North Dakota's Republican Gov. Doug Burgum signed a bill into law that restricts transgender health care in the state, immediately making it a crime to give gender-affirming care to people younger than 18.
Gender-affirming care for minors has been available in the U.S. for more than a decade and is endorsed by major medical associations, but it has increasingly come under attack in many conservative legislatures, including North Dakota’s, where lawmakers have passed at least three anti-trans bills this year.
It also enables prosecutors to charge a provider with a misdemeanor - up to 360 days in prison and $3,000 in fines - for giving gender-affirming medication, like puberty blockers, to a trans child.
North Dakota joins at least 13 other states that have enacted laws restricting or banning gender-affirming care for minors. The Food and Drug Administration approved puberty blockers 30 years ago to treat children with precocious puberty - a condition that causes sexual development to begin much earlier than usual. Sex hormones - synthetic forms of estrogen and testosterone - were approved decades ago to treat hormone disorders or as birth control pills.
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