Miami Herald (Sunday)

Can your transgende­r child get healthcare in Florida? What to know about possible changes

- BY GRETHEL AGUILA gaguila@miamiheral­d.com

Transgende­r minors would no longer receive gender-affirming care in Florida if a bill that advanced this week gets passed into law and makes “sex reassignme­nt” medical care illegal.

The legislatio­n, sponsored by Sen. Clay Yarborough, R-Jacksonvil­le, is the latest move by state leaders targeting medical care for transgende­r children. The state’s Board of Medicine and Board of Osteopathi­c Medicine in November banned the use of any puberty blockers, hormone therapies or surgeries to treat gender dysphoria for anyone in Florida under age 18.

Here’s what to know about the bill, which has amplified tensions between conservati­ve legislator­s and LGBTQ+ advocates.

TRANS HEALTHCARE CONCERNS

License at risk: Doctors who provide gender-affirming care to new minor patients may now risk losing their licenses because of the Board of Medicine rule. Medical profession­als will be able to continue treating minor patient who have received care before the law goes into effect.

Penalties: The Senate bill, however, could lead to third-degree felony charges for healthcare providers, which means up to five years in prison, a $5,000 fine or five years’ probation. A previous version of the bill proposed that anyone who participat­ed in providing gender-affirming care face a third-degree felony, leaving parents concerned that they could be imprisoned.

Written consent: The proposal also requires informed written consent for transgende­r adults seeking gender-affirming care. The Agency for Health Care Administra­tion

has barred the use of Medicaid for procedures like hormone therapies.

Funds: It forbids any “government­al entity” from spending state funds for gender-affirming care.

Gov. Ron DeSantis’ office recently asked state universiti­es about spending related to gender dysphoria procedures.

CHALLENGES IN CUSTODY BATTLES

Court review: Genderaffi­rming care could be at the center of custody battles in Florida courts. Under Yarborough’s bill, a parent could request the court review a custody agreement if the other parent supports a transgende­r child seeking gender-affirming care “to protect the child from being subjected to sexreassig­nment prescripti­ons or procedures.”

Out-of-state parent: The bill would also allow courts to consider a situation where a Florida parent doesn’t agree with the decision of an out-ofstate parent who supports care for gender dysphoria.

The court, however, isn’t required to act in any particular way.

Outcome: The original proposal would have allowed gender-affirming care to determine the outcome of custody agreements. A child on puberty blockers and hormone therapies could have been defined under “serious physical harm,” making it possible for a parent who doesn’t support their child’s transition to take custody of them.

WHAT’S NEXT?

Bill action: Senate leadership is reviewing the bill to determine whether to have it look at in another committee. The companion bill hasn’t been heard in the House, even though it has been referred to two committees.

Grethel Aguila: @GrethelAgu­ila

 ?? RYAN CALLIHAN rcallihan@bradenton.com ?? Protesters in Bradenton in 2021 condemned a Florida bill barring transgende­r athletes from women’s and girls’ scholastic sports. The Florida Department of Health now opposes gender-affirming medical care.
RYAN CALLIHAN rcallihan@bradenton.com Protesters in Bradenton in 2021 condemned a Florida bill barring transgende­r athletes from women’s and girls’ scholastic sports. The Florida Department of Health now opposes gender-affirming medical care.

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