It would have to be taken up as falsifying documents. There is absolutely no way to get around HIPPA in ways you have mentioned. If someone comes to the shelter as female, their ID says female, they can't legally ask questions relating to their medical history as it pertains to their transition. Now, say someone comes to the shelter as female but their ID says male (which is very common at some point in the life of any transsexual) then some questions can be asked, but only to clarify things and again they legally face many barriers that are legally unmoving. If they show up as a guy, they probably don't belong.
\Moving the goal posts.
BOY are you moving the goal posts.
If someone comes to the shelter as female, their ID says female, then that would be SUPPORT for the claim of BEING female, wouldn't it?
I am talking about a man who looks like a man, is physically male, and whose ID says he is male, claiming to really be female.
Stop moving the goalposts here, Shadow wolf.
Again, in such a case it is NOT illegal, nor against HIPPA laws. to ask the applicant for support for that claim before s/he is allowed in.
HIPPA does not apply to the person whose medical records are in question. I can give you any information I want to. I can authorize anybody to give medical information to whomever I want. That's part of what HIPPA is about; putting that control into the hands of the patient.
Insurance companies can ask me for medical information before they issue policies. They can't go around me and get this information without my authorization, but they can sure ask ME, and if I say 'none of your business,' they can say...in that case, we won't issue a policy.
The same thing goes for state agencies, except of course that the law says that if a patient has (for instance) an epileptic seizure or faints as the result of a head injury, the doctor MUST...(not 'can,' but 'must') report that to the state for the purposes of driver's licenses and some other things. No HIPPA restrictions there...the doctor who refuses to report it can be sued and lose his/her license if an accident happens because the patient has a seizure and causes an injury.
But the point that you keep ignoring is this: HIPPA doesn't apply to the patient. The patient can authorize any disclosure of medical information s/he wishes. A service provider (insurance companies or shelters or rehab facilities or hospice care providers and the like, who need that information) can ask the patient for that information, and if the patient says 'no,' then there is no requirement for the service provider to, er, provide the service.
So if a woman comes to a shelter who looks female, whose ID says 'female,' and is only found to be physically male 'under the clothes,' ....how does what I say apply to her? I'd say she supported her contention rather well.
Pay attention and stop arguing strawmen.
And STOP moving the goal posts@!