Sex-Change Operations Now Covered by Insurance?

I can't even wrap my head around this article.  Mayor Vincent Gray said people with gender identity disorder, "should not have to pay exorbitant out-of-pocket expenses for medically necessary treatment."  Since when are trans-gender operations necessary?  I believe that insurance companies should not be forced to give coverage to people requesting a sex change.  This would be like insurance companies being not being able to resist allowing people to get various plastic surgery procedures.  That would be completely ridiculous for insurance companies to provide coverage for someone who wants a nose job.  People who wish to receive Botox have to come up with the extra money to get their procedures done, so why would people wishing to get plastic surgery to get a sex change receive special treatment?  I think that the government is becoming to involved in the lives of citizens.  They should not dictate the insurance companies and whether or not they provide compensation for people wishing to receive transgender surgeries.  The idea of healthcare is being blown out of the water.  Wanting a gender change is not an emergency medical disease.  This is just simply a want.  I think the government should have little say as to what the insurance companies have and don't have to cover, but transgender surgeries should not be one of them.  The government should be making more of a case for insurance companies to cover cancer treatments, not sex changes.