right to live as a woman while confined, consistent with her gender dysphoria, which had been confirmed by two Army medical specialists. Such treatment is provided in civilian federal prisons when it is found to be medically necessary, but it is not available in military prisons. The Pentagon policy at the time considered transgender individuals ineligible to serve. In July, the Federal Bureau of Prisons rejected a request by the Army to transfer Manning from the USDB to a civilian facility for treatment of her gender dysphoria. Instead, the Army kept Manning in military custody and said it would begin rudimentary gender treatment, which could include allowing her to wear female undergarments and possibly receive hormone treatments. On August 12, 2014, the American Civil Liberties Union (ACLU) and Manning's civilian attorney David Coombs said Manning was not receiving treatment for her gender identity condition as previously approved by Secretary of Defense Chuck Hagel. They notified the USDB, Hagel and other Defense Department officials that a lawsuit would be filed if they did not confirm by September 4 that treatment would be provided. On August 22, Army spokeswoman Lt. Col. Alayne Conway told NBC News, "The Department of Defense has approved a request by Army leadership to provide required medical treatment for an inmate diagnosed with gender dysphoria." Although Conway would not discuss "the medical needs of an individual", she did say, "In general terms, the initial stages of treatment for individuals with gender dysphoria include psychotherapy and elements of the 'real life experience' therapy. Treatment for the condition is highly individualized and generally is sequential and graduated." The Army declined to say when treatment might begin. In September, Manning filed a lawsuit in federal district court in Washington, D.C., against Secretary of Defense Hagel, claiming she had "been denied access to medically necessary treatment" for gender dysphoria. She sued to be allowed to grow her hair longer and use cosmetics, and to receive hormone treatments "to express her female gender". 2015 On February 12, 2015, USA Today reported that the commandant of the USDB wrote in a February 5 memo, "After carefully considering the recommendation that (hormone treatment) is medically appropriate and necessary, and weighing all associated safety and security risks presented, I approve adding (hormone treatment) to Inmate Manning's treatment plan." According to USA Today, Manning remained a soldier, and the decision to administer hormone therapy was a first