A woman from Pennsylvania who now identifies as a transgender man wants to have his uterus surgically removed, and he says Obamacare requires the state to pay for it.

Attorneys for the plaintiff, who is identified only as 30-year-old schoolteacher “John Doe” in court documents, filed a federal complaint Feb. 18 challenging a Pennsylvania law that prohibits Medicaid funds from being used in sex-reassignment surgeries.

“Under Obamacare, it’s got to be provided,” said Julie Chovanes, a transgender woman who represents the plaintiff and is executive director of the Trans Resource Foundation. “It can’t be discriminatorily not provided when medically necessary and prescribed by a doctor.”

The lawsuit is among the first to cite the civil rights provision of the Affordable Care Act, for which the U.S. Department of Health and Human Service’s Office of Civil Rights issued a proposed rule reinterpretation in September.