By John Riley on February 25, 2021 @JRileyMW

U.S. Sen. Rand Paul (R-Ky.) attacked Rachel Levine, President Biden’s nominee to be assistant secretary of health at the U.S. Department of Health and Human Services, over her support for transition-related care
During Levine’s confirmation hearings on Thursday, Paul attacked the current Pennsylvania Secretary of Health over her previously stated support of gender-affirming transition-related care for transgender youth suffering from severe gender dysphoria.
In questioning Levine, who is transgender, Paul regurgitated talking points circulated on right-wing websites and later picked up by some talk radio stations, mischaracterizing Levine’s support of gender-affirming care for youth suffering from gender dysphoria and lambasting the idea that some youth may eventually undergo surgical interventions.
Repeatedly referring to gender confirmation surgery as “genital mutilation,” Paul ranted that “American culture is now normalizing the idea that minors can be given hormones to prevent their biological development of their secondary sexual characteristics.”
He also cited statistics from the right-wing American College of Pediatricians, which has advocated for bills in several states to block transgender youth from accessing gender-affirming care and penalize doctors who prescribe gender-affirming treatments.
Paul took issue with past statements from Levine supporting the use of puberty blockers to delay puberty for youth experiencing gender dysphoria, asking her: “Do you believe that minors are capable of making such a life changing decision as changing one’s sex?”
Levine replied: “Well, Senator, thank you for your interest in this question. Transgender medicine is a very complex and nuanced field with robust research and standards of care that have been developed. And if I am fortunate enough to be confirmed as the assistant secretary of health, I look forward to working with you and your office, and coming to your office and discussing the particulars of the standards of care for transgender medicine.”
Paul balked at Levine’s answer, pressing her to answer the question.
“Since you evaded the question, do you support the government intervening to override the parent’s consent to give a child puberty blockers, cross sex hormones and or amputation surgery of breasts and genitalia? You have said that you’re willing to accelerate the protocols for street kids. I’m alarmed that poor kids with no parents who are homeless and distraught, you would just go through this and allow that to happen to a minor,” Paul said.
“…What I’m alarmed at is that you’re not willing to say absolutely, minors shouldn’t be making decisions to amputate their breast or to amputate their genitalia. For most of our history, we believe that minors don’t have full rights and the parents need to be involved.
“So I’m alarmed that you won’t say with certainty that minors should not have the ability to make the decision to take hormones that will affect them for the rest of their life. Will you make a more firm decision on whether or not minors should be involved in these decisions?”
See also: Dr. Rachel Levine says transphobic attacks against her “perpetuate a spirt of intolerance”
Levine calmly responded: “Senator, transgender medicine is a very complex and nuanced field, and if confirmed to the position of assistant secretary of health, I would certainly be pleased to come to your office and talk with you and your staff about the standards of care and the complexity of this field.”
Paul then continued, ranting about the effects of hormones and complaining about Democrats’ hypocrisy for criticizing the use of hydroxychloroquine to treat COVID but not objecting to the “off-label” use of puberty blockers before walking away as his time expired.
HELP Committee Chair Patty Murray (D-Wash.) later apologized to Levine for Paul’s treatment of her.
“I do want to say I appreciated your thoughtful and medically-informed response to Senator Paul’s questions earlier in the hearing,” Murray said. “It is really critical to me that our nominees be treated with respect and that our questions focus on their qualifications and the work ahead of us rather than on ideological and harmful misrepresentations like those we heard from Senator Paul earlier.”
A request for comment from the White House Press Office was not returned as of publication.

LGBTQ advocates denounced Paul’s line of questioning, calling it a transphobic attack against Levine.
“Rand Paul chose devotion to anti-LGBTQ extremist groups over substance and the health of our nation — and does not deserve to hold public office,” Ruben Gonzales, the executive director of LGBTQ Victory Institute, said in a statement. “His remarks echo the talking points of the same organizations who said gay men deserved AIDS and that LGBTQ people should be criminalized.
“He explicitly attacked vulnerable trans youth for his own perceived political gain and it was a disgrace. Dr. Levine is an extremely qualified nominee whose experience can help America effectively tackle this pandemic, but he took this opportunity to give voice to hate groups instead.”
The Human Rights Campaign defended Levine’s qualifications to be assistant secretary of health, and demanded that she be confirmed by the Senate.
“Today, Dr. Rachel Levine has proven she is more than qualified to serve as Assistant Health Secretary at the U.S. Department of Health and Human Services,” HRC President Alphonso David said in a statement.
“Levine’s record of accomplishment as a public health leader is unquestionable. At a time when access to health care is a growing crisis for transgender and gender-nonconforming people, Dr. Levine has the empathy to understand the health needs of our diverse country and the skillset to improve them.”
Read more:
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By John Riley on April 8, 2026 @JRileyMW
LGBTQ advocates in Georgia are celebrating a milestone after 15 bills targeting the LGBTQ community introduced during the 2026 legislative session failed to pass before the session ended on April 2.
"This session, we stopped every bill targeting LGBTQ Georgians, even in spite of underhanded political maneuvers," Jeff Graham, executive director of Georgia Equality, said in a statement. "Thousands of Georgians from over 60 counties came together to successfully defeat every last one."
The organization said it mobilized 2,500 Georgia residents to contact their legislators, with 400 traveling to the Georgia State Capitol in Atlanta in recent weeks to lobby lawmakers, testify against the measures, and, in some cases, protest efforts to advance policies targeting LGBTQ rights or visibility.
By John Riley on May 5, 2026 @JRileyMW
Republicans have attached five anti-LGBTQ riders to the National Security and Department of State Appropriations Act for fiscal year 2027.
The bill, which funds the U.S. State Department and national security programs, is considered "must-pass" legislation. Lawmakers often attach riders -- unrelated provisions with little connection to the underlying bill -- to such measures in order to push through proposals that might not survive greater scrutiny.
According to an Instagram post from the Congressional Equality Caucus, Republicans on the House Appropriations Committee attached the anti-LGBTQ provisions to the funding bill.
By John Riley on April 8, 2026 @JRileyMW
Wisconsin Gov. Tony Evers vetoed five anti-LGBTQ bills passed by the state’s Republican-led legislature.
The bills would have barred transgender athletes assigned male at birth from competing on female-designated sports teams in both K-12 schools and colleges; required school boards to adopt policies forcing teachers to out transgender students to their parents and obtain permission before allowing changes to names or pronouns; prohibited minors from accessing gender-affirming care; and allowed people who experience "regret" after such care to sue providers until age 33.
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