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"Decisions about healthcare belong to patients, their doctors, and their families—not politicians," said Rep. Mark Pocan.
As LGBTQ+ rights advocates prepare for oral arguments in a U.S. Supreme Court case about bans on gender-affirming healthcare for trans youth, 164 members of Congress on Tuesday urged the justices to strike down Tennessee's 2023 law.
Tennessee is one of over two dozen states that has recently banned some or all of such care for trans minors, according to the Movement Advancement Project. In response to challenges from advocacy groups and the Biden administration, the right-wing high court agreed to take the case in June.
Arguments in United States v. Skrmetti are expected in the fall. The justices will decide whether Tennessee Senate Bill 1—which bans surgery, puberty blockers, and hormone treatment for trans youth—violates the Equal Protection Clause of the 14th Amendment to the U.S. Constitution.
Congressional Democrats' new "friend of the court" brief argues that the court "should be highly skeptical of legislation banning safe and effective therapies that comport with the standard of care," and "should carefully examine the deeply troubling role that animosity towards transgender people has played in state legislation."
"The law at issue in this case is motivated by an animus towards the trans community and is part of a cruel, coordinated attack on trans rights by anti-equality extremists."
The amicus brief is led by House Judiciary Committee Ranking Member Jerry Nadler (D-N.Y.), Congressional Equality Caucus Chair Mark Pocan (D-Wis.), Rep. Frank Pallone Jr. (D-N.J.), Sen. Jeff Merkley (D-Ore.), and Senate Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Chair Ed Markey (D-Mass.).
"For years, far-right Republicans have been leading constant, relentless, and escalating attacks on transgender Americans," Markey said in a statement. "Their age-old, discriminatory playbook now threatens access to lifesaving, gender-affirming care for more than 100,000 transgender and nonbinary children living in states with these bans if the Supreme Court upholds laws like Tennessee's at the heart of Skrmetti that are fueled by ignorance and hate."
"It takes a special type of cruelty to target children for who they are," he continued. "I am proud to stand with my colleagues against dangerous, transphobic attacks and to reaffirm that our nation's commitment should be to equality and justice for all."
Pocan emphasized that "decisions about healthcare belong to patients, their doctors, and their families—not politicians."
"The law at issue in this case is motivated by an animus towards the trans community and is part of a cruel, coordinated attack on trans rights by anti-equality extremists," he added. "We strongly urge the Supreme Court to uphold the Constitution's promise of equal protection under the law and strike down Tennessee's harmful ban."
The brief is co-signed by another 150 Democrats in the House of Representatives, eight other Democratic senators, and Sen. Bernie Sanders (I-Vt.), who caucuses with the party. It is also supported by the ACLU and the Human Rights Campaign (HRC).
"Thank you to the many members of Congress for standing with transgender and nonbinary youth across our country in asking the Supreme Court to find bans on lifesaving gender-affirming care to be unconstitutional," said HRC vice president of government affairs David Stacy.
"The government should not be able to interfere in decisions that are best made between families and doctors, particularly when that care is necessary and best practice," Stacy stressed. "These bans are dangerous, animated purely by anti-transgender bias, and have forced families to make heartbreaking decisions to support their children."
"It's crucial to recognize that for trans youth and their families, this isn't about politics—it's about the fundamental freedom to access vital, lifesaving healthcare," said one advocate.
The U.S. Supreme Court on Monday agreed to hear a challenge to Tennessee's March 2023 ban on gender-affirming healthcare for transgender youth—a development that LGBTQ+ rights advocates sought but which has them worried given the six right-wing justices.
The Biden administration along with the national and state ACLU, Lambda Legal, and the law firm Akin Gump Strauss Hauer & Feld LLP asked the justices to review the Tennessee ban after a September decision by the 6th Circuit Court of Appeals allowed it to stay in effect.
The justices granted certiorari in seven cases for the term beginning this fall, including United States v. Skrmetti, the administration's challenge to the Tennessee ban. Law Dork's Chris Geidner noted that they rejected local challenges to that law and a similar one in Kentucky, "which also raised a parental rights due process claim."
"These bans represent a dangerous and discriminatory affront to the well-being of transgender youth across the country."
Still, rights advocates cautiously welcomed the news and called on the justices to apply precedents including the Supreme Court's 2020 Bostock v. Clayton Countyruling that it is illegal for employers to discriminate against a worker because of transgender status and sexual orientation. That majority opinion was written by right-wing Justice Neil Gorsuch, who was joined by Chief Justice John Roberts and the four left-leaning members of the court at that time. Now, there are just three liberal justices.
"This court has historically rejected efforts to uphold discriminatory laws, and without similar action here, these punitive, categorical bans on the provision of gender-affirming care will continue to wreak havoc on the lives of transgender youth and their families," Lambda Legal senior counsel Tara Borelli said Monday. "We are grateful that transgender youth and their families will have their day in the highest court, and we will not stop fighting to ensure access to this lifesaving, medically necessary care."
While 15 states plus Washington, D.C. have enacted shield laws protecting access to gender-affirming healthcare, over two dozen states have banned some or all of such care for trans youth, according to the Movement Advancement Project. Medical professionals and rights advocates across the country have warned that these bans endanger the lives of trans people.
"The future of countless transgender youth in this and future generations rests on this court adhering to the facts, the Constitution, and its own modern precedent," said Chase Strangio, deputy director for Transgender Justice at the ACLU's LGBTQ & HIV Project, in a statement after the justices agreed to take the case.
"These bans represent a dangerous and discriminatory affront to the well-being of transgender youth across the country and their constitutional right to equal protection under the law," Strangio continued. "They are the result of an openly political effort to wage war on a marginalized group and our most fundamental freedoms."
Lucas Cameron-Vaughn, staff attorney at the ACLU of Tennessee, stressed that "Tennesseans deserve the freedom to live their lives as their authentic selves without government interference, yet every day this law remains in place, it inflicts further pain and injustice on trans youth and their families."
"As politicians continue to fuel divisions for their own political gain, it's crucial to recognize that for trans youth and their families, this isn't about politics—it's about the fundamental freedom to access vital, lifesaving healthcare," the attorney added.
For now, the Tennessee ban remains in effect—and since its passage last year, the Campaign for Southern Equality has supported families of transgender youth through the Southern Trans Youth Emergency Project.
"This is a high-stakes moment for transgender youth and their families, and we're glad that trans youth and their families will have their day in court to make the case that the bans are unconstitutional, interfere with private medical decisions, and severely harm families," Allison Scott, the campaign's director of impact and innovation, said Monday. "Everyone who needs gender-affirming care should be able to access it affordably, and close to home, and our team will never stop working to make that happen."
"Today's ruling blocks the state of Florida's cruel campaign to deny fundamental rights and basic healthcare to its transgender citizens," said one LGBTQ+ advocate.
A federal judge on Tuesday ruled that key sections of Florida's ban on gender-affirming healthcare for minors—which also limits adults seeking such care—are unconstitutional and that the Republican state lawmakers and GOP Gov. Ron DeSantis were acting with "anti-transgender animus" and not in the interest of public health when they approved the legislation.
"The state of Florida can regulate as needed but cannot flatly deny transgender individuals safe and effective medical treatment—treatment with medications routinely provided to others with the state's full approval so long as the purpose is not to support the patient's transgender identity," Judge Robert L. Hinkle of the U.S. District Court for the Northern District of Florida, Tallahassee Division, wrote in his 105-page opinion.
"Transgender opponents are of course free to hold their beliefs, but they are not free to discriminate against transgender individuals just for being transgender," Hinkle—an appointee of former Democratic President Bill Clinton—continued. "In time, discrimination against transgender individuals will diminish, just as racism and misogyny have diminished."
"To paraphrase a civil rights advocate from an earlier time, the arc of the moral universe is long, but it bends toward justice," he added, referring to a famous quote by the Rev. Martin Luther King Jr.
Hinkle also struck down a provision of the law forcing adults seeking transition healthcare to meet with a doctor in person before beginning treatment.
One year ago, Hinkle temporarily blocked portions of the law prohibiting doctors from providing, and minors from receiving, so-called "puberty blockers" and other hormonal treatments, calling the proscription "purposeful discrimination" against transgender people.
Civil rights advocates cheered Tuesday's decision.
"Today's ruling striking down Florida's discriminatory restrictions on gender-affirming medical care is a huge victory for the transgender community and for the freedom of all Floridians and their families to make their own private medical decisions," Equality Florida executive director Nadine Smith said in a statement.
"Despite the governor and his rubber-stamp GOP supermajority continuously stripping away our rights, the brave plaintiffs, legal experts, and judges have dealt another powerful blow to DeSantis' agenda of censorship, surveillance, and government intrusion into our personal healthcare decisions," Smith added.
Simone Chriss, director of the Southern Legal Counsel's Transgender Rights Initiative, said in a statement:
The federal court saw Florida's transgender minor healthcare ban and adult restrictions for what they are—discriminatory measures that cannot survive constitutional review. Today's ruling blocks the state of Florida's cruel campaign to deny fundamental rights and basic healthcare to its transgender citizens. We are so proud of our brave plaintiffs, without whom we could not have achieved this victory for the state of Florida.
DeSantis—a failed 2024 GOP presidential candidate who has centered waging what fans and foes alike have called a "war on woke"—signed the gender-affirming care ban into law in May 2023 as part of what one activist condemned as "the most extreme slate of anti-trans laws in modern history."
Among the legislation signed that day were the so-called "Don't Say They" law prohibiting transgender public school students and staff from sharing updated preferred pronouns; S.B. 1438, which bans minors from attending "adult live performances" like drag shows; and H.B. 1521, which empowers cisgender people to order transgender people to leave publicly available restrooms or face criminal trespass charges that could result in up to a year behind bars for refusal to comply.
A spokesperson for DeSantis toldThe New York Times after Tuesday's ruling that "there is no quality evidence to support the chemical and physical mutilation of children."
"These procedures do permanent, life-altering damage to children, and history will look back on this fad in horror," she added.
Lucien Hamel, an adult plaintiff in the case, said Hinkle's ruling brought relief.
"I can't just uproot my family and move across the country," Hamel said in a statement. "The state has no place interfering in people's private medical decisions, and I'm relieved that I can once again get the healthcare that I need here in Florida."
Plaintiff Jane Doe—the mother of 12-year-old transgender girl Susan Doe—asserted that the ruling "means I won't have to watch my daughter needlessly suffer because I can't get her the care she needs."
"Seeing Susan's fear about this ban has been one of the hardest experiences we've endured as parents," she said in a statement. "All we've wanted is to take that fear away and help her continue to be the happy, confident child she is now."