Senate Bill 480: Civil Enforcement for Prohibition of Gender Affirming Care

Prohibits gender affirming care for any individual under 18 years of age, including to “alter the gender of the minor or delay puberty.” Provides disciplinary actions that may be taken toward healthcare providers including revoking licenses and subjecting them to civil liability.

Senate Bill 480
Authored by Sen. Tyler Johnson.
Co-Authored by Sen. Gary Byrne, Sen. Stacey Donato, Sen. Blake Doriot, Sen. Mike Gaskill, Sen. James Buck, Sen. Aaron Freeman, Sen. Jeff Raatz, Sen. Andy Zay, Sen. Greg Walker, Sen. Mark Messmer, Sen. Jack Sandlin, Sen. Linda Rogers, Sen. James Tomes, Sen. Rick Niemeyer, Sen. Brian Buchanan, Sen. Scott Alexander, Sen. John Crane, Sen. Michael Young.

DIGEST
Gender transition procedures for minors. Prohibits a physician or other practitioner from knowingly providing gender transition procedures to an individual who is less than 18 years of age (minor) that are intended to alter the gender of the minor or delay puberty. Provides for certain medical exceptions. Establishes civil enforcement actions.

Actions for Senate Bill 480
S 02/27/2023 Amendment #4 (Yoder) failed; Roll Call 165: yeas 12, nays 37
S 02/27/2023 Amendment #7 (Brown L) prevailed; voice vote
S 02/27/2023 Second reading: amended, ordered engrossed
S 02/23/2023 Senator Young M added as coauthor
S 02/23/2023 Committee report: amend do pass, adopted
S 02/21/2023 Senator Charbonneau added as second author
S 01/30/2023 Senator Crane added as coauthor
S 01/23/2023 Senator Ford Jon removed as coauthor
S 01/19/2023 First reading: referred to Committee on Health and Provider Services
S 01/19/2023 Coauthored by Senators Byrne, Donato, Doriot, Gaskill, Buck, Ford Jon, Freeman, Raatz, Zay, Walker G, Messmer, Sandlin, Rogers, Tomes, Niemeyer, Buchanan, Alexander
S01/19/2023 Authored by Senator Johnson

Link to PDF file of introduced bill: SB0480.01.INTR

Continue ReadingSenate Bill 480: Civil Enforcement for Prohibition of Gender Affirming Care

House Bill 1525: Prohibiting Gender Affirming Care

No health care professionals, including medical doctors or nurses, or behavioral or human service professionals are allowed affirm a young person’s sexual attraction, behavior or gender identity if different from genitalia or DNA. Prohibits gender confirming surgeries which are rarely performed for on anyone under 18. Prohibits puberty blockers and hormones for those under 18. This bill, like others, does not recognize or distinguish trans youth from young people with precocious puberty, who would also be affected by this bill. “Under the bill’s requirements, there is no direct penalty, but under lawful practice health care professionals could have action taken against them by the State Health Commissioner. The State Health Commissioner could issue a letter of correction or probationary license, conduct a resurvey, deny renewal of a license, revoke a license, or issue a civil penalty not to exceed $10,000.”

House Bill 1525
Introduced House Bill (H)
Authored by Rep. Bruce Borders.

DIGEST
Prohibited health care for minors. Prohibits specified health care professionals from: (1) performing certain medical procedures on a minor; or (2) prescribing, administering, or furnishing certain drugs to a minor; that purposely attempt to change, reinforce, or affirm a minor’s perception of the minor’s own sexual attraction or sexual behavior, or attempt to change, reinforce, or affirm a minor’s gender identity when the identity is inconsistent with the minor’s biological sex.

Actions for House Bill 1525
H 01/19/2023 First reading: referred to Committee on Public Health
H 01/19/2023 Authored by Representative Borders

Link to PDF of introduced bill: HB1525.01.INTR

Continue ReadingHouse Bill 1525: Prohibiting Gender Affirming Care

Fort Wayne Journal Gazette covers 4 anti-trans house bills in 2023

Fort Wayne Journal Gazette covers the four anti-trans house bills targeting transgender healthcare in 2023. Some good analysis here about these bills.

General Assembly
Transgender health care targeted by new Indiana bills
Brett Stover | The Journal Gazette

INDIANAPOLIS – Several bills filed by Republican lawmakers seek to ban doctors from providing gender-affirming care to minors.

The filings this week make Indiana one of at least a dozen states where legislators are seeking to limit transgender health care access.

One such proposal, House Bill 1220, is authored by Rep. Michelle Davis, R-Whiteland, and co-authored by three more Republicans, including Fort Wayne Rep. Chris Judy.

Early gender-affirming care is crucial for the health and well-being of transgender and nonbinary children and adolescents, according to the U.S. Department of Health and Human Services.

Some types of gender-affirming care are reversible, one government document states. Those include social affirmation – like using a person’s preferred pronouns and name – and puberty blockers, hormones that effectively pause puberty.

Hormone replacement therapy, which Health and Human Services says is used from early adolescence onward, is a partially reversible form of medical care.

The final category, gender-affirming surgery, is described as non-reversible and is typically used in adulthood. A Reuters report found that such surgeries are “uncommon in patients under age 18.”

Physicians and other medical practitioners would not be allowed to provide any medical nor surgical gender-affirming care under HB 1220. They would also not be allowed to refer a minor to another doctor for such care.

The bill would allow for civil penalties against medical professionals who violate the law.

Another measure, House Bill 1118, would impose harsher penalties.

Under HB 1118, filed by Rep. Lorissa Sweet, R-Wabash, health care professionals who perform gender-affirming surgeries on minors whose gender identity “is inconsistent with the minor’s biological sex” could face Level 5 felony charges. A Level 5 felony carries a sentencing range of 1 to 6 years.

It also would open medical professionals who provide other forms of gender-affirming care including puberty blocker and hormone therapy to misdemeanor charges.

Rep. Ryan Lauer, R-Columbus, has also filed two bills that would affect transgender minors.

One, House Bill 1231, has similar provisions to HB 1220 and would allow for civil penalties for doctors who provide medical or surgical gender-affirming care. It would also bar health insurance companies from covering those types of procedures.

The second, House Bill 1232, would prohibit the Department of Child Services from substantiating a report of child abuse or neglect solely because the parent or guardian insists on “referring to and raising the child consistent with the child’s biological sex” or because they won’t allow the child to receive gender-affirming surgery, medical care, mental health care or counseling.

The bill would also prohibit the Department of Child Services from taking custody of a child away from their guardian solely for those reasons.

Those bills have drawn the ire of the American Civil Liberties Union of Indiana, whose advocacy director said the General Assembly is on track to introduce a record number of bills “attacking the rights of LGBTQ Hoosiers.”

“A number of these bills represent a coordinated, hate-driven campaign to push trans people out of public life,” ACLU of Indiana Advocacy Director Katie Blair said in a statement. “We will use every tool at our disposal to defend LGBTQ rights in Indiana. LGBTQ people belong everywhere, including in our state, and we will not stand for these attack bills.”

G. David Caudill, founder of the nonprofit Equality Indiana, said that while he’s disappointed in the legislation, it’s not unexpected based on trends across the country and other recent bills in Indiana.

“It’’s disappointing that the supermajority, and the extremists within the supermajority, are trying to score political points by attacking the LGBTQ community,” Caudill said.

He encouraged committee chairs to let the bills die in committee.

Caudill also said the bill would hurt the state’s economic environment. Indiana wants to be welcoming, he said, but bills like these “give us a black eye” economically.

This isn’t the first time the Indiana legislature has turned its eye toward transgender children.

Last year, Davis authored House Bill 1041, which banned transgender girls from participating in girls school sports.

The Indiana legislature overrode a veto from Gov. Eric Holcomb, and the ban went into effect July 1. However, the ACLU challenged HB 1041 in court on behalf of a 10-year-old transgender girl, and a federal judge ruled in her favor last July.

Continue ReadingFort Wayne Journal Gazette covers 4 anti-trans house bills in 2023

House Bill 1232 – Denying child protective services to abused transgender children

UPDATE 02/13/2023 – A similar bill House Bill 1407, passed through the House and was referred to the Senate.

House Bill 1232 would deny Child Protective Services the means to remove psychologically or physically abused transgender children from their parents homes.

House Bill 1232
Introduced House Bill (H)
Authored by Rep. Ryan Lauer.
Co-Authored by Rep. Michelle Davis.

DIGEST
Child removal and gender identity. Provides that the department of child services may not classify a report of child abuse or neglect as substantiated, and a child may not be removed from the child’s parent, guardian, or custodian, solely on the basis of the parent, guardian, or custodian: (1) referring to and raising the child consistent with the child’s biological sex; or (2) declining to consent to the child receiving: (A) specified medication; (B) a medical procedure the purpose of which is to alter the apparent gender or sex of the child or affirm the child’s perception of the child’s gender or sex in a manner inconsistent with the child’s biological sex; or (C) counseling or other mental health services the purpose of which is to affirm the child’s perception of the child’s gender or sex if the child’s perception is inconsistent with the child’s biological sex.

Actions for House Bill 1232
H0 1/12/2023 Representative Davis M added as coauthor
H 01/10/2023 First reading: referred to Committee on Family, Children and Human Affairs
H 01/10/2023 Authored by Representative Lauer

Link to PDF File of Introduced Bill: HB1232.01.INTR

News References:

Source: Herald Bulletin
Feb 9, 2023
GOP advances ‘parental rights’ bill targeting DCS policies for transgender children

Source: The Herald Bulletin Editorial Board
Feb 9, 2023
Editorial: Legislature resumes attack on LGBTQ kids

Continue ReadingHouse Bill 1232 – Denying child protective services to abused transgender children

House Bill 1231 – Civil Penalties for Gender Affirming Care

HB-1231 allows civil penalties for doctors who provide gender affirming medical care to young people, and bars health insurance companies from covering gender affirming care for young people (generally, insurance companies don’t cover currently cover surgeries for minors).

House Bill 1231
Introduced House Bill (H)
Authored by Rep. Ryan Lauer.
Co-Authored by Rep. J.D. Prescott, Rep. David Abbott.

DIGEST
Gender transition procedures for minors. Prohibits specified health care professionals from providing gender transition procedures to a minor that are intended to alter the gender of the minor or delay puberty. Provides for certain medical exceptions. Prohibits public funds, Medicaid, or a health carrier from providing reimbursement or coverage for gender transition procedures to a minor. Creates a civil cause of action. Makes conforming changes.

Actions for House Bill 1231
H 01/19/2023 Representatives Prescott and Abbott D added as coauthors
H 01/10/2023 First reading: referred to Committee on Public Health
H 01/10/2023 Authored by Representative Lauer

Link to PDF File of Introduced Bill: HB1231.01.INTR

Continue ReadingHouse Bill 1231 – Civil Penalties for Gender Affirming Care