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Florida Bill Doing Best To Out-Worst All Other Bans On Gender-Affirming Care

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As Yr Wonkette covered yesterday, and as brought to our attention by the invaluable Erin in the Morning, the state of Florida (Motto: “America’s Useless Appendage”) is considering a whole swath of terrible legislation that if passed, would make life even more miserable for LGBTQ+ people there. It’s understandable, really — there are so many Republicans in the state Legislature, and they all want a turn at proving that they can hate LGBTQ+ folks as much or more than their peers.

Read More:

Florida LGBTQ Hate Bills Want Some Bigot To Have ‘Parental Rights’ Over Everybody Else’s Children

Red States About Five Minutes Away From Legalized Lynching Of Trans People

What IS Gender Affirming Health Care For Kids Anyway, Because Texas Is Super F*cking Lying About It Right?

Today, we’ll take a closer look (again, thanks to Erin Reed) at just one of those very bad ideas, Florida HB 1421, which drunkenly tells other states’ bans on gender affirming care for trans youth, “Hold my beer” before jumping on a skateboard and launching itself into the abyss. A Florida House subcommittee yesterday voted to move HB 1421 out of committee. After hearings in a second committee, the bill is likely to be sent to the full House, where it’s likely to pass. It’s Florida, and Republicans have an 85-35 majority of seats.

It’s not only an extremist bill, it’s also so broadly written that in attempting to outlaw gender-affirming care for minors, it also may make mastectomies for breast cancer illegal and ban hormone treatments for menopause. We can’t entirely guarantee that’s a mistake. The bill doesn’t simply ban gender-affirming treatment going forward: It would force detransition on trans youth. All minors currently receiving puberty blockers or hormone replacement therapy would have to end treatment by December 31 of this year. Such forced detransitioning is almost certain to lead to suicides, not that the psycho bigots supporting the bill care.

As ever: If you’re having thoughts of harming yourself, call the national suicide and crisis lifeline at 988.

This being Florida, the bill keeps getting worse. One provision would allow the state to take trans kids from their parents to “protect” them from getting gender-affirming care in another state.

As with several similar bills around the country, the law also forbids insurance plans from covering gender-affirming care for adults, because the bill’s sponsor, the dubiously named Rep. Randy Fine — a former gambling industry executive, not a doctor — says he believes all medical care for trans people is merely “a cosmetic-type procedure, and not necessarily a procedure that would improve their health.” Yes, of course he’s ignoring the consensus among medical organizations that transition is the treatment for gender dysphoria, and that, yes, it saves lives.

Because the bill bans the state from paying for any gender-affirming care, it would also result in forcible detransition for incarcerated trans people. The bill’s sponsor was very clear on that when another state representative asked. Further, the blanket prohibition on puberty blockers and hormone therapy would probably prohibit some treatments for stunted growth in children. Another legislator said that, as she read the bill, it may ban contraception for minors, although Fine said he didn’t think it would.

HB 1421 also prohibits any changes to birth certificates to reflect an adult’s gender identity. State Rep. Kelly Skidmore (D) had questions about why a bill supposedly aimed at “protecting” children would do that; Fine (again, not a doctor) explained that “your biology cannot be changed,” to which Skidmore replied, “Doctors would disagree. […] You can change your biology. That’s the point of gender-affirming care and surgery.”

Fine then muttered something about chromosomes, which kind of ignores the fact that hormone therapy very definitely changes a person’s biology, what with the differences in hair growth, body chemistry, and so on. But not chromosomes!

Fine went on to explain that gender-affirming care for minors is “child abuse,” although he acknowledged that’s his personal opinion, not actually a law. But co-sponsor Rep. Ralph Massullo — who somehow is a doctor — insisted it was just like “If you chop your sons arm off it’s child abuse,” so there’s a doctor who knows his stuff. Massullo also explained, contrary to the medical consensus, that since gender dysphoria is all in trans people’s heads, they should see a therapist and get cured through good old conversion therapy, which doesn’t work.

The most glaringly insane part of the bill is the former gambling executive’s medically muddy definition of “gender clinical interventions,” a term that isn’t actually from medicine. HB 1421 defines such interventions as

procedures or therapies that alter internal or external physical traits.

The term includes, but is not limited to:

1. Sex reassignment surgeries or any other surgical procedures that alter primary or secondary sexual characteristics.

2. Puberty blocking, hormone, and hormone antagonistic therapies.

The bill allows a few exceptions, such as for treatment of infants born with ambiguous genitalia, and of course for treatments to reverse gender-affirming care, but that’s about it; as House Democrats pointed out, the broad prohibitions on altering “primary or secondary sexual characteristics” appears to ban mastectomies, breast reduction or enhancement, maybe prostate surgery, and who knows, maybe even penile implants for treatment of erectile dysfunction.

But wait! Since it only applies to minors, Fine figured that wouldn’t be a problem. During questioning by state Rep. Christine Hunschofsky (D), Fine was surprised to hear that minors can even have breast cancer, though he remained skeptical of that anyway, and mocked what he said was the “pervasive problem of youth breast cancer.” Probably just an excuse to get top surgery, right sir?

Oh yes, and because it’s so sloppily written, the bill would also ban insurance from covering breast cancer mastectomies — for adults too, since the insurance ban is for all “gender clinical interventions,” regardless of the patient’s age.

Will Larkins, an 18-year-old high school student, testified against the bill, telling the committee members that his transgender friends would be directly harmed by the bill, not “protected.” He begged the lawmakers to at least agree to a Democratic amendment that would allow youth who have already begun treatment to continue it.

“That health care has saved their lives. You will kill them. I am telling you right now — look me in the eyes — you will kill them if you pass this bill and you don’t pass this amendment. […] You will kill them if you force them to detransition.”

The committee rejected the amendment, because there are no trans people in Florida, just punching bags to beat up on for the cameras.

This is where we wish we could tell you that HB 1421 is so obviously unconstitutional that there’s no chance it will pass and be signed into law, but you’ve been here for a while and you wouldn’t ever fall for a hopeful lie like that. We don’t even think they’d listen to our new hero, Grace Linn, that wonderful centenarian wonder woman. But who knows? Bet she’d make a trans lives matter quilt if she thought it would help.

[HuffPo / Florida HB 1421 / Erin Reed on Twitter / New Republic / Image generated by DreamStudio Lite AI]

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Red States About Five Minutes Away From Legalized Lynching Of Trans People

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The rightwing war on transgender Americans keeps advancing through red state legislatures, and among the more notable developments is that, as many warned, the bigots who want trans people to disappear have moved, in many states, from banning gender affirming care for minors to attempting to ban or severely restrict healthcare for trans adults as well. It’s just getting uglier and uglier, as Republican legislators compete to see who can use the power of state government to most creatively make trans people’s lives worse.

The bigoted legislation is being spewed like a firehose of hate across the country, and it can be difficult to keep track of. Fortunately, the ACLU and the Equality Federation both have online bill trackers if you want to see what horrible ideas are being floated in your state.

But holy Crom Jebus Bodhisattva Hank Gritt Galactus, these bastards are busy working to genocide trans people by limiting their access to medical care, all the while lying about wanting to “protect” children.

Forget that lie: It’s about making trans people of all ages suffer for the sin of existing.

A quick review of the ongoing madness, in no particular order:

Mississippi

Gov. Tate Reeves signed a bill Wednesday outlawing gender-affirming treatment — puberty blockers, hormone therapy, or surgery — for anyone under 18. That makes Mississippi the seventh state to ban such care for minors, after Alabama, Arkansas, Arizona, Florida, South Dakota, and Utah. The bans in Alabama and Arkansas have been blocked in federal court, and we assume the lawsuits against Mississippi’s ban — all the others — will soon be flying too. [ABC News]

It’s worth noting up front here that genital surgery for minors is extremely rare. Top surgery (mastectomy) for patients under 18 is only slightly more common; in one of its trans panic articles, the New York Times noted there are no official stats, but that 11 leading pediatric clinics in the US reported 203 procedures on minors in 2021; it’s also not something that anyone just rushes into. State laws vary, but nearly all minor patients get extensive counseling and need at least one parent’s permission. [NYT]

North Dakota

A raft of anti-trans bills is moving through the state Legislature, including a ban on gender-affirming treatment, with possible prison sentences and/or heavy fines for healthcare providers who provide such care. Another bill would prohibit changing birth certificates “due to a gender identity change,” unless it’s to correct a clerical error. People who have had genital surgery could change their birth certificates with proof from a medical professional, which is already the state’s standard.

Still another would “define ‘father,’ ‘female,’ ‘mother,’ ‘male’ and ‘sex,’ and would mandate school districts and vital statistics agencies identify people based solely on their sex assigned at birth,” with no exceptions. The state Senate passed a bill requiring parental permission for K-12 teachers to use trans kids’ preferred pronouns. And the state House also passed two separate bans on trans athletes in girls’ and women’s sports (one for public schools, one for colleges and universities), although there have been no complaints from athletes anywhere in the state. [Advocate]

Tennessee

Last week, the Legislature passed a ban on gender-affirming care for minors; the vote in the House was disgustingly lopsided, 77-16, with three Democrats even joining in on bashing trans kids. Gov. Bill Lee signed it yesterday, making Tennessee Number Eight in the nation, along with that stupid ban on drag shows (Wonk link), which purportedly harm The Children.

As always, the bill sponsors insist they want to “protect” kids from being who they are. 97.5 percent of adolescents who come out as trans continue to identify as trans or nonbinary after five years, but the bill’s sponsors pushed the lie that once kids get through puberty, they give up on that trans nonsense and settle down.

As with similar bills, Tennessee’s subjects healthcare providers to criminal penalties for treating trans youth, but the bill includes this bizarre exception: Doctors would be allowed to continue treating patients who began treatment before the bill’s effective date of July 1 this year, but would have to end all treatment by March 31, 2024. Hooray, you have a year to leave the state before your transition is cut off, kids. Shortly after Gov. Lee signed it, the ACLU announced it will sue to block the law from going into effect. [CBS News / AP / Pink News]

Tennessee has even worse legislation on the way, too. HB1215, currently making its way through the state House, would prohibit private managed care companies from contracting with the state’s Medicaid alternative, TennCare, if they provide any gender-affirming health services at all, even for adults. To be clear, this isn’t just a ban on gender affirming care for Medicaid patients in Tennessee: It would ban insurers from contracting with TennCare if they offer such care anywhere in the US.

Even though the federal government covers the majority of Medicaid, state Rep. Tim Rudd (R) explained that the bill was absolutely necessary to make sure Tennessee taxpayers’ dollars don’t fund transgender care in other states. Presumably Rs will now ban the sales of car brands in the state if the manufacturers allow vehicles to be sold to trans people anywhere. [Tennessee HB1215 / AP]

Oklahoma

On Tuesday, the Oklahoma House passed its version of a ban on gender-affirming care for trans youth and sent it to the state Senate. The bill includes a special extra Secret Sauce ban on insurance coverage for gender-affirming care — not only for minors, but for adults, too.

The bill’s author, Rep. Kevin West (R), was very proud of his work, claiming that the bill would “protect children and parents from being pressured into agreeing to harmful experimental transition procedures…” although gender affirming care is not “experimental” — at the risk of a tautology, it’s often covered by insurance, and insurance companies don’t cover experimental treatments. And that line about saving kids and parents from being “pressured” — a word that isn’t in the bill text — is a marvelously dishonest construction. Heavens, no one would ever want gender-affirming care; it’s simply that every trans person everywhere was brainwashed.

The Washington Post notes that another bill, SB 129, would go even farther, banning gender-affirming treatment up to the age of 26. The bill was originally titled the “Millstone Act,” a reference to the Biblical injunction that anyone who harms a child should “have a large millstone hung around their neck and to be drowned in the depths of the sea.” The title was stripped out Wednesday, apparently in recognition that Oklahoma is landlocked and the penalty would be impractical. [Oklahoman / WaPo]

Kentucky

In an attempt to outdo all the other anti-trans legislation in the country, Kentucky Republicans in late February introduced HB 470, which independent journalist Erin Reed says “takes nearly every anti-trans youth bill from nearly every state in 2023 and combines them all into one single cruel piece of legislation. It then adds wrinkles not seen in any other state.”

It has all the expected bans on lifesaving gender-affirming medical care for anyone under the age of 18, but would go even farther: It would ban Medicaid coverage, end all public funding for trans youth care, and even investigate doctors and revoke their licenses if they provide gender-affirming care to youth. But there’s even more, as Reed details:

one section would require schools to disclose transgender students’ information to their parents, and another section would ban gender marker changes for transgender youths. A unique provision in this bill would also prohibit legal name changes for youth, but only if the name change is for “gender transition purposes.”

An amended version of the bill passed out of committee and went to the full House for debate (and — spoiler — passage) yesterday. Protesters chanted “Shame! Shame!” as the committee members headed to the House chamber.

The amended version of the bill stripped out a provision that would have been a whole new front in the war on care for trans youth, by banning counseling aimed at helping kids with social transition. Apparently the Rs decided it would be too difficult to enforce, or to defend in court — who knows, really?

The now-deleted provision would have effectively forced all mental health providers to enforce cisgender identity on trans youth, by banning “social transition services,” which the bill had defined as

any encouragement, advocacy, or affirmation including pronouns, affirming a name change, and affirming “sex specific behaviors that vary from those typically associated with a person’s sex.” It then states that mental health counselors are banned from any of this and by doing so, they could lose their licenses.

Eliminating that provision doesn’t make the bill any better; it still includes all the other cruelty, including the non-counseling portions of the ban on social transition, like changing the gender marker on official documents and the prohibition on changing a minor’s name for “gender transition purposes.” Kentucky may have stripped it from the bill for now, but look for future bills that will take the plunge and ban social transition counseling. There’s no reason to think there’s any bottom to the war on trans people.

HB 470 was passed and sent on to the state Senate yesterday. [Kentucky HB 470 / Erin in the Morning]

[Image: Ted Eytan, Creative CommonsLicense 2.0]

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