Alabama’s Anti-Trans Health Care Bill Failed

Alabama’s anti-trans bill that would have prevented young trans people from receiving necessary health care failed. This is excellent news for young people who are transgender. It means parents will be the ones to make decisions about the healthcare their transgender child or teen receives (not members of Alabama’s legislature).

Alabama House Bill 303 (HB 303) was introduced on February 20, 2020. The summary of the bill was: “Vulnerable Child Compassion and Protection Act, prohibits gender change therapy for minors, prohibits withholding of certain related information from parents”. It was sponsored by Representative Wes Allen (Republican).

HB 303 was read for the first time on February 20, 2020, and referred to the House of Representatives committee on Health.

Synopsis:

This bill would prohibit the performance of a medical procedure or the prescription or issuance of medication, upon a minor child, that is intended to alter the child’s gender or delay puberty, with certain exceptions.

This bill would provide for the disclosure of certain information concerning students to parents by schools.

This bill would also establish criminal penalties for violations...

It is worth pointing out that whomever wrote the bill doesn’t understand what transgender means. According to Merriam-Webster, transgender means: of, or relating to, or being a person whose gender identity differs from the sex the person had or was identified as having at birth.

Merriam-Webster continues: especially: of, relating to, being a person whose gender identity is opposite the sex the person has or was identified as having birth.

If you’ve been paying attention, you likely noticed that the language in anti-trans bills is incredibly similar, regardless. It is not a coincidence. The New Republic posted an article titled: “The New Anti-Trans Culture War Hiding in Plain Sight” on February 11, 2020. It was written by Sydney Bauer. From the article:

…The text from these anti-trans bills varies slightly from state to state, but it’s easy enough to spot the borrowed language when they are viewed together. Many of the bills define sex in familiar anti-trans terms as “the biological state of being female or male based on sex organs, chromosomes, and endogenous hormone profiles.” They criminalize prescribing “puberty-blocking medication to stop normal puberty; supraphysiologic doses of testosterone to females; or supraphysiologic doses of estrogen to males.” There are “no mysteries” to how these bills move from well-funded conservative groups into the hands of lawmakers across the country, Heron Greenesmith, a researcher for Political Research Associates, told me. “That’s a direct route for introduction of legislation.”…
…The organizations behind the bills aren’t exactly trying to hid that, either: Stephanie Curry, policy manager at Family Policy Alliance, told me that the group “works with legislators all over the country” and confirmed the practice of model legislation, which she said was not a ‘unique practice in any sense’ across the political spectrum. (The Heritage Foundation did not return requests for comment). The Family Policy Alliance crafts legislation, she added, but “ultimately, it is up to individual legislatures” to decide what approach to take, “whether it is banning such procedures or penalizing doctors.”…

The OHSU Doernbecher Children’s Hospital (OHSU) provides some really good information about puberty blockers. It is from their Gender Clinic, and it starts by explaining the changes that a young person’s body goes through during puberty. After that, it explains puberty blockers:

What are puberty blockers?
Puberty blockers are medications to stop changes from the puberty you were born with. These changes make you look physically male or female. For example, they can make your breasts, testicles and penis stop growing larger. Testicles might get smaller.
Puberty blockers do not stop all the changes of puberty. For example, they do not help acne or stop armpit hair from growing. They also will not reverse changes that already happened. If you start taking them late in puberty, the earlier changes will not disappear. But the medications can keep further changes from happening.
Puberty from gender affirming hormones
If you take gender affirming hormone medications, you will receive hormones for the gender you identify with. You will go through puberty related to the gender you identify with. The puberty blockers only block changes that do not match your gender identity.
Why take puberty blockers?
Going though puberty that does not match your gender identity may cause stress and concern. This can be severe for some people. Taking puberty blockers can stop the process. This can give you time to think about making more permanent decisions about your body. We sometimes say that taking these medications is like ‘pushing the pause button on puberty’.
If you use puberty blockers early in puberty, you may need less treatment or surgery later. For example, if puberty blockers keep your breasts from developing, you would not need surgery to remove them later….
…Do puberty blockers cause permanent changes?
Puberty blockers do not cause permanent changes to the body. And you can stop taking them at any time. If you decide to stop taking puberty blockers and did not take hormone therapy, your body will go back to the puberty that had already started…

In other words, puberty blockers pause puberty. A young person who is taking puberty blockers can choose to stop taking them. If so, then their body will continue to go through puberty. The purpose of puberty blockers is to prevent a transgender child or teen from having to experience puberty that does not match their gender identity. It is that simple.

Alabama’s anti-trans bill is intended to prevent a transgender child or teen from receiving “medication…that is intended to alter the child’s gender or delay puberty…” Ironically, the medication they are targeting – puberty blockers – does not change a child’s gender. Whoever wrote this bill is ignorant about puberty blockers and how they function.

Unfortunately, there’s a lot of nonsense in Alabama’s HB303:

“There are no rigorous studies that show that gender changing therapies performed on children, including the administration of puberty blocking medications, the administration of opposite sex hormones, or surgeries intended to approximate the appearance of the opposite sex have any long term beneficial effect, including a reduction in suicide risk. To the contrary, such interventions carry elevated risks for sterility, lost of sexual function, bone fractures, thromboembolic and cardiovascular disease, malignancy, and may even contribute to mental illness and suicide.”

Fact: A study published on April 28, 2021, in JAMA titled “Association Between Gender-Affirming Surgeries and Mental Health Outcomes“. The question the study answered was: Are gender-affirming surgeries associated with better mental health outcomes among transgender and gender diverse (TGD) people? The objective of the study was: To evaluate associations between gender-affirming surgeries and mental health outcomes, including psychological distress, substance use, and suicide risk.

Yes, this study was published after Alabama’s HB303 was written. The study is still completely relevant because it was based on data from the 2015 US Transgender Survey, “the largest existing data set containing comprehensive information on the surgical and medical health experiences of TGD people”. The data was collected from adults who filled out a survey from April 19, 2015 to September 21, 2015. The data existed long before HB303 was written. The data from the 2015 survey was analyzed by the authors of the 2021 study between November 1, 2020 and January 3, 2021.

The Conclusion of the study stated: “This study demonstrates an association between gender-affirming surgery and improved mental health outcomes. These results contribute new evidence to support the provision of gender-affirming surgical for TGD people.”

On May 1, 2021, NBC News posted an article titled: “Gender-affirming surgery linked to better mental health, study finds.” It was written by Dan Avery. From the article:

Transgender people who have access to gender-affirming surgery report better mental health outcomes, according to a new study.
The report, published Wednesday in JAMA Surgery, compared the psychological distress levels, suicide risk, and substance use in trans and gender-diverse people who had undergone gender-affirming surgery with those who wanted such procedures but had not yet had them.
The researchers found that subjects who had not received the surgical interventions they desired were nearly twice as likely to report severe psychological distress and suicidal thoughts, and reported higher incidences of binge drinking and tobacco use, as well…
…The new report, however, represents the first large-scale controlled study of the relationship between gender-affirming surgery and psychological well being. It uses data from nearly 200,000 participants in the 2015 U.S. Transgender Survey conducted by the National Center for Transgender Equality…

You may have noticed that the study regarding gender-affirming surgery only included adults. Alabama’s HB303 focuses on children and teens who are transgender. There is no data on children or young teens who have had gender-affirming surgery because that type of medical care is not provided to children or young teens.

Politifact provided clarification in a fact-checking article that was posted in 2019. The fact-check was in relation to a situation in Texas where one parent of a transgender girl affirmed her gender, while the other parent did not. From the fact-check:

…There are absolutely no medical interventions or surgical interventions on any prepubertal child,” said Colt Keo-Meier, a Texas-based psychologist and author who specializes in gender and sexual health. “That is not happening.”
The widely accepted “Standards of Care” maintained by the World Professional Association for Transgender Health also emphasize this point.
“Before any physical interventions are considered for adolescents, extensive exploration of psychological, family, and social issues should be undertaken,” the standards read. “The duration of this exploration may vary considerably depending on the complexity of the situation.”…
…The World Professional Association for Transgender Health outline minimum criteria that must be met before a child can receive puberty-suppressing medication, including that the child has demonstrated a “long-lasting and intense pattern of gender nonconformity or gender dysphoria” and that it “emerged or worsened with the onset of puberty.”
Other interventions like hormone therapy (partially reversible) or surgery (irreversible) won’t be considered until a patent reaches adolescence.
Even then, the Standards of Care stress that certain procedures should not be preformed until a patient is old enough to consent on their own (typically 16-18 years old) and others should occur only once a person has received other treatments for a specific time period…

It is worth noting that Alabama’s HB303 claims that there is evidence that children and teens who receive gender-affirming surgery does not reduce the risk of suicide. That claim has been debunked by the 2021 JAMA study.

Alabama’s HB303 also claims: To the contrary, such interventions carry elevated risks for sterility, lost of sexual function, bone fractures, thromboembolic and cardiovascular disease, malignancy, and may even contribute to mental illness and suicide.” It is impossible for the writers of Alabama’s HB303 to make this claim because there is no evidence that any child or young teen has been given gender-affirming surgery.

More nonsense from Alabama’s HB303: “The continued performing of these therapies upon children constitutes a public health risk“. As I’ve already made clear in this blog post, puberty blockers are not a public health risk. Gender-affirming surgery is not a public health risk either, and is irrelevant within the context of HB 303 because no children or young teens receive gender-affirming surgery.

More nonsense from Alabama’s HB303: SEX. The biological state of being male or female, based on the individual’s sex organs, chromosomes, and endogenous hormone profiles.

The writers of Alabama’s HB303 are confused. They appear to believe that the word gender, and the word sex, are synonyms. That’s not so!

Pediatrics, the Official Journal of the American Academy of Pediatrics, posted information titled: “Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents”. From the information:

…Gender Identity is not synonymous with “sexual orientation,” which refers to a person’s identity in relation to the gender(s) to which they are sexually and romantically attracted. Gender identity and sexual orientation are distinct but interrelated constructs. Therefore, being transgender does not imply a sexual orientation, and people who identify as transgender still identify as straight, gay, bisexual, etc. on the basis of their attractions…
…Gonadotrophin-releasing hormones have been used to delay puberty since the 1980s for central precocious puberty. These reversible treatments can also be used in adolescents who experience gender dysphoria to prevent development of secondary sex characteristics and provide time up until 16 years of age for the individual and family to explore gender identity, access psychosocial supports, develop coping skills, and further define appropriate treatment goals. If pubertal suppression treatment is suspended, then endogenous puberty will resume…

The next part of Alabama’s HB303 attacks doctors, for the purpose of preventing them from providing puberty blockers or gender-affirming care to patients. (NOTE: As I’ve already mentioned, children and young teens are not provided with gender-affirming surgeries.)

Except as provided in subsection (b), no person shall engage in, counsel, or make a referral for any of the following practices upon a minor, and no person shall cause any of the practices in this subsection to be performed upon a minor if the practice is performed for the purpose of attempting to affirm the minor’s perception of his or her gender or sex, if that perception is inconsistent with the minor’s biological sex as defined in this act:

1 Prescribing, dispensing, administering, or otherwise supplying puberty blocking medication to stop or delay normal puberty.

2 Prescribing, dispensing, administrating, or otherwise supplying supraphysiologic doses of testosterone or other androgens to females.

3 Prescribing, dispensing, administering, or otherwise supplying supraphysiologic doses of estrogen to males.

4 Performing surgeries that sterilize, including castration, vasectomy, hysterectomy, oophorectomy, orichiectomy and penectomy.

5 Performing surgeries that artificially construct tissue with the appearance of genitalia that differs from the individual’s biological sex, including metoidoplasty, phalloplasty, and vaginoplasty.

In short, the writers of Alabama’s HB303 want to prevent children and teens from receiving puberty blockers. The writers are also trying to prohibit older teens and young adults from receiving hormones. There’s also a whole lot of surgical procedures that are being prohibited – which don’t typically happen to children or young teens.

6 Removing any healthy or non-diseased body part or tissue.

Surgeons don’t remove healthy (or non-diseased) body parts or tissue. They remove parts that are unhealthy, severely damaged, or diseased. I suspect the reason that part was put into Alabama’s HB303 is to further emphasize how badly they want to prevent children and young teens from having gender-affirming surgery. Again, no one is preforming gender-affirming surgery on minors, so there is no point to that part of the bill.

That said, Alabama’s HB303 does allow certain kinds of surgeries for children or teens who are not transgender. This is discrimination. From HB 303:

Subsection (a) does not apply to a procedure undertaken to treat a minor born with a medically verifiable disorder of sex development, including either of the following:

1 An individual born with external biological sex characteristics that are irresolvably ambiguous, including an individual born with 46 XX chromosomes with virilization, 46 XY chromosomes with under virilization, or having both ovarian and testicular tissue.

2 An individual whom a physician has otherwise diagnosed with a disorder of sexual development, in which the physician has determined through genetic or biochemical testing that the person does not have normal sex chromosome structure, sex steroid hormone production, or sex steroid hormone action for a male or female.

A violation of this section is a Class C felony.

The next part of Alabama’s HB303 attacks transgender children and teens by requiring school personnel to tell a parent of a transgender student that their child is transgender. Doing so could, in at least some cases, cause harm to that child or teen. This part of the bill could cause teachers and other school personnel to have to choose between losing their jobs or putting a transgender student into possible danger from family members.

Section 5. (a) No nurse, counselor, teacher, principal, or other administrative official at a public or private school attended by a minor shall do either of the following:

1 Encourage or coerce a minor to withhold from the minor’s parent or legal guardian the fact that the minor’s perception of his or her gender or sex is inconsistent with the minor’s sex.

2 Withhold from a minor’s parent or legal guardian information that is relevant to the physical or mental health of the minor, including information related to a minor’s perception that his or her gender is inconsistent with his or her sex.

A violation of this section is a Class A misdemeanor.

The rest of Alabama’s HB303 bill puts in place disclaimer: “If any part, section, or subsection of this act or application thereof to any person or circumstances is held invalid, the invalidity shall not affect parts, sections, subsections, or applications of this at that can be given effect without the invalid part, section, subsection or application.”

It also declares that this bill is excluded from further requirements from some other parts of Alabama law, and requires the bill to become effective 30 days following its passage and approval by the Governor, or its otherwise becoming law.

On February 26, 2020, the Alabama House of Representatives Committee on Health amended HB 303.

On page 7, lines 6 and 7, delete the following: “that is relevant to the physical or mental health of the minor, including information”

On page 7, line 10 and 11, delete the following: “A violation of this section is a Class A misdemeanor.”

The first amendment changes this part:

The result of the change would be: 2 Withhold from a minor’s parent or legal guarding information related to a minor’s perception that his or her gender or sex is inconsistent with his or her sex.

The second amendment changes this part: A violation of this section is a Class A misdemeanor. It removes that part of the text entirely.

On February 28, 2020, Alabama Political Reporter posted an article titled: “ACLU of Alabama condemns bill banning transgender treatment for minors”. It was written by Jessa Reid Bolling. From the article:

The American Civil Liberties Union (ACLU) of Alabama has condemned a recently approved bill to prevent doctors from providing hormone replacement therapy or puberty suppressing drugs to people younger than 19 who identify as transgender…
…The Alabama House Health Committee and the Senate Health Committee approved the bill on Wednesday in separate hearings, both drawing overflow crowds. The committee approval moves the bill in line for consideration by the full House.
The ACLU of Alabama said in a statement that the bill targets transgender youth and puts their academic success and health in danger.
“Transgender girls are girls, and transgender boys are boys,” said Dillon Nettles, policy analyst at the ACLU of Alabama. “Alabama lawmakers are considering legislation that runs counter to medical science, prevailing standards for the treatment of transgender youth and basic human dignity.
“The government shouldn’t threaten medical providers with jail for treating transgender kids and schools shouldn’t discriminate against them when it comes to participation in school sports. HB303 and HB35 are dangerous, discriminatory and put kids at risk.”
Multiple women’s sports advocacy organizations, including The National Women’s Law Center, the Women’s Sports Foundation, and Women Leaders in College Sports, support trans-inclusive policies and oppose efforts to exclude transgender student from participating in sports…

What happened to Alabama’s HB 303 bill?

Ms Magazine provided information about that:

…In 2020, Alabama legislators pre-filed their first house bill of the season – HB1 – which, if passed, would prohibit trans minors from receiving life-saving transition-related health care by making it a crime for doctors to provide it. The bill would also “provide for the disclosure of certain information concerning students to parents by schools” – essentially allowing schools to “out” young trans people to their parents…

…The bill was previously introduced as HB303 in the 2020 regular session, where it died. The legislature is set to convene for its 2020 session in February.

Alabama’s tireless lawmakers have also introduced a nearly identical bill in the state’s Senate – SB 10, also known as the “Vulnerable Child Compassion and Protection Act” – which, if passed, would essentially have the same effects as HB1, prohibiting health care and allowing for trans kids to be outed.

SB 10 is what I like to call a “zombie bill”. It had a life as HB303, died, and returned from the dead as a zombie.

Alabama’s SB10 was sponsored by Senator Shay Shellnutt (Republican). The bill was first read in the Alabama Senate on February 2, 2021. The title of SB10 is: “Vulnerable Child Compassion and Protection Act.”

Here are some key points from SB10:

…Relating to public health; to prohibit the performance of a medical procedure or the prescription or issuance of medication, upon or to a minor child, that is intended to alter the minor child’s gender or delay puberty; to provide for exceptions; to provide for disclosure of certain information concerning students to parents by schools; and to establish criminal penalties for violations…

…Section 1. This act shall be known and may be cited as the Alabama Vulnerable Child Compassion and Protection Act

Section 2. For the purpose of this act, the following terms shall have the following meanings:

1 MINOR. The same meaning as in Section 43-8-1, Code of Alabama 1975.

2 PERSON. Includes any of the following: a. Any individual. b. Any agent, employee, official, or contractor of any legal entity. c. Any agent, employee, official, or contractor of a school district or the state of any of its political subdivisions or agencies.

3 SEX. The biological state of being male or female, based on the individual’s sex organs, chromosomes, and endogenous hormone profiles...

Section 3 is a “copy – paste” of the portions of HB 303 that prevent doctors from providing puberty blockers, hormones, or surgeries to transgender minors. It also includes the exceptions for minors who are not transgender (under certain circumstances). Again, this is discrimination.

The part that reads: A violation of this section is a Class C felony remains in SB10. So does the part from HB 303 that requires school personnel to “out” a transgender child or teen to their parents.

On March 2, 2021, the Alabama Senate held a roll call vote on SB10. The purpose of this vote was to read the bill a third time and pass adopted Roll Call 331. Here is how the Senators voted:

Greg Albritton (R) – YEA
Gerald Allen (R) – YEA
Will Barfoot (R) – YEA
William “Bill” M. Beasley (D) – NAY
Tom Butler (R) – P (either not voting or not present)
Clyde Chambless (R) – YEA
Donnie Chesteen (R) – YEA
Linda Coleman-Madison (D) – P (either not voting or not present)
Priscilla Dunn (D) – P (either not voting or not present)
Chris Elliot (R) – YEA
Vivian Davis Figures (D) – NAY
Sam Givhan (R) – YEA
Garlan Gudger (R) – YEA
Jimmy Holley (R) – YEA
Doug Jones (R) – YEA
Steve Livingston (R) – YEA
Del Marsh (R) – P (either not voting or not present)
Jim McClendon (R) – YEA
Tim Melson (R) – YEA
Arthur Orr (R) – YEA
Randy Price (R) – YEA
Greg Reed (R) – YEA
Dan Roberts (R) – YEA
Malika Sanders-Fortier (D) – P (either not voting or not present)
Clay Scofield (R) – YEA
David Sessions (R) – YEA
Shay Shelnutt (R) – YEA
Bobby Singleton (D) – NAY
Rodger Smitherman (D) – NAY
Larry Stutts (R) – YEA
J.T. Waggoner (R) – YEA
Tom Whatley (R) – YEA
Jack Williams (R) – P (either not voting or not present)

On March 2, 2021, the Associated Press posted an article titled: “Alabama Senate approves treatment ban for trans kids”. It was written by Kim Chandler. From the article:

Transgender youth in Alabama would not be able to be treated with puberty-blockers, hormone treatment, or surgery under a bill approved Tuesday by the Alabama Senate, as parents and trans youth rallied outside the Statehouse in opposition.
Senators voted 23-4 to approve the measure sponsored by Republican Sen. Shay Shelnutt of Trussville. The bill now moves to the Alabama House of Representatives where a committee has approved a nearly identical bill. The bills would make it a felony to use puberty-blocking drugs, hormonal therapy and surgery to treat transgender minors. Violators could face up to 10 years in prison…
…Dr. Monica Ladinsky, a pediatrician who has treated multiple transgender youths, told a Senate committee earlier that genital surgery is never performed on children, and puberty blockers and hormonal therapy are used only used after lengthy informed consent, mental health oversight and subspecialized medical care…

Also on March 2, 2021, Montgomery Advertiser posted an article titled: “Alabama Senate approves bill banning transgender youth treatments amid protests at state Capitol”. It was written by Bryan Lyman. From the article:

…”I currently am not comfortable in my own skin,” said Smith, a high school sophomore from Jacksonville who is a transgender teen. “But testosterone and hormone treatments and all of these gender-affirming surgeries, for some it means life or death.”
It was a story repeated by about 40 protestors who traveled to Montgomery to protest two bills: one from Sen. Say Shelnutt, R-Trussville, that would ban transgender youth from receiving puberty blocking and hormone treatment, and a second from Rep. Scott Stadthagen, R-Hartselle, that would ban transgender youth from playing public school sports for the gender with which they identify.
Shelnutt’s bill passed the Senate 23-4 Tuesday afternoon. The bill moves to the House. A similar measure was sponsored by Rep. Wes Allen, R-Troy, passed out of a House committee last week. The House adjourned on Tuesday evening before taking up Stadhagen’s bill…
…Parents of transgender children and doctors who work with transgender children say the treatments have positive psychological impacts. In testimony before several legislative committees, parents and doctor said genital surgery does not take place on minors…
On March 2, 2021, Human Rights Campaign tweeted: “SB10 has passed the Alabama State Senate. The companion bill, HB1, has not yet passed the House. We need everyone to speak out before Alabama criminalizes gender-affirming care to trans kids. If you live in Alabama, please call your legislators and tell them to vote no on HB1”.

On March 3, 2021, CBS News posted an article titled: “Alabama Senate votes to make hormone therapy and surgery for trans youth a felony”. It was written by Sophie Lewis. From the article:

…The two bills would make it a felony for medical professionals to treat transgender minors under the age of 19 with gender-affirming care. Violators could face up to 10 years in prison or a $15,000 fine.
The bill also requires school staff in the state to disclose to parents that “a minor’s perception that his or her gender is inconsistent with his or her sex.” Essentially, teachers would be required to “out” transgender students to their guardians – regardless of whether they are ready to do so…
…While similar measures have been considered across the country, Alabama would be the first state to pass such a bill. Parents, members of the transgender communities and medical experts opposed to the bills say it is dangerous, and that lawmakers do not understand the already difficult process to receive gender-affirming care…

On May 18, 2021, Alabama Political Reporter posted an article titled: “Bill to ban treatments for transgender minors dies before coming to the House floor”. It was written by Eddie Burkhalter. From the article:

A bill that would have banned gender-affirming care for transgender youth didn’t make it to the floor of the Alabama House on Monday, the last day of the session. The bill’s quiet death surely saved young lives, opponents of the bill say.
The bill, sponsored by Republican Sen. Shay Shelnutt, passed the Alabama Senate 21-4 on March 3, but did not make it to the House floor on Monday. The bill was the last of eleven on a special order calendar brought up late Monday night, but House Democrats just before 11 p.m. Monday ran the clock out, ensuring an end to the bill…

On May 26, 2021, the American Civil Liberties Union (ACLU) of Alabama posted information titled: “Our Summary of Alabama’s 2021 Legislative Session”. It was written by Dillion Nettles. From the information:

…Meanwhile, we are always on the defensive when it comes to legislative attacks on our civil rights, whether abortion access, trans rights, voting restrictions, or free speech. This year was no different, with bills filed to ban healthcare access for trans youth, ban curbside voting, attack protester rights, and more.
While the bills to ban cubside voting and to and to ban transgender youth from competing in student athletics both passed and were signed by Governor Ivey, we are relieved to report that HB 1/SB 10, the companion bills that would have criminalized healthcare for trans youth, died as the House adjourned before taking a vote. As we embarked on this session, we knew we would have to defend the rights of trans youth and their families, as we had already seen the “Vulnerable Child Compassion and Protection Act” filed in 2020, and you know that it will likely reappear next year, too…

Alabama’s terrible bills that would have prevented transgender youth from receiving appropriate health care did not become law. This means parents, in consultation with doctors, will be the ones to determine what kind of health care their child or teen receives. Parents of transgender children or teens in Alabama now have the same rights over health care choices for them as do parents of cis-gender children.

Alabama’s Anti-Trans Health Care Bill Failed is a post written by Jen Thorpe on Book of Jen and is not allowed to be copied to other sites.

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