Texas bill banning gender-affirming care for transgender kids is now law

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Gov. Greg Abbott signed into law Friday a bill that bars transgender kids from getting puberty blockers and hormone therapies, though the new law could face legal challenges before it takes effect on Sept. 1.

Senate Bill 14’s passage brings to the finish line a legislative priority for the Republican Party of Texas, which opposes any efforts to validate transgender identities. Trans kids, their parents and LGBTQ advocacy groups fiercely oppose the law, and some have vowed to stop it from going into effect.

Texas — home to one of the largest trans communities in the U.S. — is now one of over a dozen states that restrict transition-related care for trans minors.

Authored by New Braunfels Republican state Sen. Donna Campbell, the law bars trans kids from getting puberty blockers and hormone therapies, treatments many medical groups support. Children already receiving these treatments will have to be “weaned off” in a “medically appropriate” manner. The law also bans transition-related surgeries for kids, though those are rarely performed on minors.

Those who support the law claim that health care providers have capitalized on a “social contagion” to misguide parents and push life-altering treatments on kids who may later regret their decisions. SB 14’s supporters have also disputed the science and research behind transition-related care.

But trans kids, their parents and major medical groups say these medical treatments are important to protecting the mental health of an already vulnerable population, which faces a higher risk of depression and suicide than their cisgender peers. At the same time, doctors say cutting off these treatments — gradually or abruptly — could bring both physical discomfort and psychological distress to trans youth, some of whom have called it forced detransitioning.

In response, the American Civil Liberties Union, the ACLU of Texas, Lambda Legal and the Transgender Law Center pledged on May 18 to fight SB 14 in court. They have yet to file a lawsuit.

“It’s absolutely heartbreaking to talk to the families that have been impacted by this, and the kids first and foremost,” said Sasha Buchert, a senior attorney at Lambda Legal and the director of its Non-Binary and Transgender Rights Project, in an interview last month.

This legal threat is not new; some of these groups have sued several other states over their restrictions. Earlier this year, the Department of Justice also joined the legal fight against Tennessee’s ban.

While the lawsuits are tailored to each state, Buchert said a major common challenge to the laws hinges on the 14th Amendment’s Equal Protection Clause and the argument that these laws are stopping trans kids from accessing the same medical treatments that are still available to their cisgender peers.

Buchert added that the lawsuits’ immediate goal is generally to get a preliminary injunction to stop these laws from taking effect, a tactic that has seen some success.

“It’s one thing to see some of the things that state legislators do, but it’s a completely different thing when you’re under the white-hot spotlight of judicial scrutiny,” she said.

And prior to SB 14, the ACLU and Lambda Legal successfully sued Texas last year to halt state-ordered child abuse investigations of parents who provide their trans kids with access to transition-related care. Impeached attorney general Ken Paxton later appealed the decision in March, but the 3rd Court of Appeals has yet to issue a ruling on it.

“It’s a privilege to be able to fight,” Buchert said about the ongoing court challenges that Lambda Legal is involved in.

Disclosure: The ACLU of Texas has been a financial supporter of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.

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