Idaho’s ban on gender-affirming care for youth has families desperately searching for solutions | Trending Viral hub


Forced to hide her true self, Joe Horras’ transgender daughter struggled with depression and anxiety until three years ago, when she began taking medication to block the onset of puberty. Gender-affirming treatment helped the 16-year-old find happiness again, her father said.

But now, a U.S. Supreme Court decision allowing Idaho to enforce its ban on such child care could jeopardize their well-being once again. Horras is now struggling to determine his next steps and is considering leaving Idaho, where he has lived his entire life, to move to another state.

“It would be devastating for her,” Horras, who lives in Boise, told The Associated Press. “If she doesn’t have access to that, it will harm her mental health.”

Horras is among Idaho parents desperate for solutions after their trans children lost access to the gender-affirming care they were receiving. Monday’s decision by the U.S. Supreme Court allows the state to implement a 2023 law that subjects doctors to up to 10 years in prison if they provide hormones, puberty blockers or other gender-affirming care to people under 18 years. A federal judge in Idaho had previously blocked the law in its entirety.

The ruling will stand as lawsuits against the law move through lower courts, although the two transgender teens who sued to challenge the law will still be able to get care.

At least 24 states have adopted gender-affirming child care bans in recent years, and most of them face legal challenges. Twenty other states are currently enforcing the bans. Montana law does not apply due to a ruling by a state judge.

Monday’s ruling was the first time the U.S. Supreme Court took up the issue. The court’s 6-3 ruling stopped short of determining whether the ban itself is constitutional. Instead, the justices delved into whether it is appropriate to suspend the application of a law for everyone, or only those who sue over it, while it works its way through the courts.

In his concurring opinion, Justice Neil Gorsuch said “lower courts would do well to pay attention” and limit the use of “universal injunctions” that block all enforcement of laws facing legal challenges. Dissenting, Judge Ketanji Brown Jackson said the court should not decide the fate of those actions without reading legal briefs and hearing arguments on the issue.

Human rights groups in Idaho are supporting families to make sure they know the measure has gone into effect. The American Civil Liberties Union of Idaho said it plans to hold a virtual event via Zoom with licensed counselors and legal experts to help people process the impact and answer any questions they may have about the law.

“Yesterday was really an avalanche of fear, questions, people trying to figure out how this will affect them personally,” said Jenna Damron, an advocacy member of the group. “Getting information quickly and accurately is our first priority.”

Paul Southwick, legal director for the ACLU of Idaho, said the group wants families to know what their options are.

“Gender-affirming healthcare is now immediately illegal for minors in the state of Idaho. However, care remains legal for adults, and it is also legal for minors to seek gender-affirming medical care out of state,” she said.

In Boise, Horras’ 16-year-old daughter wears an estrogen patch and receives estrogen injections every six months. Her last injection was in December and Horras now has just two months to find a new out-of-state provider who can continue administering the medication. The situation has left him scared, he said, and angry at the state politicians who passed the law last year.

“It’s cruel,” he said.

Meanwhile, advocates worry that low-income families won’t be able to afford to travel across state lines to receive medical care. Arya Shae Walker, a transgender man and activist in the small town of Twin Falls in rural southern Idaho, said he worried people would alter the dosages of their current prescriptions to make them last longer. His advocacy group has already removed information from its website about gender-affirming care providers for youth in the area out of concern for potential legal consequences.

The broader issue of gender-affirming child care bans could eventually come before the U.S. Supreme Court again. Last year, a federal judge struck down a gender-affirming child care ban in Arkansas, while an appeals court allowed those in Kentucky and Tennessee to be enforced after being suspended by lower court judges. Montana law does not apply due to a ruling by a state judge.

Laws prohibiting transgender youth from playing on sports teams that align with their gender identity are also being challenged across the country. An appeals court ruled Tuesday that West Virginia’s ban on transgender sports violates a teen athlete’s rights under Title IX, the federal civil rights law that prohibits discrimination based on sex in schools. Hours later, a judge suspended an Ohio law that prohibits such care for transgender youth. The law, which goes into effect next week, also prohibits transgender girls from participating in girls’ school sports competitions.

Gender-affirming care for youth is supported by major medical organizations, including the American Medical Association, the American Academy of Pediatrics, and the American Psychiatric Association. However, England is limiting the ability of people under 16 to begin a medical gender transition.

NHS England recently consolidated a policy first issued provisionally almost a year ago that sets a minimum age at which puberty blockers can be started, along with other requirements. NHS England says there is not enough evidence on its long-term effects, including “broader sexual, cognitive or developmental outcomes”.

Medical professionals define gender dysphoria as psychological distress experienced by those whose gender expression does not match their gender identity. Experts say gender-affirming therapy can reduce rates of depression, suicidal thoughts and suicide attempts among transgender people.

Chelsea Gaona-Lincoln, executive director of the Idaho-based advocacy group Add The Word, said she anticipates “a pretty horrendous ripple effect.” But seeing her community come together in support of her has given her a glimmer of hope.

“There are people coming together and it’s very important, especially for our young people, to feel seen and affirmed for who they are,” she said.


Associated Press writer Geoff Mulvihill contributed from Cherry Hill, New Jersey.

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