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Alabama can enforce felony ban on transgender care for minors, court says

The law makes it a felony for doctors to provide puberty blockers or hormone therapy to anyone under 19 as treatment for gender dysphoria.

Protesters in support of transgender rights line up near the entrances of the Alabama State House in Montgomery on March 2, 2021.Jake Crandall / Advertiser / USA Today Network

In a recent verdict that echoes a growing wave of conservative measures, a federal appeals court ruled on Monday in favor of Alabama’s prohibition of puberty blockers and hormone treatments for transgender children. This marks the second such victory for the tightening grip on gender-affirming care across Republican-led states.
A trio of appellate judges from the 11th U.S. Circuit Court of Appeals struck down a judge’s temporary injunction that had restrained the enforcement of this law. A trial scheduled for April 2 will determine whether this law will be permanently barred.
Alabama’s Attorney General, Steve Marshall, hailed this ruling as a “significant victory,” aligning with what he deems “common sense.” The judges’ decision underscored the state’s responsibility to shield minors from uncertain and irreversible medical effects.
However, this decision has caused uncertainty and distress among families of transgender children who had been receiving these treatments. The injunction remains effective until the court mandates otherwise, a process that may take several days. Upon the mandate’s lifting, the attorney general’s office gains the authority to implement the ban, which could lead to legal consequences for medical practitioners.
Advocacy groups representing families affected by the Alabama law are not yielding, stating that “parents, not the government” should hold the prerogative to make medical choices for their children. The fallout from this ruling could prove detrimental, as families are confronted with the potential loss of vital medical care.
Medical experts, along with prominent institutions like the American Medical Association and the American Academy of Pediatrics, stand against these bans, contending that proper administration renders such treatments safe.
Puberty blockers, administered through injections or skin implants, temporarily pause sexual maturation and are reversible. Hormone treatments facilitate sexual development and appearance changes.
Amidst these legal tussles, Dr. Morissa Ladinsky, a Birmingham pediatrician, remains optimistic that the court’s decision is but a temporary setback. Having treated numerous transgender adolescents, she underscores the positive impact of these treatments and their established medical legitimacy.
This court ruling falls in line with a series of decisions against similar bans in recent times. While the battle rages on in courts over such gender-affirming care restrictions, the implications for transgender youth remain at the heart of these discussions.





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