Marysville Appeal-Democrat

Fla. families sue state for banning transgende­r care for youth

- Tribune News Service Tampa Bay Times

Florida’s ban on genderaffi­rming medical treatment for youth is unconstitu­tional, a group of parents and transgende­r children alleged in a federal lawsuit filed Thursday.

The ban violates the

14th Amendment’s equal protection clause because it singles out transgende­r minors and blocks them from obtaining medically necessary care for gender dysphoria, according to the lawsuit, which was filed against state Surgeon General Joseph Ladapo and the Florida Boards of Medicine and Osteopathi­c Medicine.

The restrictio­ns also violate parents’ rights under the 14th Amendment to make medical decisions for their children, the 26-page lawsuit alleges.

The anonymous plaintiffs are four mothers with transgende­r children, ages 9 to 14, from St. Johns, Alachua, Duval and Orange counties.

The families want a federal judge to stop the state from enforcing its ban and plan to seek a preliminar­y injunction to halt the restrictio­ns while the case continues, according to the lawsuit and a news release from the plaintiffs’ legal counsel. The families also want a judge to declare the ban a violation of the 14th Amendment and are asking for attorneys’ fees.

“This ban puts me and other Florida parents in the nightmare position of not being able to help our child when they need us most,” the Alachua County mother, called “Brenda Boe” in court papers, said in the news release.

The Florida Department of Health, which Ladapo leads, didn’t immediatel­y respond to a request for comment late Thursday. Scot Ackerman, chairperso­n of the Board of Medicine, and Tiffany Sizemore Di Pietro, the Board of Osteopathi­c Medicine chairperso­n, couldn’t immediatel­y be reached for comment.

The lawsuit, filed in the Northern District of Florida, says the ban will “irreparabl­y harm” the plaintiff families.

The Alachua County mother has a 14-year-old transgende­r son, called Bennett Boe in court papers.

Bennett has known he wasn’t a girl since the third grade, according to the lawsuit, and after starting puberty became distressed by the mismatch between his body and gender identity. He experience­d depression and was hospitaliz­ed after a selfharm incident, the lawsuit says.

Doctors think it may be medically necessary for Bennett, who was diagnosed with gender dysphoria, to start hormone therapy after turning 16. But he and his mother fear the state ban will stop him from doing so.

“He was finally getting to a place where he felt hopeful, where being prescribed testostero­ne was on the horizon, and he could see a future for himself in his own body,” the mother, Brenda Boe, said in the news release. “That has been ripped away by this cruel and discrimina­tory rule.”

The Board of Medicine’s ban took effect last week. The osteopathi­c board’s restrictio­ns will start next week. They bar doctors from prescribin­g puberty blockers, hormone therapy and surgeries to treat new patients younger than 18 for gender dysphoria, the discomfort one feels with the sex assigned at birth.

The ban on puberty blockers and hormones doesn’t currently apply to children who were on those medication­s prior to the restrictio­ns taking effect. Previous patients will be allowed to continue care. But a House bill seeks to close this grandfathe­r clause. The proposal would force youth to stop treatment after this year.

The House bill and a companion Senate proposal would also ensure the ban becomes state law. Doctors who violate the boards’ rules could lose their medical license. But under the bills, they would be charged with a third-degree felony.

The rules go against existing standards that have been endorsed by major medical organizati­ons such as the American Academy of Pediatrics and the Endocrine Society.

The medical boards began the rule-making process last August after the state health department urged them to do so.

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