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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Advocates for the LGBTQ+ community want Connecticut lawmakers to consider bills that would help address a variety of this community's needs. They include legislation to ensure LGBTQ+ seniors in long-term care facilities aren't discriminated against, and expanding protections under no-fault eviction legislation.

William Ollayos, administrator with the LGBTQ+ Justice and Opportunity Network, noted that the group is also looking for funding to update a needs assessment that was first done in 2021.

"Something like that should be reciprocal and done every couple of years, because community needs change. If you're talking about any marginalized community - queer folks, people of color, immigrants - their needs are going to change year to year. And especially after COVID, we just really need that updated data to inform some of the additional legislation we're talking about," he said.

The current needs assessment finds 69% of people in this community have experienced discrimination. Ollayos said other issues legislators should work on include safe school initiatives that preventing queer kids from being bullied, and mental health care.

While the General Assembly's LGBTQ+ Caucus has grown, competing priorities are expected to be a challenge to passing these bills.

Matthew Blinstrubas, executive director of Equality Connecticut, predicts President-elect Donald Trump's incoming administration and Congress' Republican majority will harm the work they're doing.

"We are always concerned about the federal government maintaining its support for medical services, keeping our schools safe and welcoming, and making sure that our community is not used as a political tool to hold funding hostage," he said.


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A California nonprofit dedicated to helping transgender and gender-nonconforming people find good jobs is looking to expand its mission in 2025, back from the brink of closure last year.

Trans Can Work, based in Los Angeles, shut down last January when its funding fell through and reopened in June thanks to a 3-year grant from the James Irvine Foundation.

Toni Newman, board chair of the group, said the trans community suffers from extremely high rates of unemployment.

"Every American, regardless of who they are -- race, age, and gender -- should be able to get a job in America that they're qualified for and have some type of economic security," Newman contended. "Why are our numbers so high, at 65% living at the poverty level or below? Just because we are different? That's un-American, and it's wrong."

A 2021 study from the McKinsey company found transgender adults are twice as likely as their cisgender peers to be unemployed. When they do find a job, they make 32% less money per year, even with similar or higher education levels. They also found more than half of transgender employees said they are not comfortable being "out" at work. And two-thirds remain in the closet in professional interactions outside their own companies.

Newman noted the job center's goal for 2025 is to place at least 500 clients in new careers.

"We help you with your resume, help you with your clothing, help you to get ready for the interview, get you a laptop if you need a laptop," Newman outlined. "Then walk you into the interview and help place you in the job."

Trans Can Work also receives support from the Transgender, Gender Diverse, and Intersex Wellness and Health Equity Unit of the California Department of Public Health.

The Nebraska Legislature kicks off its new session a few weeks from today and issues related to gender identity are likely to be part of the mix.

LGBTQ+ advocates said they are in familiar territory, trying to establish a voice in the debate. Last year, a Nebraska bill to ban transgender students from playing school sports consistent with their gender identity narrowly failed. Republican Gov. Jim Pillen said he will try again this year.

Grant Friedman, legal fellow for the ACLU of Nebraska, said anyone opposed should try to set aside time with lawmakers to explain their concerns. From his perspective, Friedman argued policymakers should know other matters need attention.

"Getting folks to realize they're there to make Nebraska a better place for everyone and focus on the issues that need to be dealt with," Friedman urged. "Not kind of these 'fringe' issues that are being blown out of proportion across the country."

With Nebraska's budget on shaky ground and the need to address affordable housing gaps, he said advocates can pinpoint a number of topics they want lawmakers to look at instead. Polls show most Americans oppose transgender restrictions but Republicans' recent campaign messages have found some captive audiences. Backers of the bills said their mission is to protect students and families.

The ACLU is part of a coalition including OutNebraska, serving as a guide for LGBTQ+ individuals navigating a divisive political environment. Friedman emphasized local government is an avenue to push for protections if state and federal lawmakers are not showing a collective interest in advancing the rights of the LGBTQ+ population.

"The three areas in which you tend to see your city protections are going to be workplace, housing and public accommodations," Friedman outlined.

Friedman added they have found some allies among faith leaders willing to push for unity as marginalized communities fall under the political spotlight. Groups like the Trevor Project said bills deemed hostile toward LGBTQ+ populations can have a damaging effect on the mental health of community members.