In North Carolina, advocates and health care professionals are voicing their opposition to recent medical care restrictions they call legislative attacks on the LGBTQ+ community.

The House rules committee approved House Bill 808, legislation limiting the access of transgender youths to gender-affirming care. Initially, the bill proposed a complete ban on all gender-affirming care, but it eventually passed as a restriction on gender-transition surgeries for minors.

Kendra R. Johnson, executive director of Equality North Carolina, said the measure action ignores the recommendations of medical experts and prevents individuals from making personal choices.

"You go to professionals every day because you trust that they study, they understand market standards," Johnson pointed out. "The legislature, which does not have a significant number of medical professionals, is overstepping the bounds of what they should be covering."

Although supporters of the bill claim it is necessary to safeguard children from making irreversible choices about their bodies, more than 450 North Carolina doctors and mental health providers have signed a letter objecting to the ban.

In the letter, health care providers assert their deep commitment to upholding an informed relationship between patients and providers when it comes to accessing lifesaving, gender-affirming care.

Furthermore, Johnson asserted the bill does not just strip away crucial care; it exacerbates an already challenging situation for transgender youths.

"Trans folks already face a lot of discrimination in health care, even when they are seeking care for, say, a broken bone, diabetes," Johnson noted. "We have a lot of refusal to provide care for basic health care coverage."

Johnson emphasized now more than ever, the need for increased mental health resources and supportive groups for transgender youths in the state is growing.

She added even under the current ban, children can still access hormone treatments. According to the Williams Institute at the University of California-Los Angeles, gender-affirming care has been restricted or under consideration in 30 states, putting approximately 150,000 transgender youths at risk of losing their access to care.


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As the new school year starts, Nebraska teachers will again be focusing on their students' emotional well-being and safety as well as academic success.

For some students who identify as LGBTQ+, it will be especially important. On the Centers for Disease Control and Prevention's's 2023 Youth Risk Behavior Survey, the highest incidence of bullying, both at school and online, was reported by LGBTQ+ students.

Isabella Manhart, a member of the LGBTQ+ community and a teacher education student at the University of Nebraska-Omaha, who is researching the school experiences of transgender and nonbinary students, stressed the important role the classroom environment plays.

"Are there 'safe space' stickers? Are there ways for students to recognize that this is a place where they can feel safe and included?" Manhart asked. "Those things we can often overlook, because they feel very small, but they are really important for students to feel like they are safe in the classroom space."

Manhart emphasized schools also need to ensure mental health resources are available and accessible to students. Beginning last school year, Legislative Bill 852 requires every Nebraska school to have one or more "behavioral points of contact" familiar with community behavioral health resources available for students and families.

Manhart urged Nebraska teachers to be sensitive to the way state, local and district policies may be affecting their LGBTQ+ students and knowledgeable about the students' rights.

"Regarding privacy, regarding using their preferred name and pronouns, accessing bathrooms, dress codes, all those things," Manhart outlined. "Students have rights at schools that sometimes principals and district officials don't know."

The National Education Association encourages using correct names and pronouns, saying it increases trust and feelings of belonging.

Grant Friedman, legal fellow at the ACLU of Nebraska, agreed. He said schools should use a student's chosen name and pronouns wherever possible, such as on student IDs, class attendance rosters and yearbooks.

"A person's legal name should really only appear in their official file, and schools should be doing everything they can to support students," Friedman urged. "That includes using their chosen name and pronouns. But there is no law that requires a school to use a student's legal name."

The battle between social conservatives and Michigan libraries to remove certain books from the shelves is becoming increasingly political as the November elections draw near.

A Michigan Library Association poll shows more than three-quarters of Michiganders oppose censorship of library books but the public filed 47 complaints in 2023.

Debbie Mikula, executive director of the association, said in most cases, such bans would violate the First Amendment.

"When there's an effort to try to prohibit accessing information or a book because some individuals don't like the ideas contained in the book, the United States Supreme Court has held that's unconstitutional," Mikula pointed out.

One recent incident involved the Alpena County Library, where county commissioners removed the entire library board for "failing to act" on community members' demands to remove certain books. The community members vowed, but failed, to vote down the library's "millage" or operating fund.

A 2023 Michigan Library Association poll showed 71% of Michiganders have a positive opinion of the state's libraries. Two-thirds said books about sex, gender identity or sexual orientation should not be banned, while 30% said it is appropriate "sometimes" or "always."

Jay Kaplan, staff attorney for the ACLU of Michigan, said many wanting books removed are influenced by groups like Moms for Liberty or others who circulate book lists and demand their removal.

"Most of the books that they want to have removed usually deal with LGBTQ characters or situations," Kaplan noted. "Some of the book deal with racism. But for the most part, they're usually, it's usually LGBTQ subject matter."

Kaplan argued removing a book not meeting a library's published standards is possible but only when everything is done out in the open.

"As long as there's a very transparent process where a book is reviewed and is determined that this book is inappropriate for the library, that's one thing," Kaplan stressed. "But the idea when you try to remove a book because you don't like the ideas contained in the book, that raises constitutional issues."


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Hate crimes against members of the LGBTQ+ community have risen for the second year in a row, according to the latest "State of Pride" report from the California Department of Justice.

Between 2022 and 2023, the report showed hate crimes motivated by anti-LGBTQ bias increased more than 86% across the state.

Toni Newman, chair of the nonprofit Trans Can Work, explained the importance of finding solutions.

"The death of trans women in the United States remains a critical issue highlighting racism, transphobia, and systemic violence," Newman emphasized. "(For) transgender women, particularly those of color, there's disproportionately high rates of violence."

So far in 2024, the Human Rights Campaign has tracked 20 violent deaths of transgender and gender-expansive people, about half at the hands of intimate partners. It said 70% were people of color, and 35% were Black transgender women.

Becky Monroe, deputy director of strategic initiatives and external affairs for the California Civil Rights Department, wants victims to know they can call the new hotline at 833-8-NO-HATE or go to the website CAvsHate.org.

"We provide services in over 200 languages if people call," Monroe explained. "If you go on our website, we have a statewide network made up of hundreds of community-based organizations that are able to serve."

California versus Hate connects callers with trauma-informed counselors. Monroe added they can refer victims to law enforcement upon request.


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