California Gov. Jerry Brown has signed a historic law that makes California the first state in the nation to ensure that transgender youth in foster care will be able to access medically necessary care that will assist them in their transition.
The bill, introduced by openly gay Assemblymember Todd Gloria (D-San Diego), requires the state Department of Social Services to ensure transgender youth are aware of their options and can have their transition-related treatments covered by Medi-Cal, California’s Medicaid system. That guidance must be developed by January 1, 2020.
Under the bill, which passed the legislature last month, “gender-affirming health care” is defined as health care that respects a patient’s gender identity, including interventions that allow their physical appearance to match that identity or can alleviate their gender dysphoria, such as hormones and mental health counseling.
LGBTQ advocates say that allowing youth to access this care is potentially life-saving, as untreated gender dysphoria can lead to poor self-esteem, self-harm, and even suicidal ideation.
“This is the beginning of a new and hopeful day for the many foster youth in California,” Gloria said in a statement. “With the signing of this bill, we tell our foster youth that no matter who you are or how you identify, there is a place for you in California.
“We want our future generations to know they have a safe place to grow up and live,” he added. “At its core, that’s what this bill does — we empower transgender and gender non-conforming foster youth to live authentically despite their circumstances. I want to thank Governor Brown for signing this bill into law — an act which I truly believe will save lives.”
The American Academy of Pediatrics recently released a statement recommending, in part, that transgender and gender-diverse youth be allowed to access “comprehensive gender-affirming and developmentally appropriate health care.”
AAP notes that studies have shown that children who are supported in their transition are more likely to experience better physical and mental health outcomes.
In one study, 56% of transgender youth considered committing suicide at some point, with 31% actually attempting it. By comparison, only 20% of cisgender youth have thought of suicide, and 11% have attempted it.
California previously passed legislation acknowledging the importance of recognizing the gender identity of transgender youth when, three years ago, it required child welfare workers and caregivers to consider the gender identity of a transgender youth when determining where such children are placed.
LGBTQ rights group Equality California praised Brown’s signing of the bill.
“Once again, Governor Brown has taken decisive action to protect LGBTQ youth in foster care,” Rick Zbur, the group’s executive director, said in a statement. “No young Californian should be denied gender-affirming health care simply because of who they are.”
U.S. Customs and Border Protection (CBP) has begun enforcing a new rule requiring airlines to ignore any "X" gender markers on passports and instead enter either "M" or "F" for all passengers.
Announced in a July 7 bulletin, CBP said the rule stems from an earlier executive order by former President Donald Trump aimed at eliminating recognition of transgender identities. The directive took effect on July 14, with airlines given 90 days to comply before full enforcement.
Now in effect, the rule has sparked widespread concern over how it will be implemented in practice.
"I am my worst critic," says Cesar Toledo, executive director of the Wanda Alston Foundation. "I set really ambitious deadlines for myself, sometimes unrealistic goals, but somehow, through my tenacity and just that call to public service -- and being raised in a humble home where my mom worked three jobs to raise us -- I carry that very hard work ethic with me every day. And because of that, I've been successful in my career path."
Toledo assumed the role as head of the nonprofit dedicated to serving LGBTQ homeless youth earlier this year, succeeding longtime executive director June Crenshaw, who announced she'd be stepping down last fall.
A federal judge says she plans to issue a preliminary injunction blocking a Trump administration policy that would cut funding for sex education programs, including so-called "gender ideology." The announcement came during a conference call with state attorneys and federal officials.
Earlier this year, President Donald Trump issued an executive order barring schools from engaging in what it calls the "social transition" of transgender youth -- meaning any recognition of gender identity as distinct from biological sex, including using a student’s chosen name or pronouns or making accommodations based on gender identity.
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