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Wednesday, September 27, 2023
Today’s Paper



TRANS LEGISLATION IN AMERICA

 * The Language of Trans Laws
 * Restrictions on Care for Adults
 * Implications for Families and Doctors

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MONTANA’S BAN ON TRANSITION CARE FOR MINORS IS BLOCKED

By Ernesto Londoño

Sept. 27, 2023Updated 1:01 p.m. ET
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THE NEWS

A state judge in Montana on Wednesday temporarily blocked a law that would have
banned transition care for children under 18 starting on Sunday, while a lawsuit
filed by patients and medical professionals proceeds.


Image
In April, Montana became one of 22 states to ban or sharply restrict procedures
that include puberty blockers, hormone therapy and surgeries.Credit...Rebecca
Stumpf for The New York Times



WHY IT MATTERS: MONTANA’S CASE DREW NATIONAL ATTENTION.

Montana was a high-profile battleground for a fight that took place in many
state legislatures this year over medical procedures for transgender minors. In
April, it became one of 22 states to ban or sharply restrict procedures that
include puberty blockers, hormone therapy and surgeries.

In a 47-page ruling, Judge Jason Marks wrote that the “plaintiffs demonstrated
that they are likely to suffer irreparable harm” if the law goes into effect.

The judge wrote that the record of the legislative debate over the bill was
“replete with animus toward transgender persons.” It mischaracterized the nature
of the treatments, the judge said, and included statements from lawmakers who
conveyed “personal, moral or religious disapproval of gender transition.”

Judge Marks, who previously served as a prosecutor and a public defender, was
appointed to his current role in 2019 by Steve Bullock, the former Democratic
governor.


BACKGROUND: THE BAN SPARKED AN ACRIMONIOUS DEBATE IN MONTANA.

Montana became a flashpoint in the debate over transgender rights after
Representative Zooey Zephyr, the first openly transgender woman elected to the
State Legislature, was barred from the House floor over a speech in which she
warned colleagues that they would have “blood on your hands” if they passed the
measure.

Gov. Greg Gianforte, a Republican, supported the ban, saying it “protects
Montana children from permanent, life-altering medical procedures until they are
adults, mature enough to make such serious health decisions.”

In July, three Montana families with transgender children and two medical
professionals filed a lawsuit in Missoula District Court asserting that the law
infringed on several protections guaranteed by the State Constitution: the right
to equal protection under the law, the right of parents to make decisions about
the medical care of their children and the right to privacy.

The attorney general’s office has maintained that lawmakers are within their
right to ban a field of medicine they regard as experimental and dangerous. A
more sensible approach, lawyers for the state contend, is known as “watchful
waiting,” which entails psychotherapy but not medical interventions that some
people have later said they regretted.


WHAT’S NEXT: THE LAWSUIT IS ONE OF SEVERAL PLAYING OUT ACROSS THE COUNTRY.

The ruling over an injunction was the first part of a legal fight that may take
years to resolve. The case is among at least 14 legal challenges to bans on
transgender care for minors that are playing out in state and federal courts
across the nation.

Lawyers challenging these bans say courtrooms are better venues than
legislatures to debate the efficacy and safety of these medical procedures.

“What we are practicing here is not voodoo,” said Katherine Mistretta, a family
nurse practitioner who is one of the plaintiffs in the Montana lawsuit. “I think
our justice system will see that there’s enough science to support this, that
they will understand that this is appropriate care.”

Montana’s attorney general, Austin Knudsen, a Republican, has vowed to defend
the ban. “The new law provides common-sense protections for Montana children,
who can’t even enter into contracts or buy cigarettes or alcohol,” a
spokeswoman, Emily Flower, said in a statement.

Subscribe to The Times to read as many articles as you like.



Ernesto Londoño is a national correspondent based in the Midwest who keeps a
close eye on drug use and counternarcotics policy in the United States. More
about Ernesto Londoño

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