Oh I'm sure much of it is transphobic, but services can be broadly defined. Let's take an example from the news, Starwood Hotels has 188,000 employees. Government routinely houses diplomats overseas at hotels. This could be seen as a service. Assume 1/2 of 1% are transgender would give us a relatively small number - 940 times let's say $50,000 for transition costs equals $47,000,000. Granted not much compared to billions in revenue but still an expense and granted not everyone is going to run out for surgery or even hormones. The costs would be staggered over years. How about employer tax credits for hiring certain categories of employees, this would certainly been seen as "assistance" for encouraging a company to hire more employees.I'm sure a liberal HHS would come up with many creative ideas on what constitutes assistance. My main point was though that I don't think we would receive as liberal an interpretation of the law under a Cruz administration, especially in light of the fact that the Republican majority in Congress wants to repeal lock, stock and barrel and Cruz has said one of the first items on his agenda would be repeal also. The combination of these two branches of government getting together would be disasterous for the LGBT community as a whole, but especially for trans-folks.