Des Moines, Iowa – Today, the Human Rights Campaign (HRC) — the nation’s largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization — condemned the Iowa Senate for passing SF 538, an anti-LGBTQ+ bill that would ban age-appropriate, medically necessary care for transgender youth under the age of 18 and SF 482 which would prohibit transgender youth from using school restrooms and locker rooms that match their gender identity. The Senate passed these bills just days after a record-breaking number of Iowans came to Des Moines to protest the slew of anti-LGBTQ+ bills introduced by Iowa lawmakers this year. The bill will now head to the Iowa House for consideration.

Gender-affirming care is age-appropriate care that is medically necessary for the well-being of many transgender and non-binary people who experience symptoms of gender dysphoria, or distress that results from having one’s gender identity not match their sex assigned at birth. Gender-affirming care is the integration of medical, mental health and social services. For transgender children, transition is an entirely social process which may include a new name or pronouns, wearing different clothes or styling one’s hair differently. At puberty, doctors may一in consultation with and having the informed consent of the transgender youth and their parents一prescribe reversible medication known as puberty-blockers, which allow a young person to safely reach an age in which they’re truly able to consent to further treatment.

Human Rights Campaign State Legislative Director and Senior Counsel Cathryn Oakley released the following statement:

“LGBTQ+ students, especially transgender students, in Iowa deserve to feel welcomed and safe in their schools. Instead, radical politicians are using their power to further alienate and target transgender students as part of a hateful, coordinated campaign to pander to their base. It is appalling that the Iowa Senate would pass these bills that would further alienate young people in schools and deny young people access to age-appropriate, medically necessary care. This ban is not only discriminatory but also life-threatening. Transgender youth already face alarming levels of discrimination, and this would only further harm them. No parent or healthcare provider should have to choose between following best medical practices or facing legal consequences. We urge the Iowa House to reject this heartless legislation.

THE FACTS ABOUT GENDER AFFIRMING CARE

Every credible medical organization – representing over 1.3 million doctors in the United States – calls for age-appropriate gender-affirming care for transgender and non-binary people.

• “Transition-related” or “gender-affirming” care looks different for every transgender and non-binary person.

• Parents, their kids, and doctors make decisions together, and no medical interventions with permanent consequences happen until a transgender person is old enough to give truly informed consent.

Transgender children are not undergoing irreversible medical changes.

• This is a fundamental misunderstanding about what transition looks like for kids.

• Therapists, parents and health care providers work together to determine which changes to make at a given time are in the best interest of the child.

• Some people take medication, and some do not; some adults have surgeries, and others do not. How someone transitions is their choice, to be made with their family and their doctor.

• In most young children, this care can be entirely social. This means:

  • New name

  • New hairstyle

  • New clothing

  • None of this care is irreversible.

Being transgender is not new.

• Some say it can feel like being transgender is very new – but that’s because the media has been covering it more in recent months and years.

• But transgender people have always existed and will continue to exist regardless of the bills we pass.

• And very few transgender people change their mind.

ALL gender-affirming care is:

• Age-appropriate

• Medically necessary

• Supported by all major medical organizations

• Made in consultation with medical and mental health professionals AND parents

And in many cases, this care is lifesaving:

• A recent study from the Trevor Project provides data supporting this — transgender youth with access to gender-affirming hormone therapy have lower rates of depression and are at a lower risk for suicide.

Three months into 2023, HRC is already tracking 410 anti-LGBTQ+ bills that have been introduced in statehouses across the country. 175 of those would specifically restrict the rights of transgender people, the highest number of bills targeting transgender people in a single year to date.

So far this year, HRC is tracking:

• 90 bills that would prevent trans youth from being able to access age-appropriate, medically-necessary, best-practice health care; two have already become law, in Utah and South Dakota,

• More bathroom ban bills filed than in any previous year,

• And 28 anti-LGBTQ+ bills which have passed at least one chamber, 10 of which are specifically anti-trans.

Since the reviled HB2 was passed, and subsequently partially-repealed, in North Carolina, only three states – Tennessee, Alabama, and Oklahoma – have passed legislation mandating anti-transgender discrimination in bathrooms.

While “bathroom bills'' were very popular in 2016, the international condemnation heaped upon HB2 dissuaded many other states from advancing their own legislation. The Associated Press projected that HB2 passed in 2016 could have cost North Carolina $3.76 billion over 10 years from loss of business opportunities and impact the lives of countless students. Furthermore, legislation attacking transgender refuses to serve the major interests and needs of communities and families, who now pay the price as the consequences of failed leadership across the state. Transgender youth are denied their right to a public education when they’re preventing from accessing restroom facilities consistent with their gender identity, and “bathroom bills” are a violation of both Title IX and the U.S. Constitution.

In a coordinated push led by national anti-LGBTQ+ groups, which deployed vintage discriminatory tropes, politicians in statehouses across the country introduced 315 discriminatory anti-LGBTQ+ bills in 2022 and 29 passed into law. Despite this, fewer than 10% of these efforts succeeded. The majority of the discriminatory bills – 149 bills – targeted the transgender and non-binary community, with the majority targeting children receiving the brunt of discriminatory legislation. By the end of the 2022 legislative session, a record 17 bills attacking transgender and non-binary children passed into law.

Anti-LGBTQ+ legislation took several forms, including:

• 80 bills aimed to prevent transgender youth from playing school sports consistent with their gender identity. 19 states now exclude transgender athletes in school sports.

• 42 bills to prevent transgender and non-binary youth from receiving life-saving, medically-necessary gender-affirming healthcare. 5 states now restrict access to gender-affirming care.

• 70 curriculum censorship bills tried to turn back the clock and restrict teachers from discussing LGBTQ+ issues and other marginalized communities in their classrooms. 7 passed into law.

For more information, please visit https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care

The Human Rights Campaign is America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender and queer people. HRC envisions a world where LGBTQ+ people are embraced as full members of society at home, at work and in every community.