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:

“Once again, out-of-touch politicians in Missouri are choosing to jeopardize the rights and well-being of parents and children, in a desperate attempt to rally the most radical parts of their base. This bill not only ignores the scientific consensus of the American medical establishment, including the American Academy of Pediatrics and the American Medical Association, t but it also jeopardizes the well-being of the very children it purports to protect. Denying gender affirming care to young people can have serious, lasting consequences - and legislators have no business inserting themselves in a conversation about best practice medical care when the decision must be one that the young person and their parents make in consultation with their doctor. We urge the Missouri Senate to reject this harmful 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.

So far in 2023, HRC is opposing more than 500 anti-LGBTQ+ bills that have been introduced in statehouses across the country. More than 210 of those bills would specifically restrict the rights of transgender people, the highest number of bills targeting transgender people in a single year to date.

This year, HRC is tracking:

• More than 120 bills that would prevent transgender youth from being able to access age-appropriate, medically-necessary, best-practice health care; this year, eleven have already become law in Arkansas, Tennessee, Mississippi, South Dakota, Utah, Iowa, Idaho, Indiana, Georgia, Kentucky, and West Virginia.

• More than 30 bathroom ban bills filed,

• More than 100 curriculum censorship bills and 40 anti-drag performance bills.

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.

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.