States target transgender health care in first bills of 2023

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States target transgender health care in first bills of 2023
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After a midterm election and record flow of anti-transgender legislation last year, Republican state lawmakers this year are zeroing in on questions of bodily autonomy with new proposals to limit gender-affirming health care and abortion access.

After a midterm election and record flow of anti-transgender legislation last year, Republican state lawmakers this year are zeroing in on questions of bodily autonomy with new proposals to limit gender-affirming health care and abortion access.

Erin Reed, a researcher who tracks transgender legislation, said statehouses where Republicans expanded their margins in the midterms will likely double down on anti-trans legislation this year and reintroduce some of the more drastic measures that didn’t pass in previous sessions. Legislation pre-filed this week in Republican-controlled Oklahoma, which passed restrictions last year on trans participation in sports and school bathroom usage, seeks to ban gender-affirming care for patients under age 26 and block it from being covered under the state’s Medicaid program.

A similar bill pre-filed in South Carolina, where Republicans control both chambers, also requires that trans adults older than 21 obtain referrals from their doctor and a licensed psychiatrist before they can begin treatment. Meanwhile, Democrats in some states are taking a more aggressive approach to transgender health protections.

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