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Puberty blockers and hormone therapies for minors still remain authorized, however applicants should now wait seven days and bear at least forty hours of “clinically neutral” therapy earlier than beginning them. The invoice takes historic action to protect Illinois providers and their patients, 1000’s of whom have traveled to Illinois to access important care now banned in their home states. January 13, 2023 On January 13, 2023, Governor JB Pritzker signed into legislation HB4664, a reproductive rights and gender affirming care omnibus bill that protects well being care providers and their patients from legal attacks by neighboring states and expands reproductive and gender affirming health care entry and choices throughout the state. Minnesota Governor Tim Walz April 27, 2023 April 27, 2023 On April 27, 2023, Governor Tim Walz signed a shield regulation which protects minors fleeing from different states to receive gender-affirming care. California Governor Gavin Newsom September 30, 2022 January 1, 2023 On September 30, 2022, Governor Gavin Newsom signed SB 107, a shield legislation which designates California as a “sanctuary state” for trans youth and their households who are fleeing from other states which have banned the observe. Washington Governor Jay Inslee May 9, 2023 May 9, 2023 On May 9, 2023, Governor Jay Inslee signed a shield legislation designating Washington as a “sanctuary state” for trans youth.

Arizona Governor Katie Hobbs June 28, 2023 June 28, 2023 On March 30, 2022, Governor Doug Ducey signed a invoice banning gender-affirming surgical procedure for minors, however not hormones and puberty blockers. Connecticut Governor Ned Lamont May 5, 2022 May 5, 2022 On May 5, 2022, Governor Ned Lamont signed House Bill 5414, a shield law that designates Connecticut as a “secure harbor” which protects people who present abortions and gender affirming care within the state, as well as authorized protections for folks in search of abortions and gender-affirming health care from out-of-state. Vermont Governor Phil Scott March 29, 2023 September 2023 On March 29, 2023, Governor Phil Scott signed into regulation House Bill 89 and Senate Bill 37, which set up a slate of protections for both suppliers and seekers of gender affirming health care, as well as those in search of or administering abortions. Maine Governor Janet Mills April 23, 2024 April 23, 2024 On April 23, 2024, Governor Janet Mills signed a shield regulation designating Maine as a “sanctuary state” for gender-affirming care and abortion providers and makes access to such treatments “authorized rights” in Maine. It states that criminal and civil actions towards providers and patients should not enforceable if the access to that care occurred in Maine.

The ban additionally solely applies to new patients. The ban only applies to transgender youngsters and nonetheless allows such treatments for intersex and cisgender kids. The bill contains exceptions for this kind of care for non-transgender youth, and it permits kids who had been already receiving gender-affirming care in Ohio to continue their remedy. Transgender youngsters who started treatment prior to August 1, 2023, will be allowed to proceed receiving treatment. It additionally protects doctors who present gender-affirming care and abortion from actions by medical boards, malpractice insurance, and other regulating entities that seek to economically harm them or dissuade them from providing care. The order will protect those looking for, receiving, or providing gender affirming care in Maryland from makes an attempt at authorized punishment by different states. New Jersey Governor Phil Murphy April 4, 2023 April 4, 2023 On April 4, 2023, Governor Phil Murphy signed Executive Order No. 326 establishing New Jersey as a protected haven for gender-affirming health care by directing all state departments and businesses to guard all individuals, together with well being care professionals and patients, towards potential repercussions resulting from offering, receiving, aiding in offering or receiving, searching for, or touring to New Jersey to obtain gender-affirming health care providers.

New York Governor Kathy Hochul June 26, 2023 June 26, 2023 On June 26, 2023, Governor Kathy Hochul signed a shield legislation designating New York as a “sanctuary state” for trans youth. However, puberty blockers, hormones and non-genital surgeries reminiscent of mastectomies remain authorized for trans youth. North Carolina State legislature August 17, 2023 Ban on gender-affirming care, corresponding to hormones, puberty blockers, and surgery, for minors. Louisiana State Legislature January 1, 2024 On June 29, 2023, John Bel Edwards vetoed a ban on blockers, hormones, and surgery for minors. On January 24, 2024, the legislature overrode DeWine’s veto thereby making HB68 law. South Carolina Governor Henry McMaster May 21, 2024 May 21, 2024 On May 21, 2024, South Carolina Governor Henry McMaster signed a law banning trans well being care for minors. Oregon Governor Tina Kotek July 13, 2023 July 13, 2023 On May 9, 2023, Governor Tina Kotek signed a law defending access to abortion and gender affirming care for trans youth. Missouri Governor Mike Parson June 7, 2023 August 28, 2023 People receiving puberty blockers or hormones before the ban went into impact may proceed taking them. In October 2023, a judge declined to cease the regulation from taking effect.