medicaid	PROPN
elements-8890	291	17	policy	policy	NOUN
elements-8890	291	18	wil	wil	PROPN
elements-8890	291	19	l	l	NOUN
elements-8890	291	20	be	be	AUX
elements-8890	291	21	determined	determine	VERB
elements-8890	291	22	.	.	PUNCT
elements-8890	292	1	d	d	X
elements-8890	292	2	e	e	X
elements-8890	292	3	b	b	X
elements-8890	292	4	u	u	VERB
elements-8890	292	5	n	n	CCONJ
elements-8890	292	6	k	k	NOUN
elements-8890	293	1	i	i	PRON
elements-8890	293	2	n	n	CCONJ
elements-8890	293	3	g	g	NOUN
elements-8890	293	4	"	"	PUNCT
elements-8890	293	5	c	c	NOUN
elements-8890	293	6	o	o	NOUN
elements-8890	293	7	s	s	X
elements-8890	293	8	m	m	VERB
elements-8890	293	9	e	e	NOUN
elements-8890	293	10	t	t	NOUN
elements-8890	294	1	i	i	INTJ
elements-8890	294	2	c	c	NOUN
elements-8890	294	3	"	"	PUNCT
elements-8890	294	4	a	a	DET
elements-8890	294	5	n	n	NOUN
elements-8890	294	6	d	d	NOUN
elements-8890	294	7	"	"	PUNCT
elements-8890	294	8	e	e	NOUN
elements-8890	294	9	x	x	X
elements-8890	295	1	p	p	X
elements-8890	295	2	e	e	NOUN
elements-8890	295	3	r	r	NOUN
elements-8890	295	4	i	i	PRON
elements-8890	295	5	m	m	VERB
elements-8890	295	6	e	e	NOUN
elements-8890	295	7	n	n	X
elements-8890	295	8	­	­	VERB
elements-8890	295	9	t	t	PROPN
elements-8890	295	10	a	a	DET
elements-8890	295	11	l	l	NOUN
elements-8890	295	12	"	"	PUNCT
elements-8890	295	13	c	c	X
elements-8890	295	14	l	l	NOUN
elements-8890	296	1	a	a	X
elements-8890	297	1	i	i	PRON
elements-8890	297	2	m	m	AUX
elements-8890	297	3	s	s	AUX
elements-8890	297	4	characterizing	characterize	VERB
elements-8890	297	5	srs	srs	PROPN
elements-8890	297	6	and	and	CCONJ
elements-8890	297	7	related	related	ADJ
elements-8890	297	8	procedures	procedure	NOUN
elements-8890	297	9	as	as	ADP
elements-8890	297	10	either	either	CCONJ
elements-8890	297	11	cosmetic	cosmetic	ADJ
elements-8890	297	12	or	or	CCONJ
elements-8890	297	13	experimental	experimental	ADJ
elements-8890	297	14	was	be	AUX
elements-8890	297	15	one	one	NUM
elements-8890	297	16	of	of	ADP
elements-8890	297	17	the	the	DET
elements-8890	297	18	easiest	easy	ADJ
elements-8890	297	19	ways	way	NOUN
elements-8890	297	20	for	for	SCONJ
elements-8890	297	21	states	state	NOUN
elements-8890	297	22	to	to	PART
elements-8890	297	23	get	get	VERB
elements-8890	297	24	out	out	ADP
elements-8890	297	25	of	of	ADP
elements-8890	297	26	paying	pay	VERB
elements-8890	297	27	for	for	ADP
elements-8890	297	28	srs	srs	PROPN
elements-8890	297	29	.	.	PROPN
elements-8890	297	30	dasti	dasti	PROPN
elements-8890	297	31	explains	explain	VERB
elements-8890	297	32	,	,	PUNCT
elements-8890	297	33	"	"	PUNCT
elements-8890	297	34	while	while	SCONJ
elements-8890	297	35	states	state	NOUN
elements-8890	297	36	can	can	AUX
elements-8890	297	37	not	not	PART
elements-8890	297	38	effect	effect	VERB
elements-8890	297	39	bans	ban	NOUN
elements-8890	297	40	on	on	ADP
elements-8890	297	41	necessary	necessary	ADJ
elements-8890	297	42	treatments	treatment	NOUN
elements-8890	297	43	on	on	ADP
elements-8890	297	44	the	the	DET
elements-8890	297	45	basis	basis	NOUN
elements-8890	297	46	of	of	ADP
elements-8890	297	47	diagnosis	diagnosis	NOUN
elements-8890	297	48	discrimination	discrimination	NOUN
elements-8890	297	49	,	,	PUNCT
elements-8890	297	50	any	any	DET
elements-8890	297	51	non	non	ADJ
elements-8890	297	52	-	-	ADJ
elements-8890	297	53	necessary	necessary	ADJ
elements-8890	297	54	procedure	procedure	NOUN
elements-8890	297	55	can	can	AUX
elements-8890	297	56	be	be	AUX
elements-8890	297	57	barred	bar	VERB
elements-8890	297	58	from	from	ADP
elements-8890	297	59	coverage	coverage	NOUN
elements-8890	297	60	by	by	ADP
elements-8890	297	61	states	state	NOUN
elements-8890	297	62	as	as	SCONJ
elements-8890	297	63	they	they	PRON
elements-8890	297	64	choose	choose	VERB
elements-8890	297	65	.	.	PUNCT
elements-8890	298	1	"1	"1	NOUN
elements-8890	298	2	'	'	PUNCT
elements-8890	298	3	in	in	ADP
elements-8890	298	4	other	other	ADJ
elements-8890	298	5	words	word	NOUN
elements-8890	298	6	,	,	PUNCT
elements-8890	298	7	by	by	ADP
elements-8890	298	8	designating	designate	VERB
elements-8890	298	9	a	a	DET
elements-8890	298	10	procedure	procedure	NOUN
elements-8890	298	11	either	either	CCONJ
elements-8890	298	12	cosmetic	cosmetic	ADJ
elements-8890	298	13	or	or	CCONJ
elements-8890	298	14	experimental	experimental	ADJ
elements-8890	298	15	,	,	PUNCT
elements-8890	298	16	they	they	PRON
elements-8890	298	17	can	can	AUX
elements-8890	298	18	completely	completely	ADV
elements-8890	298	19	exclude	exclude	VERB
elements-8890	298	20	it	it	PRON
elements-8890	298	21	from	from	ADP
elements-8890	298	22	their	their	PRON
elements-8890	298	23	policy	policy	NOUN
elements-8890	298	24	without	without	ADP
elements-8890	298	25	breaking	break	VERB
elements-8890	298	26	section	section	NOUN
elements-8890	298	27	1392	1392	NUM
elements-8890	298	28	,	,	PUNCT
elements-8890	298	29	which	which	PRON
elements-8890	298	30	forbids	forbid	VERB
elements-8890	298	31	states	state	NOUN
elements-8890	298	32	from	from	ADP
elements-8890	298	33	discriminating	discriminate	VERB
elements-8890	298	34	against	against	ADP
elements-8890	298	35	a	a	DET
elements-8890	298	36	particular	particular	ADJ
elements-8890	298	37	illness	illness	NOUN
elements-8890	298	38	or	or	CCONJ
elements-8890	298	39	affliction	affliction	NOUN
elements-8890	298	40	by	by	ADP
elements-8890	298	41	categorically	categorically	ADV
elements-8890	298	42	denying	deny	VERB
elements-8890	298	43	funding	funding	NOUN
elements-8890	298	44	for	for	ADP
elements-8890	298	45	all	all	DET
elements-8890	298	46	treatments	treatment	NOUN
elements-8890	298	47	associated	associate	VERB
elements-8890	298	48	with	with	ADP
elements-8890	298	49	that	that	DET
elements-8890	298	50	condition	condition	NOUN
elements-8890	298	51	.	.	PUNCT
elements-8890	299	1	medicaid	medicaid	PROPN
elements-8890	299	2	claims	claim	VERB
elements-8890	299	3	that	that	SCONJ
elements-8890	299	4	srs	srs	PROPN
elements-8890	299	5	was	be	AUX
elements-8890	299	6	cosmetic	cosmetic	ADJ
elements-8890	299	7	were	be	AUX
elements-8890	299	8	deflated	deflate	VERB
elements-8890	299	9	by	by	ADP
elements-8890	299	10	g.b	g.b	PROPN
elements-8890	299	11	.	.	PROPN
elements-8890	300	1	v.	v.	PROPN
elements-8890	300	2	lackner	lackner	PROPN
elements-8890	300	3	,	,	PUNCT
elements-8890	300	4	a	a	DET
elements-8890	300	5	medicaid	medicaid	PROPN
elements-8890	300	6	lawsuit	lawsuit	NOUN
elements-8890	300	7	in	in	ADP
elements-8890	300	8	california	california	PROPN
elements-8890	300	9	in	in	ADP
elements-8890	300	10	which	which	PRON
elements-8890	300	11	the	the	DET
elements-8890	300	12	judge	judge	NOUN
elements-8890	300	13	concluded	conclude	VERB
elements-8890	300	14	:	:	PUNCT
elements-8890	300	15	"	"	PUNCT
elements-8890	300	16	i	i	PRON
elements-8890	300	17	t	t	PROPN
elements-8890	300	18	is	be	AUX
elements-8890	300	19	clearly	clearly	ADV
elements-8890	300	20	impossible	impossible	ADJ
elements-8890	300	21	to	to	PART
elements-8890	300	22	conclude	conclude	VERB
elements-8890	300	23	that	that	DET
elements-8890	300	24	transsexual	transsexual	ADJ
elements-8890	300	25	surgery	surgery	NOUN
elements-8890	300	26	is	be	AUX
elements-8890	300	27	cosmetic	cosmetic	ADJ
elements-8890	300	28	surgery	surgery	NOUN
elements-8890	300	29	.	.	PUNCT
elements-8890	301	1	"1	"1	NOUN
elements-8890	301	2	1	1	NUM
elements-8890	301	3	despite	despite	SCONJ
elements-8890	301	4	the	the	DET
elements-8890	301	5	fact	fact	NOUN
elements-8890	301	6	that	that	SCONJ
elements-8890	301	7	transsexual	transsexual	ADJ
elements-8890	301	8	and	and	CCONJ
elements-8890	301	9	transgender	transgender	NOUN
elements-8890	301	10	surgery	surgery	NOUN
elements-8890	301	11	results	result	NOUN
elements-8890	301	12	in	in	ADP
elements-8890	301	13	an	an	DET
elements-8890	301	14	altered	alter	VERB
elements-8890	301	15	outward	outward	ADJ
elements-8890	301	16	appearance	appearance	NOUN
elements-8890	301	17	of	of	ADP
elements-8890	301	18	the	the	DET
elements-8890	301	19	individual	individual	NOUN
elements-8890	301	20	,	,	PUNCT
elements-8890	301	21	it	it	PRON
elements-8890	301	22	is	be	AUX
elements-8890	301	23	being	be	AUX
elements-8890	301	24	used	use	VERB
elements-8890	301	25	to	to	PART
elements-8890	301	26	correct	correct	VERB
elements-8890	301	27	a	a	DET
elements-8890	301	28	psychological	psychological	ADJ
elements-8890	301	29	disorder	disorder	NOUN
elements-8890	301	30	and	and	CCONJ
elements-8890	301	31	should	should	AUX
elements-8890	301	32	therefore	therefore	ADV
elements-8890	301	33	not	not	PART
elements-8890	301	34	be	be	AUX
elements-8890	301	35	considered	consider	VERB
elements-8890	301	36	cosmetic	cosmetic	ADJ
elements-8890	301	37	,	,	PUNCT
elements-8890	301	38	but	but	CCONJ
elements-8890	301	39	a	a	DET
elements-8890	301	40	surgery	surgery	NOUN
elements-8890	301	41	that	that	PRON
elements-8890	301	42	is	be	AUX
elements-8890	301	43	correcting	correct	VERB
elements-8890	301	44	an	an	DET
elements-8890	301	45	inner	inner	ADJ
elements-8890	301	46	default	default	NOUN
elements-8890	301	47	.	.	PUNCT
elements-8890	302	1	kirkland	kirkland	PROPN
elements-8890	302	2	writes	write	VERB
elements-8890	302	3	that	that	SCONJ
elements-8890	302	4	physicians	physician	NOUN
elements-8890	302	5	in	in	ADP
elements-8890	302	6	lackner	lackner	PROPN
elements-8890	302	7	responded	respond	VERB
elements-8890	302	8	to	to	ADP
elements-8890	302	9	the	the	DET
elements-8890	302	10	"	"	PUNCT
elements-8890	302	11	cosmetic	cosmetic	ADJ
elements-8890	302	12	"	"	PUNCT
elements-8890	302	13	argument	argument	NOUN
elements-8890	302	14	with	with	ADP
elements-8890	302	15	the	the	DET
elements-8890	302	16	"	"	PUNCT
elements-8890	302	17	illness	illness	NOUN
elements-8890	302	18	"	"	PUNCT
elements-8890	302	19	argument	argument	NOUN
elements-8890	302	20	:	:	PUNCT
elements-8890	302	21	"	"	PUNCT
elements-8890	302	22	unless	unless	SCONJ
elements-8890	302	23	this	this	DET
elements-8890	302	24	person	person	NOUN
elements-8890	302	25	gets	get	VERB
elements-8890	302	26	sex	sex	NOUN
elements-8890	302	27	reassignment	reassignment	NOUN
elements-8890	302	28	surgery	surgery	NOUN
elements-8890	302	29	such	such	ADJ
elements-8890	302	30	that	that	SCONJ
elements-8890	302	31	her	her	PRON
elements-8890	302	32	genitalia	genitalia	NOUN
elements-8890	302	33	and	and	CCONJ
elements-8890	302	34	hormones	hormone	NOUN
elements-8890	302	35	match	match	VERB
elements-8890	302	36	her	her	PRON
elements-8890	302	37	sexual	sexual	ADJ
elements-8890	302	38	identity	identity	NOUN
elements-8890	302	39	,	,	PUNCT
elements-8890	302	40	she	she	PRON
elements-8890	302	41	occupies	occupy	VERB
elements-8890	302	42	the	the	DET
elements-8890	302	43	legal	legal	ADJ
elements-8890	302	44	category	category	NOUN
elements-8890	302	45	of	of	ADP
elements-8890	302	46	an	an	DET
elements-8890	302	47	untreated	untreated	ADJ
elements-8890	302	48	i	i	PROPN
elements-8890	302	49	l	l	NOUN
elements-8890	302	50	l	l	NOUN
elements-8890	302	51	person	person	NOUN
elements-8890	302	52	who	who	PRON
elements-8890	302	53	is	be	AUX
elements-8890	302	54	entitled	entitle	VERB
elements-8890	302	55	to	to	ADP
elements-8890	302	56	medi	medi	NOUN
elements-8890	302	57	-	-	PUNCT
elements-8890	302	58	cal	cal	NUM
elements-8890	302	59	benefits	benefit	NOUN
elements-8890	302	60	.	.	PUNCT
elements-8890	302	61	"	"	PUNCT
elements-8890	303	1	1	1	NUM
elements-8890	303	2	the	the	DET
elements-8890	303	3	judge	judge	NOUN
elements-8890	303	4	in	in	ADP
elements-8890	303	5	this	this	DET
elements-8890	303	6	case	case	NOUN
elements-8890	303	7	also	also	ADV
elements-8890	303	8	ruled	rule	VERB
elements-8890	303	9	that	that	SCONJ
elements-8890	303	10	the	the	DET
elements-8890	303	11	surgery	surgery	NOUN
elements-8890	303	12	was	be	AUX
elements-8890	303	13	"	"	PUNCT
elements-8890	303	14	necessary	necessary	ADJ
elements-8890	303	15	and	and	CCONJ
elements-8890	303	16	reasonable	reasonable	ADJ
elements-8890	303	17	,	,	PUNCT
elements-8890	303	18	"	"	PUNCT
elements-8890	303	19	a	a	DET
elements-8890	303	20	fact	fact	NOUN
elements-8890	303	21	that	that	PRON
elements-8890	303	22	is	be	AUX
elements-8890	303	23	applicable	applicable	ADJ
elements-8890	303	24	to	to	ADP
elements-8890	303	25	the	the	DET
elements-8890	303	26	subsequent	subsequent	ADJ
elements-8890	303	27	section	section	NOUN
elements-8890	303	28	on	on	ADP
elements-8890	303	29	medical	medical	ADJ
elements-8890	303	30	necessity	necessity	NOUN
elements-8890	303	31	.	.	PUNCT
elements-8890	304	1	the	the	DET
elements-8890	304	2	use	use	NOUN
elements-8890	304	3	of	of	ADP
elements-8890	304	4	the	the	DET
elements-8890	304	5	word	word	NOUN
elements-8890	304	6	"	"	PUNCT
elements-8890	304	7	experimental	experimental	ADJ
elements-8890	304	8	"	"	PUNCT
elements-8890	304	9	was	be	AUX
elements-8890	304	10	also	also	ADV
elements-8890	304	11	common	common	ADJ
elements-8890	304	12	medicaid	medicaid	NOUN
elements-8890	304	13	terminology	terminology	NOUN
elements-8890	304	14	,	,	PUNCT
elements-8890	304	15	and	and	CCONJ
elements-8890	304	16	one	one	NUM
elements-8890	304	17	that	that	PRON
elements-8890	304	18	seems	seem	VERB
elements-8890	304	19	slightly	slightly	ADV
elements-8890	304	20	more	more	ADV
elements-8890	304	21	valid	valid	ADJ
elements-8890	304	22	.	.	PUNCT
elements-8890	305	1	in	in	ADP
elements-8890	305	2	the	the	DET
elements-8890	305	3	early	early	ADJ
elements-8890	305	4	1970s	1970	NOUN
elements-8890	305	5	srs	srs	PROPN
elements-8890	305	6	was	be	AUX
elements-8890	305	7	relatively	relatively	ADV
elements-8890	305	8	new	new	ADJ
elements-8890	305	9	and	and	CCONJ
elements-8890	305	10	thus	thus	ADV
elements-8890	305	11	had	have	VERB
elements-8890	305	12	high	high	ADJ
elements-8890	305	13	risks	risk	NOUN
elements-8890	305	14	associated	associate	VERB
elements-8890	305	15	with	with	ADP
elements-8890	305	16	i	i	PROPN
elements-8890	305	17	t	t	PROPN
elements-8890	305	18	.	.	PUNCT
elements-8890	306	1	l	l	NOUN
elements-8890	306	2	l	l	NOUN
elements-8890	306	3	v	v	NOUN
elements-8890	306	4	as	as	SCONJ
elements-8890	306	5	time	time	NOUN
elements-8890	306	6	passed	pass	VERB
elements-8890	306	7	,	,	PUNCT
elements-8890	306	8	however	however	ADV
elements-8890	306	9	,	,	PUNCT
elements-8890	306	10	the	the	DET
elements-8890	306	11	procedure	procedure	NOUN
elements-8890	306	12	was	be	AUX
elements-8890	306	13	improved	improve	VERB
elements-8890	306	14	upon	upon	SCONJ
elements-8890	306	15	and	and	CCONJ
elements-8890	306	16	as	as	ADV
elements-8890	306	17	early	early	ADV
elements-8890	306	18	as	as	ADP
elements-8890	306	19	1976	1976	NUM
elements-8890	306	20	judges	judge	NOUN
elements-8890	306	21	began	begin	VERB
elements-8890	306	22	to	to	PART
elements-8890	306	23	rule	rule	VERB
elements-8890	306	24	that	that	SCONJ
elements-8890	306	25	this	this	DET
elements-8890	306	26	procedure	procedure	NOUN
elements-8890	306	27	was	be	AUX
elements-8890	306	28	not	not	PART
elements-8890	306	29	experimental	experimental	ADJ
elements-8890	306	30	.	.	PUNCT
elements-8890	307	1	1	1	NUM
elements-8890	307	2	"	"	SYM
elements-8890	307	3	thirty	thirty	NUM
elements-8890	307	4	years	year	NOUN
elements-8890	307	5	have	have	AUX
elements-8890	307	6	passed	pass	VERB
elements-8890	307	7	since	since	SCONJ
elements-8890	307	8	that	that	DET
elements-8890	307	9	ruling	ruling	NOUN
elements-8890	307	10	,	,	PUNCT
elements-8890	307	11	and	and	CCONJ
elements-8890	307	12	doctors	doctor	NOUN
elements-8890	307	13	have	have	AUX
elements-8890	307	14	made	make	VERB
elements-8890	307	15	even	even	ADV
elements-8890	307	16	more	more	ADJ
elements-8890	307	17	progress	progress	NOUN
elements-8890	307	18	regarding	regard	VERB
elements-8890	307	19	srs	srs	PROPN
elements-8890	307	20	.	.	PUNCT
elements-8890	308	1	it	it	PRON
elements-8890	308	2	is	be	AUX
elements-8890	308	3	absurd	absurd	ADJ
elements-8890	308	4	,	,	PUNCT
elements-8890	308	5	therefore	therefore	ADV
elements-8890	308	6	,	,	PUNCT
elements-8890	308	7	to	to	PART
elements-8890	308	8	continue	continue	VERB
elements-8890	308	9	to	to	PART
elements-8890	308	10	characterize	characterize	VERB
elements-8890	308	11	such	such	DET
elements-8890	308	12	a	a	DET
elements-8890	308	13	procedure	procedure	NOUN
elements-8890	308	14	as	as	ADP
elements-8890	308	15	experimental	experimental	ADJ
elements-8890	308	16	especially	especially	ADV
elements-8890	308	17	considering	consider	VERB
elements-8890	308	18	the	the	DET
elements-8890	308	19	large	large	ADJ
elements-8890	308	20	number	number	NOUN
elements-8890	308	21	of	of	ADP
elements-8890	308	22	functioning	function	VERB
elements-8890	308	23	transsexual	transsexual	ADJ
elements-8890	308	24	persons	person	NOUN
elements-8890	308	25	living	live	VERB
elements-8890	308	26	in	in	ADP
elements-8890	308	27	society	society	NOUN
elements-8890	308	28	today	today	NOUN
elements-8890	308	29	.	.	PUNCT
elements-8890	309	1	"	"	PUNCT
elements-8890	309	2	the	the	DET
elements-8890	309	3	extreme	extreme	ADJ
elements-8890	309	4	social	social	ADJ
elements-8890	309	5	sacrifices	sacrifice	NOUN
elements-8890	309	6	and	and	CCONJ
elements-8890	309	7	financial	financial	ADJ
elements-8890	309	8	burdens	burden	NOUN
elements-8890	309	9	that	that	SCONJ
elements-8890	309	10	transgender	transgender	NOUN
elements-8890	309	11	patients	patient	NOUN
elements-8890	309	12	undertake	undertake	VERB
elements-8890	309	13	further	further	ADJ
elements-8890	309	14	evidences	evidence	VERB
elements-8890	309	15	their	their	PRON
elements-8890	309	16	faith	faith	NOUN
elements-8890	309	17	in	in	ADP
elements-8890	309	18	the	the	DET
elements-8890	309	19	fact	fact	NOUN
elements-8890	309	20	that	that	SCONJ
elements-8890	309	21	they	they	PRON
elements-8890	309	22	will	will	AUX
elements-8890	309	23	benefit	benefit	VERB
elements-8890	309	24	from	from	ADP
elements-8890	309	25	them	they	PRON
elements-8890	309	26	.	.	PUNCT
elements-8890	309	27	"	"	PUNCT
elements-8890	310	1	m	m	VERB
elements-8890	310	2	e	e	X
elements-8890	310	3	d	d	NOUN
elements-8890	310	4	i	i	PRON
elements-8890	310	5	c	c	VERB
elements-8890	310	6	a	a	DET
elements-8890	310	7	l	l	NOUN
elements-8890	310	8	n	n	ADP
elements-8890	310	9	e	e	NOUN
elements-8890	310	10	c	c	X
elements-8890	310	11	e	e	X
elements-8890	310	12	s	s	X
elements-8890	310	13	s	s	X
elements-8890	311	1	i	i	NOUN
elements-8890	311	2	t	t	NOUN
elements-8890	312	1	y	y	NOUN
elements-8890	313	1	o	o	X
elements-8890	314	1	f	f	X
elements-8890	314	2	s	s	X
elements-8890	314	3	e	e	NOUN
elements-8890	314	4	x	x	SYM
elements-8890	314	5	r	r	NOUN
elements-8890	314	6	e	e	X
elements-8890	314	7	a	a	DET
elements-8890	314	8	s	s	X
elements-8890	314	9	s	s	VERB
elements-8890	314	10	i	i	NOUN
elements-8890	314	11	g	g	PROPN
elements-8890	314	12	n	n	CCONJ
elements-8890	314	13	m	m	PROPN
elements-8890	314	14	e	e	NOUN
elements-8890	314	15	n	n	NOUN
elements-8890	314	16	t	t	NOUN
elements-8890	314	17	p	p	NOUN
elements-8890	314	18	r	r	NOUN
elements-8890	314	19	o	o	NOUN
elements-8890	314	20	c	c	NOUN
elements-8890	314	21	e	e	X
elements-8890	314	22	d	d	X
elements-8890	314	23	u	u	X
elements-8890	314	24	r	r	NOUN
elements-8890	314	25	e	e	NOUN
elements-8890	314	26	s	s	NOUN
elements-8890	314	27	after	after	ADP
elements-8890	314	28	determining	determine	VERB
elements-8890	314	29	the	the	DET
elements-8890	314	30	reasons	reason	NOUN
elements-8890	314	31	that	that	PRON
elements-8890	314	32	srs	srs	PROPN
elements-8890	314	33	is	be	AUX
elements-8890	314	34	not	not	PART
elements-8890	314	35	to	to	PART
elements-8890	314	36	be	be	AUX
elements-8890	314	37	considered	consider	VERB
elements-8890	314	38	cosmetic	cosmetic	ADJ
elements-8890	314	39	or	or	CCONJ
elements-8890	314	40	experimental	experimental	ADJ
elements-8890	314	41	,	,	PUNCT
elements-8890	314	42	this	this	DET
elements-8890	314	43	paper	paper	NOUN
elements-8890	314	44	will	will	AUX
elements-8890	314	45	now	now	ADV
elements-8890	314	46	look	look	VERB
elements-8890	314	47	at	at	ADP
elements-8890	314	48	its	its	PRON
elements-8890	314	49	medical	medical	ADJ
elements-8890	314	50	necessity	necessity	NOUN
elements-8890	314	51	.	.	PUNCT
elements-8890	315	1	standards	standard	NOUN
elements-8890	315	2	of	of	ADP
elements-8890	315	3	care	care	NOUN
elements-8890	315	4	characterizes	characterize	VERB
elements-8890	315	5	both	both	DET
elements-8890	315	6	hormone	hormone	NOUN
elements-8890	315	7	treatments	treatment	NOUN
elements-8890	315	8	and	and	CCONJ
elements-8890	315	9	srs	srs	PROPN
elements-8890	315	10	as	as	ADP
elements-8890	315	11	medically	medically	ADV
elements-8890	315	12	necessary	necessary	ADJ
elements-8890	315	13	procedures	procedure	NOUN
elements-8890	315	14	.	.	PUNCT
elements-8890	316	1	regarding	regard	VERB
elements-8890	316	2	hormone	hormone	NOUN
elements-8890	316	3	treatment	treatment	NOUN
elements-8890	316	4	,	,	PUNCT
elements-8890	316	5	soc	soc	NOUN
elements-8890	316	6	concludes	conclude	VERB
elements-8890	316	7	that	that	SCONJ
elements-8890	316	8	:	:	PUNCT
elements-8890	316	9	cross	cross	ADJ
elements-8890	316	10	-	-	ADJ
elements-8890	316	11	sex	sex	ADJ
elements-8890	316	12	hormonal	hormonal	ADJ
elements-8890	316	13	treatments	treatment	NOUN
elements-8890	316	14	play	play	VERB
elements-8890	316	15	an	an	DET
elements-8890	316	16	important	important	ADJ
elements-8890	316	17	role	role	NOUN
elements-8890	316	18	in	in	ADP
elements-8890	316	19	the	the	DET
elements-8890	316	20	anatomical	anatomical	ADJ
elements-8890	316	21	and	and	CCONJ
elements-8890	316	22	psychological	psychological	ADJ
elements-8890	316	23	gender	gender	NOUN
elements-8890	316	24	transition	transition	NOUN
elements-8890	316	25	process	process	NOUN
elements-8890	316	26	for	for	ADP
elements-8890	316	27	properly	properly	ADV
elements-8890	316	28	selected	select	VERB
elements-8890	316	29	adults	adult	NOUN
elements-8890	316	30	with	with	ADP
elements-8890	316	31	gender	gender	NOUN
elements-8890	316	32	identity	identity	NOUN
elements-8890	316	33	disorders	disorder	NOUN
elements-8890	316	34	.	.	PUNCT
elements-8890	317	1	hormones	hormone	NOUN
elements-8890	317	2	are	be	AUX
elements-8890	317	3	often	often	ADV
elements-8890	317	4	medically	medically	ADV
elements-8890	317	5	necessary	necessary	ADJ
elements-8890	317	6	for	for	ADP
elements-8890	317	7	successful	successful	ADJ
elements-8890	317	8	living	living	NOUN
elements-8890	317	9	in	in	ADP
elements-8890	317	10	the	the	DET
elements-8890	317	11	new	new	ADJ
elements-8890	317	12	gender	gender	NOUN
elements-8890	317	13	.	.	PUNCT
elements-8890	318	1	they	they	PRON
elements-8890	318	2	improve	improve	VERB
elements-8890	318	3	the	the	DET
elements-8890	318	4	quality	quality	NOUN
elements-8890	318	5	of	of	ADP
elements-8890	318	6	life	life	NOUN
elements-8890	318	7	and	and	CCONJ
elements-8890	318	8	limit	limit	VERB
elements-8890	318	9	psychiatric	psychiatric	ADJ
elements-8890	318	10	co	co	NOUN
elements-8890	318	11	-	-	NOUN
elements-8890	318	12	morbidity	morbidity	NOUN
elements-8890	318	13	,	,	PUNCT
elements-8890	318	14	which	which	PRON
elements-8890	318	15	often	often	ADV
elements-8890	318	16	accompanies	accompany	VERB
elements-8890	318	17	lack	lack	NOUN
elements-8890	318	18	of	of	ADP
elements-8890	318	19	treatment	treatment	NOUN
elements-8890	318	20	)	)	PUNCT
elements-8890	318	21	™	™	NOUN
elements-8890	318	22	in	in	ADP
elements-8890	318	23	regards	regard	NOUN
elements-8890	318	24	to	to	ADP
elements-8890	318	25	srs	srs	PROPN
elements-8890	318	26	,	,	PUNCT
elements-8890	318	27	soc	soc	NOUN
elements-8890	318	28	once	once	ADV
elements-8890	318	29	again	again	ADV
elements-8890	318	30	comes	come	VERB
elements-8890	318	31	down	down	ADP
elements-8890	318	32	strongly	strongly	ADV
elements-8890	318	33	in	in	ADP
elements-8890	318	34	favor	favor	NOUN
elements-8890	318	35	of	of	ADP
elements-8890	318	36	categorizing	categorize	VERB
elements-8890	318	37	the	the	DET
elements-8890	318	38	procedure	procedure	NOUN
elements-8890	318	39	as	as	ADP
elements-8890	318	40	medically	medically	ADV
elements-8890	318	41	necessary	necessary	ADJ
elements-8890	318	42	.	.	PUNCT
elements-8890	319	1	it	it	PRON
elements-8890	319	2	reads	read	VERB
elements-8890	319	3	:	:	PUNCT
elements-8890	319	4	in	in	ADP
elements-8890	319	5	persons	person	NOUN
elements-8890	319	6	diagnosed	diagnose	VERB
elements-8890	319	7	with	with	ADP
elements-8890	319	8	transsexualism	transsexualism	NOUN
elements-8890	319	9	or	or	CCONJ
elements-8890	319	10	profound	profound	ADJ
elements-8890	319	11	gid	gid	ADJ
elements-8890	319	12	,	,	PUNCT
elements-8890	319	13	sex	sex	NOUN
elements-8890	319	14	reassignment	reassignment	NOUN
elements-8890	319	15	surgery	surgery	NOUN
elements-8890	319	16	,	,	PUNCT
elements-8890	319	17	along	along	ADP
elements-8890	319	18	with	with	ADP
elements-8890	319	19	hormone	hormone	NOUN
elements-8890	319	20	therapy	therapy	NOUN
elements-8890	319	21	and	and	CCONJ
elements-8890	319	22	real	real	ADJ
elements-8890	319	23	-	-	PUNCT
elements-8890	319	24	life	life	NOUN
elements-8890	319	25	experience	experience	NOUN
elements-8890	319	26	,	,	PUNCT
elements-8890	319	27	is	be	AUX
elements-8890	319	28	a	a	DET
elements-8890	319	29	treatment	treatment	NOUN
elements-8890	319	30	that	that	PRON
elements-8890	319	31	has	have	AUX
elements-8890	319	32	proven	prove	VERB
elements-8890	319	33	to	to	PART
elements-8890	319	34	be	be	AUX
elements-8890	319	35	effective	effective	ADJ
elements-8890	319	36	.	.	PUNCT
elements-8890	320	1	such	such	DET
elements-8890	320	2	a	a	DET
elements-8890	320	3	therapeutic	therapeutic	ADJ
elements-8890	320	4	regimen	regiman	NOUN
elements-8890	320	5	,	,	PUNCT
elements-8890	320	6	when	when	SCONJ
elements-8890	320	7	prescribed	prescribe	VERB
elements-8890	320	8	or	or	CCONJ
elements-8890	320	9	recommended	recommend	VERB
elements-8890	320	10	by	by	ADP
elements-8890	320	11	qualified	qualified	ADJ
elements-8890	320	12	practitioners	practitioner	NOUN
elements-8890	320	13	,	,	PUNCT
elements-8890	320	14	is	be	AUX
elements-8890	320	15	medically	medically	ADV
elements-8890	320	16	indicated	indicate	VERB
elements-8890	320	17	and	and	CCONJ
elements-8890	320	18	medically	medically	ADV
elements-8890	320	19	necessary	necessary	ADJ
elements-8890	320	20	.	.	PUNCT
elements-8890	321	1	sex	sex	NOUN
elements-8890	321	2	reassignment	reassignment	NOUN
elements-8890	321	3	is	be	AUX
elements-8890	321	4	not	not	PART
elements-8890	321	5	"	"	PUNCT
elements-8890	321	6	experimental	experimental	ADJ
elements-8890	321	7	"	"	PUNCT
elements-8890	321	8	,	,	PUNCT
elements-8890	321	9	"	"	PUNCT
elements-8890	321	10	investigational	investigational	ADJ
elements-8890	321	11	"	"	PUNCT
elements-8890	321	12	,	,	PUNCT
elements-8890	321	13	"	"	PUNCT
elements-8890	321	14	elective	elective	ADJ
elements-8890	321	15	"	"	PUNCT
elements-8890	321	16	,	,	PUNCT
elements-8890	321	17	"	"	PUNCT
elements-8890	321	18	cosmetic	cosmetic	ADJ
elements-8890	321	19	"	"	PUNCT
elements-8890	321	20	,	,	PUNCT
elements-8890	321	21	or	or	CCONJ
elements-8890	321	22	optional	optional	ADJ
elements-8890	321	23	in	in	ADP
elements-8890	321	24	any	any	DET
elements-8890	321	25	meaningful	meaningful	ADJ
elements-8890	321	26	sense	sense	NOUN
elements-8890	321	27	.	.	PUNCT
elements-8890	322	1	it	it	PRON
elements-8890	322	2	constitutes	constitute	VERB
elements-8890	322	3	very	very	ADV
elements-8890	322	4	effective	effective	ADJ
elements-8890	322	5	and	and	CCONJ
elements-8890	322	6	appropriate	appropriate	ADJ
elements-8890	322	7	treatment	treatment	NOUN
elements-8890	322	8	for	for	ADP
elements-8890	322	9	transsexualism	transsexualism	NOUN
elements-8890	322	10	or	or	CCONJ
elements-8890	322	11	profound	profound	ADJ
elements-8890	322	12	gjd	gjd	NOUN
elements-8890	322	13	.	.	PUNCT
elements-8890	323	1	l	l	NOUN
elements-8890	323	2	v	v	X
elements-8890	323	3	u	u	NOUN
elements-8890	323	4	as	as	SCONJ
elements-8890	323	5	was	be	AUX
elements-8890	323	6	previously	previously	ADV
elements-8890	323	7	mentioned	mention	VERB
elements-8890	323	8	,	,	PUNCT
elements-8890	323	9	patients	patient	NOUN
elements-8890	323	10	with	with	ADP
elements-8890	323	11	gid	gid	PROPN
elements-8890	323	12	often	often	ADV
elements-8890	323	13	suffer	suffer	VERB
elements-8890	323	14	from	from	ADP
elements-8890	323	15	other	other	ADJ
elements-8890	323	16	psychological	psychological	ADJ
elements-8890	323	17	conditions	condition	NOUN
elements-8890	323	18	such	such	ADJ
elements-8890	323	19	as	as	ADP
elements-8890	323	20	depression	depression	NOUN
elements-8890	323	21	,	,	PUNCT
elements-8890	323	22	anxiety	anxiety	NOUN
elements-8890	323	23	,	,	PUNCT
elements-8890	323	24	and	and	CCONJ
elements-8890	323	25	suicidal	suicidal	ADJ
elements-8890	323	26	thoughts	thought	NOUN
elements-8890	323	27	.	.	PUNCT
elements-8890	324	1	1	1	NUM
elements-8890	324	2	,	,	PUNCT
elements-8890	324	3	1	1	NUM
elements-8890	324	4	when	when	SCONJ
elements-8890	324	5	the	the	DET
elements-8890	324	6	origins	origin	NOUN
elements-8890	324	7	of	of	ADP
elements-8890	324	8	these	these	DET
elements-8890	324	9	conditions	condition	NOUN
elements-8890	324	10	lay	lie	VERB
elements-8890	324	11	in	in	ADP
elements-8890	324	12	the	the	DET
elements-8890	324	13	patient	patient	NOUN
elements-8890	324	14	's	's	PART
elements-8890	324	15	incorrect	incorrect	ADJ
elements-8890	324	16	gender	gender	NOUN
elements-8890	324	17	identity	identity	NOUN
elements-8890	324	18	,	,	PUNCT
elements-8890	324	19	they	they	PRON
elements-8890	324	20	should	should	AUX
elements-8890	324	21	be	be	AUX
elements-8890	324	22	assuaged	assuage	VERB
elements-8890	324	23	by	by	ADP
elements-8890	324	24	hormone	hormone	NOUN
elements-8890	324	25	therapy	therapy	NOUN
elements-8890	324	26	and	and	CCONJ
elements-8890	324	27	srs	srs	PROPN
elements-8890	324	28	.	.	PROPN
elements-8890	325	1	such	such	ADJ
elements-8890	325	2	conditions	condition	NOUN
elements-8890	325	3	could	could	AUX
elements-8890	325	4	also	also	ADV
elements-8890	325	5	conceivably	conceivably	ADV
elements-8890	325	6	be	be	AUX
elements-8890	325	7	exacerbated	exacerbate	VERB
elements-8890	325	8	,	,	PUNCT
elements-8890	325	9	however	however	ADV
elements-8890	325	10	,	,	PUNCT
elements-8890	325	11	by	by	ADP
elements-8890	325	12	societal	societal	ADJ
elements-8890	325	13	rejection	rejection	NOUN
elements-8890	325	14	and	and	CCONJ
elements-8890	325	15	discrimination	discrimination	NOUN
elements-8890	325	16	against	against	ADP
elements-8890	325	17	transsexual	transsexual	ADJ
elements-8890	325	18	persons	person	NOUN
elements-8890	325	19	.	.	PUNCT
elements-8890	326	1	therefore	therefore	ADV
elements-8890	326	2	,	,	PUNCT
elements-8890	326	3	assessing	assess	VERB
elements-8890	326	4	the	the	DET
elements-8890	326	5	psychological	psychological	ADJ
elements-8890	326	6	state	state	NOUN
elements-8890	326	7	of	of	ADP
elements-8890	326	8	post	post	ADJ
elements-8890	326	9	-	-	ADJ
elements-8890	326	10	operative	operative	ADJ
elements-8890	326	11	transsexual	transsexual	ADJ
elements-8890	326	12	individuals	individual	NOUN
elements-8890	326	13	and	and	CCONJ
elements-8890	326	14	using	use	VERB
elements-8890	326	15	this	this	PRON
elements-8890	326	16	as	as	ADP
elements-8890	326	17	a	a	DET
elements-8890	326	18	marker	marker	NOUN
elements-8890	326	19	to	to	PART
elements-8890	326	20	determine	determine	VERB
elements-8890	326	21	the	the	DET
elements-8890	326	22	success	success	NOUN
elements-8890	326	23	of	of	ADP
elements-8890	326	24	the	the	DET
elements-8890	326	25	srs	srs	PROPN
elements-8890	326	26	could	could	AUX
elements-8890	326	27	be	be	AUX
elements-8890	326	28	a	a	DET
elements-8890	326	29	faulty	faulty	ADJ
elements-8890	326	30	assessment	assessment	NOUN
elements-8890	326	31	method	method	NOUN
elements-8890	326	32	due	due	ADP
elements-8890	326	33	to	to	ADP
elements-8890	326	34	the	the	DET
elements-8890	326	35	additional	additional	ADJ
elements-8890	326	36	societal	societal	ADJ
elements-8890	326	37	pressures	pressure	NOUN
elements-8890	326	38	assumed	assume	VERB
elements-8890	326	39	when	when	SCONJ
elements-8890	326	40	one	one	PRON
elements-8890	326	41	becomes	become	VERB
elements-8890	326	42	a	a	DET
elements-8890	326	43	member	member	NOUN
elements-8890	326	44	of	of	ADP
elements-8890	326	45	the	the	DET
elements-8890	326	46	opposite	opposite	ADJ
elements-8890	326	47	sex	sex	NOUN
elements-8890	326	48	.	.	PUNCT
elements-8890	327	1	a	a	DET
elements-8890	327	2	different	different	ADJ
elements-8890	327	3	,	,	PUNCT
elements-8890	327	4	although	although	SCONJ
elements-8890	327	5	similarly	similarly	ADV
elements-8890	327	6	flawed	flawed	ADJ
elements-8890	327	7	,	,	PUNCT
elements-8890	327	8	method	method	NOUN
elements-8890	327	9	to	to	PART
elements-8890	327	10	determine	determine	VERB
elements-8890	327	11	medical	medical	ADJ
elements-8890	327	12	necessity	necessity	NOUN
elements-8890	327	13	is	be	AUX
elements-8890	327	14	to	to	PART
elements-8890	327	15	assess	assess	VERB
elements-8890	327	16	patient	patient	ADJ
elements-8890	327	17	satisfaction	satisfaction	NOUN
elements-8890	327	18	with	with	ADP
elements-8890	327	19	their	their	PRON
elements-8890	327	20	new	new	ADJ
elements-8890	327	21	physical	physical	ADJ
elements-8890	327	22	gender	gender	NOUN
elements-8890	327	23	.	.	PUNCT
elements-8890	328	1	this	this	PRON
elements-8890	328	2	should	should	AUX
elements-8890	328	3	only	only	ADV
elements-8890	328	4	be	be	AUX
elements-8890	328	5	asked	ask	VERB
elements-8890	328	6	of	of	ADP
elements-8890	328	7	patients	patient	NOUN
elements-8890	328	8	who	who	PRON
elements-8890	328	9	followed	follow	VERB
elements-8890	328	10	the	the	DET
elements-8890	328	11	standards	standard	NOUN
elements-8890	328	12	of	of	ADP
elements-8890	328	13	care	care	NOUN
elements-8890	328	14	recommended	recommend	VERB
elements-8890	328	15	by	by	ADP
elements-8890	328	16	the	the	DET
elements-8890	328	17	harry	harry	PROPN
elements-8890	328	18	benjamin	benjamin	PROPN
elements-8890	328	19	international	international	PROPN
elements-8890	328	20	gender	gender	PROPN
elements-8890	328	21	dysphoria	dysphoria	NOUN
elements-8890	328	22	association	association	NOUN
elements-8890	328	23	,	,	PUNCT
elements-8890	328	24	so	so	SCONJ
elements-8890	328	25	as	as	SCONJ
elements-8890	328	26	to	to	PART
elements-8890	328	27	assure	assure	VERB
elements-8890	328	28	that	that	SCONJ
elements-8890	328	29	only	only	ADV
elements-8890	328	30	properly	properly	ADV
elements-8890	328	31	cared	care	VERB
elements-8890	328	32	for	for	ADP
elements-8890	328	33	patients	patient	NOUN
elements-8890	328	34	are	be	AUX
elements-8890	328	35	assessed	assess	VERB
elements-8890	328	36	.	.	PUNCT
elements-8890	329	1	the	the	DET
elements-8890	329	2	extreme	extreme	ADJ
elements-8890	329	3	social	social	ADJ
elements-8890	329	4	sacrifices	sacrifice	NOUN
elements-8890	329	5	and	and	CCONJ
elements-8890	329	6	financial	financial	ADJ
elements-8890	329	7	burdens	burden	NOUN
elements-8890	329	8	that	that	SCONJ
elements-8890	329	9	transgender	transgender	NOUN
elements-8890	329	10	patients	patient	NOUN
elements-8890	329	11	undertake	undertake	VERB
elements-8890	329	12	further	further	ADJ
elements-8890	329	13	evidences	evidence	VERB
elements-8890	329	14	their	their	PRON
elements-8890	329	15	faith	faith	NOUN
elements-8890	329	16	in	in	ADP
elements-8890	329	17	the	the	DET
elements-8890	329	18	fact	fact	NOUN
elements-8890	329	19	that	that	SCONJ
elements-8890	329	20	they	they	PRON
elements-8890	329	21	wil	wil	VERB
elements-8890	329	22	l	l	NOUN
elements-8890	329	23	benefit	benefit	NOUN
elements-8890	329	24	from	from	ADP
elements-8890	329	25	them	they	PRON
elements-8890	329	26	.	.	PUNCT
elements-8890	330	1	transsexual	transsexual	ADJ
elements-8890	330	2	individuals	individual	NOUN
elements-8890	330	3	who	who	PRON
elements-8890	330	4	undergo	undergo	VERB
elements-8890	330	5	surgery	surgery	NOUN
elements-8890	330	6	are	be	AUX
elements-8890	330	7	often	often	ADV
elements-8890	330	8	forced	force	VERB
elements-8890	330	9	to	to	PART
elements-8890	330	10	give	give	VERB
elements-8890	330	11	up	up	ADP
elements-8890	330	12	their	their	PRON
elements-8890	330	13	careers	career	NOUN
elements-8890	330	14	or	or	CCONJ
elements-8890	330	15	are	be	AUX
elements-8890	330	16	ostracized	ostracize	VERB
elements-8890	330	17	from	from	ADP
elements-8890	330	18	their	their	PRON
elements-8890	330	19	families	family	NOUN
elements-8890	330	20	.	.	PUNCT
elements-8890	331	1	they	they	PRON
elements-8890	331	2	also	also	ADV
elements-8890	331	3	can	can	AUX
elements-8890	331	4	become	become	VERB
elements-8890	331	5	unable	unable	ADJ
elements-8890	331	6	to	to	PART
elements-8890	331	7	bear	bear	VERB
elements-8890	331	8	children	child	NOUN
elements-8890	331	9	,	,	PUNCT
elements-8890	331	10	and	and	CCONJ
elements-8890	331	11	risk	risk	NOUN
elements-8890	331	12	medical	medical	ADJ
elements-8890	331	13	problems	problem	NOUN
elements-8890	331	14	in	in	ADP
elements-8890	331	15	the	the	DET
elements-8890	331	16	future	future	NOUN
elements-8890	331	17	.	.	PUNCT
elements-8890	332	1	it	it	PRON
elements-8890	332	2	seems	seem	VERB
elements-8890	332	3	such	such	ADJ
elements-8890	332	4	sacrifices	sacrifice	NOUN
elements-8890	332	5	would	would	AUX
elements-8890	332	6	only	only	ADV
elements-8890	332	7	be	be	AUX
elements-8890	332	8	made	make	VERB
elements-8890	332	9	i	i	PRON
elements-8890	332	10	f	f	NOUN
elements-8890	333	1	he	he	PRON
elements-8890	334	1	or	or	CCONJ
elements-8890	334	2	she	she	PRON
elements-8890	334	3	were	be	AUX
elements-8890	334	4	completely	completely	ADV
elements-8890	334	5	convinced	convince	VERB
elements-8890	334	6	of	of	ADP
elements-8890	334	7	the	the	DET
elements-8890	334	8	procedure	procedure	NOUN
elements-8890	334	9	's	's	PART
elements-8890	334	10	effectiveness	effectiveness	NOUN
elements-8890	334	11	.	.	PUNCT
elements-8890	335	1	a	a	DET
elements-8890	335	2	n	n	CCONJ
elements-8890	335	3	additional	additional	ADJ
elements-8890	335	4	vital	vital	ADJ
elements-8890	335	5	point	point	NOUN
elements-8890	335	6	that	that	PRON
elements-8890	335	7	needs	need	VERB
elements-8890	335	8	to	to	PART
elements-8890	335	9	be	be	AUX
elements-8890	335	10	taken	take	VERB
elements-8890	335	11	into	into	ADP
elements-8890	335	12	consideration	consideration	NOUN
elements-8890	335	13	pertains	pertain	NOUN
elements-8890	335	14	not	not	PART
elements-8890	335	15	necessarily	necessarily	ADV
elements-8890	335	16	to	to	ADP
elements-8890	335	17	the	the	DET
elements-8890	335	18	phrase	phrase	NOUN
elements-8890	335	19	"	"	PUNCT
elements-8890	335	20	medical	medical	ADJ
elements-8890	335	21	necessity	necessity	NOUN
elements-8890	335	22	"	"	PUNCT
elements-8890	335	23	but	but	CCONJ
elements-8890	335	24	certainly	certainly	ADV
elements-8890	335	25	to	to	ADP
elements-8890	335	26	the	the	DET
elements-8890	335	27	phrase	phrase	NOUN
elements-8890	335	28	"	"	PUNCT
elements-8890	335	29	necessary	necessary	ADJ
elements-8890	335	30	medical	medical	ADJ
elements-8890	335	31	services	service	NOUN
elements-8890	335	32	"	"	PUNCT
elements-8890	335	33	as	as	SCONJ
elements-8890	335	34	it	it	PRON
elements-8890	335	35	is	be	AUX
elements-8890	335	36	used	use	VERB
elements-8890	335	37	in	in	ADP
elements-8890	335	38	section	section	NOUN
elements-8890	335	39	1392	1392	NUM
elements-8890	335	40	of	of	ADP
elements-8890	335	41	the	the	DET
elements-8890	335	42	title	title	NOUN
elements-8890	335	43	xix	xix	PROPN
elements-8890	335	44	statutes	statute	NOUN
elements-8890	335	45	.	.	PUNCT
elements-8890	336	1	early	early	ADV
elements-8890	336	2	on	on	ADV
elements-8890	336	3	in	in	ADP
elements-8890	336	4	this	this	DET
elements-8890	336	5	investigation	investigation	NOUN
elements-8890	336	6	,	,	PUNCT
elements-8890	336	7	the	the	DET
elements-8890	336	8	difficulties	difficulty	NOUN
elements-8890	336	9	transgender	transgender	NOUN
elements-8890	336	10	individuals	individual	NOUN
elements-8890	336	11	experience	experience	VERB
elements-8890	336	12	in	in	ADP
elements-8890	336	13	the	the	DET
elements-8890	336	14	courts	court	NOUN
elements-8890	336	15	were	be	AUX
elements-8890	336	16	discussed	discuss	VERB
elements-8890	336	17	,	,	PUNCT
elements-8890	336	18	in	in	ADP
elements-8890	336	19	particular	particular	ADJ
elements-8890	336	20	,	,	PUNCT
elements-8890	336	21	the	the	DET
elements-8890	336	22	inability	inability	NOUN
elements-8890	336	23	for	for	SCONJ
elements-8890	336	24	the	the	DET
elements-8890	336	25	courts	court	NOUN
elements-8890	336	26	to	to	PART
elements-8890	336	27	determine	determine	VERB
elements-8890	336	28	gender	gender	NOUN
elements-8890	336	29	/	/	SYM
elements-8890	336	30	sex	sex	NOUN
elements-8890	336	31	identity	identity	NOUN
elements-8890	336	32	for	for	ADP
elements-8890	336	33	mid	mid	ADJ
elements-8890	336	34	-	-	ADJ
elements-8890	336	35	operative	operative	ADJ
elements-8890	336	36	or	or	CCONJ
elements-8890	336	37	pre	pre	ADJ
elements-8890	336	38	-	-	ADJ
elements-8890	336	39	operative	operative	ADJ
elements-8890	336	40	persons	person	NOUN
elements-8890	336	41	.	.	PUNCT
elements-8890	337	1	as	as	SCONJ
elements-8890	337	2	dasti	dasti	PROPN
elements-8890	337	3	points	point	VERB
elements-8890	337	4	out	out	ADP
elements-8890	337	5	,	,	PUNCT
elements-8890	337	6	there	there	PRON
elements-8890	337	7	is	be	VERB
elements-8890	337	8	a	a	DET
elements-8890	337	9	need	need	NOUN
elements-8890	337	10	for	for	ADP
elements-8890	337	11	facilitating	facilitate	VERB
elements-8890	337	12	transsexual	transsexual	ADJ
elements-8890	337	13	surgical	surgical	ADJ
elements-8890	337	14	procedures	procedure	NOUN
elements-8890	337	15	in	in	ADP
elements-8890	337	16	the	the	DET
elements-8890	337	17	legal	legal	ADJ
elements-8890	337	18	sense	sense	NOUN
elements-8890	337	19	because	because	SCONJ
elements-8890	337	20	without	without	ADP
elements-8890	337	21	it	it	PRON
elements-8890	337	22	laws	law	NOUN
elements-8890	337	23	that	that	PRON
elements-8890	337	24	follow	follow	VERB
elements-8890	337	25	in	in	ADP
elements-8890	337	26	society	society	NOUN
elements-8890	337	27	's	's	PART
elements-8890	337	28	strict	strict	ADJ
elements-8890	337	29	binary	binary	ADJ
elements-8890	337	30	-	-	PUNCT
elements-8890	337	31	gendered	gendere	VERB
elements-8890	337	32	definitions	definition	NOUN
elements-8890	337	33	are	be	AUX
elements-8890	337	34	difficult	difficult	ADJ
elements-8890	337	35	to	to	PART
elements-8890	337	36	apply	apply	VERB
elements-8890	337	37	and	and	CCONJ
elements-8890	337	38	enforce	enforce	VERB
elements-8890	337	39	.	.	PUNCT
elements-8890	338	1	i	i	PRON
elements-8890	338	2	,	,	PUNCT
elements-8890	338	3	x	x	X
elements-8890	338	4	"	"	PUNCT
elements-8890	338	5	one	one	NUM
elements-8890	338	6	certainly	certainly	ADV
elements-8890	338	7	can	can	AUX
elements-8890	338	8	hope	hope	VERB
elements-8890	338	9	for	for	ADP
elements-8890	338	10	a	a	DET
elements-8890	338	11	future	future	NOUN
elements-8890	338	12	in	in	ADP
elements-8890	338	13	which	which	PRON
elements-8890	338	14	a	a	DET
elements-8890	338	15	transgender	transgender	NOUN
elements-8890	338	16	person	person	NOUN
elements-8890	338	17	can	can	AUX
elements-8890	338	18	identify	identify	VERB
elements-8890	338	19	as	as	ADP
elements-8890	338	20	neither	neither	CCONJ
elements-8890	338	21	fully	fully	ADV
elements-8890	338	22	male	male	ADJ
elements-8890	338	23	nor	nor	CCONJ
elements-8890	338	24	fully	fully	ADV
elements-8890	338	25	female	female	ADJ
elements-8890	338	26	,	,	PUNCT
elements-8890	338	27	yet	yet	CCONJ
elements-8890	338	28	still	still	ADV
elements-8890	338	29	be	be	AUX
elements-8890	338	30	welcome	welcome	ADJ
elements-8890	338	31	as	as	ADP
elements-8890	338	32	a	a	DET
elements-8890	338	33	full	full	ADJ
elements-8890	338	34	participant	participant	NOUN
elements-8890	338	35	in	in	ADP
elements-8890	338	36	society	society	NOUN
elements-8890	338	37	,	,	PUNCT
elements-8890	338	38	"	"	PUNCT
elements-8890	338	39	dasti	dasti	PROPN
elements-8890	338	40	writes	write	VERB
elements-8890	338	41	.	.	PUNCT
elements-8890	339	1	"	"	PUNCT
elements-8890	339	2	unt	unt	INTJ
elements-8890	340	1	i	i	NOUN
elements-8890	340	2	l	l	PROPN
elements-8890	340	3	that	that	DET
elements-8890	340	4	day	day	NOUN
elements-8890	340	5	,	,	PUNCT
elements-8890	340	6	however	however	ADV
elements-8890	340	7	,	,	PUNCT
elements-8890	340	8	the	the	DET
elements-8890	340	9	nearly	nearly	ADV
elements-8890	340	10	fetishistic	fetishistic	ADJ
elements-8890	340	11	focus	focus	NOUN
elements-8890	340	12	that	that	SCONJ
elements-8890	340	13	the	the	DET
elements-8890	340	14	law	law	NOUN
elements-8890	340	15	places	place	VERB
elements-8890	340	16	on	on	ADP
elements-8890	340	17	genital	genital	ADJ
elements-8890	340	18	structures	structure	NOUN
elements-8890	340	19	undergirds	undergird	VERB
elements-8890	340	20	a	a	DET
elements-8890	340	21	strong	strong	ADJ
elements-8890	340	22	argument	argument	NOUN
elements-8890	340	23	that	that	SCONJ
elements-8890	340	24	access	access	NOUN
elements-8890	340	25	to	to	ADP
elements-8890	340	26	sex	sex	NOUN
elements-8890	340	27	-	-	PUNCT
elements-8890	340	28	reassignment	reassignment	NOUN
elements-8890	340	29	surgery	surgery	NOUN
elements-8890	340	30	is	be	AUX
elements-8890	340	31	necessary	necessary	ADJ
elements-8890	340	32	in	in	ADP
elements-8890	340	33	order	order	NOUN
elements-8890	340	34	to	to	PART
elements-8890	340	35	avoid	avoid	VERB
elements-8890	340	36	shutting	shut	VERB
elements-8890	340	37	an	an	DET
elements-8890	340	38	entire	entire	ADJ
elements-8890	340	39	class	class	NOUN
elements-8890	340	40	of	of	ADP
elements-8890	340	41	citizens	citizen	NOUN
elements-8890	340	42	outside	outside	ADP
elements-8890	340	43	of	of	ADP
elements-8890	340	44	the	the	DET
elements-8890	340	45	law	law	NOUN
elements-8890	340	46	.	.	PUNCT
elements-8890	340	47	"	"	PUNCT
elements-8890	341	1	l	l	NOUN
elements-8890	341	2	x	x	PUNCT
elements-8890	341	3	dasti	dasti	PROPN
elements-8890	341	4	presents	present	VERB
elements-8890	341	5	an	an	DET
elements-8890	341	6	additional	additional	ADJ
elements-8890	341	7	compelling	compelling	ADJ
elements-8890	341	8	reason	reason	NOUN
elements-8890	341	9	for	for	SCONJ
elements-8890	341	10	surgical	surgical	ADJ
elements-8890	341	11	procedures	procedure	NOUN
elements-8890	341	12	to	to	PART
elements-8890	341	13	be	be	AUX
elements-8890	341	14	regarded	regard	VERB
elements-8890	341	15	as	as	ADP
elements-8890	341	16	necessary	necessary	ADJ
elements-8890	341	17	:	:	PUNCT
elements-8890	341	18	without	without	ADP
elements-8890	341	19	it	it	PRON
elements-8890	341	20	there	there	PRON
elements-8890	341	21	would	would	AUX
elements-8890	341	22	be	be	AUX
elements-8890	341	23	many	many	ADV
elements-8890	341	24	more	more	ADV
elements-8890	341	25	genderambiguous	genderambiguous	ADJ
elements-8890	341	26	persons	person	NOUN
elements-8890	341	27	,	,	PUNCT
elements-8890	341	28	which	which	PRON
elements-8890	341	29	would	would	AUX
elements-8890	341	30	make	make	VERB
elements-8890	341	31	the	the	DET
elements-8890	341	32	court	court	NOUN
elements-8890	341	33	's	's	PART
elements-8890	341	34	job	job	NOUN
elements-8890	341	35	even	even	ADV
elements-8890	341	36	more	more	ADV
elements-8890	341	37	difficult	difficult	ADJ
elements-8890	341	38	.	.	PUNCT
elements-8890	342	1	most	most	ADJ
elements-8890	342	2	doctors	doctor	NOUN
elements-8890	342	3	specializing	specialize	VERB
elements-8890	342	4	in	in	ADP
elements-8890	342	5	treating	treat	VERB
elements-8890	342	6	transgender	transgender	NOUN
elements-8890	342	7	patients	patient	NOUN
elements-8890	342	8	agree	agree	VERB
elements-8890	342	9	that	that	SCONJ
elements-8890	342	10	,	,	PUNCT
elements-8890	342	11	for	for	ADP
elements-8890	342	12	some	some	DET
elements-8890	342	13	patients	patient	NOUN
elements-8890	342	14	with	with	ADP
elements-8890	342	15	gid	gid	PROPN
elements-8890	342	16	,	,	PUNCT
elements-8890	342	17	srs	srs	PROPN
elements-8890	342	18	presents	present	VERB
elements-8890	342	19	the	the	DET
elements-8890	342	20	only	only	ADJ
elements-8890	342	21	option	option	NOUN
elements-8890	342	22	for	for	ADP
elements-8890	342	23	alleviating	alleviate	VERB
elements-8890	342	24	or	or	CCONJ
elements-8890	342	25	curing	cure	VERB
elements-8890	342	26	the	the	DET
elements-8890	342	27	psychological	psychological	ADJ
elements-8890	342	28	condition	condition	NOUN
elements-8890	342	29	.	.	PUNCT
elements-8890	343	1	therefore	therefore	ADV
elements-8890	343	2	,	,	PUNCT
elements-8890	343	3	this	this	DET
elements-8890	343	4	paper	paper	NOUN
elements-8890	343	5	wil	wil	PROPN
elements-8890	343	6	l	l	NOUN
elements-8890	343	7	proceed	proceed	VERB
elements-8890	343	8	from	from	ADP
elements-8890	343	9	the	the	DET
elements-8890	343	10	premise	premise	NOUN
elements-8890	343	11	that	that	SCONJ
elements-8890	343	12	sex	sex	NOUN
elements-8890	343	13	-	-	PUNCT
elements-8890	343	14	change	change	NOUN
elements-8890	343	15	operations	operation	NOUN
elements-8890	343	16	are	be	AUX
elements-8890	343	17	medically	medically	ADV
elements-8890	343	18	necessary	necessary	ADJ
elements-8890	343	19	surgeries	surgery	NOUN
elements-8890	343	20	.	.	PUNCT
elements-8890	344	1	this	this	DET
elements-8890	344	2	premise	premise	NOUN
elements-8890	344	3	is	be	AUX
elements-8890	344	4	clearly	clearly	ADV
elements-8890	344	5	not	not	PART
elements-8890	344	6	a	a	DET
elements-8890	344	7	flawless	flawless	ADJ
elements-8890	344	8	one	one	NOUN
elements-8890	344	9	,	,	PUNCT
elements-8890	344	10	and	and	CCONJ
elements-8890	344	11	evidence	evidence	NOUN
elements-8890	344	12	as	as	ADP
elements-8890	344	13	to	to	ADP
elements-8890	344	14	the	the	DET
elements-8890	344	15	effectiveness	effectiveness	NOUN
elements-8890	344	16	of	of	ADP
elements-8890	344	17	these	these	DET
elements-8890	344	18	surgeries	surgery	NOUN
elements-8890	344	19	is	be	AUX
elements-8890	344	20	incomplete	incomplete	ADJ
elements-8890	344	21	and	and	CCONJ
elements-8890	344	22	certainly	certainly	ADV
elements-8890	344	23	warrants	warrant	VERB
elements-8890	344	24	further	further	ADJ
elements-8890	344	25	study	study	NOUN
elements-8890	344	26	,	,	PUNCT
elements-8890	344	27	but	but	CCONJ
elements-8890	344	28	it	it	PRON
elements-8890	344	29	is	be	AUX
elements-8890	344	30	generally	generally	ADV
elements-8890	344	31	accepted	accept	VERB
elements-8890	344	32	and	and	CCONJ
elements-8890	344	33	has	have	AUX
elements-8890	344	34	been	be	AUX
elements-8890	344	35	upheld	uphold	VERB
elements-8890	344	36	in	in	ADP
elements-8890	344	37	several	several	ADJ
elements-8890	344	38	court	court	NOUN
elements-8890	344	39	decisions	decision	NOUN
elements-8890	344	40	.	.	PUNCT
elements-8890	345	1	1	1	NUM
elements-8890	345	2	"	"	PUNCT
elements-8890	345	3	'	'	PUNCT
elements-8890	345	4	s	s	PART
elements-8890	345	5	r	r	NOUN
elements-8890	345	6	s	s	X
elements-8890	345	7	:	:	PUNCT
elements-8890	345	8	m	m	VERB
elements-8890	345	9	e	e	NOUN
elements-8890	345	10	d	d	NOUN
elements-8890	346	1	i	i	PRON
elements-8890	346	2	c	c	VERB
elements-8890	346	3	a	a	DET
elements-8890	346	4	l	l	NOUN
elements-8890	346	5	l	l	NOUN
elements-8890	346	6	y	y	NOUN
elements-8890	346	7	n	n	NOUN
elements-8890	346	8	e	e	X
elements-8890	346	9	c	c	X
elements-8890	346	10	e	e	X
elements-8890	346	11	s	s	NOUN
elements-8890	346	12	s	s	X
elements-8890	346	13	a	a	DET
elements-8890	346	14	r	r	NOUN
elements-8890	346	15	y	y	PROPN
elements-8890	346	16	,	,	PUNCT
elements-8890	347	1	b	b	X
elements-8890	348	1	u	u	X
elements-8890	349	1	t	t	PROPN
elements-8890	349	2	f	f	PROPN
elements-8890	349	3	u	u	PROPN
elements-8890	349	4	n	n	PROPN
elements-8890	349	5	d	d	PROPN
elements-8890	349	6	a	a	DET
elements-8890	349	7	b	b	NOUN
elements-8890	349	8	l	l	NOUN
elements-8890	349	9	e	e	NOUN
elements-8890	349	10	?	?	PUNCT
elements-8890	350	1	the	the	DET
elements-8890	350	2	last	last	ADJ
elements-8890	350	3	question	question	NOUN
elements-8890	350	4	that	that	PRON
elements-8890	350	5	must	must	AUX
elements-8890	350	6	be	be	AUX
elements-8890	350	7	addressed	address	VERB
elements-8890	350	8	in	in	ADP
elements-8890	350	9	this	this	DET
elements-8890	350	10	section	section	NOUN
elements-8890	350	11	is	be	AUX
elements-8890	350	12	whether	whether	SCONJ
elements-8890	350	13	srs	srs	PROPN
elements-8890	350	14	falls	fall	VERB
elements-8890	350	15	in	in	ADP
elements-8890	350	16	the	the	DET
elements-8890	350	17	group	group	NOUN
elements-8890	350	18	of	of	ADP
elements-8890	350	19	medically	medically	ADV
elements-8890	350	20	necessary	necessary	ADJ
elements-8890	350	21	exceptions	exception	NOUN
elements-8890	350	22	—	—	PUNCT
elements-8890	350	23	procedures	procedure	NOUN
elements-8890	350	24	that	that	PRON
elements-8890	350	25	are	be	AUX
elements-8890	350	26	deemed	deem	VERB
elements-8890	350	27	vital	vital	ADJ
elements-8890	350	28	,	,	PUNCT
elements-8890	350	29	but	but	CCONJ
elements-8890	350	30	can	can	AUX
elements-8890	350	31	be	be	AUX
elements-8890	350	32	refused	refuse	VERB
elements-8890	350	33	on	on	ADP
elements-8890	350	34	the	the	DET
elements-8890	350	35	grounds	ground	NOUN
elements-8890	350	36	that	that	SCONJ
elements-8890	350	37	they	they	PRON
elements-8890	350	38	are	be	AUX
elements-8890	350	39	too	too	ADV
elements-8890	350	40	expensive	expensive	ADJ
elements-8890	350	41	and	and	CCONJ
elements-8890	350	42	would	would	AUX
elements-8890	350	43	place	place	VERB
elements-8890	350	44	too	too	ADV
elements-8890	350	45	great	great	ADJ
elements-8890	350	46	of	of	ADP
elements-8890	350	47	a	a	DET
elements-8890	350	48	burden	burden	NOUN
elements-8890	350	49	on	on	ADP
elements-8890	350	50	the	the	DET
elements-8890	350	51	state	state	NOUN
elements-8890	350	52	.	.	PUNCT
elements-8890	351	1	despite	despite	SCONJ
elements-8890	351	2	the	the	DET
elements-8890	351	3	fact	fact	NOUN
elements-8890	351	4	that	that	SCONJ
elements-8890	351	5	srs	srs	PROPN
elements-8890	351	6	procedures	procedure	NOUN
elements-8890	351	7	and	and	CCONJ
elements-8890	351	8	associated	associate	VERB
elements-8890	351	9	hormone	hormone	NOUN
elements-8890	351	10	treatments	treatment	NOUN
elements-8890	351	11	can	can	AUX
elements-8890	351	12	be	be	AUX
elements-8890	351	13	very	very	ADV
elements-8890	351	14	expensive	expensive	ADJ
elements-8890	351	15	on	on	ADP
elements-8890	351	16	an	an	DET
elements-8890	351	17	individual	individual	ADJ
elements-8890	351	18	scale	scale	NOUN
elements-8890	351	19	,	,	PUNCT
elements-8890	351	20	there	there	PRON
elements-8890	351	21	are	be	VERB
elements-8890	351	22	very	very	ADV
elements-8890	351	23	few	few	ADJ
elements-8890	351	24	sex	sex	NOUN
elements-8890	351	25	reassignment	reassignment	NOUN
elements-8890	351	26	surgeries	surgery	NOUN
elements-8890	351	27	each	each	DET
elements-8890	351	28	year	year	NOUN
elements-8890	351	29	.	.	PUNCT
elements-8890	352	1	l	l	NOUN
elements-8890	352	2	x	x	X
elements-8890	352	3	,	,	PUNCT
elements-8890	352	4	i	i	PRON
elements-8890	352	5	the	the	DET
elements-8890	352	6	financial	financial	ADJ
elements-8890	352	7	burden	burden	NOUN
elements-8890	352	8	that	that	PRON
elements-8890	352	9	such	such	ADJ
elements-8890	352	10	procedures	procedure	NOUN
elements-8890	352	11	would	would	AUX
elements-8890	352	12	place	place	VERB
elements-8890	352	13	on	on	ADP
elements-8890	352	14	the	the	DET
elements-8890	352	15	state	state	NOUN
elements-8890	352	16	is	be	AUX
elements-8890	352	17	minimal	minimal	ADJ
elements-8890	352	18	,	,	PUNCT
elements-8890	352	19	therefore	therefore	ADV
elements-8890	352	20	denial	denial	NOUN
elements-8890	352	21	of	of	ADP
elements-8890	352	22	such	such	ADJ
elements-8890	352	23	services	service	NOUN
elements-8890	352	24	would	would	AUX
elements-8890	352	25	not	not	PART
elements-8890	352	26	fulfill	fulfill	VERB
elements-8890	352	27	the	the	DET
elements-8890	352	28	statute	statute	NOUN
elements-8890	352	29	of	of	ADP
elements-8890	352	30	a	a	DET
elements-8890	352	31	"	"	PUNCT
elements-8890	352	32	reasonable	reasonable	ADJ
elements-8890	352	33	"	"	PUNCT
elements-8890	352	34	restriction	restriction	NOUN
elements-8890	352	35	to	to	PART
elements-8890	352	36	place	place	VERB
elements-8890	352	37	on	on	ADP
elements-8890	352	38	medical	medical	ADJ
elements-8890	352	39	care	care	NOUN
elements-8890	352	40	.	.	PUNCT
elements-8890	353	1	case	case	NOUN
elements-8890	353	2	h	h	NOUN
elements-8890	354	1	i	i	PRON
elements-8890	354	2	s	s	VERB
elements-8890	354	3	t	t	X
elements-8890	354	4	o	o	NOUN
elements-8890	355	1	r	r	X
elements-8890	355	2	y	y	PROPN
elements-8890	355	3	a	a	DET
elements-8890	355	4	n	n	NOUN
elements-8890	355	5	d	d	NOUN
elements-8890	355	6	t	t	NOUN
elements-8890	355	7	h	h	NOUN
elements-8890	355	8	e	e	NOUN
elements-8890	355	9	c	c	NOUN
elements-8890	355	10	u	u	NOUN
elements-8890	356	1	r	r	NOUN
elements-8890	356	2	r	r	NOUN
elements-8890	356	3	e	e	NOUN
elements-8890	356	4	n	n	NOUN
elements-8890	356	5	t	t	NOUN
elements-8890	356	6	state	state	NOUN
elements-8890	356	7	of	of	ADP
elements-8890	356	8	coverage	coverage	NOUN
elements-8890	356	9	in	in	ADP
elements-8890	356	10	order	order	NOUN
elements-8890	356	11	to	to	PART
elements-8890	356	12	continue	continue	VERB
elements-8890	356	13	with	with	ADP
elements-8890	356	14	the	the	DET
elements-8890	356	15	assessment	assessment	NOUN
elements-8890	356	16	of	of	ADP
elements-8890	356	17	government	government	NOUN
elements-8890	356	18	funding	funding	NOUN
elements-8890	356	19	for	for	ADP
elements-8890	356	20	treatment	treatment	NOUN
elements-8890	356	21	procedures	procedure	NOUN
elements-8890	356	22	,	,	PUNCT
elements-8890	356	23	it	it	PRON
elements-8890	356	24	is	be	AUX
elements-8890	356	25	helpful	helpful	ADJ
elements-8890	356	26	to	to	PART
elements-8890	356	27	first	first	ADV
elements-8890	356	28	delineate	delineate	VERB
elements-8890	356	29	the	the	DET
elements-8890	356	30	options	option	NOUN
elements-8890	356	31	available	available	ADJ
elements-8890	356	32	to	to	ADP
elements-8890	356	33	government	government	NOUN
elements-8890	356	34	programs	program	NOUN
elements-8890	356	35	regarding	regard	VERB
elements-8890	356	36	the	the	DET
elements-8890	356	37	extent	extent	NOUN
elements-8890	356	38	of	of	ADP
elements-8890	356	39	treatment	treatment	NOUN
elements-8890	356	40	funded	fund	VERB
elements-8890	356	41	by	by	ADP
elements-8890	356	42	the	the	DET
elements-8890	356	43	programs	program	NOUN
elements-8890	356	44	and	and	CCONJ
elements-8890	356	45	the	the	DET
elements-8890	356	46	levels	level	NOUN
elements-8890	356	47	of	of	ADP
elements-8890	356	48	funding	funding	NOUN
elements-8890	356	49	that	that	PRON
elements-8890	356	50	are	be	AUX
elements-8890	356	51	accepted	accept	VERB
elements-8890	356	52	by	by	ADP
elements-8890	356	53	medicaid	medicaid	PROPN
elements-8890	356	54	in	in	ADP
elements-8890	356	55	different	different	ADJ
elements-8890	356	56	states	state	NOUN
elements-8890	356	57	.	.	PUNCT
elements-8890	357	1	p	p	X
elements-8890	358	1	o	o	X
elements-8890	358	2	s	s	X
elements-8890	358	3	s	s	X
elements-8890	358	4	i	i	NOUN
elements-8890	358	5	b	b	NOUN
elements-8890	358	6	l	l	NOUN
elements-8890	358	7	e	e	X
elements-8890	358	8	d	d	X
elements-8890	358	9	e	e	X
elements-8890	358	10	c	c	NOUN
elements-8890	358	11	r	r	NOUN
elements-8890	358	12	e	e	X
elements-8890	358	13	e	e	NOUN
elements-8890	358	14	s	s	NOUN
elements-8890	358	15	o	o	X
elements-8890	358	16	f	f	X
elements-8890	358	17	f	f	PROPN
elements-8890	358	18	u	u	PROPN
elements-8890	358	19	n	n	PROPN
elements-8890	358	20	d	d	NOUN
elements-8890	359	1	i	i	PRON
elements-8890	359	2	n	n	CCONJ
elements-8890	359	3	g	g	VERB
elements-8890	359	4	there	there	PRON
elements-8890	359	5	are	be	VERB
elements-8890	359	6	several	several	ADJ
elements-8890	359	7	paths	path	NOUN
elements-8890	359	8	that	that	PRON
elements-8890	359	9	government	government	NOUN
elements-8890	359	10	funding	funding	NOUN
elements-8890	359	11	of	of	ADP
elements-8890	359	12	sex	sex	NOUN
elements-8890	359	13	change	change	NOUN
elements-8890	359	14	procedures	procedure	NOUN
elements-8890	359	15	and	and	CCONJ
elements-8890	359	16	treatments	treatment	NOUN
elements-8890	359	17	could	could	AUX
elements-8890	359	18	take	take	VERB
elements-8890	359	19	.	.	PUNCT
elements-8890	360	1	they	they	PRON
elements-8890	360	2	wil	wil	VERB
elements-8890	360	3	l	l	NOUN
elements-8890	360	4	be	be	AUX
elements-8890	360	5	outlined	outline	VERB
elements-8890	360	6	here	here	ADV
elements-8890	360	7	in	in	ADP
elements-8890	360	8	order	order	NOUN
elements-8890	360	9	to	to	PART
elements-8890	360	10	provide	provide	VERB
elements-8890	360	11	a	a	DET
elements-8890	360	12	basis	basis	NOUN
elements-8890	360	13	from	from	ADP
elements-8890	360	14	which	which	PRON
elements-8890	360	15	to	to	PART
elements-8890	360	16	assess	assess	VERB
elements-8890	360	17	the	the	DET
elements-8890	360	18	current	current	ADJ
elements-8890	360	19	state	state	NOUN
elements-8890	360	20	of	of	ADP
elements-8890	360	21	medicaid	medicaid	PROPN
elements-8890	360	22	coverage	coverage	NOUN
elements-8890	360	23	.	.	PUNCT
elements-8890	361	1	i	i	PRON
elements-8890	361	2	.	.	PUNCT
elements-8890	362	1	fund	fund	NOUN
elements-8890	362	2	nothing	nothing	PRON
elements-8890	362	3	associated	associate	VERB
elements-8890	362	4	with	with	ADP
elements-8890	362	5	gender	gender	NOUN
elements-8890	362	6	identity	identity	NOUN
elements-8890	362	7	disorder	disorder	NOUN
elements-8890	362	8	;	;	PUNCT
elements-8890	363	1	i	i	PRON
elements-8890	363	2	i	i	PRON
elements-8890	363	3	.	.	PUNCT
elements-8890	364	1	provide	provide	VERB
elements-8890	364	2	compensation	compensation	NOUN
elements-8890	364	3	for	for	ADP
elements-8890	364	4	only	only	ADJ
elements-8890	364	5	psychotherapy	psychotherapy	NOUN
elements-8890	364	6	associated	associate	VERB
elements-8890	364	7	with	with	ADP
elements-8890	364	8	gid	gid	PROPN
elements-8890	364	9	;	;	PUNCT
elements-8890	364	10	i	i	PRON
elements-8890	364	11	i	i	VERB
elements-8890	365	1	i	i	PRON
elements-8890	365	2	.	.	PUNCT
elements-8890	366	1	compensate	compensate	ADJ
elements-8890	366	2	psychotherapy	psychotherapy	NOUN
elements-8890	366	3	and	and	CCONJ
elements-8890	366	4	hormone	hormone	NOUN
elements-8890	366	5	treatment	treatment	NOUN
elements-8890	366	6	,	,	PUNCT
elements-8890	366	7	but	but	CCONJ
elements-8890	366	8	not	not	PART
elements-8890	366	9	srs	srs	PROPN
elements-8890	366	10	or	or	CCONJ
elements-8890	366	11	other	other	ADJ
elements-8890	366	12	surgical	surgical	ADJ
elements-8890	366	13	procedures	procedure	NOUN
elements-8890	366	14	;	;	PUNCT
elements-8890	366	15	iv	iv	X
elements-8890	366	16	.	.	X
elements-8890	366	17	compensate	compensate	NOUN
elements-8890	366	18	for	for	ADP
elements-8890	366	19	psychotherapy	psychotherapy	NOUN
elements-8890	366	20	,	,	PUNCT
elements-8890	366	21	hormone	hormone	NOUN
elements-8890	366	22	treatment	treatment	NOUN
elements-8890	366	23	,	,	PUNCT
elements-8890	366	24	and	and	CCONJ
elements-8890	366	25	surgical	surgical	ADJ
elements-8890	366	26	procedures	procedure	NOUN
elements-8890	366	27	such	such	ADJ
elements-8890	366	28	as	as	ADP
elements-8890	366	29	mastectomy	mastectomy	NOUN
elements-8890	366	30	but	but	CCONJ
elements-8890	366	31	not	not	PART
elements-8890	366	32	genital	genital	ADJ
elements-8890	366	33	surgery	surgery	NOUN
elements-8890	366	34	;	;	PUNCT
elements-8890	367	1	v.	v.	CCONJ
elements-8890	367	2	compensate	compensate	NOUN
elements-8890	367	3	for	for	ADP
elements-8890	367	4	all	all	DET
elements-8890	367	5	medical	medical	ADJ
elements-8890	367	6	care	care	NOUN
elements-8890	367	7	related	relate	VERB
elements-8890	367	8	to	to	ADP
elements-8890	367	9	gid	gid	PROPN
elements-8890	367	10	,	,	PUNCT
elements-8890	367	11	including	include	VERB
elements-8890	367	12	srs	srs	PROPN
elements-8890	367	13	surgeries	surgery	NOUN
elements-8890	367	14	,	,	PUNCT
elements-8890	367	15	but	but	CCONJ
elements-8890	367	16	on	on	ADP
elements-8890	367	17	a	a	DET
elements-8890	367	18	case	case	NOUN
elements-8890	367	19	-	-	PUNCT
elements-8890	367	20	by	by	ADP
elements-8890	367	21	-	-	PUNCT
elements-8890	367	22	case	case	NOUN
elements-8890	367	23	basis	basis	NOUN
elements-8890	367	24	.	.	PUNCT
elements-8890	368	1	vi	vi	X
elements-8890	368	2	.	.	NOUN
elements-8890	368	3	compensate	compensate	NOUN
elements-8890	368	4	for	for	ADP
elements-8890	368	5	all	all	DET
elements-8890	368	6	medical	medical	ADJ
elements-8890	368	7	care	care	NOUN
elements-8890	368	8	related	relate	VERB
elements-8890	368	9	to	to	ADP
elements-8890	368	10	gid	gid	PROPN
elements-8890	368	11	,	,	PUNCT
elements-8890	368	12	including	include	VERB
elements-8890	368	13	all	all	DET
elements-8890	368	14	srs	srs	PROPN
elements-8890	368	15	surgeries	surgery	NOUN
elements-8890	368	16	the	the	DET
elements-8890	368	17	first	first	ADJ
elements-8890	368	18	option	option	NOUN
elements-8890	368	19	of	of	ADP
elements-8890	368	20	providing	provide	VERB
elements-8890	368	21	absolutely	absolutely	ADV
elements-8890	368	22	no	no	DET
elements-8890	368	23	funding	funding	NOUN
elements-8890	368	24	is	be	AUX
elements-8890	368	25	not	not	PART
elements-8890	368	26	a	a	DET
elements-8890	368	27	realistic	realistic	ADJ
elements-8890	368	28	public	public	ADJ
elements-8890	368	29	policy	policy	NOUN
elements-8890	368	30	,	,	PUNCT
elements-8890	368	31	because	because	SCONJ
elements-8890	368	32	gid	gid	PROPN
elements-8890	368	33	is	be	AUX
elements-8890	368	34	a	a	DET
elements-8890	368	35	diagnosable	diagnosable	ADJ
elements-8890	368	36	psychological	psychological	ADJ
elements-8890	368	37	disorder	disorder	NOUN
elements-8890	368	38	that	that	PRON
elements-8890	368	39	is	be	AUX
elements-8890	368	40	recognized	recognize	VERB
elements-8890	368	41	as	as	ADP
elements-8890	368	42	such	such	ADJ
elements-8890	368	43	by	by	ADP
elements-8890	368	44	the	the	DET
elements-8890	368	45	dsm	dsm	PROPN
elements-8890	368	46	-	-	PUNCT
elements-8890	368	47	iv	iv	NOUN
elements-8890	368	48	.	.	PUNCT
elements-8890	369	1	funding	funding	NOUN
elements-8890	369	2	is	be	AUX
elements-8890	369	3	certainly	certainly	ADV
elements-8890	369	4	provided	provide	VERB
elements-8890	369	5	for	for	ADP
elements-8890	369	6	psychotherapy	psychotherapy	NOUN
elements-8890	369	7	associated	associate	VERB
elements-8890	369	8	with	with	ADP
elements-8890	369	9	other	other	ADJ
elements-8890	369	10	psychological	psychological	ADJ
elements-8890	369	11	disorders	disorder	NOUN
elements-8890	369	12	.	.	PUNCT
elements-8890	370	1	as	as	SCONJ
elements-8890	370	2	todd	todd	PROPN
elements-8890	370	3	savage	savage	NOUN
elements-8890	370	4	explains	explain	VERB
elements-8890	370	5	in	in	ADP
elements-8890	370	6	an	an	DET
elements-8890	370	7	article	article	NOUN
elements-8890	370	8	on	on	ADP
elements-8890	370	9	the	the	DET
elements-8890	370	10	high	high	ADJ
elements-8890	370	11	costs	cost	NOUN
elements-8890	370	12	of	of	ADP
elements-8890	370	13	gender	gender	NOUN
elements-8890	370	14	reassignment	reassignment	NOUN
elements-8890	370	15	,	,	PUNCT
elements-8890	370	16	even	even	ADV
elements-8890	370	17	private	private	ADJ
elements-8890	370	18	insurers	insurer	NOUN
elements-8890	370	19	typically	typically	ADV
elements-8890	370	20	pick	pick	VERB
elements-8890	370	21	up	up	ADP
elements-8890	370	22	the	the	DET
elements-8890	370	23	cost	cost	NOUN
elements-8890	370	24	of	of	ADP
elements-8890	370	25	psychotherapy.ix	psychotherapy.ix	PROPN
elements-8890	370	26	1	1	NUM
elements-8890	370	27	1	1	NUM
elements-8890	370	28	]	]	PUNCT
elements-8890	370	29	it	it	PRON
elements-8890	370	30	is	be	AUX
elements-8890	370	31	at	at	ADP
elements-8890	370	32	the	the	DET
elements-8890	370	33	third	third	ADJ
elements-8890	370	34	option	option	NOUN
elements-8890	370	35	that	that	SCONJ
elements-8890	370	36	many	many	ADJ
elements-8890	370	37	private	private	ADJ
elements-8890	370	38	insurers	insurer	NOUN
elements-8890	370	39	draw	draw	VERB
elements-8890	370	40	the	the	DET
elements-8890	370	41	line	line	NOUN
elements-8890	370	42	.	.	PUNCT
elements-8890	371	1	"	"	PUNCT
elements-8890	371	2	doctors	doctor	NOUN
elements-8890	371	3	are	be	AUX
elements-8890	371	4	usually	usually	ADV
elements-8890	371	5	able	able	ADJ
elements-8890	371	6	to	to	PART
elements-8890	371	7	get	get	AUX
elements-8890	371	8	reimbursed	reimburse	VERB
elements-8890	371	9	for	for	ADP
elements-8890	371	10	hormone	hormone	NOUN
elements-8890	371	11	treatments	treatment	NOUN
elements-8890	371	12	,	,	PUNCT
elements-8890	371	13	"	"	PUNCT
elements-8890	371	14	savage	savage	NOUN
elements-8890	371	15	explained	explain	VERB
elements-8890	371	16	,	,	PUNCT
elements-8890	371	17	"	"	PUNCT
elements-8890	371	18	but	but	CCONJ
elements-8890	371	19	only	only	ADV
elements-8890	371	20	because	because	SCONJ
elements-8890	371	21	they	they	PRON
elements-8890	371	22	are	be	AUX
elements-8890	371	23	deliberately	deliberately	ADV
elements-8890	371	24	vague	vague	ADJ
elements-8890	371	25	in	in	ADP
elements-8890	371	26	reporting	report	VERB
elements-8890	371	27	their	their	PRON
elements-8890	371	28	purpose	purpose	NOUN
elements-8890	371	29	.	.	PUNCT
elements-8890	371	30	"	"	PUNCT
elements-8890	372	1	l	l	NOUN
elements-8890	372	2	x	x	X
elements-8890	372	3	i	i	PRON
elements-8890	372	4	v	v	VERB
elements-8890	372	5	it	it	PRON
elements-8890	372	6	can	can	AUX
elements-8890	372	7	be	be	AUX
elements-8890	372	8	concluded	conclude	VERB
elements-8890	372	9	that	that	SCONJ
elements-8890	372	10	doctors	doctor	NOUN
elements-8890	372	11	,	,	PUNCT
elements-8890	372	12	i	i	PRON
elements-8890	372	13	f	f	VERB
elements-8890	372	14	they	they	PRON
elements-8890	372	15	want	want	VERB
elements-8890	372	16	the	the	DET
elements-8890	372	17	insurance	insurance	NOUN
elements-8890	372	18	company	company	NOUN
elements-8890	372	19	to	to	PART
elements-8890	372	20	fund	fund	VERB
elements-8890	372	21	hormone	hormone	NOUN
elements-8890	372	22	treatment	treatment	NOUN
elements-8890	372	23	,	,	PUNCT
elements-8890	372	24	do	do	AUX
elements-8890	372	25	not	not	PART
elements-8890	372	26	explicitly	explicitly	ADV
elements-8890	372	27	inform	inform	VERB
elements-8890	372	28	insurers	insurer	NOUN
elements-8890	372	29	that	that	SCONJ
elements-8890	372	30	it	it	PRON
elements-8890	372	31	is	be	AUX
elements-8890	372	32	being	be	AUX
elements-8890	372	33	used	use	VERB
elements-8890	372	34	as	as	ADP
elements-8890	372	35	part	part	NOUN
elements-8890	372	36	of	of	ADP
elements-8890	372	37	treatment	treatment	NOUN
elements-8890	372	38	for	for	ADP
elements-8890	372	39	gid	gid	PROPN
elements-8890	372	40	.	.	PUNCT
elements-8890	373	1	in	in	ADP
elements-8890	373	2	the	the	DET
elements-8890	373	3	world	world	NOUN
elements-8890	373	4	of	of	ADP
elements-8890	373	5	private	private	ADJ
elements-8890	373	6	insurance	insurance	NOUN
elements-8890	373	7	,	,	PUNCT
elements-8890	373	8	denial	denial	NOUN
elements-8890	373	9	of	of	ADP
elements-8890	373	10	care	care	NOUN
elements-8890	373	11	can	can	AUX
elements-8890	373	12	also	also	ADV
elements-8890	373	13	extend	extend	VERB
elements-8890	373	14	to	to	ADP
elements-8890	373	15	contra	contra	NOUN
elements-8890	373	16	-	-	NOUN
elements-8890	373	17	care	care	NOUN
elements-8890	373	18	,	,	PUNCT
elements-8890	373	19	or	or	CCONJ
elements-8890	373	20	any	any	DET
elements-8890	373	21	care	care	NOUN
elements-8890	373	22	that	that	PRON
elements-8890	373	23	is	be	AUX
elements-8890	373	24	used	use	VERB
elements-8890	373	25	in	in	ADP
elements-8890	373	26	conjunction	conjunction	NOUN
elements-8890	373	27	with	with	ADP
elements-8890	373	28	srs	srs	PROPN
elements-8890	373	29	,	,	PUNCT
elements-8890	373	30	such	such	ADJ
elements-8890	373	31	as	as	ADP
elements-8890	373	32	prostate	prostate	NOUN
elements-8890	373	33	exams	exam	NOUN
elements-8890	373	34	for	for	ADP
elements-8890	373	35	male	male	NOUN
elements-8890	373	36	-	-	PUNCT
elements-8890	373	37	to	to	ADP
elements-8890	373	38	-	-	PUNCT
elements-8890	373	39	female	female	ADJ
elements-8890	373	40	patients	patient	NOUN
elements-8890	373	41	or	or	CCONJ
elements-8890	373	42	gynecological	gynecological	ADJ
elements-8890	373	43	care	care	NOUN
elements-8890	373	44	for	for	ADP
elements-8890	373	45	female	female	NOUN
elements-8890	373	46	-	-	PUNCT
elements-8890	373	47	to	to	ADP
elements-8890	373	48	-	-	PUNCT
elements-8890	373	49	male	male	NOUN
elements-8890	373	50	.	.	PUNCT
elements-8890	374	1	ixv	ixv	PROPN
elements-8890	374	2	s	s	PROPN
elements-8890	374	3	t	t	PROPN
elements-8890	374	4	a	a	DET
elements-8890	374	5	t	t	NOUN
elements-8890	375	1	e	e	X
elements-8890	375	2	c	c	NOUN
elements-8890	375	3	o	o	X
elements-8890	375	4	v	v	X
elements-8890	375	5	e	e	X
elements-8890	375	6	r	r	NOUN
elements-8890	375	7	a	a	DET
elements-8890	375	8	g	g	NOUN
elements-8890	375	9	e	e	NOUN
elements-8890	375	10	t	t	NOUN
elements-8890	375	11	r	r	NOUN
elements-8890	375	12	e	e	PROPN
elements-8890	375	13	n	n	PROPN
elements-8890	375	14	d	d	PROPN
elements-8890	375	15	s	s	X
elements-8890	375	16	due	due	ADP
elements-8890	375	17	to	to	ADP
elements-8890	375	18	the	the	DET
elements-8890	375	19	state	state	NOUN
elements-8890	375	20	control	control	NOUN
elements-8890	375	21	of	of	ADP
elements-8890	375	22	medicaid	medicaid	PROPN
elements-8890	375	23	,	,	PUNCT
elements-8890	375	24	the	the	DET
elements-8890	375	25	extent	extent	NOUN
elements-8890	375	26	of	of	ADP
elements-8890	375	27	coverage	coverage	NOUN
elements-8890	375	28	varies	vary	VERB
elements-8890	375	29	greatly	greatly	ADV
elements-8890	375	30	from	from	ADP
elements-8890	375	31	state	state	NOUN
elements-8890	375	32	to	to	ADP
elements-8890	375	33	state	state	NOUN
elements-8890	375	34	.	.	PUNCT
elements-8890	376	1	there	there	PRON
elements-8890	376	2	are	be	VERB
elements-8890	376	3	several	several	ADJ
elements-8890	376	4	states	state	NOUN
elements-8890	376	5	,	,	PUNCT
elements-8890	376	6	including	include	VERB
elements-8890	376	7	california	california	PROPN
elements-8890	376	8	,	,	PUNCT
elements-8890	376	9	minnesota	minnesota	PROPN
elements-8890	376	10	,	,	PUNCT
elements-8890	376	11	washington	washington	PROPN
elements-8890	376	12	,	,	PUNCT
elements-8890	376	13	and	and	CCONJ
elements-8890	376	14	iowa	iowa	PROPN
elements-8890	376	15	,	,	PUNCT
elements-8890	376	16	that	that	PRON
elements-8890	376	17	have	have	AUX
elements-8890	376	18	ruled	rule	VERB
elements-8890	376	19	against	against	ADP
elements-8890	376	20	categorical	categorical	ADJ
elements-8890	376	21	denial	denial	NOUN
elements-8890	376	22	of	of	ADP
elements-8890	376	23	all	all	DET
elements-8890	376	24	procedures	procedure	NOUN
elements-8890	376	25	relating	relate	VERB
elements-8890	376	26	to	to	ADP
elements-8890	376	27	sex	sex	NOUN
elements-8890	376	28	change	change	NOUN
elements-8890	376	29	.	.	PUNCT
elements-8890	377	1	the	the	DET
elements-8890	377	2	court	court	NOUN
elements-8890	377	3	ruled	rule	VERB
elements-8890	377	4	that	that	SCONJ
elements-8890	377	5	the	the	DET
elements-8890	377	6	denial	denial	NOUN
elements-8890	377	7	of	of	ADP
elements-8890	377	8	medicaid	medicaid	PROPN
elements-8890	377	9	benefits	benefit	NOUN
elements-8890	377	10	was	be	AUX
elements-8890	377	11	arbitrary	arbitrary	ADJ
elements-8890	377	12	and	and	CCONJ
elements-8890	377	13	"	"	PUNCT
elements-8890	377	14	inconsistent	inconsistent	ADJ
elements-8890	377	15	with	with	ADP
elements-8890	377	16	the	the	DET
elements-8890	377	17	objectives	objective	NOUN
elements-8890	377	18	of	of	ADP
elements-8890	377	19	the	the	DET
elements-8890	377	20	federal	federal	PROPN
elements-8890	377	21	medicaid	medicaid	PROPN
elements-8890	377	22	statute	statute	PROPN
elements-8890	377	23	.	.	PUNCT
elements-8890	377	24	"	"	PUNCT
elements-8890	378	1	this	this	PRON
elements-8890	378	2	does	do	AUX
elements-8890	378	3	not	not	PART
elements-8890	378	4	mean	mean	VERB
elements-8890	378	5	that	that	SCONJ
elements-8890	378	6	these	these	DET
elements-8890	378	7	states	state	NOUN
elements-8890	378	8	permit	permit	VERB
elements-8890	378	9	funding	funding	NOUN
elements-8890	378	10	as	as	ADP
elements-8890	378	11	per	per	ADP
elements-8890	378	12	option	option	NOUN
elements-8890	378	13	six	six	NUM
elements-8890	378	14	,	,	PUNCT
elements-8890	378	15	but	but	CCONJ
elements-8890	378	16	that	that	SCONJ
elements-8890	378	17	they	they	PRON
elements-8890	378	18	choose	choose	VERB
elements-8890	378	19	option	option	NOUN
elements-8890	378	20	five	five	NUM
elements-8890	378	21	and	and	CCONJ
elements-8890	378	22	wil	wil	ADJ
elements-8890	378	23	l	l	PROPN
elements-8890	378	24	fund	fund	NOUN
elements-8890	378	25	some	some	DET
elements-8890	378	26	procedures	procedure	NOUN
elements-8890	378	27	as	as	SCONJ
elements-8890	378	28	presented	present	VERB
elements-8890	378	29	on	on	ADP
elements-8890	378	30	a	a	DET
elements-8890	378	31	case	case	NOUN
elements-8890	378	32	-	-	PUNCT
elements-8890	378	33	by	by	ADP
elements-8890	378	34	-	-	PUNCT
elements-8890	378	35	case	case	NOUN
elements-8890	378	36	basis	basis	NOUN
elements-8890	378	37	.	.	PUNCT
elements-8890	379	1	1	1	NUM
elements-8890	379	2	'	'	SYM
elements-8890	379	3	v	v	NOUN
elements-8890	379	4	i	i	PRON
elements-8890	379	5	in	in	ADP
elements-8890	379	6	the	the	DET
elements-8890	379	7	case	case	NOUN
elements-8890	379	8	of	of	ADP
elements-8890	379	9	iowa	iowa	PROPN
elements-8890	379	10	and	and	CCONJ
elements-8890	379	11	washington	washington	PROPN
elements-8890	379	12	,	,	PUNCT
elements-8890	379	13	however	however	ADV
elements-8890	379	14	,	,	PUNCT
elements-8890	379	15	this	this	PRON
elements-8890	379	16	seems	seem	VERB
elements-8890	379	17	to	to	PART
elements-8890	379	18	mean	mean	VERB
elements-8890	379	19	that	that	SCONJ
elements-8890	379	20	they	they	PRON
elements-8890	379	21	wil	wil	VERB
elements-8890	379	22	l	l	PROPN
elements-8890	379	23	fund	fund	NOUN
elements-8890	379	24	hormone	hormone	NOUN
elements-8890	379	25	treatment	treatment	NOUN
elements-8890	379	26	and	and	CCONJ
elements-8890	379	27	smaller	small	ADJ
elements-8890	379	28	surgical	surgical	ADJ
elements-8890	379	29	procedure	procedure	NOUN
elements-8890	379	30	such	such	ADJ
elements-8890	379	31	as	as	ADP
elements-8890	379	32	mastectomies	mastectomy	NOUN
elements-8890	379	33	,	,	PUNCT
elements-8890	379	34	but	but	CCONJ
elements-8890	379	35	not	not	PART
elements-8890	379	36	srs	srs	PROPN
elements-8890	379	37	itself	itself	PRON
elements-8890	379	38	.	.	PUNCT
elements-8890	380	1	in	in	ADP
elements-8890	380	2	addition	addition	NOUN
elements-8890	380	3	,	,	PUNCT
elements-8890	380	4	iowa	iowa	PROPN
elements-8890	380	5	's	's	PART
elements-8890	380	6	groundbreaking	groundbreake	VERB
elements-8890	380	7	1980	1980	NUM
elements-8890	380	8	ruling	ruling	NOUN
elements-8890	380	9	in	in	ADP
elements-8890	380	10	pinneke	pinneke	PROPN
elements-8890	380	11	v.	v.	ADP
elements-8890	380	12	priesser	priesser	PROPN
elements-8890	380	13	,	,	PUNCT
elements-8890	380	14	in	in	ADP
elements-8890	380	15	which	which	PRON
elements-8890	380	16	the	the	DET
elements-8890	380	17	judge	judge	NOUN
elements-8890	380	18	ruled	rule	VERB
elements-8890	380	19	that	that	SCONJ
elements-8890	380	20	srs	srs	PROPN
elements-8890	380	21	was	be	AUX
elements-8890	380	22	the	the	DET
elements-8890	380	23	only	only	ADJ
elements-8890	380	24	method	method	NOUN
elements-8890	380	25	known	know	VERB
elements-8890	380	26	that	that	PRON
elements-8890	380	27	would	would	AUX
elements-8890	380	28	help	help	VERB
elements-8890	380	29	the	the	DET
elements-8890	380	30	plaintiff	plaintiff	NOUN
elements-8890	380	31	's	's	PART
elements-8890	380	32	transsexuality	transsexuality	NOUN
elements-8890	380	33	,	,	PUNCT
elements-8890	380	34	x	x	X
elements-8890	380	35	l	l	NOUN
elements-8890	380	36	v	v	NOUN
elements-8890	380	37	n	n	CCONJ
elements-8890	380	38	was	be	AUX
elements-8890	380	39	essentially	essentially	ADV
elements-8890	380	40	overturned	overturn	VERB
elements-8890	380	41	by	by	ADP
elements-8890	380	42	smith	smith	PROPN
elements-8890	380	43	v.	v.	PROPN
elements-8890	380	44	ramussen	ramussen	PROPN
elements-8890	380	45	in	in	ADP
elements-8890	380	46	2002	2002	NUM
elements-8890	380	47	.	.	PUNCT
elements-8890	381	1	smith	smith	PROPN
elements-8890	381	2	v.	v.	PROPN
elements-8890	381	3	ramussen	ramussen	PROPN
elements-8890	381	4	ruled	rule	VERB
elements-8890	381	5	that	that	SCONJ
elements-8890	381	6	pinneke	pinneke	PROPN
elements-8890	381	7	v.	v.	ADP
elements-8890	381	8	priesser	priesser	PROPN
elements-8890	381	9	was	be	AUX
elements-8890	381	10	superseded	supersede	VERB
elements-8890	381	11	by	by	ADP
elements-8890	381	12	iowa	iowa	PROPN
elements-8890	381	13	human	human	PROPN
elements-8890	381	14	services	services	PROPN
elements-8890	381	15	department	department	NOUN
elements-8890	381	16	regulations	regulation	NOUN
elements-8890	381	17	.	.	PUNCT
elements-8890	382	1	x	x	X
elements-8890	383	1	l	l	NOUN
elements-8890	383	2	v	v	X
elements-8890	383	3	i	i	PRON
elements-8890	384	1	i	i	PRON
elements-8890	385	1	i	i	PRON
elements-8890	385	2	most	most	ADV
elements-8890	385	3	other	other	ADJ
elements-8890	385	4	states	state	NOUN
elements-8890	385	5	,	,	PUNCT
elements-8890	385	6	including	include	VERB
elements-8890	385	7	alaska	alaska	PROPN
elements-8890	385	8	,	,	PUNCT
elements-8890	385	9	illinois	illinois	PROPN
elements-8890	385	10	,	,	PUNCT
elements-8890	385	11	and	and	CCONJ
elements-8890	385	12	pennsylvania	pennsylvania	PROPN
elements-8890	385	13	,	,	PUNCT
elements-8890	385	14	still	still	ADV
elements-8890	385	15	have	have	VERB
elements-8890	385	16	statutes	statute	NOUN
elements-8890	385	17	on	on	ADP
elements-8890	385	18	their	their	PRON
elements-8890	385	19	medicaid	medicaid	PROPN
elements-8890	385	20	policies	policy	NOUN
elements-8890	385	21	that	that	PRON
elements-8890	385	22	categorically	categorically	ADV
elements-8890	385	23	exclude	exclude	VERB
elements-8890	385	24	procedures	procedure	NOUN
elements-8890	385	25	relating	relate	VERB
elements-8890	385	26	to	to	ADP
elements-8890	385	27	transsexuality	transsexuality	NOUN
elements-8890	385	28	.	.	PUNCT
elements-8890	386	1	oregon	oregon	PROPN
elements-8890	386	2	,	,	PUNCT
elements-8890	386	3	for	for	ADP
elements-8890	386	4	example	example	NOUN
elements-8890	386	5	,	,	PUNCT
elements-8890	386	6	denied	deny	VERB
elements-8890	386	7	state	state	NOUN
elements-8890	386	8	coverage	coverage	NOUN
elements-8890	386	9	of	of	ADP
elements-8890	386	10	sexchange	sexchange	NOUN
elements-8890	386	11	procedures	procedure	NOUN
elements-8890	386	12	ruling	rule	VERB
elements-8890	386	13	that	that	SCONJ
elements-8890	386	14	"	"	PUNCT
elements-8890	386	15	there	there	PRON
elements-8890	386	16	was	be	VERB
elements-8890	386	17	no	no	DET
elements-8890	386	18	good	good	ADJ
elements-8890	386	19	evidence	evidence	NOUN
elements-8890	386	20	showing	show	VERB
elements-8890	386	21	that	that	SCONJ
elements-8890	386	22	sex	sex	NOUN
elements-8890	386	23	-	-	PUNCT
elements-8890	386	24	reassignment	reassignment	NOUN
elements-8890	386	25	surgery	surgery	NOUN
elements-8890	386	26	improves	improve	VERB
elements-8890	386	27	patients	patient	NOUN
elements-8890	386	28	'	'	PART
elements-8890	386	29	mental	mental	ADJ
elements-8890	386	30	and	and	CCONJ
elements-8890	386	31	emotional	emotional	ADJ
elements-8890	386	32	well	well	ADV
elements-8890	386	33	-	-	PUNCT
elements-8890	386	34	being	being	NOUN
elements-8890	386	35	or	or	CCONJ
elements-8890	386	36	socioeconomic	socioeconomic	ADJ
elements-8890	386	37	status	status	NOUN
elements-8890	386	38	or	or	CCONJ
elements-8890	386	39	that	that	SCONJ
elements-8890	386	40	it	it	PRON
elements-8890	386	41	reduces	reduce	VERB
elements-8890	386	42	the	the	DET
elements-8890	386	43	incidence	incidence	NOUN
elements-8890	386	44	of	of	ADP
elements-8890	386	45	suicide	suicide	NOUN
elements-8890	386	46	attempts	attempt	NOUN
elements-8890	386	47	among	among	ADP
elements-8890	386	48	transsexuals	transsexual	NOUN
elements-8890	386	49	.	.	PUNCT
elements-8890	386	50	"	"	PUNCT
elements-8890	387	1	i	i	PRON
elements-8890	387	2	x	x	VERB
elements-8890	388	1	i	i	NOUN
elements-8890	388	2	x	x	VERB
elements-8890	388	3	in	in	ADP
elements-8890	388	4	new	new	PROPN
elements-8890	388	5	york	york	PROPN
elements-8890	388	6	,	,	PUNCT
elements-8890	388	7	two	two	NUM
elements-8890	388	8	cases	case	NOUN
elements-8890	388	9	in	in	ADP
elements-8890	388	10	the	the	DET
elements-8890	388	11	1970s	1970	NOUN
elements-8890	388	12	held	hold	VERB
elements-8890	388	13	that	that	SCONJ
elements-8890	388	14	the	the	DET
elements-8890	388	15	plaintiffs	plaintiff	NOUN
elements-8890	388	16	who	who	PRON
elements-8890	388	17	desired	desire	VERB
elements-8890	388	18	coverage	coverage	NOUN
elements-8890	388	19	of	of	ADP
elements-8890	388	20	srs	srs	PROPN
elements-8890	388	21	under	under	ADP
elements-8890	388	22	medicaid	medicaid	PROPN
elements-8890	388	23	had	have	AUX
elements-8890	388	24	failed	fail	VERB
elements-8890	388	25	to	to	PART
elements-8890	388	26	prove	prove	VERB
elements-8890	388	27	the	the	DET
elements-8890	388	28	medical	medical	ADJ
elements-8890	388	29	necessity	necessity	NOUN
elements-8890	388	30	of	of	ADP
elements-8890	388	31	the	the	DET
elements-8890	388	32	treatment	treatment	NOUN
elements-8890	388	33	,	,	PUNCT
elements-8890	388	34	1	1	NUM
elements-8890	388	35	a	a	PRON
elements-8890	388	36	and	and	CCONJ
elements-8890	388	37	now	now	ADV
elements-8890	388	38	new	new	PROPN
elements-8890	388	39	york	york	PROPN
elements-8890	388	40	continues	continue	VERB
elements-8890	388	41	to	to	PART
elements-8890	388	42	proscribe	proscribe	VERB
elements-8890	388	43	coverage	coverage	NOUN
elements-8890	388	44	for	for	ADP
elements-8890	388	45	anything	anything	PRON
elements-8890	388	46	related	relate	VERB
elements-8890	388	47	to	to	ADP
elements-8890	388	48	gender	gender	NOUN
elements-8890	388	49	reassignment	reassignment	NOUN
elements-8890	388	50	,	,	PUNCT
elements-8890	388	51	including	include	VERB
elements-8890	388	52	hormone	hormone	NOUN
elements-8890	388	53	therapy	therapy	NOUN
elements-8890	388	54	.	.	PUNCT
elements-8890	389	1	l	l	NOUN
elements-8890	390	1	x	x	PUNCT
elements-8890	390	2	x	x	X
elements-8890	390	3	i	i	PRON
elements-8890	390	4	slowly	slowly	ADV
elements-8890	390	5	,	,	PUNCT
elements-8890	390	6	cases	case	NOUN
elements-8890	390	7	have	have	AUX
elements-8890	390	8	arisen	arise	VERB
elements-8890	390	9	that	that	PRON
elements-8890	390	10	challenge	challenge	VERB
elements-8890	390	11	the	the	DET
elements-8890	390	12	acceptability	acceptability	NOUN
elements-8890	390	13	of	of	ADP
elements-8890	390	14	categorical	categorical	ADJ
elements-8890	390	15	denial	denial	NOUN
elements-8890	390	16	of	of	ADP
elements-8890	390	17	procedures	procedure	NOUN
elements-8890	390	18	relating	relate	VERB
elements-8890	390	19	to	to	ADP
elements-8890	390	20	gid	gid	PROPN
elements-8890	390	21	.	.	PUNCT
elements-8890	391	1	in	in	ADP
elements-8890	391	2	minnesota	minnesota	PROPN
elements-8890	391	3	,	,	PUNCT
elements-8890	391	4	doe	doe	NOUN
elements-8890	391	5	v.	v.	ADP
elements-8890	391	6	state	state	PROPN
elements-8890	391	7	department	department	PROPN
elements-8890	391	8	of	of	ADP
elements-8890	391	9	public	public	ADJ
elements-8890	391	10	welfare	welfare	NOUN
elements-8890	391	11	held	hold	VERB
elements-8890	391	12	that	that	SCONJ
elements-8890	391	13	the	the	DET
elements-8890	391	14	standards	standard	NOUN
elements-8890	391	15	the	the	DET
elements-8890	391	16	state	state	NOUN
elements-8890	391	17	was	be	AUX
elements-8890	391	18	using	use	VERB
elements-8890	391	19	were	be	AUX
elements-8890	391	20	so	so	ADV
elements-8890	391	21	high	high	ADJ
elements-8890	391	22	as	as	SCONJ
elements-8890	391	23	to	to	PART
elements-8890	391	24	be	be	AUX
elements-8890	391	25	burdensome	burdensome	ADJ
elements-8890	391	26	for	for	ADP
elements-8890	391	27	patients	patient	NOUN
elements-8890	391	28	,	,	PUNCT
elements-8890	391	29	and	and	CCONJ
elements-8890	391	30	that	that	SCONJ
elements-8890	391	31	the	the	DET
elements-8890	391	32	state	state	NOUN
elements-8890	391	33	had	have	VERB
elements-8890	391	34	to	to	PART
elements-8890	391	35	consider	consider	VERB
elements-8890	391	36	funding	fund	VERB
elements-8890	391	37	future	future	ADJ
elements-8890	391	38	applications	application	NOUN
elements-8890	391	39	for	for	ADP
elements-8890	391	40	transsexual	transsexual	ADJ
elements-8890	391	41	surgery	surgery	NOUN
elements-8890	391	42	.	.	PUNCT
elements-8890	392	1	l	l	NOUN
elements-8890	393	1	x	x	PUNCT
elements-8890	393	2	x	x	X
elements-8890	394	1	i	i	PRON
elements-8890	394	2	i	i	PRON
elements-8890	394	3	i	i	PRON
elements-8890	394	4	n	n	PROPN
elements-8890	394	5	massachusetts	massachusetts	PROPN
elements-8890	394	6	,	,	PUNCT
elements-8890	394	7	which	which	PRON
elements-8890	394	8	currently	currently	ADV
elements-8890	394	9	bans	ban	VERB
elements-8890	394	10	all	all	DET
elements-8890	394	11	srs	srs	PROPN
elements-8890	394	12	-	-	PUNCT
elements-8890	394	13	related	relate	VERB
elements-8890	394	14	procedures	procedure	NOUN
elements-8890	394	15	,	,	PUNCT
elements-8890	394	16	the	the	DET
elements-8890	394	17	state	state	NOUN
elements-8890	394	18	was	be	AUX
elements-8890	394	19	ordered	order	VERB
elements-8890	394	20	to	to	PART
elements-8890	394	21	pay	pay	VERB
elements-8890	394	22	for	for	ADP
elements-8890	394	23	breast	breast	NOUN
elements-8890	394	24	reconstruction	reconstruction	NOUN
elements-8890	394	25	for	for	ADP
elements-8890	394	26	a	a	DET
elements-8890	394	27	trans	tran	NOUN
elements-8890	394	28	-	-	NOUN
elements-8890	394	29	woman	woman	NOUN
elements-8890	394	30	who	who	PRON
elements-8890	394	31	had	have	AUX
elements-8890	394	32	had	have	VERB
elements-8890	394	33	srs	srs	PROPN
elements-8890	394	34	25	25	NUM
elements-8890	394	35	years	year	NOUN
elements-8890	394	36	ago	ago	ADV
elements-8890	394	37	and	and	CCONJ
elements-8890	394	38	whose	whose	DET
elements-8890	394	39	silicone	silicone	NOUN
elements-8890	394	40	implants	implant	NOUN
elements-8890	394	41	were	be	AUX
elements-8890	394	42	l	l	NOUN
elements-8890	394	43	e	e	NOUN
elements-8890	394	44	a	a	X
elements-8890	394	45	k	k	X
elements-8890	394	46	i	i	PRON
elements-8890	394	47	n	n	ADV
elements-8890	394	48	g	g	NOUN
elements-8890	394	49	.	.	PUNCT
elements-8890	395	1	w	w	NOUN
elements-8890	395	2	h	h	NOUN
elements-8890	396	1	i	i	NOUN
elements-8890	396	2	l	l	NOUN
elements-8890	397	1	e	e	NOUN
elements-8890	397	2	this	this	PRON
elements-8890	397	3	does	do	AUX
elements-8890	397	4	not	not	PART
elements-8890	397	5	reverse	reverse	VERB
elements-8890	397	6	the	the	DET
elements-8890	397	7	ban	ban	NOUN
elements-8890	397	8	,	,	PUNCT
elements-8890	397	9	it	it	PRON
elements-8890	397	10	does	do	AUX
elements-8890	397	11	provide	provide	VERB
elements-8890	397	12	some	some	DET
elements-8890	397	13	hope	hope	NOUN
elements-8890	397	14	for	for	ADP
elements-8890	397	15	transgender	transgender	NOUN
elements-8890	397	16	persons	person	NOUN
elements-8890	397	17	that	that	PRON
elements-8890	397	18	progress	progress	NOUN
elements-8890	397	19	is	be	AUX
elements-8890	397	20	being	be	AUX
elements-8890	397	21	made	make	VERB
elements-8890	397	22	to	to	PART
elements-8890	397	23	raise	raise	VERB
elements-8890	397	24	awareness	awareness	NOUN
elements-8890	397	25	regarding	regard	VERB
elements-8890	397	26	this	this	DET
elements-8890	397	27	issue	issue	NOUN
elements-8890	397	28	.	.	PUNCT
elements-8890	398	1	p	p	X
elements-8890	398	2	r	r	NOUN
elements-8890	398	3	o	o	NOUN
elements-8890	398	4	s	s	X
elements-8890	398	5	c	c	NOUN
elements-8890	399	1	r	r	NOUN
elements-8890	400	1	i	i	PRON
elements-8890	400	2	p	p	NOUN
elements-8890	401	1	t	t	X
elements-8890	402	1	i	i	PRON
elements-8890	402	2	o	o	VERB
elements-8890	403	1	n	n	X
elements-8890	404	1	o	o	X
elements-8890	404	2	f	f	X
elements-8890	404	3	s	s	NOUN
elements-8890	404	4	r	r	NOUN
elements-8890	404	5	s	s	X
elements-8890	404	6	i	i	NOUN
elements-8890	405	1	d	d	VERB
elements-8890	405	2	i	i	PRON
elements-8890	405	3	s	s	VERB
elements-8890	405	4	c	c	NOUN
elements-8890	406	1	r	r	NOUN
elements-8890	407	1	i	i	PRON
elements-8890	407	2	m	m	VERB
elements-8890	407	3	i	i	PRON
elements-8890	407	4	n	n	ADV
elements-8890	407	5	a	a	DET
elements-8890	407	6	t	t	NOUN
elements-8890	408	1	i	i	PRON
elements-8890	408	2	o	o	VERB
elements-8890	409	1	n	n	VERB
elements-8890	409	2	i	i	PRON
elements-8890	409	3	n	n	NUM
elements-8890	409	4	p	p	X
elements-8890	409	5	u	u	PROPN
elements-8890	409	6	b	b	PROPN
elements-8890	409	7	l	l	NOUN
elements-8890	410	1	i	i	NOUN
elements-8890	410	2	c	c	VERB
elements-8890	411	1	p	p	NOUN
elements-8890	411	2	o	o	X
elements-8890	411	3	l	l	NOUN
elements-8890	412	1	i	i	NOUN
elements-8890	412	2	c	c	VERB
elements-8890	412	3	y	y	PROPN
elements-8890	412	4	?	?	PUNCT
elements-8890	413	1	this	this	DET
elements-8890	413	2	paper	paper	NOUN
elements-8890	413	3	has	have	AUX
elements-8890	413	4	argued	argue	VERB
elements-8890	413	5	that	that	SCONJ
elements-8890	413	6	the	the	DET
elements-8890	413	7	process	process	NOUN
elements-8890	413	8	of	of	ADP
elements-8890	413	9	completing	complete	VERB
elements-8890	413	10	gender	gender	NOUN
elements-8890	413	11	transition	transition	NOUN
elements-8890	413	12	is	be	AUX
elements-8890	413	13	very	very	ADV
elements-8890	413	14	involved	involved	ADJ
elements-8890	413	15	and	and	CCONJ
elements-8890	413	16	closely	closely	ADV
elements-8890	413	17	regulated	regulate	VERB
elements-8890	413	18	by	by	ADP
elements-8890	413	19	medical	medical	ADJ
elements-8890	413	20	professionals	professional	NOUN
elements-8890	413	21	.	.	PUNCT
elements-8890	414	1	therefore	therefore	ADV
elements-8890	414	2	,	,	PUNCT
elements-8890	414	3	the	the	DET
elements-8890	414	4	decision	decision	NOUN
elements-8890	414	5	to	to	PART
elements-8890	414	6	undergo	undergo	VERB
elements-8890	414	7	srs	srs	PROPN
elements-8890	414	8	can	can	AUX
elements-8890	414	9	not	not	PART
elements-8890	414	10	be	be	AUX
elements-8890	414	11	considered	consider	VERB
elements-8890	414	12	a	a	DET
elements-8890	414	13	whimsical	whimsical	ADJ
elements-8890	414	14	decision	decision	NOUN
elements-8890	414	15	made	make	VERB
elements-8890	414	16	by	by	ADP
elements-8890	414	17	a	a	DET
elements-8890	414	18	disturbed	disturbed	ADJ
elements-8890	414	19	individual	individual	NOUN
elements-8890	414	20	and	and	CCONJ
elements-8890	414	21	instead	instead	ADV
elements-8890	414	22	must	must	AUX
elements-8890	414	23	be	be	AUX
elements-8890	414	24	regarded	regard	VERB
elements-8890	414	25	as	as	ADP
elements-8890	414	26	a	a	DET
elements-8890	414	27	lifechanging	lifechanging	NOUN
elements-8890	414	28	choice	choice	NOUN
elements-8890	414	29	that	that	PRON
elements-8890	414	30	is	be	AUX
elements-8890	414	31	made	make	VERB
elements-8890	414	32	with	with	ADP
elements-8890	414	33	the	the	DET
elements-8890	414	34	assistance	assistance	NOUN
elements-8890	414	35	of	of	ADP
elements-8890	414	36	experts	expert	NOUN
elements-8890	414	37	e	e	X
elements-8890	414	38	l	l	NOUN
elements-8890	414	39	e	e	X
elements-8890	414	40	m	m	PROPN
elements-8890	414	41	e	e	NOUN
elements-8890	414	42	n	n	PROPN
elements-8890	414	43	t	t	PROPN
elements-8890	414	44	s	s	PROPN
elements-8890	414	45	:	:	PUNCT
elements-8890	414	46	:	:	PUNCT
elements-8890	414	47	f	f	PROPN
elements-8890	414	48	a	a	DET
elements-8890	414	49	l	l	NOUN
elements-8890	414	50	l	l	NOUN
elements-8890	414	51	0	0	NUM
elements-8890	414	52	8	8	NUM
elements-8890	414	53	in	in	ADP
elements-8890	414	54	order	order	NOUN
elements-8890	414	55	to	to	PART
elements-8890	414	56	treat	treat	VERB
elements-8890	414	57	a	a	DET
elements-8890	414	58	psychological	psychological	ADJ
elements-8890	414	59	condition	condition	NOUN
elements-8890	414	60	.	.	PUNCT
elements-8890	415	1	it	it	PRON
elements-8890	415	2	can	can	AUX
elements-8890	415	3	not	not	PART
elements-8890	415	4	be	be	AUX
elements-8890	415	5	considered	consider	VERB
elements-8890	415	6	cosmetic	cosmetic	ADJ
elements-8890	415	7	or	or	CCONJ
elements-8890	415	8	experimental	experimental	ADJ
elements-8890	415	9	,	,	PUNCT
elements-8890	415	10	and	and	CCONJ
elements-8890	415	11	is	be	AUX
elements-8890	415	12	medically	medically	ADV
elements-8890	415	13	necessary	necessary	ADJ
elements-8890	415	14	.	.	PUNCT
elements-8890	416	1	categorical	categorical	ADJ
elements-8890	416	2	denial	denial	NOUN
elements-8890	416	3	of	of	ADP
elements-8890	416	4	funding	funding	NOUN
elements-8890	416	5	for	for	ADP
elements-8890	416	6	treatment	treatment	NOUN
elements-8890	416	7	of	of	ADP
elements-8890	416	8	transgender	transgender	NOUN
elements-8890	416	9	individuals	individual	NOUN
elements-8890	416	10	is	be	AUX
elements-8890	416	11	inappropriate	inappropriate	ADJ
elements-8890	416	12	and	and	CCONJ
elements-8890	416	13	unethical	unethical	ADJ
elements-8890	416	14	,	,	PUNCT
elements-8890	416	15	because	because	SCONJ
elements-8890	416	16	it	it	PRON
elements-8890	416	17	constitutes	constitute	VERB
elements-8890	416	18	discrimination	discrimination	NOUN
elements-8890	416	19	based	base	VERB
elements-8890	416	20	on	on	ADP
elements-8890	416	21	a	a	DET
elements-8890	416	22	specific	specific	ADJ
elements-8890	416	23	type	type	NOUN
elements-8890	416	24	of	of	ADP
elements-8890	416	25	i	i	PROPN
elements-8890	416	26	l	l	NOUN
elements-8890	416	27	l	l	X
elements-8890	416	28	ness	ness	NOUN
elements-8890	416	29	.	.	PUNCT
elements-8890	417	1	this	this	PRON
elements-8890	417	2	is	be	AUX
elements-8890	417	3	forbidden	forbid	VERB
elements-8890	417	4	by	by	ADP
elements-8890	417	5	the	the	DET
elements-8890	417	6	medicaid	medicaid	PROPN
elements-8890	417	7	statutes	statute	NOUN
elements-8890	417	8	,	,	PUNCT
elements-8890	417	9	as	as	SCONJ
elements-8890	417	10	it	it	PRON
elements-8890	417	11	is	be	AUX
elements-8890	417	12	prejudiced	prejudice	VERB
elements-8890	417	13	against	against	ADP
elements-8890	417	14	a	a	DET
elements-8890	417	15	group	group	NOUN
elements-8890	417	16	of	of	ADP
elements-8890	417	17	people	people	NOUN
elements-8890	417	18	.	.	PUNCT
elements-8890	418	1	denial	denial	NOUN
elements-8890	418	2	of	of	ADP
elements-8890	418	3	services	service	NOUN
elements-8890	418	4	because	because	SCONJ
elements-8890	418	5	of	of	ADP
elements-8890	418	6	cost	cost	NOUN
elements-8890	418	7	is	be	AUX
elements-8890	418	8	a	a	DET
elements-8890	418	9	specious	specious	ADJ
elements-8890	418	10	argument	argument	NOUN
elements-8890	418	11	because	because	SCONJ
elements-8890	418	12	there	there	PRON
elements-8890	418	13	is	be	VERB
elements-8890	418	14	a	a	DET
elements-8890	418	15	very	very	ADV
elements-8890	418	16	low	low	ADJ
elements-8890	418	17	percentage	percentage	NOUN
elements-8890	418	18	of	of	ADP
elements-8890	418	19	transgender	transgender	NOUN
elements-8890	418	20	persons	person	NOUN
elements-8890	418	21	,	,	PUNCT
elements-8890	418	22	so	so	CCONJ
elements-8890	418	23	no	no	DET
elements-8890	418	24	significant	significant	ADJ
elements-8890	418	25	monetary	monetary	ADJ
elements-8890	418	26	loss	loss	NOUN
elements-8890	418	27	would	would	AUX
elements-8890	418	28	occur	occur	VERB
elements-8890	418	29	from	from	ADP
elements-8890	418	30	allowing	allow	VERB
elements-8890	418	31	coverage	coverage	NOUN
elements-8890	418	32	for	for	ADP
elements-8890	418	33	srs	srs	PROPN
elements-8890	418	34	.	.	PUNCT
elements-8890	419	1	in	in	ADP
elements-8890	419	2	addition	addition	NOUN
elements-8890	419	3	,	,	PUNCT
elements-8890	419	4	providing	provide	VERB
elements-8890	419	5	funding	funding	NOUN
elements-8890	419	6	for	for	ADP
elements-8890	419	7	treatment	treatment	NOUN
elements-8890	419	8	could	could	AUX
elements-8890	419	9	decrease	decrease	VERB
elements-8890	419	10	costs	cost	NOUN
elements-8890	419	11	associated	associate	VERB
elements-8890	419	12	with	with	ADP
elements-8890	419	13	long	long	ADJ
elements-8890	419	14	-	-	PUNCT
elements-8890	419	15	term	term	NOUN
elements-8890	419	16	effects	effect	NOUN
elements-8890	419	17	of	of	ADP
elements-8890	419	18	untreated	untreated	ADJ
elements-8890	419	19	gid	gid	PROPN
elements-8890	419	20	,	,	PUNCT
elements-8890	419	21	such	such	ADJ
elements-8890	419	22	as	as	ADP
elements-8890	419	23	depression	depression	NOUN
elements-8890	419	24	,	,	PUNCT
elements-8890	419	25	anxiety	anxiety	NOUN
elements-8890	419	26	,	,	PUNCT
elements-8890	419	27	and	and	CCONJ
elements-8890	419	28	dangerous	dangerous	ADJ
elements-8890	419	29	consequences	consequence	NOUN
elements-8890	419	30	of	of	ADP
elements-8890	419	31	illegal	illegal	ADJ
elements-8890	419	32	hormone	hormone	NOUN
elements-8890	419	33	use	use	NOUN
elements-8890	419	34	.	.	PUNCT
elements-8890	420	1	finally	finally	ADV
elements-8890	420	2	,	,	PUNCT
elements-8890	420	3	since	since	SCONJ
elements-8890	420	4	there	there	PRON
elements-8890	420	5	is	be	VERB
elements-8890	420	6	no	no	DET
elements-8890	420	7	formula	formula	NOUN
elements-8890	420	8	presented	present	VERB
elements-8890	420	9	by	by	ADP
elements-8890	420	10	the	the	DET
elements-8890	420	11	federal	federal	ADJ
elements-8890	420	12	government	government	NOUN
elements-8890	420	13	for	for	ADP
elements-8890	420	14	making	make	VERB
elements-8890	420	15	evaluations	evaluation	NOUN
elements-8890	420	16	of	of	ADP
elements-8890	420	17	claims	claim	NOUN
elements-8890	420	18	,	,	PUNCT
elements-8890	420	19	they	they	PRON
elements-8890	420	20	should	should	AUX
elements-8890	420	21	be	be	AUX
elements-8890	420	22	made	make	VERB
elements-8890	420	23	on	on	ADP
elements-8890	420	24	a	a	DET
elements-8890	420	25	case	case	NOUN
elements-8890	420	26	-	-	PUNCT
elements-8890	420	27	by	by	ADP
elements-8890	420	28	-	-	PUNCT
elements-8890	420	29	case	case	NOUN
elements-8890	420	30	basis	basis	NOUN
elements-8890	420	31	,	,	PUNCT
elements-8890	420	32	as	as	SCONJ
elements-8890	420	33	finley	finley	NOUN
elements-8890	420	34	suggests	suggest	VERB
elements-8890	420	35	,	,	PUNCT
elements-8890	420	36	taking	take	VERB
elements-8890	420	37	into	into	ADP
elements-8890	420	38	account	account	NOUN
elements-8890	420	39	the	the	DET
elements-8890	420	40	goals	goal	NOUN
elements-8890	420	41	of	of	ADP
elements-8890	420	42	medicaid	medicaid	PROPN
elements-8890	420	43	,	,	PUNCT
elements-8890	420	44	the	the	DET
elements-8890	420	45	best	good	ADJ
elements-8890	420	46	interest	interest	NOUN
elements-8890	420	47	of	of	ADP
elements-8890	420	48	the	the	DET
elements-8890	420	49	patients	patient	NOUN
elements-8890	420	50	,	,	PUNCT
elements-8890	420	51	and	and	CCONJ
elements-8890	420	52	the	the	DET
elements-8890	420	53	fiscal	fiscal	ADJ
elements-8890	420	54	needs	need	NOUN
elements-8890	420	55	of	of	ADP
elements-8890	420	56	the	the	DET
elements-8890	420	57	state	state	NOUN
elements-8890	420	58	.	.	PUNCT
elements-8890	421	1	l	l	PUNCT
elements-8890	422	1	x	x	PUNCT
elements-8890	422	2	x	x	X
elements-8890	423	1	i	i	PRON
elements-8890	423	2	v	v	ADP
elements-8890	423	3	the	the	DET
elements-8890	423	4	fact	fact	NOUN
elements-8890	423	5	that	that	SCONJ
elements-8890	423	6	cases	case	NOUN
elements-8890	423	7	are	be	AUX
elements-8890	423	8	still	still	ADV
elements-8890	423	9	ruled	rule	VERB
elements-8890	423	10	in	in	ADP
elements-8890	423	11	favor	favor	NOUN
elements-8890	423	12	of	of	ADP
elements-8890	423	13	state	state	NOUN
elements-8890	423	14	proscriptions	proscription	NOUN
elements-8890	423	15	is	be	AUX
elements-8890	423	16	,	,	PUNCT
elements-8890	423	17	in	in	ADP
elements-8890	423	18	most	most	ADJ
elements-8890	423	19	cases	case	NOUN
elements-8890	423	20	,	,	PUNCT
elements-8890	423	21	a	a	DET
elements-8890	423	22	reflection	reflection	NOUN
elements-8890	423	23	of	of	ADP
elements-8890	423	24	misunderstanding	misunderstanding	NOUN
elements-8890	423	25	and	and	CCONJ
elements-8890	423	26	discrimination	discrimination	NOUN
elements-8890	423	27	in	in	ADP
elements-8890	423	28	our	our	PRON
elements-8890	423	29	society	society	NOUN
elements-8890	423	30	.	.	PUNCT
elements-8890	424	1	when	when	SCONJ
elements-8890	424	2	claims	claim	NOUN
elements-8890	424	3	made	make	VERB
elements-8890	424	4	by	by	ADP
elements-8890	424	5	transgender	transgender	NOUN
elements-8890	424	6	persons	person	NOUN
elements-8890	424	7	are	be	AUX
elements-8890	424	8	treated	treat	VERB
elements-8890	424	9	with	with	ADP
elements-8890	424	10	the	the	DET
elements-8890	424	11	same	same	ADJ
elements-8890	424	12	reasonableness	reasonableness	NOUN
elements-8890	424	13	that	that	PRON
elements-8890	424	14	is	be	AUX
elements-8890	424	15	extended	extend	VERB
elements-8890	424	16	to	to	ADP
elements-8890	424	17	other	other	ADJ
elements-8890	424	18	claims	claim	NOUN
elements-8890	424	19	,	,	PUNCT
elements-8890	424	20	a	a	DET
elements-8890	424	21	part	part	NOUN
elements-8890	424	22	of	of	ADP
elements-8890	424	23	this	this	PRON
elements-8890	424	24	institutionalized	institutionalize	VERB
elements-8890	424	25	prejudice	prejudice	NOUN
elements-8890	424	26	wil	wil	VERB
elements-8890	424	27	l	l	NOUN
elements-8890	424	28	cease	cease	NOUN
elements-8890	424	29	to	to	PART
elements-8890	424	30	exist	exist	VERB
elements-8890	424	31	.	.	PUNCT
elements-8890	425	1	unfortunately	unfortunately	ADV
elements-8890	425	2	,	,	PUNCT
elements-8890	425	3	the	the	DET
elements-8890	425	4	prejudice	prejudice	NOUN
elements-8890	425	5	extends	extend	VERB
elements-8890	425	6	to	to	ADP
elements-8890	425	7	the	the	DET
elements-8890	425	8	very	very	ADV
elements-8890	425	9	top	top	NOUN
elements-8890	425	10	;	;	PUNCT
elements-8890	425	11	transgender	transgender	NOUN
elements-8890	425	12	individuals	individual	NOUN
elements-8890	425	13	who	who	PRON
elements-8890	425	14	attempt	attempt	VERB
elements-8890	425	15	to	to	PART
elements-8890	425	16	take	take	VERB
elements-8890	425	17	recourse	recourse	NOUN
elements-8890	425	18	can	can	AUX
elements-8890	425	19	not	not	PART
elements-8890	425	20	apply	apply	VERB
elements-8890	425	21	to	to	ADP
elements-8890	425	22	the	the	DET
elements-8890	425	23	americans	americans	PROPN
elements-8890	425	24	with	with	ADP
elements-8890	425	25	disabilities	disability	NOUN
elements-8890	425	26	act	act	PROPN
elements-8890	425	27	(	(	PUNCT
elements-8890	425	28	ada	ada	PROPN
elements-8890	425	29	)	)	PUNCT
elements-8890	425	30	.	.	PUNCT
elements-8890	426	1	in	in	ADP
elements-8890	426	2	1990	1990	NUM
elements-8890	426	3	,	,	PUNCT
elements-8890	426	4	congress	congress	PROPN
elements-8890	426	5	specifically	specifically	ADV
elements-8890	426	6	excluded	exclude	VERB
elements-8890	426	7	transgender	transgender	NOUN
elements-8890	426	8	persons	person	NOUN
elements-8890	426	9	from	from	ADP
elements-8890	426	10	protection	protection	NOUN
elements-8890	426	11	under	under	ADP
elements-8890	426	12	the	the	DET
elements-8890	426	13	act	act	NOUN
elements-8890	426	14	,	,	PUNCT
elements-8890	426	15	putting	put	VERB
elements-8890	426	16	them	they	PRON
elements-8890	426	17	in	in	ADP
elements-8890	426	18	a	a	DET
elements-8890	426	19	category	category	NOUN
elements-8890	426	20	of	of	ADP
elements-8890	426	21	other	other	ADJ
elements-8890	426	22	excluded	exclude	VERB
elements-8890	426	23	groups	group	NOUN
elements-8890	426	24	such	such	ADJ
elements-8890	426	25	as	as	ADP
elements-8890	426	26	pedophiles	pedophile	NOUN
elements-8890	426	27	,	,	PUNCT
elements-8890	426	28	voyeurs	voyeur	NOUN
elements-8890	426	29	,	,	PUNCT
elements-8890	426	30	and	and	CCONJ
elements-8890	426	31	pyromaniacs	pyromaniac	NOUN
elements-8890	426	32	,	,	PUNCT
elements-8890	426	33	l	l	NOUN
elements-8890	426	34	x	x	X
elements-8890	426	35	x	x	SYM
elements-8890	426	36	v	v	NOUN
elements-8890	426	37	despite	despite	SCONJ
elements-8890	426	38	the	the	DET
elements-8890	426	39	fact	fact	NOUN
elements-8890	426	40	that	that	SCONJ
elements-8890	426	41	transgender	transgender	NOUN
elements-8890	426	42	individuals	individual	NOUN
elements-8890	426	43	are	be	AUX
elements-8890	426	44	also	also	ADV
elements-8890	426	45	said	say	VERB
elements-8890	426	46	to	to	PART
elements-8890	426	47	have	have	VERB
elements-8890	426	48	a	a	DET
elements-8890	426	49	non	non	ADJ
elements-8890	426	50	-	-	ADJ
elements-8890	426	51	criminal	criminal	ADJ
elements-8890	426	52	psychological	psychological	ADJ
elements-8890	426	53	condition	condition	NOUN
elements-8890	426	54	as	as	SCONJ
elements-8890	426	55	defined	define	VERB
elements-8890	426	56	by	by	ADP
elements-8890	426	57	dsm	dsm	PROPN
elements-8890	426	58	-	-	PUNCT
elements-8890	426	59	iv	iv	NOUN
elements-8890	426	60	.	.	PUNCT
elements-8890	427	1	this	this	DET
elements-8890	427	2	discrepancy	discrepancy	NOUN
elements-8890	427	3	reflects	reflect	VERB
elements-8890	427	4	a	a	DET
elements-8890	427	5	fear	fear	NOUN
elements-8890	427	6	and	and	CCONJ
elements-8890	427	7	willful	willful	ADJ
elements-8890	427	8	ignorance	ignorance	NOUN
elements-8890	427	9	of	of	ADP
elements-8890	427	10	transsexuality	transsexuality	NOUN
elements-8890	427	11	and	and	CCONJ
elements-8890	427	12	transgender	transgender	NOUN
elements-8890	427	13	issues	issue	NOUN
elements-8890	427	14	that	that	PRON
elements-8890	427	15	is	be	AUX
elements-8890	427	16	clearly	clearly	ADV
elements-8890	427	17	unethical	unethical	ADJ
elements-8890	427	18	and	and	CCONJ
elements-8890	427	19	harmful	harmful	ADJ
elements-8890	427	20	to	to	ADP
elements-8890	427	21	the	the	DET
elements-8890	427	22	very	very	ADJ
elements-8890	427	23	citizens	citizen	NOUN
elements-8890	427	24	the	the	DET
elements-8890	427	25	government	government	NOUN
elements-8890	427	26	is	be	AUX
elements-8890	427	27	ostensibly	ostensibly	ADV
elements-8890	427	28	trying	try	VERB
elements-8890	427	29	to	to	PART
elements-8890	427	30	protect	protect	VERB
elements-8890	427	31	.	.	PUNCT
elements-8890	428	1	this	this	PRON
elements-8890	428	2	is	be	AUX
elements-8890	428	3	particularly	particularly	ADV
elements-8890	428	4	detrimental	detrimental	ADJ
elements-8890	428	5	to	to	PART
elements-8890	428	6	transgender	transgender	NOUN
elements-8890	428	7	persons	person	NOUN
elements-8890	428	8	who	who	PRON
elements-8890	428	9	have	have	VERB
elements-8890	428	10	private	private	ADJ
elements-8890	428	11	health	health	NOUN
elements-8890	428	12	insurance	insurance	NOUN
elements-8890	428	13	,	,	PUNCT
elements-8890	428	14	because	because	SCONJ
elements-8890	428	15	when	when	SCONJ
elements-8890	428	16	they	they	PRON
elements-8890	428	17	are	be	AUX
elements-8890	428	18	denied	deny	VERB
elements-8890	428	19	by	by	ADP
elements-8890	428	20	their	their	PRON
elements-8890	428	21	providers	provider	NOUN
elements-8890	428	22	they	they	PRON
elements-8890	428	23	have	have	VERB
elements-8890	428	24	few	few	ADJ
elements-8890	428	25	options	option	NOUN
elements-8890	428	26	for	for	ADP
elements-8890	428	27	recourse	recourse	NOUN
elements-8890	429	1	i	i	PRON
elements-8890	429	2	f	f	NOUN
elements-8890	430	1	they	they	PRON
elements-8890	430	2	can	can	AUX
elements-8890	430	3	not	not	PART
elements-8890	430	4	claim	claim	VERB
elements-8890	430	5	discrimination	discrimination	NOUN
elements-8890	430	6	based	base	VERB
elements-8890	430	7	on	on	ADP
elements-8890	430	8	ada	ada	PROPN
elements-8890	430	9	.	.	PUNCT
elements-8890	431	1	e	e	PROPN
elements-8890	432	1	p	p	X
elements-8890	433	1	i	i	PRON
elements-8890	433	2	l	l	NOUN
elements-8890	434	1	o	o	X
elements-8890	434	2	g	g	X
elements-8890	434	3	u	u	X
elements-8890	434	4	e	e	NOUN
elements-8890	434	5	:	:	PUNCT
elements-8890	434	6	n	n	PROPN
elements-8890	434	7	e	e	X
elements-8890	434	8	w	w	PROPN
elements-8890	434	9	a	a	DET
elements-8890	434	10	m	m	NOUN
elements-8890	434	11	a	a	DET
elements-8890	434	12	r	r	NOUN
elements-8890	434	13	e	e	NOUN
elements-8890	434	14	g	g	NOUN
elements-8890	434	15	u	u	PROPN
elements-8890	434	16	l	l	PROPN
elements-8890	434	17	a	a	NOUN
elements-8890	434	18	t	t	NOUN
elements-8890	435	1	i	i	PRON
elements-8890	435	2	o	o	VERB
elements-8890	436	1	n	n	X
elements-8890	436	2	s	s	VERB
elements-8890	436	3	a	a	DET
elements-8890	436	4	n	n	NOUN
elements-8890	436	5	d	d	NOUN
elements-8890	436	6	t	t	NOUN
elements-8890	436	7	h	h	NOUN
elements-8890	436	8	e	e	NOUN
elements-8890	436	9	f	f	PROPN
elements-8890	436	10	u	u	NOUN
elements-8890	436	11	t	t	X
elements-8890	436	12	u	u	NOUN
elements-8890	436	13	r	r	NOUN
elements-8890	436	14	e	e	NOUN
elements-8890	436	15	o	o	X
elements-8890	436	16	f	f	X
elements-8890	437	1	i	i	PRON
elements-8890	437	2	n	n	NOUN
elements-8890	437	3	s	s	VERB
elements-8890	437	4	u	u	NOUN
elements-8890	437	5	r	r	NOUN
elements-8890	437	6	a	a	NOUN
elements-8890	437	7	n	n	NOUN
elements-8890	437	8	c	c	NOUN
elements-8890	437	9	e	e	X
elements-8890	437	10	f	f	PROPN
elements-8890	437	11	u	u	PROPN
elements-8890	437	12	n	n	PROPN
elements-8890	437	13	d	d	NOUN
elements-8890	437	14	i	i	PRON
elements-8890	437	15	n	n	CCONJ
elements-8890	437	16	g	g	NOUN
elements-8890	437	17	in	in	ADP
elements-8890	437	18	june	june	PROPN
elements-8890	437	19	2007	2007	NUM
elements-8890	437	20	,	,	PUNCT
elements-8890	437	21	the	the	DET
elements-8890	437	22	american	american	PROPN
elements-8890	437	23	medical	medical	PROPN
elements-8890	437	24	association	association	PROPN
elements-8890	437	25	voted	vote	VERB
elements-8890	437	26	to	to	PART
elements-8890	437	27	amend	amend	VERB
elements-8890	437	28	its	its	PRON
elements-8890	437	29	nondiscrimination	nondiscrimination	NOUN
elements-8890	437	30	policies	policy	NOUN
elements-8890	437	31	to	to	PART
elements-8890	437	32	include	include	VERB
elements-8890	437	33	transgender	transgender	NOUN
elements-8890	437	34	people	people	NOUN
elements-8890	437	35	.	.	PUNCT
elements-8890	438	1	this	this	DET
elements-8890	438	2	new	new	ADJ
elements-8890	438	3	policy	policy	NOUN
elements-8890	438	4	specifically	specifically	ADV
elements-8890	438	5	states	state	VERB
elements-8890	438	6	the	the	DET
elements-8890	438	7	a	a	NOUN
elements-8890	438	8	m	m	NOUN
elements-8890	438	9	a	a	DET
elements-8890	438	10	s	s	NOUN
elements-8890	438	11	opposition	opposition	NOUN
elements-8890	438	12	to	to	ADP
elements-8890	438	13	"	"	PUNCT
elements-8890	438	14	the	the	DET
elements-8890	438	15	denial	denial	NOUN
elements-8890	438	16	of	of	ADP
elements-8890	438	17	health	health	NOUN
elements-8890	438	18	insurance	insurance	NOUN
elements-8890	438	19	on	on	ADP
elements-8890	438	20	the	the	DET
elements-8890	438	21	basis	basis	NOUN
elements-8890	438	22	of	of	ADP
elements-8890	438	23	sexual	sexual	ADJ
elements-8890	438	24	orientation	orientation	NOUN
elements-8890	438	25	or	or	CCONJ
elements-8890	438	26	gender	gender	NOUN
elements-8890	438	27	identity	identity	NOUN
elements-8890	438	28	.	.	PUNCT
elements-8890	438	29	"	"	PUNCT
elements-8890	439	1	l	l	NOUN
elements-8890	439	2	x	x	X
elements-8890	439	3	v	v	X
elements-8890	439	4	l	l	NOUN
elements-8890	439	5	1	1	NUM
elements-8890	439	6	the	the	DET
elements-8890	439	7	influence	influence	NOUN
elements-8890	439	8	of	of	ADP
elements-8890	439	9	the	the	DET
elements-8890	439	10	ama	ama	NOUN
elements-8890	439	11	's	's	PART
elements-8890	439	12	increasingly	increasingly	ADV
elements-8890	439	13	high	high	ADJ
elements-8890	439	14	-	-	PUNCT
elements-8890	439	15	profile	profile	NOUN
elements-8890	439	16	stance	stance	NOUN
elements-8890	439	17	on	on	ADP
elements-8890	439	18	gay	gay	ADJ
elements-8890	439	19	,	,	PUNCT
elements-8890	439	20	lesbian	lesbian	ADJ
elements-8890	439	21	,	,	PUNCT
elements-8890	439	22	and	and	CCONJ
elements-8890	439	23	transgender	transgender	NOUN
elements-8890	439	24	issues	issue	NOUN
elements-8890	439	25	is	be	AUX
elements-8890	439	26	causing	cause	VERB
elements-8890	439	27	many	many	ADJ
elements-8890	439	28	healthcare	healthcare	NOUN
elements-8890	439	29	insurers	insurer	NOUN
elements-8890	439	30	and	and	CCONJ
elements-8890	439	31	municipalities	municipality	NOUN
elements-8890	439	32	across	across	ADP
elements-8890	439	33	the	the	DET
elements-8890	439	34	united	united	PROPN
elements-8890	439	35	states	states	PROPN
elements-8890	439	36	to	to	PART
elements-8890	439	37	reexamine	reexamine	VERB
elements-8890	439	38	their	their	PRON
elements-8890	439	39	policies	policy	NOUN
elements-8890	439	40	to	to	PART
elements-8890	439	41	ensure	ensure	VERB
elements-8890	439	42	that	that	SCONJ
elements-8890	439	43	transgender	transgender	NOUN
elements-8890	439	44	patients	patient	NOUN
elements-8890	439	45	are	be	AUX
elements-8890	439	46	not	not	PART
elements-8890	439	47	denied	deny	VERB
elements-8890	439	48	access	access	NOUN
elements-8890	439	49	to	to	ADP
elements-8890	439	50	medically	medically	ADV
elements-8890	439	51	necessary	necessary	ADJ
elements-8890	439	52	services	service	NOUN
elements-8890	439	53	.	.	PUNCT
elements-8890	440	1	in	in	ADP
elements-8890	440	2	2001	2001	NUM
elements-8890	440	3	,	,	PUNCT
elements-8890	440	4	san	san	PROPN
elements-8890	440	5	a	a	DET
elements-8890	440	6	woman	woman	NOUN
elements-8890	440	7	attending	attend	VERB
elements-8890	440	8	the	the	DET
elements-8890	440	9	san	san	PROPN
elements-8890	440	10	francisco	francisco	PROPN
elements-8890	440	11	city	city	PROPN
elements-8890	440	12	hall	hall	NOUN
elements-8890	440	13	vote	vote	NOUN
elements-8890	440	14	on	on	ADP
elements-8890	440	15	whether	whether	SCONJ
elements-8890	440	16	sex	sex	NOUN
elements-8890	440	17	-	-	PUNCT
elements-8890	440	18	chance	chance	NOUN
elements-8890	440	19	operations	operation	NOUN
elements-8890	440	20	s	s	VERB
elements-8890	440	21	h	h	NOUN
elements-8890	440	22	o	o	NOUN
elements-8890	440	23	u	u	NOUN
elements-8890	440	24	l	l	NOUN
elements-8890	440	25	d	d	AUX
elements-8890	440	26	be	be	AUX
elements-8890	440	27	covered	cover	VERB
elements-8890	440	28	by	by	ADP
elements-8890	440	29	health	health	NOUN
elements-8890	440	30	plans	plan	NOUN
elements-8890	440	31	.	.	PUNCT
elements-8890	441	1	t	t	NOUN
elements-8890	441	2	r	r	PROPN
elements-8890	441	3	a	a	DET
elements-8890	441	4	n	n	NOUN
elements-8890	441	5	s	s	PART
elements-8890	441	6	a	a	DET
elements-8890	441	7	c	c	NOUN
elements-8890	441	8	t	t	NOUN
elements-8890	442	1	i	i	PRON
elements-8890	442	2	o	o	VERB
elements-8890	443	1	n	n	X
elements-8890	443	2	f	f	X
elements-8890	443	3	e	e	X
elements-8890	443	4	e	e	PROPN
elements-8890	443	5	s	s	PROPN
elements-8890	443	6	francisco	francisco	PROPN
elements-8890	443	7	became	become	VERB
elements-8890	443	8	the	the	DET
elements-8890	443	9	first	first	ADJ
elements-8890	443	10	city	city	NOUN
elements-8890	443	11	to	to	PART
elements-8890	443	12	pay	pay	VERB
elements-8890	443	13	for	for	ADP
elements-8890	443	14	srs	srs	PROPN
elements-8890	443	15	for	for	ADP
elements-8890	443	16	its	its	PRON
elements-8890	443	17	workers	worker	NOUN
elements-8890	443	18	,	,	PUNCT
elements-8890	443	19	and	and	CCONJ
elements-8890	443	20	berkeley	berkeley	PROPN
elements-8890	443	21	wil	wil	VERB
elements-8890	443	22	l	l	PROPN
elements-8890	443	23	most	most	ADV
elements-8890	443	24	likely	likely	ADV
elements-8890	443	25	follow	follow	VERB
elements-8890	443	26	soon	soon	ADV
elements-8890	443	27	.	.	PUNCT
elements-8890	444	1	l	l	NOUN
elements-8890	445	1	x	x	PUNCT
elements-8890	445	2	x	x	SYM
elements-8890	445	3	v	v	ADP
elements-8890	445	4	"	"	PUNCT
elements-8890	445	5	the	the	DET
elements-8890	445	6	ama	ama	NOUN
elements-8890	445	7	's	's	PART
elements-8890	445	8	amendment	amendment	NOUN
elements-8890	445	9	of	of	ADP
elements-8890	445	10	its	its	PRON
elements-8890	445	11	nondiscrimination	nondiscrimination	NOUN
elements-8890	445	12	policies	policy	NOUN
elements-8890	445	13	wi	wi	PROPN
elements-8890	445	14	l	l	PROPN
elements-8890	445	15	l	l	NOUN
elements-8890	445	16	perhaps	perhaps	ADV
elements-8890	445	17	provide	provide	VERB
elements-8890	445	18	an	an	DET
elements-8890	445	19	example	example	NOUN
elements-8890	445	20	for	for	ADP
elements-8890	445	21	private	private	ADJ
elements-8890	445	22	insurance	insurance	NOUN
elements-8890	445	23	companies	company	NOUN
elements-8890	445	24	and	and	CCONJ
elements-8890	445	25	federal	federal	ADJ
elements-8890	445	26	and	and	CCONJ
elements-8890	445	27	state	state	NOUN
elements-8890	445	28	governments	government	NOUN
elements-8890	445	29	in	in	ADP
elements-8890	445	30	order	order	NOUN
elements-8890	445	31	that	that	SCONJ
elements-8890	445	32	the	the	DET
elements-8890	445	33	categorical	categorical	ADJ
elements-8890	445	34	exclusion	exclusion	NOUN
elements-8890	445	35	of	of	ADP
elements-8890	445	36	members	member	NOUN
elements-8890	445	37	of	of	ADP
elements-8890	445	38	society	society	NOUN
elements-8890	445	39	can	can	AUX
elements-8890	445	40	cease	cease	VERB
elements-8890	445	41	to	to	PART
elements-8890	445	42	be	be	AUX
elements-8890	445	43	a	a	DET
elements-8890	445	44	reality	reality	NOUN
elements-8890	445	45	.	.	PUNCT
elements-8890	446	1	e	e	NOUN
elements-8890	446	2	n	n	PROPN
elements-8890	446	3	d	d	PROPN
elements-8890	446	4	n	n	NUM
elements-8890	446	5	o	o	NOUN
elements-8890	446	6	t	t	X
elements-8890	446	7	e	e	X
elements-8890	446	8	s	s	VERB
elements-8890	446	9	i	i	NOUN
elements-8890	446	10	.	.	PUNCT
elements-8890	447	1	sultan	sultan	PROPN
elements-8890	447	2	(	(	PUNCT
elements-8890	447	3	2003	2003	NUM
elements-8890	447	4	)	)	PUNCT
elements-8890	448	1	i	i	PRON
elements-8890	448	2	i	i	PRON
elements-8890	448	3	.	.	PUNCT
elements-8890	449	1	savage	savage	NOUN
elements-8890	450	1	i	i	PRON
elements-8890	450	2	i	i	PRON
elements-8890	450	3	i	i	INTJ
elements-8890	450	4	.	.	PUNCT
elements-8890	451	1	"	"	PUNCT
elements-8890	451	2	inpatient	inpatient	NOUN
elements-8890	451	3	care	care	NOUN
elements-8890	451	4	exclusions	exclusion	NOUN
elements-8890	451	5	,	,	PUNCT
elements-8890	451	6	aetna	aetna	PROPN
elements-8890	451	7	h	h	PROPN
elements-8890	451	8	m	m	VERB
elements-8890	451	9	o	o	NOUN
elements-8890	451	10	summary	summary	NOUN
elements-8890	451	11	plan	plan	NOUN
elements-8890	451	12	description	description	NOUN
elements-8890	451	13	2007	2007	NUM
elements-8890	451	14	"	"	PUNCT
elements-8890	451	15	(	(	PUNCT
elements-8890	451	16	2007	2007	NUM
elements-8890	451	17	)	)	PUNCT
elements-8890	451	18	iv	iv	NOUN
elements-8890	451	19	.	.	PUNCT
elements-8890	452	1	the	the	DET
elements-8890	452	2	harry	harry	PROPN
elements-8890	452	3	benjamin	benjamin	PROPN
elements-8890	452	4	international	international	PROPN
elements-8890	452	5	gender	gender	PROPN
elements-8890	452	6	dysphoria	dysphoria	PROPN
elements-8890	452	7	association	association	NOUN
elements-8890	452	8	's	's	PART
elements-8890	452	9	standards	standard	NOUN
elements-8890	452	10	of	of	ADP
elements-8890	452	11	care	care	NOUN
elements-8890	452	12	for	for	ADP
elements-8890	452	13	gender	gender	NOUN
elements-8890	452	14	identity	identity	NOUN
elements-8890	452	15	disorders	disorder	NOUN
elements-8890	452	16	'	'	PUNCT
elements-8890	452	17	(	(	PUNCT
elements-8890	452	18	2001	2001	NUM
elements-8890	452	19	)	)	PUNCT
elements-8890	452	20	v.	v.	ADP
elements-8890	452	21	diagnostic	diagnostic	ADJ
elements-8890	452	22	and	and	CCONJ
elements-8890	452	23	statistical	statistical	ADJ
elements-8890	452	24	manual	manual	NOUN
elements-8890	452	25	of	of	ADP
elements-8890	452	26	mental	mental	ADJ
elements-8890	452	27	disorders	disorder	NOUN
elements-8890	452	28	(	(	PUNCT
elements-8890	452	29	2007	2007	NUM
elements-8890	452	30	)	)	PUNCT
elements-8890	452	31	vi	vi	PROPN
elements-8890	452	32	.	.	PROPN
elements-8890	452	33	sultan	sultan	PROPN
elements-8890	452	34	(	(	PUNCT
elements-8890	452	35	2003	2003	NUM
elements-8890	452	36	)	)	PUNCT
elements-8890	453	1	vi	vi	PROPN
elements-8890	454	1	i	i	PRON
elements-8890	454	2	.	.	PUNCT
elements-8890	455	1	standards	standard	NOUN
elements-8890	455	2	of	of	ADP
elements-8890	455	3	care	care	NOUN
elements-8890	455	4	(	(	PUNCT
elements-8890	455	5	2001	2001	NUM
elements-8890	455	6	)	)	PUNCT
elements-8890	455	7	v	v	NOUN
elements-8890	456	1	i	i	PRON
elements-8890	457	1	i	i	INTJ
elements-8890	458	1	i	i	PRON
elements-8890	458	2	.	.	PUNCT
elements-8890	459	1	sultan	sultan	PROPN
elements-8890	459	2	(	(	PUNCT
elements-8890	459	3	2003	2003	NUM
elements-8890	459	4	)	)	PUNCT
elements-8890	460	1	ix	ix	PROPN
elements-8890	460	2	.	.	PUNCT
elements-8890	461	1	ladrach	ladrach	PROPN
elements-8890	461	2	(	(	PUNCT
elements-8890	461	3	1987	1987	NUM
elements-8890	461	4	)	)	PUNCT
elements-8890	461	5	x.	x.	NOUN
elements-8890	462	1	k	k	PROPN
elements-8890	463	1	v.	v.	PROPN
elements-8890	463	2	health	health	PROPN
elements-8890	463	3	division	division	NOUN
elements-8890	463	4	,	,	PUNCT
elements-8890	463	5	dept	dept	NOUN
elements-8890	463	6	.	.	PROPN
elements-8890	463	7	of	of	ADP
elements-8890	463	8	human	human	ADJ
elements-8890	463	9	resources	resource	NOUN
elements-8890	463	10	(	(	PUNCT
elements-8890	463	11	1976	1976	NUM
elements-8890	463	12	)	)	PUNCT
elements-8890	464	1	xi	xi	PROPN
elements-8890	464	2	.	.	PROPN
elements-8890	465	1	massachusetts	massachusetts	PROPN
elements-8890	465	2	general	general	PROPN
elements-8890	465	3	laws	law	NOUN
elements-8890	465	4	(	(	PUNCT
elements-8890	465	5	2001	2001	NUM
elements-8890	465	6	)	)	PUNCT
elements-8890	465	7	xi	xi	ADP
elements-8890	466	1	i	i	PROPN
elements-8890	466	2	.	.	PUNCT
elements-8890	467	1	harris	harris	PROPN
elements-8890	467	2	(	(	PUNCT
elements-8890	467	3	1997	1997	NUM
elements-8890	467	4	)	)	PUNCT
elements-8890	468	1	x	x	X
elements-8890	469	1	i	i	PRON
elements-8890	469	2	i	i	INTJ
elements-8890	469	3	i	i	PRON
elements-8890	469	4	.	.	PUNCT
elements-8890	470	1	dasti	dasti	PROPN
elements-8890	470	2	(	(	PUNCT
elements-8890	470	3	2002	2002	NUM
elements-8890	470	4	)	)	PUNCT
elements-8890	470	5	xiv	xiv	PROPN
elements-8890	470	6	.	.	PUNCT
elements-8890	471	1	innes	innes	PROPN
elements-8890	471	2	bowen	bowen	PROPN
elements-8890	471	3	(	(	PUNCT
elements-8890	471	4	2000	2000	NUM
elements-8890	471	5	)	)	PUNCT
elements-8890	471	6	xv	xv	PROPN
elements-8890	471	7	.	.	PUNCT
elements-8890	471	8	standards	standard	NOUN
elements-8890	471	9	of	of	ADP
elements-8890	471	10	care	care	NOUN
elements-8890	471	11	(	(	PUNCT
elements-8890	471	12	2001	2001	NUM
elements-8890	471	13	)	)	PUNCT
elements-8890	471	14	xvi	xvi	NOUN
elements-8890	471	15	.	.	PUNCT
elements-8890	472	1	soc	soc	NOUN
elements-8890	472	2	(	(	PUNCT
elements-8890	472	3	2001	2001	NUM
elements-8890	472	4	)	)	PUNCT
elements-8890	472	5	xvii	xvii	PROPN
elements-8890	472	6	.	.	PUNCT
elements-8890	473	1	soc	soc	NOUN
elements-8890	473	2	(	(	PUNCT
elements-8890	473	3	2001	2001	NUM
elements-8890	473	4	)	)	PUNCT
elements-8890	473	5	xviii	xviii	X
elements-8890	473	6	.	.	PUNCT
elements-8890	474	1	ibid	ibid	NOUN
elements-8890	474	2	.	.	PUNCT
elements-8890	475	1	xix	xix	PROPN
elements-8890	475	2	.	.	PUNCT
elements-8890	476	1	soc	soc	NOUN
elements-8890	476	2	(	(	PUNCT
elements-8890	476	3	2001	2001	NUM
elements-8890	476	4	)	)	PUNCT
elements-8890	477	1	xx	xx	PROPN
elements-8890	477	2	.	.	PUNCT
elements-8890	478	1	soc	soc	NOUN
elements-8890	478	2	(	(	PUNCT
elements-8890	478	3	2001	2001	NUM
elements-8890	478	4	)	)	PUNCT
elements-8890	478	5	xxi	xxi	PROPN
elements-8890	478	6	.	.	PUNCT
elements-8890	479	1	soc	soc	NOUN
elements-8890	479	2	(	(	PUNCT
elements-8890	479	3	2001	2001	NUM
elements-8890	479	4	)	)	PUNCT
elements-8890	479	5	xxii	xxii	PROPN
elements-8890	479	6	.	.	PUNCT
elements-8890	480	1	soc	soc	NOUN
elements-8890	480	2	(	(	PUNCT
elements-8890	480	3	2001	2001	NUM
elements-8890	480	4	)	)	PUNCT
elements-8890	480	5	xxiii	xxiii	PROPN
elements-8890	480	6	.	.	PUNCT
elements-8890	481	1	sultan	sultan	PROPN
elements-8890	481	2	(	(	PUNCT
elements-8890	481	3	2003	2003	NUM
elements-8890	481	4	)	)	PUNCT
elements-8890	481	5	xxiv	xxiv	PROPN
elements-8890	481	6	.	.	PUNCT
elements-8890	482	1	soc	soc	NOUN
elements-8890	482	2	(	(	PUNCT
elements-8890	482	3	2001	2001	NUM
elements-8890	482	4	)	)	PUNCT
elements-8890	482	5	xxv	xxv	PROPN
elements-8890	482	6	.	.	PUNCT
elements-8890	483	1	soc	soc	NOUN
elements-8890	483	2	(	(	PUNCT
elements-8890	483	3	2001	2001	NUM
elements-8890	483	4	)	)	PUNCT
elements-8890	483	5	xxvi	xxvi	PROPN
elements-8890	483	6	.	.	PUNCT
elements-8890	484	1	sultan	sultan	PROPN
elements-8890	484	2	(	(	PUNCT
elements-8890	484	3	2003	2003	NUM
elements-8890	484	4	)	)	PUNCT
elements-8890	484	5	xxvii	xxvii	PROPN
elements-8890	484	6	.	.	PUNCT
elements-8890	485	1	soc	soc	NOUN
elements-8890	485	2	(	(	PUNCT
elements-8890	485	3	2001	2001	NUM
elements-8890	485	4	)	)	PUNCT
elements-8890	485	5	xxviii	xxviii	PROPN
elements-8890	485	6	.	.	PUNCT
elements-8890	486	1	soc	soc	NOUN
elements-8890	486	2	(	(	PUNCT
elements-8890	486	3	2001	2001	NUM
elements-8890	486	4	)	)	PUNCT
elements-8890	486	5	xxix	xxix	PROPN
elements-8890	486	6	.	.	PUNCT
elements-8890	487	1	savage	savage	ADJ
elements-8890	487	2	xxx	xxx	PROPN
elements-8890	487	3	.	.	PUNCT
elements-8890	488	1	sultan	sultan	PROPN
elements-8890	488	2	(	(	PUNCT
elements-8890	488	3	2003	2003	NUM
elements-8890	488	4	)	)	PUNCT
elements-8890	488	5	xxxi	xxxi	PROPN
elements-8890	488	6	.	.	PUNCT
elements-8890	489	1	"	"	PUNCT
elements-8890	489	2	female	female	ADJ
elements-8890	489	3	to	to	ADP
elements-8890	489	4	male	male	ADJ
elements-8890	489	5	transsexuals	transsexual	NOUN
elements-8890	489	6	"	"	PUNCT
elements-8890	489	7	(	(	PUNCT
elements-8890	489	8	2007	2007	NUM
elements-8890	489	9	)	)	PUNCT
elements-8890	489	10	xxxii	xxxii	PROPN
elements-8890	489	11	.	.	PUNCT
elements-8890	490	1	soc	soc	NOUN
elements-8890	490	2	(	(	PUNCT
elements-8890	490	3	2001	2001	NUM
elements-8890	490	4	)	)	PUNCT
elements-8890	490	5	xxxiii	xxxiii	PROPN
elements-8890	490	6	.	.	PUNCT
elements-8890	491	1	sultan	sultan	PROPN
elements-8890	491	2	(	(	PUNCT
elements-8890	491	3	2003	2003	NUM
elements-8890	491	4	)	)	PUNCT
elements-8890	491	5	xxxiv	xxxiv	PROPN
elements-8890	491	6	.	.	PUNCT
elements-8890	492	1	soc	soc	NOUN
elements-8890	492	2	(	(	PUNCT
elements-8890	492	3	2001	2001	NUM
elements-8890	492	4	)	)	PUNCT
elements-8890	492	5	xxxv	xxxv	PROPN
elements-8890	492	6	.	.	PUNCT
elements-8890	493	1	.soc	.soc	PROPN
elements-8890	493	2	(	(	PUNCT
elements-8890	493	3	2001	2001	NUM
elements-8890	493	4	)	)	PUNCT
elements-8890	493	5	xxxvi	xxxvi	NOUN
elements-8890	493	6	.	.	PUNCT
elements-8890	494	1	"	"	PUNCT
elements-8890	494	2	medicare	medicare	NOUN
elements-8890	494	3	history	history	NOUN
elements-8890	494	4	"	"	PUNCT
elements-8890	494	5	(	(	PUNCT
elements-8890	494	6	2000	2000	NUM
elements-8890	494	7	)	)	PUNCT
elements-8890	494	8	xxxvii	xxxvii	PROPN
elements-8890	494	9	.	.	PUNCT
elements-8890	495	1	for	for	ADP
elements-8890	495	2	groups	group	NOUN
elements-8890	495	3	fighting	fight	VERB
elements-8890	495	4	for	for	ADP
elements-8890	495	5	medicare	medicare	NOUN
elements-8890	495	6	rights	right	NOUN
elements-8890	495	7	for	for	ADP
elements-8890	495	8	transsexuals	transsexual	NOUN
elements-8890	495	9	,	,	PUNCT
elements-8890	495	10	see	see	VERB
elements-8890	495	11	www.gendercare.org	www.gendercare.org	PROPN
elements-8890	495	12	xxxviii	xxxviii	PROPN
elements-8890	495	13	.	.	PUNCT
elements-8890	496	1	finley	finley	PROPN
elements-8890	496	2	(	(	PUNCT
elements-8890	496	3	1978	1978	NUM
elements-8890	496	4	)	)	PUNCT
elements-8890	496	5	xxxix	xxxix	PROPN
elements-8890	496	6	.	.	PUNCT
elements-8890	496	7	ibid	ibid	PROPN
elements-8890	496	8	.	.	PUNCT
elements-8890	497	1	xl	xl	PROPN
elements-8890	497	2	.	.	PUNCT
elements-8890	498	1	ibid	ibid	PROPN
elements-8890	498	2	.	.	PUNCT
elements-8890	499	1	x	x	X
elements-8890	500	1	l	l	NOUN
elements-8890	500	2	i	i	NOUN
elements-8890	500	3	.	.	PUNCT
elements-8890	501	1	ibid	ibid	VERB
elements-8890	501	2	.	.	PUNCT
elements-8890	502	1	x	x	X
elements-8890	503	1	l	l	NOUN
elements-8890	503	2	i	i	INTJ
elements-8890	503	3	i	i	INTJ
elements-8890	503	4	.	.	PUNCT
elements-8890	504	1	ibid	ibid	NOUN
elements-8890	504	2	.	.	PUNCT
elements-8890	505	1	x	x	X
elements-8890	506	1	l	l	NOUN
elements-8890	507	1	i	i	PRON
elements-8890	508	1	i	i	INTJ
elements-8890	509	1	i	i	INTJ
elements-8890	509	2	.	.	PUNCT
elements-8890	510	1	hall	hall	PROPN
elements-8890	510	2	(	(	PUNCT
elements-8890	510	3	1992	1992	NUM
elements-8890	510	4	)	)	PUNCT
elements-8890	510	5	xliv	xliv	PROPN
elements-8890	510	6	.	.	PUNCT
elements-8890	511	1	hall	hall	PROPN
elements-8890	511	2	(	(	PUNCT
elements-8890	511	3	1992	1992	NUM
elements-8890	511	4	)	)	PUNCT
elements-8890	511	5	xlv	xlv	PROPN
elements-8890	511	6	.	.	PUNCT
elements-8890	512	1	hall	hall	PROPN
elements-8890	512	2	(	(	PUNCT
elements-8890	512	3	1992	1992	NUM
elements-8890	512	4	)	)	PUNCT
elements-8890	512	5	xlvi	xlvi	PROPN
elements-8890	512	6	.	.	PUNCT
elements-8890	513	1	finley	finley	PROPN
elements-8890	513	2	(	(	PUNCT
elements-8890	513	3	1978	1978	NUM
elements-8890	513	4	)	)	PUNCT
elements-8890	513	5	xlvii	xlvii	PROPN
elements-8890	513	6	.	.	PUNCT
elements-8890	514	1	ibid	ibid	PROPN
elements-8890	514	2	.	.	PUNCT
elements-8890	515	1	xlvi	xlvi	PROPN
elements-8890	516	1	i	i	PRON
elements-8890	516	2	i	i	PRON
elements-8890	516	3	.	.	PUNCT
elements-8890	517	1	ibid	ibid	NOUN
elements-8890	517	2	.	.	PUNCT
elements-8890	518	1	xlix	xlix	PROPN
elements-8890	518	2	.	.	PUNCT
elements-8890	519	1	ibid	ibid	NOUN
elements-8890	519	2	.	.	PUNCT
elements-8890	520	1	1	1	X
elements-8890	520	2	.	.	X
elements-8890	520	3	savage	savage	NOUN
elements-8890	520	4	l	l	NOUN
elements-8890	520	5	i	i	NOUN
elements-8890	520	6	.	.	PUNCT
elements-8890	521	1	dasti	dasti	PROPN
elements-8890	521	2	(	(	PUNCT
elements-8890	521	3	2007	2007	NUM
elements-8890	521	4	)	)	PUNCT
elements-8890	522	1	l	l	NOUN
elements-8890	523	1	i	i	PRON
elements-8890	523	2	i	i	INTJ
elements-8890	523	3	.	.	PUNCT
elements-8890	524	1	g.	g.	PROPN
elements-8890	524	2	b.	b.	PROPN
elements-8890	525	1	v.	v.	PROPN
elements-8890	525	2	lackner	lackner	PROPN
elements-8890	525	3	(	(	PUNCT
elements-8890	525	4	1978	1978	NUM
elements-8890	525	5	)	)	PUNCT
elements-8890	526	1	l	l	NOUN
elements-8890	527	1	i	i	PRON
elements-8890	527	2	i	i	INTJ
elements-8890	528	1	i	i	PRON
elements-8890	528	2	.	.	PUNCT
elements-8890	529	1	kirkland	kirkland	PROPN
elements-8890	529	2	(	(	PUNCT
elements-8890	529	3	2003	2003	NUM
elements-8890	529	4	)	)	PUNCT
elements-8890	529	5	pi7	pi7	PROPN
elements-8890	529	6	liv	liv	PROPN
elements-8890	529	7	.	.	PUNCT
elements-8890	530	1	rush	rush	NOUN
elements-8890	530	2	v.	v.	PROPN
elements-8890	530	3	parham	parham	PROPN
elements-8890	530	4	(	(	PUNCT
elements-8890	530	5	1980	1980	NUM
elements-8890	530	6	)	)	PUNCT
elements-8890	530	7	.	.	PUNCT
elements-8890	531	1	srs	srs	PROPN
elements-8890	531	2	was	be	AUX
elements-8890	531	3	invented	invent	VERB
elements-8890	531	4	in	in	ADP
elements-8890	531	5	1965	1965	NUM
elements-8890	531	6	.	.	PUNCT
elements-8890	532	1	by	by	ADP
elements-8890	532	2	1980	1980	NUM
elements-8890	532	3	,	,	PUNCT
elements-8890	532	4	the	the	DET
elements-8890	532	5	doctor	doctor	NOUN
elements-8890	532	6	i	i	PRON
elements-8890	532	7	n	n	VERB
elements-8890	532	8	the	the	DET
elements-8890	532	9	case	case	NOUN
elements-8890	532	10	claims	claim	VERB
elements-8890	532	11	,	,	PUNCT
elements-8890	532	12	several	several	ADJ
elements-8890	532	13	thousand	thousand	NUM
elements-8890	532	14	patient	patient	NOUN
elements-8890	532	15	had	have	AUX
elements-8890	532	16	undergone	undergo	VERB
elements-8890	532	17	the	the	DET
elements-8890	532	18	procedure	procedure	NOUN
elements-8890	532	19	,	,	PUNCT
elements-8890	532	20	lv	lv	PROPN
elements-8890	532	21	.	.	PUNCT
elements-8890	532	22	kv	kv	PROPN
elements-8890	532	23	.	.	PUNCT
elements-8890	532	24	health	health	NOUN
elements-8890	532	25	division	division	NOUN
elements-8890	532	26	(	(	PUNCT
elements-8890	532	27	1976	1976	NUM
elements-8890	532	28	)	)	PUNCT
elements-8890	532	29	lvi	lvi	NOUN
elements-8890	532	30	.	.	PUNCT
elements-8890	533	1	soc	soc	NOUN
elements-8890	533	2	(	(	PUNCT
elements-8890	533	3	2001	2001	NUM
elements-8890	533	4	)	)	PUNCT
elements-8890	534	1	lv	lv	PROPN
elements-8890	534	2	i	i	INTJ
elements-8890	535	1	i	i	PRON
elements-8890	535	2	.	.	PUNCT
elements-8890	536	1	soc	soc	NOUN
elements-8890	536	2	(	(	PUNCT
elements-8890	536	3	2001	2001	NUM
elements-8890	536	4	)	)	PUNCT
elements-8890	537	1	lv	lv	PROPN
elements-8890	538	1	i	i	INTJ
elements-8890	539	1	i	i	INTJ
elements-8890	540	1	i	i	PRON
elements-8890	540	2	.	.	PUNCT
elements-8890	541	1	sultan	sultan	PROPN
elements-8890	541	2	(	(	PUNCT
elements-8890	541	3	2003	2003	NUM
elements-8890	541	4	)	)	PUNCT
elements-8890	541	5	lix	lix	PROPN
elements-8890	541	6	.	.	PUNCT
elements-8890	542	1	dasti	dasti	PROPN
elements-8890	542	2	(	(	PUNCT
elements-8890	542	3	2007	2007	NUM
elements-8890	542	4	)	)	PUNCT
elements-8890	542	5	ix	ix	PROPN
elements-8890	542	6	.	.	PUNCT
elements-8890	543	1	dasti	dasti	PROPN
elements-8890	543	2	(	(	PUNCT
elements-8890	543	3	2007	2007	NUM
elements-8890	543	4	)	)	PUNCT
elements-8890	543	5	lxi	lxi	NOUN
elements-8890	543	6	.	.	PUNCT
elements-8890	544	1	doe	doe	PROPN
elements-8890	544	2	v.	v.	ADP
elements-8890	544	3	minnesota	minnesota	PROPN
elements-8890	544	4	department	department	PROPN
elements-8890	544	5	of	of	ADP
elements-8890	544	6	public	public	ADJ
elements-8890	544	7	welfare	welfare	NOUN
elements-8890	544	8	and	and	CCONJ
elements-8890	544	9	hennepin	hennepin	PROPN
elements-8890	544	10	county	county	PROPN
elements-8890	544	11	welfare	welfare	PROPN
elements-8890	544	12	board	board	PROPN
elements-8890	544	13	(	(	PUNCT
elements-8890	544	14	1977	1977	NUM
elements-8890	544	15	)	)	PUNCT
elements-8890	545	1	lx	lx	ADP
elements-8890	545	2	i	i	PRON
elements-8890	546	1	i	i	PRON
elements-8890	546	2	.	.	PUNCT
elements-8890	547	1	finley	finley	PROPN
elements-8890	547	2	(	(	PUNCT
elements-8890	547	3	1978	1978	NUM
elements-8890	547	4	)	)	PUNCT
elements-8890	547	5	ixi	ixi	NOUN
elements-8890	548	1	i	i	PRON
elements-8890	548	2	i	i	INTJ
elements-8890	548	3	.	.	PUNCT
elements-8890	549	1	savage	savage	ADJ
elements-8890	549	2	lxi	lxi	NOUN
elements-8890	549	3	v.	v.	ADP
elements-8890	549	4	savage	savage	ADJ
elements-8890	549	5	lxv	lxv	NOUN
elements-8890	549	6	.	.	PUNCT
elements-8890	550	1	"	"	PUNCT
elements-8890	550	2	ama	ama	NOUN
elements-8890	550	3	expands	expand	VERB
elements-8890	550	4	non	non	ADJ
elements-8890	550	5	-	-	ADJ
elements-8890	550	6	discrimination	discrimination	ADJ
elements-8890	550	7	policy	policy	NOUN
elements-8890	550	8	"	"	PUNCT
elements-8890	550	9	(	(	PUNCT
elements-8890	550	10	2007	2007	NUM
elements-8890	550	11	)	)	PUNCT
elements-8890	550	12	lxvi	lxvi	PROPN
elements-8890	550	13	.	.	PUNCT
elements-8890	551	1	sultan	sultan	PROPN
elements-8890	551	2	(	(	PUNCT
elements-8890	551	3	2003	2003	NUM
elements-8890	551	4	)	)	PUNCT
elements-8890	551	5	lxvii	lxvii	NOUN
elements-8890	551	6	.	.	PUNCT
elements-8890	551	7	pinnekev	pinnekev	PROPN
elements-8890	551	8	.	.	PUNCT
elements-8890	552	1	preisser	preisser	NOUN
elements-8890	552	2	(	(	PUNCT
elements-8890	552	3	1980	1980	NUM
elements-8890	552	4	)	)	PUNCT
elements-8890	552	5	lxvii	lxvii	NOUN
elements-8890	553	1	i	i	PRON
elements-8890	553	2	.	.	PUNCT
elements-8890	554	1	smith	smith	PROPN
elements-8890	554	2	v.	v.	PROPN
elements-8890	554	3	ramussen	ramussen	PROPN
elements-8890	554	4	(	(	PUNCT
elements-8890	554	5	2001	2001	NUM
elements-8890	554	6	)	)	PUNCT
elements-8890	554	7	lxix	lxix	NOUN
elements-8890	554	8	.	.	PUNCT
elements-8890	555	1	savage	savage	NOUN
elements-8890	555	2	lxx	lxx	PROPN
elements-8890	555	3	.	.	PUNCT
elements-8890	555	4	dasti	dasti	PROPN
elements-8890	555	5	(	(	PUNCT
elements-8890	555	6	2007	2007	NUM
elements-8890	555	7	)	)	PUNCT
elements-8890	555	8	lxxi	lxxi	NOUN
elements-8890	555	9	.	.	PUNCT
elements-8890	556	1	sultan	sultan	PROPN
elements-8890	556	2	(	(	PUNCT
elements-8890	556	3	2003	2003	NUM
elements-8890	556	4	)	)	PUNCT
elements-8890	556	5	lxxii	lxxii	NOUN
elements-8890	556	6	.	.	PUNCT
elements-8890	557	1	doe	doe	NOUN
elements-8890	557	2	v.	v.	ADP
elements-8890	557	3	state	state	NOUN
elements-8890	557	4	,	,	PUNCT
elements-8890	557	5	dept	dept	NOUN
elements-8890	557	6	.	.	PROPN
elements-8890	557	7	of	of	ADP
elements-8890	557	8	public	public	ADJ
elements-8890	557	9	welfare	welfare	NOUN
elements-8890	557	10	(	(	PUNCT
elements-8890	557	11	1977	1977	NUM
elements-8890	557	12	)	)	PUNCT
elements-8890	557	13	lxxii	lxxii	NOUN
elements-8890	558	1	i	i	PRON
elements-8890	558	2	.	.	PUNCT
elements-8890	559	1	beger	beger	NOUN
elements-8890	559	2	v.	v.	ADP
elements-8890	559	3	acting	act	VERB
elements-8890	559	4	comm'r	comm'r	NOUN
elements-8890	559	5	,	,	PUNCT
elements-8890	559	6	div	div	PROPN
elements-8890	559	7	.	.	PROPN
elements-8890	559	8	of	of	ADP
elements-8890	559	9	med	med	PROPN
elements-8890	559	10	.	.	PUNCT
elements-8890	560	1	assistance	assistance	NOUN
elements-8890	560	2	(	(	PUNCT
elements-8890	560	3	2000	2000	NUM
elements-8890	560	4	)	)	PUNCT
elements-8890	560	5	;	;	PUNCT
elements-8890	560	6	sultan	sultan	PROPN
elements-8890	560	7	(	(	PUNCT
elements-8890	560	8	2003	2003	NUM
elements-8890	560	9	)	)	PUNCT
elements-8890	560	10	lxxiv	lxxiv	PROPN
elements-8890	560	11	.	.	PUNCT
elements-8890	561	1	finley	finley	PROPN
elements-8890	561	2	(	(	PUNCT
elements-8890	561	3	1978	1978	NUM
elements-8890	561	4	)	)	PUNCT
elements-8890	561	5	lxxv	lxxv	ADJ
elements-8890	561	6	.	.	PUNCT
elements-8890	562	1	kirkland	kirkland	PROPN
elements-8890	562	2	(	(	PUNCT
elements-8890	562	3	2003	2003	NUM
elements-8890	562	4	)	)	PUNCT
elements-8890	562	5	lxxvi	lxxvi	NOUN
elements-8890	562	6	.	.	PUNCT
elements-8890	563	1	"	"	PUNCT
elements-8890	563	2	ama	ama	NOUN
elements-8890	563	3	expands	expand	VERB
elements-8890	563	4	non	non	ADJ
elements-8890	563	5	-	-	ADJ
elements-8890	563	6	discrimination	discrimination	ADJ
elements-8890	563	7	policy	policy	NOUN
elements-8890	563	8	.	.	PUNCT
elements-8890	563	9	"	"	PUNCT
elements-8890	564	1	(	(	PUNCT
elements-8890	564	2	2007	2007	NUM
elements-8890	564	3	)	)	PUNCT
elements-8890	564	4	lxxvii	lxxvii	NOUN
elements-8890	564	5	.	.	PUNCT
elements-8890	565	1	"	"	PUNCT
elements-8890	565	2	san	san	PROPN
elements-8890	565	3	francisco	francisco	PROPN
elements-8890	565	4	first	first	ADJ
elements-8890	565	5	city	city	NOUN
elements-8890	565	6	to	to	PART
elements-8890	565	7	pay	pay	VERB
elements-8890	565	8	for	for	ADP
elements-8890	565	9	city	city	NOUN
elements-8890	565	10	workers	worker	NOUN
elements-8890	565	11	'	'	PART
elements-8890	565	12	sex	sex	NOUN
elements-8890	565	13	changes	change	NOUN
elements-8890	565	14	"	"	PUNCT
elements-8890	565	15	(	(	PUNCT
elements-8890	565	16	2001	2001	NUM
elements-8890	565	17	)	)	PUNCT
elements-8890	565	18	references	reference	NOUN
elements-8890	565	19	"	"	PUNCT
elements-8890	565	20	ama	ama	NOUN
elements-8890	565	21	expands	expand	VERB
elements-8890	565	22	non	non	ADJ
elements-8890	565	23	-	-	ADJ
elements-8890	565	24	discrimination	discrimination	ADJ
elements-8890	565	25	policy	policy	NOUN
elements-8890	565	26	.	.	PUNCT
elements-8890	565	27	"	"	PUNCT
elements-8890	566	1	3	3	NUM
elements-8890	566	2	july	july	PROPN
elements-8890	566	3	2007	2007	NUM
elements-8890	566	4	.	.	PUNCT
elements-8890	567	1	gaywired.com	gaywired.com	X
elements-8890	567	2	.	.	PUNCT
elements-8890	568	1	10	10	NUM
elements-8890	568	2	nov	nov	PROPN
elements-8890	568	3	,	,	PUNCT
elements-8890	568	4	2007	2007	NUM
elements-8890	568	5	,	,	PUNCT
elements-8890	568	6	<	<	X
elements-8890	568	7	www.gaybusinessworld.com	www.gaybusinessworld.com	X
elements-8890	568	8	>	>	X
elements-8890	568	9	.	.	PUNCT
elements-8890	569	1	"	"	PUNCT
elements-8890	569	2	ama	ama	NOUN
elements-8890	569	3	expands	expand	VERB
elements-8890	569	4	non	non	ADJ
elements-8890	569	5	-	-	ADJ
elements-8890	569	6	discrimination	discrimination	ADJ
elements-8890	569	7	policy	policy	NOUN
elements-8890	569	8	.	.	PUNCT
elements-8890	569	9	"	"	PUNCT
elements-8890	570	1	gay	gay	ADJ
elements-8890	570	2	business	business	NOUN
elements-8890	570	3	world	world	NOUN
elements-8890	570	4	.	.	PUNCT
elements-8890	571	1	3	3	NUM
elements-8890	571	2	july	july	PROPN
elements-8890	571	3	2007	2007	NUM
elements-8890	571	4	.	.	PUNCT
elements-8890	572	1	beger	beger	NOUN
elements-8890	572	2	v.	v.	ADP
elements-8890	572	3	acting	act	VERB
elements-8890	572	4	comm'r	comm'r	NOUN
elements-8890	572	5	,	,	PUNCT
elements-8890	572	6	div	div	PROPN
elements-8890	572	7	.	.	PROPN
elements-8890	572	8	of	of	ADP
elements-8890	572	9	med	med	PROPN
elements-8890	572	10	.	.	PUNCT
elements-8890	573	1	assistance	assistance	NOUN
elements-8890	573	2	,	,	PUNCT
elements-8890	573	3	11	11	NUM
elements-8890	573	4	mass	mass	NOUN
elements-8890	573	5	.	.	PUNCT
elements-8890	574	1	l.	l.	PROPN
elements-8890	574	2	rptr	rptr	PROPN
elements-8890	574	3	.	.	PUNCT
elements-8890	575	1	no	no	INTJ
elements-8890	575	2	.	.	NOUN
elements-8890	575	3	31	31	NUM
elements-8890	575	4	,	,	PUNCT
elements-8890	575	5	745	745	NUM
elements-8890	575	6	,	,	PUNCT
elements-8890	575	7	747	747	NUM
elements-8890	575	8	(	(	PUNCT
elements-8890	575	9	mass	mass	PROPN
elements-8890	575	10	.	.	PUNCT
elements-8890	576	1	super	super	PROPN
elements-8890	576	2	.	.	PUNCT
elements-8890	577	1	ct	ct	PROPN
elements-8890	577	2	.	.	PUNCT
elements-8890	578	1	may	may	AUX
elements-8890	578	2	1	1	NUM
elements-8890	578	3	,	,	PUNCT
elements-8890	578	4	2000	2000	NUM
elements-8890	578	5	)	)	PUNCT
elements-8890	578	6	;	;	PUNCT
elements-8890	579	1	sultan	sultan	PROPN
elements-8890	579	2	,	,	PUNCT
elements-8890	579	3	1206	1206	NUM
elements-8890	579	4	.	.	PUNCT
elements-8890	580	1	e	e	X
elements-8890	580	2	l	l	X
elements-8890	580	3	e	e	X
elements-8890	580	4	m	m	PROPN
elements-8890	580	5	e	e	NOUN
elements-8890	580	6	n	n	PROPN
elements-8890	580	7	t	t	PROPN
elements-8890	580	8	s	s	PROPN
elements-8890	580	9	f	f	PROPN
elements-8890	580	10	a	a	DET
elements-8890	580	11	l	l	NOUN
elements-8890	580	12	l	l	NOUN
elements-8890	580	13	0	0	NUM
elements-8890	580	14	8	8	NUM
elements-8890	580	15	http://www.gendercare.org	http://www.gendercare.org	X
elements-8890	580	16	http://gaywired.com	http://gaywired.com	X
elements-8890	580	17	http://www.gaybusinessworld.com	http://www.gaybusinessworld.com	X
elements-8890	580	18	diagnostic	diagnostic	ADJ
elements-8890	580	19	and	and	CCONJ
elements-8890	580	20	statistical	statistical	ADJ
elements-8890	580	21	manual	manual	NOUN
elements-8890	580	22	of	of	ADP
elements-8890	580	23	mental	mental	ADJ
elements-8890	580	24	disorders	disorder	NOUN
elements-8890	580	25	,	,	PUNCT
elements-8890	580	26	fourth	fourth	ADJ
elements-8890	580	27	edition	edition	NOUN
elements-8890	580	28	(	(	PUNCT
elements-8890	580	29	dsm	dsm	NOUN
elements-8890	580	30	-	-	PUNCT
elements-8890	580	31	iv	iv	NOUN
elements-8890	580	32	)	)	PUNCT
elements-8890	580	33	.	.	PUNCT
elements-8890	581	1	as	as	SCONJ
elements-8890	581	2	provided	provide	VERB
elements-8890	581	3	by	by	ADP
elements-8890	581	4	allpsych	allpsych	NOUN
elements-8890	581	5	online	online	ADV
elements-8890	581	6	,	,	PUNCT
elements-8890	581	7	<	<	X
elements-8890	581	8	www.allpsych.com/disorders/sexual/genderidentity.html	www.allpsych.com/disorders/sexual/genderidentity.html	PROPN
elements-8890	581	9	>	>	X
elements-8890	581	10	.	.	PROPN
elements-8890	582	1	15	15	NUM
elements-8890	582	2	may	may	PROPN
elements-8890	582	3	2007	2007	NUM
elements-8890	582	4	,	,	PUNCT
elements-8890	582	5	accessed	access	VERB
elements-8890	582	6	4	4	NUM
elements-8890	582	7	december	december	NOUN
elements-8890	582	8	2007	2007	NUM
elements-8890	582	9	.	.	PUNCT
elements-8890	583	1	doe	doe	NOUN
elements-8890	583	2	v.	v.	ADP
elements-8890	583	3	minnesota	minnesota	PROPN
elements-8890	583	4	department	department	PROPN
elements-8890	583	5	of	of	ADP
elements-8890	583	6	public	public	ADJ
elements-8890	583	7	welfare	welfare	NOUN
elements-8890	583	8	and	and	CCONJ
elements-8890	583	9	hennepin	hennepin	PROPN
elements-8890	583	10	county	county	PROPN
elements-8890	583	11	welfare	welfare	PROPN
elements-8890	583	12	board	board	PROPN
elements-8890	583	13	,	,	PUNCT
elements-8890	583	14	257	257	NUM
elements-8890	583	15	n.w.2d	n.w.2d	NUM
elements-8890	583	16	816	816	NUM
elements-8890	583	17	,	,	PUNCT
elements-8890	583	18	819	819	NUM
elements-8890	583	19	(	(	PUNCT
elements-8890	583	20	minn.1977	minn.1977	NOUN
elements-8890	583	21	)	)	PUNCT
elements-8890	583	22	"	"	PUNCT
elements-8890	583	23	exclusions	exclusion	NOUN
elements-8890	583	24	and	and	CCONJ
elements-8890	583	25	limitations	limitation	NOUN
elements-8890	583	26	,	,	PUNCT
elements-8890	583	27	blue	blue	PROPN
elements-8890	583	28	cross	cross	ADJ
elements-8890	583	29	blue	blue	ADJ
elements-8890	583	30	shield	shield	NOUN
elements-8890	583	31	of	of	ADP
elements-8890	583	32	arizona	arizona	PROPN
elements-8890	583	33	.	.	PUNCT
elements-8890	583	34	"	"	PUNCT
elements-8890	584	1	<	<	X
elements-8890	584	2	http://www.azblue.com/healthplans/under65/exclusions_limitationsi.asp	http://www.azblue.com/healthplans/under65/exclusions_limitationsi.asp	X
elements-8890	584	3	>	>	X
elements-8890	584	4	.	.	PUNCT
elements-8890	585	1	accessed	access	VERB
elements-8890	585	2	4	4	NUM
elements-8890	585	3	december	december	PROPN
elements-8890	585	4	2007	2007	NUM
elements-8890	585	5	.	.	PUNCT
elements-8890	586	1	"	"	PUNCT
elements-8890	586	2	female	female	ADJ
elements-8890	586	3	to	to	ADP
elements-8890	586	4	male	male	ADJ
elements-8890	586	5	transsexuals	transsexual	NOUN
elements-8890	586	6	,	,	PUNCT
elements-8890	586	7	"	"	PUNCT
elements-8890	586	8	from	from	ADP
elements-8890	586	9	california	california	PROPN
elements-8890	586	10	's	's	PART
elements-8890	586	11	gender	gender	NOUN
elements-8890	586	12	health	health	NOUN
elements-8890	586	13	site	site	NOUN
elements-8890	586	14	,	,	PUNCT
elements-8890	586	15	updated	update	VERB
elements-8890	586	16	15	15	NUM
elements-8890	586	17	aug	aug	PROPN
elements-8890	586	18	.	.	PROPN
elements-8890	586	19	2007	2007	NUM
elements-8890	586	20	.	.	PUNCT
elements-8890	587	1	<	<	X
elements-8890	587	2	http://www.genderandhealth.ca/	http://www.genderandhealth.ca/	NUM
elements-8890	587	3	en	en	NOUN
elements-8890	587	4	/	/	SYM
elements-8890	587	5	modules	module	NOUN
elements-8890	587	6	/	/	SYM
elements-8890	587	7	sexandsexuality	sexandsexuality	NOUN
elements-8890	587	8	/	/	SYM
elements-8890	587	9	gss	gss	ADJ
elements-8890	587	10	-	-	PUNCT
elements-8890	587	11	transgendered	transgendere	VERB
elements-8890	587	12	-	-	PUNCT
elements-8890	587	13	issues-02.jsp	issues-02.jsp	PROPN
elements-8890	587	14	>	>	X
elements-8890	587	15	.	.	PUNCT
elements-8890	588	1	accessed	access	VERB
elements-8890	588	2	5	5	NUM
elements-8890	588	3	december	december	PROPN
elements-8890	588	4	2007	2007	NUM
elements-8890	588	5	.	.	PUNCT
elements-8890	589	1	finley	finley	PROPN
elements-8890	589	2	,	,	PUNCT
elements-8890	589	3	lucinda	lucinda	PROPN
elements-8890	589	4	m	m	PROPN
elements-8890	589	5	.	.	PUNCT
elements-8890	590	1	november	november	PROPN
elements-8890	590	2	1978	1978	NUM
elements-8890	590	3	.	.	PUNCT
elements-8890	591	1	"	"	PUNCT
elements-8890	591	2	state	state	NOUN
elements-8890	591	3	restrictions	restriction	NOUN
elements-8890	591	4	on	on	ADP
elements-8890	591	5	medicaid	medicaid	PROPN
elements-8890	591	6	coverage	coverage	NOUN
elements-8890	591	7	of	of	ADP
elements-8890	591	8	medically	medically	ADV
elements-8890	591	9	necessary	necessary	ADJ
elements-8890	591	10	services	service	NOUN
elements-8890	591	11	.	.	PUNCT
elements-8890	591	12	"	"	PUNCT
elements-8890	592	1	columbia	columbia	PROPN
elements-8890	592	2	law	law	PROPN
elements-8890	592	3	review	review	PROPN
elements-8890	592	4	,	,	PUNCT
elements-8890	592	5	vol	vol	NOUN
elements-8890	592	6	.	.	PROPN
elements-8890	593	1	78	78	NUM
elements-8890	593	2	,	,	PUNCT
elements-8890	593	3	no	no	INTJ
elements-8890	593	4	.	.	NOUN
elements-8890	593	5	7	7	NUM
elements-8890	593	6	,	,	PUNCT
elements-8890	593	7	pp	pp	ADJ
elements-8890	593	8	.	.	PUNCT
elements-8890	594	1	1491	1491	NUM
elements-8890	594	2	-	-	SYM
elements-8890	594	3	1516	1516	NUM
elements-8890	594	4	.	.	PUNCT
elements-8890	595	1	g.	g.	PROPN
elements-8890	595	2	b.	b.	PROPN
elements-8890	596	1	v.	v.	PROPN
elements-8890	596	2	lackner	lackner	PROPN
elements-8890	596	3	,	,	PUNCT
elements-8890	596	4	145	145	NUM
elements-8890	596	5	cal.rptr	cal.rptr	NOUN
elements-8890	596	6	.	.	PUNCT
elements-8890	597	1	555	555	NUM
elements-8890	597	2	,	,	PUNCT
elements-8890	597	3	80	80	NUM
elements-8890	597	4	cal.app.3d	cal.app.3d	NOUN
elements-8890	597	5	64	64	NUM
elements-8890	597	6	(	(	PUNCT
elements-8890	597	7	cal.app	cal.app	NUM
elements-8890	597	8	.	.	NOUN
elements-8890	597	9	1	1	NUM
elements-8890	597	10	dist	dist	NOUN
elements-8890	597	11	.	.	PUNCT
elements-8890	597	12	,	,	PUNCT
elements-8890	597	13	1978	1978	NUM
elements-8890	597	14	)	)	PUNCT
elements-8890	597	15	.	.	PUNCT
elements-8890	598	1	hall	hall	NOUN
elements-8890	598	2	,	,	PUNCT
elements-8890	598	3	mark	mark	PROPN
elements-8890	598	4	a.	a.	PROPN
elements-8890	598	5	and	and	CCONJ
elements-8890	598	6	gerald	gerald	PROPN
elements-8890	598	7	f.	f.	PROPN
elements-8890	598	8	anderson	anderson	PROPN
elements-8890	598	9	.	.	PUNCT
elements-8890	599	1	may	may	AUX
elements-8890	599	2	1992	1992	NUM
elements-8890	599	3	.	.	PUNCT
elements-8890	600	1	"	"	PUNCT
elements-8890	600	2	health	health	NOUN
elements-8890	600	3	insurers	insurer	NOUN
elements-8890	600	4	'	'	PART
elements-8890	600	5	assessment	assessment	NOUN
elements-8890	600	6	of	of	ADP
elements-8890	600	7	medical	medical	ADJ
elements-8890	600	8	necessity	necessity	NOUN
elements-8890	600	9	.	.	PUNCT
elements-8890	600	10	"	"	PUNCT
elements-8890	601	1	university	university	PROPN
elements-8890	601	2	of	of	ADP
elements-8890	601	3	pennsylvania	pennsylvania	PROPN
elements-8890	601	4	law	law	PROPN
elements-8890	601	5	review	review	PROPN
elements-8890	601	6	,	,	PUNCT
elements-8890	601	7	vol	vol	NOUN
elements-8890	601	8	.	.	PROPN
elements-8890	601	9	140	140	NUM
elements-8890	601	10	,	,	PUNCT
elements-8890	601	11	no	no	INTJ
elements-8890	601	12	.	.	NOUN
elements-8890	601	13	5	5	NUM
elements-8890	601	14	.	.	X
elements-8890	601	15	p1645	p1645	VERB
elements-8890	601	16	-	-	NOUN
elements-8890	601	17	1646	1646	NUM
elements-8890	601	18	.	.	PUNCT
elements-8890	602	1	harris	harris	PROPN
elements-8890	602	2	,	,	PUNCT
elements-8890	602	3	in	in	ADP
elements-8890	602	4	re	re	NOUN
elements-8890	602	5	,	,	PUNCT
elements-8890	602	6	707	707	NUM
elements-8890	602	7	a.2d	a.2d	NUM
elements-8890	602	8	225	225	NUM
elements-8890	602	9	(	(	PUNCT
elements-8890	602	10	pa	pa	PROPN
elements-8890	602	11	.	.	PROPN
elements-8890	602	12	super	super	PROPN
elements-8890	602	13	.	.	PROPN
elements-8890	602	14	,	,	PUNCT
elements-8890	602	15	i997)dasti	i997)dasti	PROPN
elements-8890	602	16	,	,	PUNCT
elements-8890	602	17	jerry	jerry	PROPN
elements-8890	602	18	l.	l.	PROPN
elements-8890	603	1	"	"	PUNCT
elements-8890	603	2	sex	sex	NOUN
elements-8890	603	3	reassignment	reassignment	NOUN
elements-8890	603	4	under	under	ADP
elements-8890	603	5	medicaid	medicaid	PROPN
elements-8890	603	6	.	.	PUNCT
elements-8890	603	7	"	"	PUNCT
elements-8890	604	1	new	new	PROPN
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elements-8890	604	3	university	university	PROPN
elements-8890	604	4	law	law	NOUN
elements-8890	604	5	review	review	NOUN
elements-8890	604	6	.	.	PUNCT
elements-8890	605	1	24	24	NUM
elements-8890	605	2	december	december	PROPN
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elements-8890	605	4	.	.	PUNCT
elements-8890	606	1	p1773	p1773	PROPN
elements-8890	606	2	.	.	PUNCT
elements-8890	607	1	the	the	DET
elements-8890	607	2	harry	harry	PROPN
elements-8890	607	3	benjamin	benjamin	PROPN
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elements-8890	607	5	gender	gender	PROPN
elements-8890	607	6	dysphoria	dysphoria	PROPN
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elements-8890	607	9	standards	standard	NOUN
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elements-8890	607	11	care	care	NOUN
elements-8890	607	12	for	for	ADP
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elements-8890	607	15	disorders	disorder	NOUN
elements-8890	607	16	,	,	PUNCT
elements-8890	607	17	sixth	sixth	ADJ
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elements-8890	607	19	,	,	PUNCT
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elements-8890	607	21	2001	2001	NUM
elements-8890	607	22	.	.	PUNCT
elements-8890	608	1	p2	p2	PROPN
elements-8890	608	2	,	,	PUNCT
elements-8890	608	3	22	22	NUM
elements-8890	608	4	.	.	PUNCT
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elements-8890	609	5	sex	sex	NOUN
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elements-8890	609	7	operations	operation	NOUN
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elements-8890	612	1	"	"	PUNCT
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elements-8890	612	14	,	,	PUNCT
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elements-8890	612	17	.	.	PUNCT
elements-8890	613	1	kv	kv	PROPN
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elements-8890	614	3	,	,	PUNCT
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elements-8890	614	5	.	.	PROPN
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elements-8890	614	7	human	human	ADJ
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elements-8890	614	9	,	,	PUNCT
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elements-8890	614	13	,	,	PUNCT
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elements-8890	615	2	(	(	PUNCT
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elements-8890	615	4	.	.	PUNCT
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elements-8890	617	6	.	.	PUNCT
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elements-8890	619	11	,	,	PUNCT
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elements-8890	619	14	828831	828831	NUM
elements-8890	619	15	(	(	PUNCT
elements-8890	619	16	ohio	ohio	PROPN
elements-8890	620	1	p.	p.	NOUN
elements-8890	620	2	ct	ct	PROPN
elements-8890	620	3	.	.	PROPN
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elements-8890	620	5	)	)	PUNCT
elements-8890	620	6	.	.	PUNCT
elements-8890	621	1	"	"	PUNCT
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elements-8890	621	4	"	"	PUNCT
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elements-8890	621	6	rights	right	NOUN
elements-8890	621	7	center	center	NOUN
elements-8890	621	8	.	.	PUNCT
elements-8890	622	1	updated	update	VERB
elements-8890	622	2	2	2	NUM
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elements-8890	622	4	,	,	PUNCT
elements-8890	622	5	2000	2000	NUM
elements-8890	622	6	.	.	PUNCT
elements-8890	623	1	<	<	X
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elements-8890	623	4	>	>	PUNCT
elements-8890	623	5	.	.	PUNCT
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elements-8890	625	8	(	(	PUNCT
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elements-8890	625	10	(	(	PUNCT
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elements-8890	626	34	.	.	PUNCT
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elements-8890	627	4	i	i	PRON
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elements-8890	627	7	.	.	PUNCT
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elements-8890	628	10	,	,	PUNCT
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elements-8890	629	5	city	city	NOUN
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elements-8890	631	2	.	.	PUNCT
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elements-8890	638	8	t	t	NOUN
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