Human Rights Campaign Condemns Missouri House of Representatives for Passing Anti-Transgender Sports and Gender-Affirming Care Bans

by HRC Staff

Jefferson City, Missouri – Today, the Human Rights Campaign (HRC) — the nation’s largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization — condemned the Missouri House of Representatives for passing Senate Bill 39 and Senate Bill 49. SB 39 would ban transgender students from participating in school sports consistent with their gender identity, while SB 49 would ban age-appropriate, medically necessary care for transgender youth under the age of 18 as well as prevent those who rely on Missouri HealthNet for health care and incarcerated people from being able to access medically necessary care. Both bills will now head to Governor Mike Parson’s desk, and are each expected to be signed into law.

Advocates for women and girls in sports support trans-inclusive policies and oppose efforts to exclude transgender students from participating in sports. This includes the National Women’s Law Center, the Women’s Sports Foundation, Women Leaders in College Sports, and others — including prominent female athletes like Billie Jean King, Megan Rapinoe, and Cheryl Reeve. That’s because while there are real issues facing women’s sports, including a lack of resources devoted to supporting them, transgender participation in athletics is not one of them. And nearly 550 college athletes have stood up to anti-transgender legislation by demanding the NCAA pull championships from states that have enacted anti-trans sports laws.

Gender-affirming care is age-appropriate care that is medically necessary for the well-being of many transgender and non-binary people who experience symptoms of gender dysphoria, or distress that results from having one’s gender identity not match their sex assigned at birth. Gender-affirming care is the integration of medical, mental health and social services. For transgender children, transition is an entirely social process which may include a new name or pronouns, wearing different clothes or styling one’s hair differently. At puberty, doctors may一in consultation with and having the informed consent of the transgender youth and their parents一prescribe reversible medication known as puberty-blockers, which allow a young person to safely reach an age in which they’re truly able to consent to further treatment.

Human Rights Campaign State Legislative Director and Senior Counsel Cathryn Oakley released the following statement:

“The passage of these bills continues the sustained attack on transgender youth by the State of Missouri. These bills knowingly inflict harm on Missouri’s young people while rejecting the facts and failing to address any legitimate government interest. Harming actual transgender children and teens simply because the legislature can do so is a shameful abuse of power. Missouri stands on the wrong side of history today, but the fight for equality isn’t over. LGBTQ+ people will not be pushed into the shadows.”

Earlier this month the Biden Administration issued proposed rules affirming that Title IX protects transgender students from discrimination in athletics and that state laws banning participation of transgender athletes are violations of federal law.

THE FACTS: Gender-Affirming Care

Every credible medical organization – representing over 1.3 million doctors in the United States – calls for age-appropriate gender-affirming care for transgender and non-binary people. “Transition-related” or “gender-affirming” care looks different for every transgender and non-binary person. Parents, their kids, and doctors make decisions together, and no medical interventions with permanent consequences happen until a transgender person is old enough to give truly informed consent.

This is why majorities of Americans oppose criminalizing or banning gender affirming care. Two recent national surveys report that majorities of Americans oppose “criminalizing” or “banning” gender transition-related medical care for minors: 54% oppose (NPR/Marist on 3/20-23, 2023); 53% oppose (Grinnell College National Survey on 3/14-19, 2023). Democrats and Independents drive opposition to such legislation, suggesting that support for such bans carries risk in a general election context.

Gender transition is a personal process that can include changing clothes, names, and hairstyles to fit a person’s gender identity. Some people take medication, and some do not; some adults have surgeries, and others do not. How someone transitions is their choice, to be made with their family and their doctor. Therapists, parents and health care providers work together to determine which changes to make at a given time that are in the best interest of the child. In most young children, this care can be entirely social. This means:

  • New name

  • New hairstyle

  • New clothing

  • None of this care is irreversible.

Being transgender is not new. Some say it can feel like being transgender is very new – but that’s because the media has been covering it more in recent months and years. But transgender people have always existed and will continue to exist regardless of the bills we pass. And very few transgender people change their mind.

ALL gender-affirming care is age-appropriate, medically necessary, supported by all major medical organizations, made in consultation with medical and mental health professionals AND parents. And in many cases, this care is lifesaving: A recent study from the Trevor Project provides data supporting this — transgender youth with access to gender-affirming hormone therapy have lower rates of depression and are at a lower risk for suicide.

For more information, please visit hrc.org/transgender as well as these resources:

THE FACTS: Anti-Transgender Sports Bans

A majority of Americans oppose discriminatory bills seeking to ban transgender and non-binary youth from participation in sports. A PBS/NPR/Marist poll states that 67% of Americans, including 66% of Republicans, oppose the anti-transgender sports ban legislation proliferating across 30 states. And a poll conducted by the Human Rights Campaign & Hart Research Group revealed that, with respect to transgender youth participation in sports, the public’s strong inclination is on the side of fairness and equality for transgender student athletes. 73% of voters agree that “sports are important in young people’s lives. Young transgender people should be allowed opportunities to participate in a way that is safe and comfortable for them.”

Advocates for women and girls in sports support trans-inclusive policies and oppose efforts to exclude transgender students from participating in sports. This includes the National Women’s Law Center, the Women’s Sports Foundation, Women Leaders in College Sports, and others — including prominent female athletes like Billie Jean King, Megan Rapinoe, and Cheryl Reeve. That’s because while there are real issues facing women’s sports, including a lack of resources devoted to supporting them, transgender participation in athletics is not one of them. And nearly 550 college athletes have stood up to anti-transgender legislation by demanding the NCAA pull championships from states that have enacted anti-trans sports laws.

The nation’s leading child health and welfare groups oppose sports bans. Groups representing more than 7 million youth-serving professionals and more than 1,000 child welfare organizations released an open letter calling for lawmakers in states across the country to oppose dozens of bills that target LGBTQ+ people, and transgender children in particular.

In 2022, lawmakers introduced 80 bills aimed to prevent transgender youth from playing school sports consistent with their gender identity. By the end of the 2022 legislative session, a record 17 bills attacking transgender and non-binary children passed into law. 19 states exclude transgender athletes in school sports.

For more information, please access the following resources on HRC’s website:

2023 Becoming Worst Year On Record for Anti-LGBTQ+ Legislation

So far in 2023, HRC is opposing more than 520 anti-LGBTQ+ bills that have been introduced in statehouses across the country. More than 220 of those bills would specifically restrict the rights of transgender people, the highest number of bills targeting transgender people in a single year to date. This year, HRC is tracking:

  • More than 125 gender-affirming care bans — bills that would prevent transgender youth from being able to access age-appropriate, medically-necessary, best-practice health care; this year, 14 have already become law in Arkansas, Tennessee, Mississippi, South Dakota, Utah, Iowa, Idaho, Indiana, Georgia, Kentucky, West Virginia, North Dakota, Montana, and Oklahoma;

  • More than 30 anti-transgender bathroom bills filed;

  • More than 100 anti-LGBTQ+ curriculum censorship bills, and;

  • 45 anti-LGBTQ+ drag performance ban bills.

Americans believe the amount of anti-LGBTQ+ legislation is excessive, agreeing it is “political theater.” Likely voters across all political parties look at GOP efforts to flood state legislatures with anti-LGBTQ+ legislation as political theater. Recent polling indicates that 64% of all likely voters, including 72% of Democrats, 65% of Independents, and 55% of Republicans think that there is “too much legislation” aimed at “limiting the rights of transgender and gay people in America” (Data For Progress survey of 1,220 likely voters, 3/24-26, 2023).

By comparison, last year in 2022 politicians in statehouses across the country introduced 315 anti-LGBTQ+ bills, 29 of which were enacted into law. These efforts — the result of a coordinated push led by national anti-LGBTQ+ groups, which deployed vintage discriminatory tropes seeking to slander, malign, and stigmatize LGBTQ+ people — only yielded a less than 10% success rate, as more than 90% of anti-LGBTQ+ bills were defeated. The majority of the discriminatory bills – 149 bills – targeted the transgender and non-binary community, with the majority targeting children. By the end of the 2022 state legislative season, a record 17 bills attacking transgender and non-binary children were enacted into law.

The Human Rights Campaign is America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender and queer people. HRC envisions a world where LGBTQ+ people are embraced as full members of society at home, at work and in every community.

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