We extend a special thanks to our external reviewers: Hayley Tsukayama, Associate Director of Legislative Activism, Electronic Frontier Foundation, and Don Bell, Policy Counsel, The Constitution Project, Project On Government Oversight (POGO).
Summary
Prosecutors and law enforcement are increasingly weaponizing medical and municipal records to shut down gender-affirming care. Transgender and nonbinary Americans are rapidly losing access to evidence-based and medically necessary care, with escalating attacks by the Trump administration. Given the hostility of the president and federal government toward gender-affirming care, the report asserts that state legislators, hospitals, tech companies, schools, and other decision makers must act now to block anti-care prosecutors.
Key Findings Include:
In a rapidly growing number of cases, prosecutors are weaponizing medical records to sue doctors and block access to gender-affirming care.
Law enforcement is also expanding anti-care surveillance into non-medical records, including driver’s license, occupational license, and voting databases.
With no short-term hope for federal trans civil rights protections, state legislators, healthcare providers, and tech companies must act to protect gender-affirming care.