Chattanooga Times Free Press

Tennessee closes in on transgende­r youth care ban

- BY JONATHAN MATTISE AND KIMBERLEE KRUESI

NASHVILLE — Tennessee’s Republican-led Senate approved a measure Monday that would ban gender-affirming care for transgende­r minors, spurring civil rights groups to promise an immediate lawsuit if and when it becomes law.

The Senate’s 26-6 vote keeps the bill on a fast track to passage even though there’s more work to be done on the House side. GOP legislativ­e leaders and Republican Gov. Bill Lee spoke favorably about the ban even before a bill was filed.

“I believe that every Tennessean should have an opportunit­y to live a life of purpose and dignity in a lawful manner that they choose. And if that involves seeking permanent, irreversib­le alteration­s to your body, I support your right to do so — when you are an adult,” said Senate Majority Leader Jack Johnson, a Republican.

The American Civil Liberties Union, the ACLU of Tennessee, and Lambda Legal on Monday promised they were prepping a lawsuit.

The push in Tennessee comes as state lawmakers across the United States are advancing attacks on genderaffi­rming medical care for young people. Similar bills are being advanced in Nebraska, Oklahoma and South Dakota. In Utah, the Republican governor recently signed a ban into law, and judges have temporaril­y blocked similar laws in Arkansas and Alabama.

Yet Tennessee in particular has been caught in the center of the conflict ever since video surfaced on social media last year of a Nashville doctor touting that genderaffi­rming procedures are “huge money makers” for hospitals.

The video prompted calls by Tennessee’s Republican leaders for an investigat­ion into Vanderbilt University Medical Center, but to date, it’s unknown if any authoritie­s have done so. The private nonprofit hospital said it had provided only a handful of gender-affirming surgeries to minors over the years but has put a temporary pause on the procedures to review its policies.

On average, VUMC has provided five gender affirming surgeries to minors every year since its transgende­r clinic opened in 2018. All were over the age of 16 and had parental consent, and none received genital procedures.

Meanwhile, GOP leaders have used the incident to try to expand Tennessee’s ban on transgende­r medical treatment for children. These services have been available in the U.S. for more than a decade and are endorsed by major medical associatio­ns.

“We are bringing up issues that take away people’s freedoms and focusing on things that people then have to then fight for so they can just be who they are,” said Democratic Sen. Heidi Campbell.

If the Senate’s version is enacted, doctors would be prohibited from providing gender-affirming care to anyone under the age of 18, including prescribin­g puberty blockers and hormones.

However, the legislatio­n spells out some exceptions, including allowing doctors to perform those medical services if the patient’s care had begun prior to July 1, 2023 which is when the ban is proposed to go into effect. The bill then states that care must end March 31, 2024.

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