FL HB 1557 (dubbed by critics as “don’t say gay)

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Sep 3, 2010

According to the Florida Department of Health:
• A systematic review on hormonal treatment of young people with gender dysphoria concludes that “low-quality evidence suggests that hormonal treatments for transgender adolescents can achieve their intended physical effects, but evidence regarding their psychosocial and cognitive impact are generally lacking.” The cited evidence had small sample sizes and medium to high risk of bias.​
• A small study on 44 patients in the United Kingdom failed to show any psychological benefit to puberty blockers on children aged 12 to 15...​
• A paper published in International Review of Psychiatry states that 80% of those seeking clinical care will lose their desire to identify with the non-birth sex...​
• In May of 2021, Sweden’s Karolinska Institute suspended the use of puberty blockers for those under the age of 18 due to the potentially irreversible consequences such as cardiovascular disease, osteoporosis, infertility, increased cancer risk, and thrombosis.​
The Florida Department of Health also argues against such medical interventions given “the importance of puberty to brain development, with the pre-frontal cortex (which is responsible for executive functions, such as decision making) continuing to develop until approximately 25 years of age...”
New guidance from Dr. Ladapo’s agency states:
• Anyone under 18 should not be prescribed puberty blockers or hormone therapy.​
• Gender reassignment surgery should not be a treatment option for children or adolescents.​
• Based on the currently available evidence, “encouraging mastectomy, ovariectomy, uterine extirpation, penile disablement, tracheal shave, the prescription of hormones which are out of line with the genetic make-up of the child, or puberty blockers, are all clinical practices which run an unacceptably high risk of doing harm.”​
• Children and adolescents should be provided social support by peers and family and seek counseling from a licensed provider.​
These guidelines do not apply to procedures or treatments for children or adolescents born with a genetically or biochemically verifiable disorder of sex development (DSD)... The Department’s guidelines are consistent with the federal Centers for Medicare and Medicaid Services age requirement for surgical and non-surgical treatment.... Parents are encouraged to reach out to their child’s health care provider for more information.​