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transgender rights

Biden signs executive order to protect trans kids

Good.

President Joe Biden signed an executive order Wednesday to enhance protections for transgender children and take steps to ban conversion therapy as efforts continue in Texas and other states to restrict gender-affirming medical care.

The executive order calls on the U.S. Department of Education and the Department of Health and Human Services to increase access to gender-affirming care and develop ways to counter state efforts aimed at limiting such treatments for transgender minors.

Biden signed the order Wednesday afternoon, joined by six LGBTQ teens who were reportedly from Texas and Florida.

“My message to all the young people: Just be you,” Biden said to a crowd of members of Congress, administration officials and LGBTQ advocates. “You are loved. You are heard. You are understood. You do belong.”

The federal health department will release sample policies for states to expand health care options for LGBTQ patients. The federal education department will release a sample school policy to achieve full inclusion of LGBTQ students.

[…]

Biden’s order also asks the health department to lead an initiative aimed at reducing youth exposure to conversion therapy and expand awareness and support for survivors of the practice. Biden is also asking the Federal Trade Commission to see if conversion therapy “constitutes an unfair or deceptive act or practice, and whether to issue consumer warnings or notices,” per the White House. He is also directing department heads to promote an end to conversion therapy worldwide.

Texas is one of 22 states that has not banned conversion therapy, a debunked practice that seeks to change a person’s sexual orientation or gender identity. The health department will explore guidance clarifying that federally funded programs cannot conduct conversion therapy.

Biden’s order calls on the health department to expand youth access to mental health services and issue new guidance for providing mental health care for LGBTQ youth. The order also charges the health department with strengthening LGBTQ nondiscrimination practices in the foster care system. Biden is also calling on the department to increase access to voluntary family counseling.

“We’re in a battle for the very soul of this nation,” Biden said. “It’s a battle I know we will win.”

I feel like there had been some earlier promise from President Biden to take this action, but if so I don’t see that I blogged about it. I assume there will be a lawsuit filed by our shitbird Attorney General to stop all this, which will exist alongside the earlier lawsuit that had been filed to stop the feds from turning off some funding sources in response to our anti-trans bullying ways. In the meantime, we’ll wait and see what the new policies this order directs look like. Whatever the ultimate outcome, this was the right thing to do.

Restraining order given in latest lawsuit to stop DFPS investigations

Good.

An Austin judge has temporarily stopped the state from investigating many parents who provide gender-affirming care to their transgender children. The state has ruled out allegations of child abuse against one family under investigation, but at least eight more cases remain open.

Travis County District Judge Jan Soifer issued a temporary restraining order Friday in a lawsuit filed on behalf of three families and members of PFLAG, an LGBTQ advocacy group that claims more than 600 members in Texas.

Brian K. Bond, executive director of PFLAG National, applauded the decision to stop what he called “invasive, unnecessary and unnerving investigations.”

“However, let’s be clear: These investigations into loving and affirming families shouldn’t be happening in the first place,” Bond said in a statement.

[…]

This new lawsuit, filed Wednesday by the American Civil Liberties Union and Lambda Legal, seeks to block investigations into all parents of transgender children who belong to PFLAG.

During Friday’s hearing, Lambda Legal’s Paul Castillo revealed that the state has ruled out allegations of child abuse against Amber and Adam Briggle, who were under investigation for providing gender-affirming care to their 14-year-old son.

The Briggle family, outspoken advocates for transgender rights, once invited Republican Attorney General Ken Paxton over for dinner. Five years later, they ended up at the center of a child abuse investigation that stemmed, in part, from a nonbinding legal opinion that Paxton issued in February.

While their case has been closed, many others remain ongoing. Castillo said one of the families involved in the lawsuit was visited by DFPS investigators Friday morning.

“I do want to highlight for the court that every plaintiff in this case has illustrated the stress and trauma of even the potential of having a child removed, merely based on the suspicion that the family has pursued the medically necessary course of care that is prescribed by their doctor for gender dysphoria,” Castillo said.

See here for the background, and here for an account from Lambda Legal. The investigation into the Briggle family had apparently been dropped before the hearing, but as noted the others were still active. The judge has directed the lawyers to schedule a hearing in the coming days, at which time we’ll see if the order gets extended. While DFPS had restarted investigations following the Supreme Court’s lifting of the statewide injunction, the investigation of the family from that original case is still paused, so most likely these families will get the same relief. It’s just a shame that they have to go to such lengths to get it.

I would encourage you to read this Twitter thread by DMN reporter Lauren McGaughy, who live-tweeted the hearing. It’s obvious from the way the state argued the case and responded to the judge’s questions that they know they’re on extremely shaky ground – they’re minimizing the Abbott/Paxton order at every turn, and just not engaging the questions as much as they can. That’s not a guarantee of success for these or other plaintiffs going forward, and the next Legislature could enshrine these orders as law if the Republicans remain in control, but it’s important to see the lack of faith in their own case. The Chron has more.

New lawsuit filed to stop DFPS “investigation” of trans kids and their families

From the inbox:

The American Civil Liberties Union, Lambda Legal, and the ACLU of Texas, along with Texas-based law firm Baker Botts LLP, today filed a new lawsuit in Texas state court on behalf of PFLAG National and three Texas families. The suit requests that the court block state investigations of PFLAG families in Texas who are supporting their transgender children with medically necessary health care.

The lawsuit names Texas Gov. Greg Abbott, who issued a February directive stating that health care that is medically necessary for treating gender dysphoria should be considered a form of child abuse. The suit also names Department of Family and Protective Services (DFPS) Commissioner Jaime Masters and DFPS as defendants.

“For nearly 50 years, PFLAG parents have united against government efforts to harm their LGBTQ+ kids. By going after trans kids and their families, Gov. Abbott has picked a fight with thousands of families in Texas and across the country who are united as members of PFLAG National,” said Brian K. Bond, Executive Director of PFLAG National. “Loving and affirming your child and empowering them to be themselves is the highest calling of any parent, no matter your child’s gender. If it takes a court ruling to ensure that the law protects families who lead with love in support of transgender Texans, so be it.”

PFLAG provides confidential peer support, education, and advocacy to LGBTQIA+ people, their parents and families, and allies. With a nationwide network of hundreds of chapters—including 17 in Texas—PFLAG National works with families, schools, and communities to build safety and support for transgender youth.

In an earlier lawsuit brought by the ACLU, Lambda Legal, ACLU of Texas, and Baker Botts, the Texas Supreme Court upheld part of an appeals court order preventing DFPS from investigating parents who work with medical professionals to provide their adolescent transgender children with medically necessary health care. That case, Doe v. Abbott, is still pending.

While the Texas Supreme Court emphasized that neither Attorney General Ken Paxton nor Governor Abbott have the power or authority to direct DFPS to investigate the provision of essential and often lifesaving medical care for transgender youth as child abuse, the court limited the order blocking all investigations to the specific plaintiffs who filed suit.

“It is indefensible for any state leader to repeatedly attack trans Texans and weaponize the child welfare system against the loving families of transgender kids and teens.” said Adri Pérez, policy and advocacy strategist at the ACLU of Texas. “We will continue to fight against these baseless attacks on our community. Transgender kids deserve to have life-saving gender-affirming care in Texas, so that they might live safely to grow up to be transgender adults. During this Pride Month, we must take a stand against government leaders that are hellbent on stoking fear, and trying to criminalize transgender young people and their families.”

“Notwithstanding the clear language in the recent Texas Supreme Court ruling that Attorney General Paxton and Gov. Abbott do not have the power or authority to direct DFPS to investigate loving families who are providing medically necessary care for their transgender adolescents as child abuse, the agency seems determined to target these families and threaten to tear them apart,” Lambda Legal Senior Counsel Paul D. Castillo said. “With today’s filing, we are joining with PFLAG in working to protect all Texas families who simply want to make sure their children are safe, happy, and healthy. It is unconscionable that the state wants to interfere in that relationship.”

See here for some background, and here for a copy of the lawsuit, filed on behalf of two anonymous families plus the Briggle family. With the resumption of these investigations by DFPS, this is the only way for these folks to protect themselves. Based on what has happened so far I would expect them to get their restraining orders, and after that we’ll have to see what happens with the original case and its eventual appeals. Until we can get a better government in place, I hope we see more of these lawsuits, enough to cover everyone who will need it. The Trib has more.

Treatments for trans youth at Dallas hospital can continue until April

More good news.

A Dallas County judge has granted a nearly one-year injunction against Children’s Medical Center Dallas that will allow doctors there to continue intake of transgender youth seeking certain medical treatments.

Judge Melissa Bellan signed a temporary injunction Monday that lasts until next April, replacing a two-week temporary restraining order granted May 12. Requested by Dr. Ximena Lopez, both the injunction and the restraining order halted the hospital’s recent decision to stop providing certain medical treatments, such as puberty blockers and hormone therapy, to new transgender patients while a court battle continues over whether to reverse the policy altogether.

It’s the latest legal win for Lopez, who led the Genecis program for transgender youth that Children’s ran jointly with UT Southwestern until last November. She started her court battles with the hospitals in March with the goal of restarting care for new patients.

The injunction was agreed upon by both Lopez and Children’s and will stay in place until a trial currently set for April 18, 2023. At that time, a judge will decide whether the injunction should be made permanent.

[…]

“Justice has been done for these patients and families. Life-saving care was taken away from them for no legitimate reason and with no reasonable alternative,” Lopez said in a statement to The Dallas Morning News. “It is unfair for patients and providers to have to go through litigation to fight for their right to receive and provide medical care, respectively.”

Children’s declined to comment on the injunction. UT Southwestern, which is also subject to the order, has not responded to a request for comment.

Lopez’s attorney, Charla Aldous, applauded the mutually-agreed-upon order.

“Even in litigation, there are times the parties can get together and do what’s right. And I’m thankful Children’s agreed to this extension, for the sake of families and children. It’s the right thing to do,” she said.

Attorney general Ken Paxton has asked the court to allow him to intervene on behalf of the state in Lopez’s legal battles with Children’s Medical Center Dallas. The judge has not responded to his request for intervention.

See here, here, here, and here for some background. I’m writing this just before Runoff Day results start coming in so I don’t have the usual brain space to think about it, but this is a good result. We’ll see what happens with the request to intervene. Kudos to Dr. Lopez for pressing the issue. The 19th has more.

Republicans threaten businesses over abortion access

If you didn’t see stuff like this coming, you haven’t been paying attention.

With Texas poised to automatically ban abortion if the U.S. Supreme Court overturns Roe v. Wade, some Republicans are already setting their sights on the next target to fight the procedure: businesses that say they’ll help employees get abortions outside the state.

Fourteen Republican members of the state House of Representatives have pledged to introduce bills in the coming legislative session that would bar corporations from doing business in Texas if they pay for abortions in states where the procedure is legal.

This would explicitly prevent firms from offering employees access to abortion-related care through health insurance benefits. It would also expose executives to criminal prosecution under pre-Roe anti-abortion laws the Legislature never repealed, the legislators say.

Their proposal highlights how the end of abortion would lead to a new phase in — not the end of — the fight in Texas over the procedure. The lawmakers pushing for the business rules have signaled that they plan to act aggressively in the next legislative session. But it remains to be seen if they’ll be able to get a majority on their side.

The members, led by Briscoe Cain, R-Deer Park, laid out their plans in a letter to Lyft CEO Logan Green that became public on Wednesday.

Green drew the lawmakers’ attention on April 29, when he said on Twitter that the ride-share company would help pregnant residents of Oklahoma and Texas seek abortion care in other states. Green also pledged to cover the legal costs of any Lyft driver sued under Senate Bill 8, the Texas law that empowers private citizens to file lawsuits against anyone who assists in the procurement of an abortion.

“The state of Texas will take swift and decisive action if you do not immediately rescind your recently announced policy to pay for the travel expenses of women who abort their unborn children,” the letter states.

The letter also lays out other legislative priorities, including allowing Texas shareholders of publicly traded companies to sue executives for paying for abortion care, as well as empowering district attorneys to prosecute abortion-related crimes outside of their home counties.

Six of the 14 signers, including Cain, are members of the far-right Texas Freedom Caucus. How much political support these proposals have in the Republican caucus is unclear. House Speaker Dade Phelan, R-Beaumont, declined to comment. Lt. Gov. Dan Patrick and Gov. Greg Abbott did not respond.

Since the legislative session is more than seven months away, Cain said in an email that “a quickly drafted and sent letter can hardly be said to reflect the pulse of my Republican colleagues.” He was confident, however, that his ideas would find some support in the Senate.

“Knowing that chamber and its leadership, I’m willing to bet legislation targeting this issue will be promptly filed in January,” Cain said.

But doing so would likely mean targeting companies that the state has wooed as potential job creators. Tesla, for instance, announced this month that it would pay for employees’ travel costs when they leave the state to get an abortion. Abbott celebrated the electric car company’s move to Austin last year and this year urged its CEO, Elon Musk, to move Twitter’s headquarters to Texas, too, if he completes his purchase of the social media firm.

Joke all you want about how Republicans used to be the party of big business, because that hasn’t really been true for awhile. They’re the party of “give us your donations and keep your mouth shut about anything we don’t like regardless of what your employees and customers and stockholders say and maybe we’ll leave you alone and toss you a tax cut” now. You may say that it’s unthinkable that Republicans might actually chase large employers out of the state, but a lot of unthinkable things have been happening lately. Remember how the business community helped defeat the “bathroom bill” in 2017, and issued sternly-worded statements about voting rights and further anti-trans bills last year? How’s that been going?

We are living in Briscoe Cain’s Texas now. If he doesn’t get what he wants now – and mark my words, he wants to arrest people who have anything at all to do with abortion – he’ll get it next time, as long as his Republican Party is in charge. The business community needs to recognize that they are right in the crosshairs along with the rest of us. Daily Kos has more.

Paxton seeks to intervene in GENECIS case

This is what I was worried about.

Texas Attorney General Ken Paxton wants the state to intervene in a court battle over medical care for transgender youth at a Dallas hospital.

Paxton filed a petition in a Dallas County court Tuesday night asking that the state be allowed to get involved in the case between Children’s Medical Center Dallas and the doctor who once led its Genecis medical program. A judge recently granted Dr. Ximena Lopez’s request to temporarily resume her regular practice after Children’s and UT Southwestern, which jointly ran the program, last year stopped providing certain medical treatments for adolescent patients newly seeking care for gender dysphoria.

The attorney general is arguing that transgender adolescents should be blocked from accessing treatments such as puberty blockers and hormone therapy, which he says may constitute abuse but which are broadly supported by the medical community.

“In order to protect its interest … in the welfare of children subject to this life-altering decision in the hands of a doctor, the state surely has a right to intervene in this matter,” Paxton and his top deputies wrote in their brief.

The brief didn’t offer a detailed explanation of how the state wants to affect the case. Neither Paxton nor Abbott responded to requests for comment.

Lopez’s legal team filed a response Wednesday evening, saying that the attorney general’s intervention is politically motivated. The team also filed an emergency motion to shorten the time before a temporary injunction hearing currently scheduled for May 26. The temporary injunction, if granted, could extend the pause on Children’s decision to stop providing certain care for new transgender adolescent patients.

[…]

“Through his filing, the attorney general is saying that he and the state should decide what is best for Texas children instead of their parents and chosen physicians,” Lopez’s attorney Charla Aldous said in a statement. “That’s a very dangerous path to follow when we’re talking about parents who are literally trying to secure lifesaving, internationally recognized standard-of-care treatment for their kids.”

See here, here, and here for some background. This is completely unsurprising, but hopefully the court will swat it aside. It would be nice if UT Southwestern took the position that this is just between them and the doctor and the state should butt out, but I doubt that will happen. I’ll keep an eye on this to see where it goes from here.

DFPS to resume investigating families of trans kids

Gross and discouraging.

The state of Texas will restart its abuse investigations into families with transgender kids after a recent court ruling that lifted a statewide injunction on such probes.

In a statement on Thursday, the Texas Department of Family and Protective Services said the agency would investigate all allegations of abuse. The statement, while not addressing the investigations into medical treatments for trans youth, indirectly indicated that these probes will now continue.

“DFPS treats all reports of abuse, neglect, and exploitation seriously and will continue to investigate each to the full extent of the law,” the statement read.

Current state law does not explicitly define gender-affirming medical treatments, such as puberty blockers and hormone therapy, as child abuse. A DFPS spokesman did not comment when asked if the agency plans to continue investigating such treatments as child abuse.

Age appropriate and individualized medical treatments for trans youth, including the ones Texas Attorney General Ken Paxton has called abuse, are supported by the state and nation’s largest physicians groups including the American and Texas Medical Associations. These groups have opposed the state’s abuse investigations and other efforts to block or alter gender-affirming care for minors.

The state’s announcement came just days after the Texas Supreme Court ruled that the attorney general and Gov. Greg Abbott, who had directed the agency to investigate certain medical treatments for trans adolescents as child abuse, had no authority to do so. It put control over these probes back into the hands of protective services, which opened at least nine investigations into families with transgender children since the governor issued his directive in February.

One investigation into an agency employee who has a transgender daughter will remain paused while the family fights to overturn the abuse policy, the ruling stated.

[…]

Brian Klosterboer, an attorney with the ACLU of Texas who is on the team representing the unnamed DFPS employee, said the state’s decision to reopen the cases is unfortunate and unlawful. He said his team believes that the high court’s decision removes any responsibility for Texans to report trans youth getting treatments.

“We are going to be closely monitoring what the agency does. We would encourage families that have any reason to believe that they have an investigation to seek legal help,” Klosterboer said.

“Abbott’s letter and Paxton’s opinion did not change Texas law,” he added. “Gender-affirming health care is still legal in all 50 states.”

See here for the previous entry. The initial litigation is still ongoing – as is so often the case in these battles, the issue is over whether or not the law or in this case executive order can be enforced while the lawsuit is being heard – so there may still be a statewide injunction at some point. There’s also a clear path for other families to file similar lawsuits to get injunctions for themselves, similar to what abortion providers and funds were facing with SB8. It’s still a mess and a huge burden for these people that have done nothing wrong and just want to be left alone. And it’s another reason to vote these guys out in November. The Trib has more.

DMN/UT-Tyler: Abbott 46, Beto 39

Here’s the story, which I currently can’t access. A very brief summary of it is in this Current article. The data is here and I’m going to riff on that, with references to the February version of this poll, for which the data can be found here. I will note that there are some primary runoff results in this sample, and I am ignoring all of them – that kind of polling is too tricky to be worth worrying about.

“In a race for Governor would you vote for Governor Abbott, Beto O’Rourke, or someone else?” I’ll generally be quoting the poll questions, which thankfully are the same in each sample. In May, as noted in the post title, it’s 46-39 for Abbott, basically identical to the 45-38 Abbott result from February. The shape of those numbers are a bit different. In February, possibly because both Beto and Abbott were in contested primaries, there was a considerable amount of crossover support for each, Dems were only 76-16 for Beto, while Rs were just 76-11 for Abbott. In May, those numbers were 82-9 among Dems for Beto and 85-7 for Abbott among Rs. Independents were 36-29 for Abbott in February and show as 16-6 for Abbott now, with 29% going to the Libertarian (there is a Green candidate named as well, who also gets 6%) and an astonishing 38% for “someone else”. This has to be a mangling of the data – among other things, given the size of the Indy subsample, it would have put the Libertarian candidate at nearly 10% overall, but the topline result gives him just 3%. Most likely, the 38 is for Abbott and the 29 is for Beto, or possibly all of these numbers are just wrong. I will shrug and move on at this point.

For approval numbers, President Biden checks in with 39-58 approval, which is obviously not good. Greg Abbott is also underwater at 46-50, while Beto has a 42-44 approval rating, which is the only one of the three to improve since last time. It was 39-57 for Biden, 50-46 for Abbott, and 40-46 for Beto in February.

Weirdly, Dan Patrick has 50-41 approval, and Ken Paxton has 42-41. Usually, Abbott does better in approvals than any other Republican, in part because fewer people have opinions about the rest of them. A separate question about Paxton asks “do you agree or disagree that he (Paxton) has the integrity to serve as attorney general?”, and it’s 30 for agree, 37 disagree, and 33 unsure. He was at 34-33-33 in February, so a bit of a dip there.

For some other questions of interest, the numbers are not bad for the Dems, and usually a little better than they were in February.

“If the general election was today, would you vote for a Republican candidate or Democratic candidate for the Texas House?” That was 49-48 for Republicans in May, 52-45 for Republicans in February.

“On orders from Governor Abbott, Texas Child Protective Services recently began investigating families who provide gender-affirming care to transgender children. Was this action” needed or unnecessary, with various reasons for each? There were three sub-options for each of those choices, and if you add them up it comes to 52-48 combined for “unnecessary”. Honestly, that’s better than I expected. There was no February comparison for this one, as that order had not yet been given at that time.

“Should the Supreme Court overturn its Roe v. Wade decision and allow states to decide abortion policy?” This was 53-46 for “no it should not be overturned” in May, and 50-47 in February. Again, a little better than I might have thought, and a tick up from before, which is to say before the draft opinion got leaked. Put those numbers in your back pocket for the next time someone claims that Texas is a “pro-life” state.

“Do you agree or disagree that K-12 teachers should be permitted to discuss how historical examples of discrimination in our laws apply to inequalities today?” Here, 61-24 strongly or somewhat agreed in May, and it was 59-22 for Agree in February. That means that for abortion, trans kids, and book banning, the Republican position is the minority one. Obviously, one poll and all that, but there’s nothing to suggest Dems should be running scared on any of this. Quite the reverse, in fact.

Now as we’ve said a zillion times, it’s one poll, opinions on issues often don’t drive voting behavior, and we’re still months away from an election where many other factors will affect the outcome. I’m quite scared of another COVID wave, especially if Congress doesn’t get some more funding for vaccines and treatments and whatever else passed in the very near future. But for now, and bearing in mind that it’s still a 7-point lead for Abbott, the numbers ain’t that bad. We’ll see what other polls have to say.

Dallas gender affirming care unit can reopen

Some good news for transgender kids and their families.

A Dallas-based program that offers mental health services and hormone treatments to transgender children may resume the therapy for new patients for the first time since November, after a judge on Thursday temporarily cleared away legal barriers to the practice.

The program director, Dr. Ximena Lopez, had filed a lawsuit in March against Children’s Medical Center in Dallas for shutting down operations to new patients last fall at the GENder Education and Care, Interdisciplinary Support (GENECIS) program, which is housed at the hospital and run jointly by it and UT Southwestern Medical Center.

Thursday’s temporary restraining order banned those restrictions for the next two weeks, and within hours after the decision, five new patients had been scheduled at the center.

“It’s powerful,” said Dallas lawyer Charla Aldous, who represents Lopez. “This is going to affect the lives of children. It really is.”

The GENECIS center was formally dissolved in November, which meant that patients already enrolled in the program still had access to the hormone therapies, but that new patients had to be turned away for those services.

Since November, the clinic has had to turn away about 100 families with children who wanted to begin the treatment at the center, Aldous said. The center had also been told that starting next month, it would no longer be allowed to start gender-affirming hormone therapy for any patients, including those already being seen by mental health doctors there.

Another hearing is set for May 26 in Dallas County Court-at-Law Judge Melissa Bellan’s courtroom to determine the path forward for the clinic. The lawsuit demands the hospital allow clinic doctors to offer what they describe as lifesaving treatment to young people with gender dysphoria and similar issues.

The clinic does not offer surgical options or gender confirmation surgery for either children or adults. Under the gender-affirming model of care, more time is spent allowing kids to socially transition instead of focusing on medical treatment. A social transition consists of the steps a child takes to affirm their identity. An example could include allowing a child assigned male at birth to wear clothing, grow their hair or use a different name that better fits their identity.

GENECIS was dissolved after facing months of pressure by socially conservative political leaders and activists, who organized protests targeting hospital board members and accused the program of committing child abuse.

Bellan wrote in her Thursday order that Children’s Medical Center had violated the law by “interfering with, controlling, or otherwise directing any physician’s professional judgment” and by “discriminating against patients on the basis of the patient’s gender identity and directing (Lopez) to violate the law by discriminating against patients on the basis of a patient’s gender identity.”

The ruling barred Children’s Medical Center from prohibiting GENECIS doctors from restricting puberty blockers or hormone therapy to existing or new patients to treat gender dysphoria as part of gender-affirming care.

If the hearing in two weeks goes in their favor, Aldous plans to ask for an immediate ruling on the suit “to make this decision final.”

“Dr. Lopez is very relieved that she can now treat her patients in the manner in which she has been trained to do and what the standard of care requires,” Aldous said. “She’s thrilled with the court’s decision.”

See here and here for some background. Assuming the subsequent hearing gets the same result, the main question to me is whether there is an appeal, and if so by whom. I don’t think UT Southwestern would care to continue to fight this, but for sure there will be plenty of others who would. Would they be allowed to intervene, I wonder? You lawyers may feel free to speculate, the rest of us will have to wait and see.

SCOTx issues mixed ruling on transgender child abuse investigations injunction

We’ll just have to see what happens next.

Texas’ child welfare agency remains blocked from investigating the family of a transgender teen that sued the state in March, but can once again investigate other families that provide gender-affirming care after the Supreme Court of Texas struck down a statewide injunction Friday.

Though it overturned the injunction on procedural grounds, the high court raised questions about why the Department of Family and Protective Services opened these investigations in the first place. The court affirmed in Friday’s ruling that neither Attorney General Ken Paxton nor Gov. Greg Abbott had any grounds to direct the agency’s actions.

[…]

“The Governor and the Attorney General were certainly well within their rights to state their legal and policy views on this topic, but DFPS was not compelled by law to follow them,” Friday’s ruling reads. “DFPS’s press statement, however, suggests that DFPS may have considered itself bound by either the Governor’s letter, the Attorney General’s Opinion, or both. Again, nothing before this Court supports the notion that DFPS is so bound.”

The ruling does note the myriad “informal mechanisms” through which elected officials can influence a state agency, but “ultimately, however, one department or another has the final say.”

[…]

In this case, the ruling said, DFPS was responsible for deciding whether these investigations aligned with current state regulations — and will now have to decide whether to continue these investigations and allow new ones to be opened.

DFPS employees have told The Texas Tribune that agency leadership has acknowledged that these investigations do not meet the current requirements for child abuse and have said policy would need to be generated to match the governor’s directives.

In March, a district judge granted an injunction blocking the state from continuing these investigations or opening new ones. Paxton appealed that decision to the Third Court of Appeals, which reinstated the statewide temporary injunction.

He then petitioned the Supreme Court of Texas to review that appeal. In Friday’s ruling, the high court agreed with Paxton that the appeals court overstepped — while the appeals court can reinstate an injunction if it “preserves the parties’ rights,” they cannot reinstate a temporary injunction of any nature.

In this case, the justices ruled, the “parties” are the family that sued the state initially — not all parents of all transgender children.

Ian Pittman, an Austin attorney representing two families of transgender children that are under investigation for child abuse, said the injunction had allowed his clients to “breathe a sigh of relief” while their investigations were paused. Although the investigations can resume, he’s hopeful that DFPS will now close out the cases.

“This ruling reaffirms that [DFPS Commissioner Jaime Masters] acted improperly when she acknowledged the directive and said they would follow it,” he said. “She was abdicating her responsibilities as commissioner to a political stunt that has no legal authority.”

If DFPS does not close out the cases, he expects other families may consider bringing suits to get any investigations against them similarly blocked.

See here and here for the most recent entries. There were multiple written opinions plus some concurrences and dissents, so just go here and look for case 22-0229 if you want to slog through them. I’ve seen varying reactions to the ruling and will link to them, but this Daily Kos piece is the closest to my own feelings.

Now, some folks are celebrating Friday’s ruling as a win, as the court does explicitly say the governor does not have the “authority to investigate, prosecute, or impose reporting requirements regarding child abuse allegations.” The court also pointed out that neither Abbott nor Paxton could “bind” the Department of Family and Protective Services’ (DFPS) “investigative authority.”

This all sounds encouraging, but again, the court didn’t rule on the ethics of the situation, but whether or not the lower courts were overstepping with the injunction holds. So … What happens now?

DFPS will decide whether or not to continue investigations, as well as whether or not they will open new ones. According to this ruling, the agency was responsible for determining if the investigations met state regulations, to begin with. Per The New York Times, it is not clear whether the ruling will cause the agency to resume investigations right away (or at all) or not.

If the department closes the cases, we can breathe a sigh of relief. If it doesn’t close the cases? It’s likely many more parents will sue the state.

For me? I’m taking it as a cautious win, but I’m not outright celebrating until the agency confirms those cases are closed and that more aren’t on the way.

I’m open to persuasion on this, but until and unless someone changes my mind, I’m waiting to see what DFPS does next, and hoping that as many parents of trans kids are preparing to file their own suits as possible, just in case. Here are statements from the ACLU and Harris County Attorney Christian Menefee, and the Chron, the Texas Signal, and the Texas Observer have more.

Ken Paxton totally lied about gender affirming care

I know, I’m as shocked as you are.

Best mugshot ever

Texas Attorney General Ken Paxton relied on false claims, exaggerations and errors to conclude that gender-affirming medical care constitutes child abuse, a report by university-level medical experts has concluded.

Paxton’s legal opinion on transgender care, issued in February, formed the basis of Gov. Greg Abbott’s directive requiring Child Protective Services to investigate all reports of families with children who are receiving gender-affirming care.

But the report published Monday by medical and legal experts at Yale University and the University of Texas Southwestern Medical Center said Paxton’s opinion was so full of errors and false claims that it appeared to have been “motivated by bias” and crafted to reach a predetermined goal: denying medical care to transgender youths.

“The repeated errors and omissions in the AG Opinion are so consistent and so extensive that it is difficult to believe that the opinion represents a good-faith effort to draw legal conclusions based on the best scientific evidence,” the report’s executive summary said.

“These are not close calls or areas of reasonable disagreement,” the report added. “The AG Opinion … ignores established medical authorities and repeats discredited, outdated, and poor-quality information.”

[…]

Monday’s report focused on puncturing a central premise behind Paxton’s legal analysis: that the surgical removal of genitals and reproductive organs is standard medical care offered to transgender pediatric patients.

“In fact, the authoritative protocols for medical care for transgender children and adolescents, which define what we term ‘gender-affirming care,’ specifically state that individuals must be over the age of majority before they can undergo such surgery,” the study said.

In Texas, the age of majority is 18.

Paxton also falsely implied that puberty blockers — medication meant to delay physical changes to give transgender youths time to consider more permanent options — and hormones are given to young children, the report said.

“In fact, the standard medical protocols recommend drug treatments only for adolescents — and not prepubertal children,” the study said.

The authors — three medical doctors and three doctors of psychology — all treat transgender children and adolescents in daily clinical practice and hold positions at major medical schools, the report said. A law professor rounded out the study’s team.

Their report criticized Paxton for presenting a “warped picture of the scientific evidence” by exaggerating potential risks and ignoring evidence of the benefit that such care provides in the treatment of gender dysphoria, the distress caused when a person’s body does not match their gender identity.

“The standard medical protocols were crafted by bodies of international experts based on a solid scientific foundation and have been in use for decades. Thus, treating gender dysphoria is considered not only ethical but also the clinically and medically recommended standard of care,” the report said.

You can read the report if you want. It will surely be helpful if you need to have a conversation with someone for whom facts and science and expertise still matter. The thing to remember here is not that Ken Paxton was unable to understand this, or didn’t have access to people who could explain it to him. This was about affirming a worldview and appealing to an identity, for the purposes of maintaining and enhancing political power. As such, while it’s always good to have the facts at hand, this isn’t about the facts. It’s not going to be for as long as the Republican Party is like this. All we can do is try to win elections, and then once we have done that use the power we’ve gained from them to do good things. Easier said than done, I know, but here we are.

I’m just going to say this one thing about the pending evisceration of abortion rights

Chris Tomlinson gets at the issue but doesn’t take it all the way.

The Supreme Court’s apparent decision to allow state lawmakers to make women’s health care choices puts chief executives in a tough spot, forcing them to choose between their employees’ rights and right-wing backlash.

Disney’s recent experience defending LGBT rights against Florida Gov. Ron DeSantis’s demagoguery will sadly encourage cowardice.

Millions of Texans are waiting to hear how their employee health insurance will handle abortion coverage when the procedure becomes a first-degree felony punishable by life in prison.

Texas Republicans have made banning abortion their marquee issue for decades. In addition to prohibiting government health insurance from paying for abortions, the Legislature also banned state-regulated plans from covering them.

Employers of 60 percent of Americans with company-sponsored health insurance, though, use self-funded plans. These are exempt from state regulations, according to the Kaiser Family Foundation, a health care research organization. Only 14 percent of self-funded plans exclude some or all abortions.

Polling shows 59 percent of Americans think abortion should be legal under all or most circumstances, according to Pew Research.

After Gov. Greg Abbott allowed Texans to privately prosecute other Texans who seek an abortion after six weeks of pregnancy, many companies stepped up. Amazon, Citigroup, Salesforce, Apple, Bumble, Levi’s, GoDaddy, Match, and Hewlett Packard Enterprise, have all promised to help employees get abortions outside Texas.

“We are pro-woman. We will support a woman’s right to make health care decisions for herself, even if that means traveling out of state. It’s an investment that’s not just right, but good business too,” Curtis Sparrer, a principal at Houston-based PR firm Bospar told me in an email.

The company will pay for travel and other expenditures should a Bospar staff member need reproductive health care banned in any state where they live, Sparrer added.

“We want other companies and PR agencies to join the fight, especially since many are composed of women and are led by women. The rights of women are not just on the line,” he added. “As someone who credits his same-sex marriage to the legacy of Roe, I am imploring my colleagues and friends to end their silence and speak truth to power.”

Taking a stand on anything, though, is becoming more perilous for corporations and executives who would rather generate profits than controversy. Employees, especially younger workers, expect their company’s leadership to reflect their values.

“More than half of consumers will buy or advocate for brands based on their beliefs, while six in 10 employees will choose employers based on shared beliefs and values,” according to Edelman, a global PR firm. “A stunning 81 percent of respondents want CEOs to be front and center discussing public policy.”

The first thing to realize is that the forthcoming overturn of Roe and Casey is the beginning, not the end. Next up will be a nationwide ban on abortion, for which Senate Republicans are already writing a bill. Now that they will no longer have to pretend that this has anything to do with women’s health, rape and incest exceptions will go away, and it won’t be just doctors who are targeted for arrest and prison. I guarantee you, lowlife creeps like Briscoe Cain cannot wait to throw women in jail for anything that looks like an abortion. Lizelle Herrera was not an aberraion.

If you think I’m being alarmist, go find a copy of that draft opinion and read it for yourself. Note carefully the section in which Sam Alito claims that this opinion is only about abortion and not all of those other things that people like him despise and want to get rid of, like the previous SCOTUS decisions on same-sex marriage and contraception and “sodomy”. I will remind you that most if not all of the justices who have signed onto Alito’s opinion also swore under oath during their Senate confirmation hearings that they considered Roe to be “settled law” and that they respected precedent. There’s no reason at all to believe anything that a known liar says.

So get mad, get organized, and get everyone you know who has the same concerns as you to vote. Businesses are going to have to do more as well, if they actually do care about their employees. But it’s on us, to vote and to put pressure on the people we’ve voted for to act. The clock has struck midnight. What are we going to do about it?

Air Force aims to care for its families with LGBTQ members

Good for them, but…

The Air Force has issued a reminder to service members that it can help protect them from anti-LGBTQ state initiatives, such as the one in Texas that raised the possibility of child welfare investigations against parents with transgender children.

The guidance, issued by Air Force Undersecretary Gina Ortiz Jones, said the service would use medical, legal and other resources to support its personnel who run into such problems.

“We are closely tracking state laws and legislation to ensure we prepare for and mitigate effects to our airmen, guardians and their families,” Jones said, using “guardians” as the official shorthand for members of the U.S. Space Force. “Medical, legal resources, and various assistance are available for those who need them.”

“The health, care and resilience of our personnel and their families is not just our top priority — it’s essential to our ability to accomplish the mission,” she said, according to a news release.

Jones is a San Antonio native and Air Force veteran who is gay and served in the “don’t ask, don’t tell” era. Her message seemed at least partly a response to this year’s order by Gov. Greg Abbott that the Texas Department of Family and Protective Services investigate parents providing gender-affirming care to their transgender children.

[…]

Jones said troops could use the Exceptional Family Member Program to help with medical, legal, and educational support for dependents as they move to new jobs and bases.

“As is the case with all of our family members, if the support a family member needs becomes unavailable, commanders can work to get the service member to an assignment where their loved ones can receive the care they need,” she said.

Base legal offices are another source of help navigating new and existing state laws, the Air Force statement said, adding, “While installation legal personnel cannot represent airmen, guardians or their families in court, they can provide vital advice and counsel.”

Personnel can seek additional support through their local Airman and Family Readiness Center, the Military and Family Life Counseling Program, or Military OneSource, which can be contacted day or night at (800) 342-9647.

First and foremost, good for the Air Force. It is very much their responsibility to take care of and do right by their employees and those employees’ families, and it’s good to see them step up and do so in this way. Having someone in charge who gets it no doubt helps. Of course, it’s an absolute travesty that they feel the need to do this, to protect their employees like this from a threat from state governments. I cannot wrap my head around how quickly and effortlessly we’ve arrived at this place, and I keep waiting for there to be a more substantive resistance to it. Along those lines, it would be nice for the rest of the armed forces to follow the leadership of the Air Force here. If the Army, Navy, Marines, and Coast Guard were speaking with the same voice as the Air Force, maybe we could get some traction against these evil efforts to demonize children and their parents. We really need everyone to do their part.

Texas child welfare workers are resigning

Three guesses why.

Morgan Davis, a transgender man, joined Texas’ child welfare agency as an investigator to be the advocate he never had growing up.

Less than a year later, one of the first cases under Gov. Greg Abbott’s order to investigate parents of transgender children landed on his desk.

His supervisors in the Travis County office of the Texas Department of Family and Protective Services offered to reassign the case, but maybe, he thought, he was the right person for the job.

“If somebody was going to do it, I’m glad it was me,” Davis said.

He hoped it would be reassuring to the family to see a transgender man at the helm of the investigation. But the family’s lawyer didn’t see it that way.

“She said, ‘I know your intentions are good. But by walking in that door, as a representative for the state, you are saying in a sense that you condone this, that you agree with it,’” Davis said.

“It hit me like a thunderbolt. It’s true,” he said. “By me being there, for even a split second, a child could think they’ve done something wrong.”

Davis resigned shortly after. Since the directive went into effect, each member of his four-person unit has put in their notice as well.

[…]

The employees, most of whom spoke on the condition of anonymity to protect their jobs, said they feel conflicted — unwilling to undertake what they see as discriminatory investigations and critical of the agency’s internal response to requests for guidance, but haunted by what a mass exodus of experienced child abuse investigators would mean for the state’s most vulnerable children.

“Things are already slipping through the cracks. … We will see investigations that get closed where intervention could have occurred,” one supervisor said. “And children will die in Texas.”

We know whose fault that will be. Given the criminally abhorrent state that the foster care system is in, it’s also clear how little that Abbott and Paxton and the rest care. I could quote large swaths of this article to illustrate how monstrous this is, how deeply damaging it has been to these kids and their families, and how this already-overburdened agency will be left with fewer experienced caseworkers and investigators as a result, but you should just go read it. And be mad about it.

Our new school library standards

I am casting a gimlet eye at this, at least for now.

Greg Abbott in the 80s

The Texas Education Agency released statewide standards Monday for how school districts should remove and prevent “obscene content” from entering Texas public school libraries.

In the agency’s model policy, there is an emphasis that parents should have a role in how books are selected. The agency says that districts should make new selections readily available for parents to review. School librarians or staff should be “encouraged” to ask parents what their children can and cannot read.

The new guidelines suggest that school boards have final approval of all new books and that a committee should be put in place to review books if parents file a formal “request for reconsideration.”

To avoid “obscene” content in libraries, the agency reminded school districts that state law spells out that handing out inappropriate materials to minors is a crime. Texas librarians, school administrators and public education advocates have denied allegations that there are “inappropriate” or “pornographic” materials in school libraries or that they’re handing out such content.

The standards are to be used as guidance for school district officials as they develop new procedures or alter their policies for selecting or removing library books. School districts, which are largely independent governmental entities and run by locally elected trustees, are not required to adopt the agency’s recommendations.

The TEA’s new standards come about five months after Gov. Greg Abbott directed that agency, the Texas State Library and Archives Commission and State Board of Education to develop such guidelines. In his directive, Abbott cited two memoirs about LGBTQ characters, which include graphic images and descriptions of sex, that were found in some Texas school libraries.

“There have been several instances recently of inappropriate materials being found in school libraries,” TEA commissioner Mike Morath said Monday in a letter to Abbott. “This model local school board policy will serve as a helpful guide to school boards as they create the policies for their school district libraries.”

In his letter Monday, Morath said that his agency worked with the state’s library and archives commission and the SBOE chair to develop the guidelines.

As most school districts have existing policies for how books are selected or removed, it was not immediately clear Monday how this guidance will affect individual school libraries.

Shannon Holmes, executive director of the Association of Texas Professional Educators, warned school district officials to be wary of what policies they decide to adopt. Holmes said they should listen to their communities and not to be taken away by the politics surrounding the situation.

“As we have said since these latest book controversies began, elected school boards have for decades had the means to work with educators and parents to determine what library content meets the needs of their local communities,” Holmes said.

I have not read the new standards yet – only so many hours in the day, etc etc etc. Honestly, I’d like to hear what the professionals have to say about them first, because I’m not sufficiently versed in this topic to get all the nuances. I think the library and archives commission is a good faith actor, so there’s a chance this isn’t all that bad. I definitely agree with Shannon Holmes that school districts should be very careful with how they handle this, and take all needed steps to keep the hotheads, censors, and general do-badders at bay. I wish them all the luck in the world with that.

Dan Patrick wants a “Don’t Say Gay” bill for Texas

Of course he does.

Lt. Gov. Dan Patrick said Monday he will prioritize passing Texas legislation that mimics the recently signed Florida bill referred to as the “Don’t Say Gay” law.

That state’s controversial law prohibits classroom lessons on sexual orientation or gender identity for kids below the fourth grade or any instruction that is not “age-appropriate or developmentally appropriate” for older students. It has come under heavy scrutiny as opponents of the bill say it will harm LGBTQ children.

While Texas’ next legislative session doesn’t start until January, the issue will be addressed in Education Committee hearings before then, Patrick said in a campaign email.

“I will make this law a top priority in the next session,” he said.

Patrick’s office did not immediately respond to a request late Monday.

Enforcing Florida’s law falls to parents, much like Texas’ restrictive abortion law, Senate Bill 8, which empowers private citizens to sue anyone who “aids or abets” an abortion after about six weeks of pregnancy.

A parent can sue a school district for damages if they believe it has broken the law. If they win, parents will receive money and recoup attorney fees. In Florida, the law’s supporters portrayed it as a way to give more rights to parents. Gov. Greg Abbott has similarly said parents should have more rights concerning their children’s education as he campaigns for a third term.

Val Benavidez, executive director of the Texas Freedom Network, said in a statement to The Texas Tribune that Patrick’s promise to bring similar legislation to the state is a “stain on Texas.”

“Gender expression by children is not something that is scary or harmful. What is scary is that political activists are grasping at power by overstepping into the lives of Texas families and education of students,” Benavidez said. “While politicians use hate speech that is far from center to harm our vulnerable youth, we will continue to love our children and make sure that all families are uplifted in public life.”

Look, we know Dan Patrick means what he says when he says crap like this. He hates LGBTQ people, and he’s going to do everything he can to make their lives miserable, especially now that he’s seeing other states do things that Texas doesn’t do. We can either vote him out, or we can watch him do what he says he’s going do. Not much else to say about it.

Feds warn about lawsuits to come over anti-trans legislation

Bring it.

The Department of Justice is warning states like Texas that policies meant to block transgender children from receiving gender-affirming care violate their constitutional rights.

“Intentionally erecting discriminatory barriers to prevent individuals from receiving gender-affirming care implicates a number of federal legal guarantees,” DOJ officials wrote in a letter sent Thursday to state attorney generals.

The letter comes after Texas Attorney General Ken Paxton authored a nonbinding legal opinion that some gender-affirming care may constitute child abuse and Gov. Greg Abbott ordered the state’s child welfare agency to investigate parents who get such care for their children.

[…]

The DOJ says additional lawsuits may follow.

“State laws and policies that prevent parents or guardians from following the advice of a health care professional regarding what may be medically necessary or otherwise appropriate care for transgender minors may infringe on rights protected by both the equal protection and the due process clauses of the Fourteenth Amendment,” said the DOJ letter, which was sent on Trans Day of Visibility.

Not much to add here. I don’t have a whole lot of faith in the courts, but I also don’t know what else there is to be done right now. A better Senate is really what’s needed to move the ball forward, and the odds of that happening in this election aren’t great. But again, what else is there to be done? The 19th has more.

Paxton “investigating” pharmaceuticals over puberty blockers

Also from last week, I don’t know if this is something to worry about or just blowing smoke.

Best mugshot ever

Texas Attorney General Ken Paxton is investigating two pharmaceutical companies — Endo Pharmaceuticals and AbbVie Inc. — for allegedly advertising puberty blockers to children and their parents to treat gender dysphoria rather than the other medical conditions they are approved to treat.

Paxton opened the investigation in December and filed civil investigative demands with the two companies on Thursday.

This is the latest move in an ongoing effort by Paxton and Gov. Greg Abbott to limit access to gender-affirming medical care for transgender teens in Texas.

[…]

In December, Paxton announced investigations under the Texas Deceptive Trade Practices Act into Endo Pharmaceuticals and AbbVie Inc., the two companies that sell puberty blockers. He claimed in a press release that the drugs are approved to treat precocious puberty and forms of prostate cancer but were being marketed and prescribed off-label to treat gender dysphoria.

“These drugs were approved for very different purposes and can have detrimental and even irreversible side effects,” Paxton said. “I will not allow pharmaceutical companies to take advantage of Texas children.”

On Thursday, Paxton issued letters to the companies, demanding certain documents related to the sale and advertisement of the drugs.

In a statement, a spokesperson for Endo said the company does not promote its medications for off-label uses and is cooperating with the investigation. AbbVie did not immediately respond to comment.

On the one hand, Paxton has a documented history of lying about what he does and what the courts do in response to what he does for the purpose of puffing himself up in front of the rubes. It is entirely plausible that this is little more than a letter and a press release and that it will have no followup or further effect. On the other hand, as we have also seen, threats and bullying tactics by the likes of Ken Paxton and Greg Abbott have been sufficient to achieve political goals where medical care for transgender kids are concerned, even when the law is not on their side. So I think it’s fair to be skeptical but not dismissive, and keep an eye on this.

Paxton appeals to SCOTx to re-allow investigations of trans kids’ families

Of course he did.

Texas Attorney General Ken Paxton has asked the state Supreme Court to intervene to allow child abuse investigations into parents of transgender children. His request comes just days after a Texas appeals court reinstated a temporary injunction blocking the state’s child welfare agency from investigating parents solely because they provide gender-affirming care to their children.

The Texas 3rd Court of Appeals issued the order as part of a lawsuit brought by the American Civil Liberties Union and Lambda Legal on behalf of the parents of a transgender teenager who were being investigated by child welfare workers.

“Having reviewed the record, we conclude that reinstating the temporary injunction is necessary to maintain the status quo and preserve the rights of all parties,” three appellate justices wrote.

Paxton has asked the state Supreme Court to overturn that injunction, claiming in a petition filed Monday that the injunction “prevents the State from fulfilling its duty to protect Texas children.”

In a statement, the ACLU of Texas and Lambda Legal said that while Paxton’s petition is “not surprising, it is disappointing and dangerous.”

[…]

Until the Texas Supreme Court weighs in, the injunction will continue to block the ongoing — and any new — investigations into Texans accused of child abuse based only on the allegation that they provided gender-affirming medical care.

See here, here, and here for the background. Not much to add, the main thing to know is what’s in that last paragraph – the injunction remains in place until and unless SCOTx takes it away. They can take all the time they want.

Yes, the statewide injunction against investigations into the families of trans kids is in effect

Good.

A Texas appeals court on Monday reinstated a temporary injunction blocking Texas from investigating parents for child abuse if they allow their transgender children to receive gender-affirming care.

The Texas 3rd Court of Appeals issued the order as part of a lawsuit brought by the American Civil Liberties Union and Lambda Legal on behalf of the parents of a transgender teenager who were being investigated by child welfare workers.

“Having reviewed the record, we conclude that reinstating the temporary injunction is necessary to maintain the status quo and preserve the rights of all parties,” three appellate justices wrote.

[…]

District Judge Amy Clark Meachum issued the temporary injunction March 11 after the ACLU and Lambda Legal sued.

The same night Meachum’s injunction was issued, Paxton filed an appeal and claimed he froze the injunction, allowing the state to continue investigations. However, experts said the appeal fell into a complicated legal area, and lawyers had challenged such automatic stays before, claiming the state should not be able to overturn an injunction simply by filing an appeal.

With Monday’s order, the injunction for now will continue to block the ongoing — and any new — investigations into Texans accused of child abuse based only on the allegation that they provided gender-affirming medical care.

See here and here for the background, and here for a copy of the Third Court’s order. Note that none of this is about the merits, just that as is usually the case the district court judge and now the court of appeals has ordered that the original status quo be maintained while the legal question is being answered. As noted when the original injunction was handed down, there will be a hearing in district court on July 11 for a permanent injunction, which is when the merits of the case will be decided.

According to the Chron, this decision will likely be appealed to the Supreme Court, though as of this writing that has not been announced yet. I don’t know if the same “automatic suspension of the injunction” policy that Paxton claimed for the first appeal would be in play in that situation or not, but I am sure that if it’s even a theoretical possibility, Ken Paxton will assert it. We’ll know soon enough.

On gender affirming care and fertility

The more you know

The fertility of transgender youths in Texas was thrust into the spotlight recently after state leaders issued a directive designating gender-affirming care as child abuse that infringed on a person’s “fundamental right to procreation.”

Medical interventions for transgender adolescents can have an impact on a person’s short and long-term fertility.

But trans health experts say it’s a nuanced issue: New research into the preservation of fertility is opening doors for trans patients who may want to have their own biological children in the future.

State leaders have gone too far by prioritizing future fertility over the current health concerns caused by gender dysphoria, said Renee Baker, a professional counselor in Dallas who specializes in LGBT-specific care.

“It’s almost like you’re saying the life of an unborn possibility is more important than the existing life [of a transgender adolescent],” she said.

[…]

Consideration of a trans adolescent’s ability to have children in the future has been a critical part of proper trans health care, medical experts say. Scientists are still researching the potential impact of gender-affirming medical care on fertility, and they say more data is needed to fully understand its implications.

“It is essential that a thorough discussion of fertility preservation and the options available are provided. Not to do that would be malpractice,” said Dr. Stephen Rosenthal, medical director of the child and adolescent gender center for the University of California, San Francisco Benioff Children’s Hospitals.

Patients and their families have to give informed consent, meaning that they’ve been given information about all the potential risks and benefits of a treatment before deciding whether or not to pursue it, Baker said.

Gender-affirming medical treatments can alter a person’s fertility, depending on when the treatments are initiated and whether they are continued. Such treatments are not started until a person has begun puberty. Puberty varies by person, but it can start as early as age 8 for people assigned female at birth and age 9 for people assigned male at birth, according to the Cleveland Clinic.

Most parents don’t anticipate discussing fertility preservation with their teenager. Most parents also don’t anticipate having to balance a transgender adolescent’s need for gender-affirming care with any potential risks to their future fertility.

“If you say that, ‘I’m not going to let you have access to pubertal blockers until you’re older, until you’ve gone through full puberty,’ well then [the adolescent] would experience all of these irreversible physical changes that can increase their risk for severe mental health problems, including suicide attempts,” Rosenthal said.

There are some options for transgender adolescents who want the opportunity to have their own biological kids down the road, although those options look different for each individual case.

I think SB8 and all of the anti-abortion bills that came before it expresses quite clearly the relative value of existing people versus theoretical ones. It’s all part of a consistent Republican philosophy. Local control is great because government closest to the people is best, except when they do things we don’t like. Parents should be fully free to make whatever decisions they want about how to raise their children, except when we don’t agree with those choices. Businesses should be free of the yoke of government regulation, except when they adopt “too woke” policies. It all makes sense, if you understand that underlying philosophy.

How anti-trans are Republicans anyway?

There’s polling evidence to suggest the issue is more nuanced than you might think, but actions always speak louder than poll numbers.

Republicans surveyed by the left-leaning polling firm Data for Progress are nearly evenly split on whether the government should prevent transgender youth from accessing gender-affirming care.

The national polling data, shared exclusively with The 19th, suggests that GOP voters are not nearly as supportive of anti-trans bills being pushed by Republican state lawmakers across the country as some Republican politicians may want to believe. The data also carries significance for trans Republicans who spoke with The 19th about running in their local elections.

Forty-six percent of Republicans polled from February 25 to 27 by Data for Progress said they believe the government should leave decisions about gender-affirming care to families and their doctors, while 43 percent said the government should prevent trans youth from accessing that care. Eleven percent said they weren’t sure.

Still, a majority of Republican voters indicated in a later question that they supported Texas’ order to investigate families seeking gender-affirming care for their children, which also directs teachers and doctors to report trans children receiving that care.

[…]

Several transgender conservatives told The 19th that watching GOP state lawmakers advance so many anti-trans bills has been frustrating — and that this poll suggests Republicans’ opinions on trans health care, as well as their knowledge of it, is more varied than those lawmakers may expect.

Jordan Evans, a trans Republican who has continued to run for local office in Massachusetts after transitioning in 2015 — when, to her knowledge, she became the first openly trans GOP elected official in the United States — said the split in opinion in the poll is comforting.

“I’ll take that as there are still enough people out there who understand why this is such a travesty and are willing to be like, ‘Well, I’m not sure if that’s OK,’” she said. “We need those people right now. … We need them to also speak up and speak out.”

To Jennifer Williams, the nation’s first openly transgender municipal chair for the Republican Party, the poll suggests that anti-trans bills may not be the winning issue that some Republicans want it to be.

“It’s abysmal, it’s terrible what’s happening. And it is purely done for political purposes,” Williams said.

“It’s embarrassing that there are Republicans who think that this is a way to build their name,” she said.

Some within the party, including the governors of Arkansas, North Dakota and, more recently, Utah, have taken a stance against anti-trans measures, including vetoing or vowing to veto them.

The poll’s split in opinion on the government’s role in gender-affirming care did not carry over to the latest developments in Texas. Responding to a separate question on that same survey, 59 percent of likely GOP voters said they either strongly support or somewhat support the order to investigate the families of trans children, while only 31 percent said they somewhat or strongly oppose it.

Charlotte Clymer, a Democrat and first trans board member of LPAC, a super PAC that funds LGBTQ+ women running for office, said the discrepancy between the questions follows a polling trend of voters being more open to supporting trans rights when asked about it in broader terms.

“I think most Republican voters, at the end of the day, don’t know what to think about trans issues,” she said. “The leaders of the party may want action against trans kids because they feel that this will help their bottom line politically, but … it’s not really clear that the base necessarily wants this.”

Th story cites some other poll data that has similar results. To which I say that’s nice, but if it’s true then Republican politicians don’t seem to be getting the message. You can blame that on primary voters if you want, but the candidates that win those primaries are still getting the votes from November Republicans. And as much as I think Greg Abbott’s campaign strategist is a piece of trash, I’ll concede he knows more about Republican voters than I do, and he thinks being strongly anti-trans is not only a winning issue for them, it’s one that will drive turnout for them. I hope he’s wrong about that, but I’m not going to put my faith in a couple of anodyne issue polls.

Because, again, ultimately it’s actions that matter.

It took Max three years and one letter, written with shaky hands, to tell his mother the truth.

He gave her the letter at the worst possible moment, with dinner on the stove and a house full of other kids needing her attention. But as soon as Amy started to read his words, she stopped, sat down and let it all sink in.

The child that she had given birth to and raised for 13 years as a daughter was telling her that he was, in fact, her son.

“I had one of those out-of-body experiences, where it felt like I was looking at myself reading the letter,” Amy remembered recently. “I could not believe what I was reading. I just wanted to cry.”

But instead, she took a deep breath and let her maternal instinct take over.

“I knew in that moment it was more important for me to hug him,” she said. “He needed to feel loved and accepted more than I needed to cry.”

The family spoke to The Texas Tribune on the condition of anonymity and are identified in this story with pseudonyms because they fear harassment. They are one of at least nine families facing child abuse investigations for providing gender-affirming care to their transgender children in the wake of a recent directive from Gov. Greg Abbott.

In that moment three years ago, Max explained to his mom that he’d been slowly coming out to friends and one of his brothers and he’d started going by his new, male-sounding name. He told her about his years of self-discovery and research into pronouns and puberty blockers and ways he could dress to hide his female form.

Amy felt like she’d just been swept up in a tornado and landed somewhere completely unfamiliar.

“I felt like I was grieving for my daughter … It took me about a week to realize [he] is healthy and he is safe, and he is exactly the same person he was a week ago,” she said. “And it’s me that needs to get over it.”

It’s been three years and while Amy is fully supportive of Max’s journey, she feels like she’s still playing catch-up. He’s the one educating her about the process of gender transition, including medical care like puberty blockers and hormone therapy.

So she was shocked when, three weeks ago, a child welfare worker showed up at their door, asking questions about whether Amy might be the one forcing Max to transition.

The investigations are in limbo while a legal challenge to the governor’s directive makes its way through the court system, leaving these families in a state of suspended terror.

Max, now 16, can’t understand why the government is targeting his family.

“The most upsetting thing about this for me is … the fact that they would accuse my mother of being a child abuser simply because of my identity,” Max said. “She’s made all of this possible for me and accepted me. That’s all I could ask for, and then the state comes out like, ‘Oh, actually, your mother is abusing you.’”

Compare Max’s mother to this guy, who hates trans kids, including his own trans kid, so much that he’s running for the Legislature to put his hatred of trans kids into law. You tell me how much those poll numbers matter next to that.

UT Southwestern doctor sues over closure of gender affirming care clinic

Good.

The doctor who led UT Southwestern’s program for transgender youth is taking her employer to court to find out why the hospital abruptly cut care for new patients last year.

In a petition filed in Dallas County court on Wednesday, Dr. Ximena Lopez said UT Southwestern’s decision to halt certain gender-affirming health care provided by the Genecis program violates the university’s nondiscrimination policy and keeps her from treating patients according to her independent medical judgment.

Genecis, a seven-year-old program run by UT Southwestern and Children’s Health, was unique in Texas and the only program created specifically to provide gender-affirming care to minors in the region. The hospitals quietly cut off certain treatments to new patients in November.

“That edict is patently prohibited discrimination. It is illegal,” the petition reads. “It potentially exposes Dr. Lopez to legal liability. The only question is: who is dictating this illegal policy and why?”

The court filing, known as a 202 petition, allows attorneys and their clients to investigate claims before filing a lawsuit. It marks the first time one of the program’s leaders has pushed back in such a public way against the university’s decision to close Genecis to new patients.

Lopez’s lawyer provided a copy of the petition exclusively to The Dallas Morning News.

Lopez is asking the university and Children’s Health to turn over documents, including communications that might show pressure from elected officials triggered the changes at Genecis, and wants top officials to sit for depositions. The petition notes the information sought will allow Lopez to decide if and against whom she files a lawsuit seeking to overturn the university’s decision to cut off care to new transgender patients.

Lopez told The News she tried everything should could, including getting medical groups to urge the hospitals to restore care, before filing the petition. She said her requests that university leadership meet with physicians and patients affected by the change were denied.

[…]

Lopez told The News she believes UT Southwestern changed the Genecis program because of political pressure and said while she respects the university, she understands she may be putting her job on the line.

“I would like to think an institution as renowned and as well-respected as UTSW would not bow to such pressure, but reality tells me to be afraid of retaliation. Instead of standing up for what is right and being true to the values of this institution and our obligations as physicians, they got rid of the clinic that was causing them trouble with extremists and politicians. Therefore, they could also try to get rid of me,” Lopez said.

In her petition, Lopez said UT Southwestern told her “either the governor or the governor’s office has exerted political pressure on [UT Southwestern] to close the
Genecis clinic and to stop clinicians from providing gender-affirming care.”

Among those she wants questioned on the record are UT Southwestern President Dr. Daniel Podolsky and UT Southwestern University Hospitals CEO Dr. John Warner.

See here for the background. I don’t know that anything Dr. Lopez does can overturn this decision, but I appreciate the fight. At the very least I hope we learn more about what happened. All respect to you, Dr. Ximena Lopez.

Why the business response to the state’s right wing assault has been so muted

A really good in depth article on the subject from the tech press, which is a source I hadn’t thought about for this before.

When Republican Gov. Greg Abbott in February directed state agencies to investigate anyone who provides gender-affirming treatment to transgender children for alleged “child abuse,” he drew a swift and vocal backlash from civil rights groupsmedical organizations and the White House.

Tech companies also spoke up, signing pledges or reiterating offers to help employees affected by the order. South by Southwest, the world-renowned tech, music and film festival slated to start in Austin on Friday, condemned Abbott’s order. “The governor’s latest directive puts trans children in harm’s way once again and we unequivocally condemn this action,” SXSW told local newspaper The Austin American-Statesman.

But that’s done nothing to budge Abbott or his supporters from accelerating the shift further to the right in Texas politics.

Indeed, the governor’s directive about trans youth was just the latest in a series of laws and orders targeting social issues, including voting, reproductive and gun rights. But for a state that has seen such an influx of new voices — Texas has the ninth-largest economy in the world, is the third-fastest growing state and has added more people than any other state in the past decade — the overall public response to this slew of laws and orders affecting individual rights has not been as resounding as political observers expected. That’s especially the case when it comes to the booming tech community, which has played a key role in the state’s expansion in recent years.

That dynamic underscores the tradeoff that tech companies — and the liberal employees who have moved to Texas — must reconcile as their values collide with their wallets.

Tech and Texas have become intrinsically linked. It’s no coincidence that the so-called Texas Miracle, which refers to a decade-long period of economic expansion after the Great Recession, has continued as technology companies relocate or expand in the Lone Star State. The companies include the likes of TeslaOracleHewlett PackardAppleGoogle and Amazon.

“Businesses are having a really difficult time deciding how to position themselves on these issues of social justice and public policy,” Joshua Blank, research director of the Texas Politics Project at the University of Texas at Austin, said over Zoom.

The reason? Taking a stand on social issues is hard when you are benefiting from a fiscal and regulatory agenda that makes Texas a business haven, according to several experts. Compared with other states, especially California, doing business in Texas is much less expensive. Texas has no state income tax or capital-gains tax on individuals and has fewer business regulations. By moving to Texas, tech companies are “escaping high taxes and a regulatory environment,” Bill Fulton, director of the Kinder Institute for Urban Research at Houston’s Rice University, said over Zoom.

[…]

Indeed, the hard turn right in Texas politics hasn’t taken a toll on the state’s economic growth prospects or even on recruitment efforts of tech companies located in the state, especially those in the ever-expanding and liberal-leaning metropolitan areas of Austin, Dallas and Houston.

That doesn’t mean, however, that the radicalization of Texas social policies won’t have an impact on the state’s economic or social future. Political experts, academics and business leaders interviewed by CNET expressed concern that the trend — assuming it continues — will eventually tarnish the Texas brand and make it increasingly difficult for companies to attract and retain top talent.

But also at stake is the role that corporate America can play in society at a time when consumers and employees expect business leaders to advocate for social responsibility.

“Texas will become a textbook example of what happens when social policy and marginalized, underserved, underrepresented communities become the collateral damage of corporate political giving,” Jen Stark, senior director of corporate strategy at Tara Health Foundation, a nonprofit focused on engaging private companies to advance gender and racial equity, said over Zoom. “Companies have been complicit in setting up an extremist government in Texas and other states.”

I found this article in a completely serendipitous fashion. The Sunday print edition of the Chron carried an excerpt from the New York Times story about how the 2030 Census might be done, and when I did a Google search for it I also got this story among the results. You never know.

The story goes into demography, the fact that some actions companies had taken in the past had little effect even among their own employees, data about people not wanting to move here because of our wingnut politics is more anecdotal than anything else, and because living in mostly Democratic urban areas provides some illusion of comfort. The somewhat ironic good news is that if these current trends continue, which have among other things contributed greatly to the fast growth in Democratic and Dem-trending urban and suburban areas, we really will turn the state blue in a few more years. Of course, a lot of damage can be done in the meantime, and as we well know by now, waiting for demography to do your work for you is at best a deeply frustrating experience. My takeaway from all this is that nothing will beat good old fashioned organizing, the kind we’ve been getting better at lately. Lord knows, there’s no time to spare. Read the rest and see what you think.

Is that statewide injunction against investigations into the families of trans kids in effect?

Ken Paxton wants you to think it isn’t, but it’s not really up to him.

When a judge ruled Friday that Texas could not investigate parents for child abuse simply for providing gender-affirming care, it was immediately clear that the legal fight was far from over.

That same night, Attorney General Ken Paxton filed an appeal and then announced on Twitter that the “Democrat judge’s order permitting child abuse is frozen.”

He said that “[m]uch-needed investigations [will] proceed as they should,” and noted that his “fight will continue up to the Supreme Court.”

Lawyers representing the families of transgender children said they don’t believe the appeal should affect the injunction.

Legal experts say this case falls into a complicated corner of the law until the appeals court weighs in.

[…]

The appeal Paxton filed relies on an argument that would allow for an automatic stay in all trial court proceedings. In a statement, a spokesperson for the Attorney General said that there is “therefore no [temporary injunction] in place until the Third Court reinstates it. Investigations into child abuse may thus continue.”

“It’s up to the court of appeals to decide whether to reinstate the impact of the injunction,” said South Texas College of Law Houston professor Rocky Rhodes. “It’s not automatic, but I think that [the ACLU and Lambda Legal] will have a very strong case to have it reinstated.”

But lawyers have challenged these automatic stays before, claiming the state should not be able to overturn an injunction simply by filing an appeal. Attorney Chad Dunn represented the Texas Democratic Party in a case on mail-in voting in which Paxton made a similar argument.

“That would be an extraordinary rule,” Dunn said. “That is not the rule in federal court or other states that I’m familiar with, that you get an injunction against the state and they can just effectively ignore it until there’s been an appeal completed.”

Dunn said he has seen this argument appear only in recent years, and neither the state’s courts appeals courts or the Texas Supreme Court has definitively affirmed that the state has a right to overturn these injunctions.

“In the cases I’m familiar with, the Court of Appeals has either just glossed over this question or they just say … we’re empowered to issue injunctions, so we’re going to issue the same injunction and keep it in place until such time as we decide the appeal,” he said.

If the Court of Appeals grants similar relief, Rhodes said, that will remain in effect even if the case is appealed to the Texas Supreme Court, as Paxton has said it will be.

See here for the background. The plaintiffs’ lawyers have advised their clients that the injunction is in effect and to not participate in any further investigations, if they happen. DFPS itself issued a statement that says they are “following the law” without specifying what that means, which is entirely the question at hand. The Third Court of Appeals had previously denied Paxton’s appeal of the initial restraining order for wonky legal reasons. It seems likely to me that they will rule that the injunction remains in effect while the matter is being litigated, but it’s not clear to me when such an order from them might be forthcoming. There’s no case information on the Third Court’s website beyond the fact that a notice of appeal has been filed. We’ll just have to wait and see.

How Republicans bullied a gender affirming care clinic into closing

Gross.

Leaders of a now-defunct health clinic — known for years as the largest program of its kind for transgender youth in Texas — came under pressure to restrict gender-affirming care from the governor’s office and a state House investigative committee, according to recordings of internal meetings among hospital leadership and staff obtained by The 19th.

Hospital administrators and doctors at GENder Education and Care, Interdisciplinary Support (GENECIS), a state-run medical institution, struggled to reconcile halting care with the knowledge that doing so could severely jeopardize the mental health of their patients, the recordings reflect.

GENECIS, which was jointly run by the University of Texas Southwestern Medical Center and Children’s Medical Center Dallas, quietly closed to new patients in November, with all references removed from the Children’s Health website. The 19th obtained nearly five hours of meetings among UT Southwestern leadership and staff, as well as staff and leadership at Children’s Medical Center and GENECIS employees, that took place during 2021 and 2022.

The shuttering of GENECIS is part of Texas officials’ efforts to restrict health care and full access to services for trans youth. Gov. Greg Abbott called three special sessions of the Texas legislature that prioritized anti-trans legislation, pledged to take action against gender-affirming care for trans youth, and has backed the state attorney general’s interpretation that giving puberty suppressing drugs and hormone therapy to trans youth is child abuse. These moves have put multiple parents seeking care for their trans children under investigation by the state. (A state court issued an injunction on Friday evening blocking these investigations.) On a March 2 call with reporters, Abbott’s campaign reportedly described the push to investigate parents of trans kids as a winning issue.

[…]

The hospital leadership and staff at GENECIS began to discuss the political pressure on the clinic as early as July, according to the recordings, as the Texas investigative committee looked into their work and the governor’s office probed for more information.

Meetings among hospital leadership and staff beginning last summer portray disarray and distress. They worried that halting care could lead to suicides and poor mental health among trans youth in a state with few options.

“How can we minimize the risk of suicidality in patients who could otherwise have come into GENECIS? I think that’s a very high priority,” Dr. Perrin Whitedirector of pediatric endocrinology at UTSW, said at a November meeting.

“We’re taking away the life-saving medical care for the new patients,” one GENECIS employee said in response. “If we’re mitigating suicidality, let’s be clear, it’s because in large part, we’re taking away medical care.”

The GENECIS team was instructed by UT Southwestern leadership in November to stop prescribing hormone treatment and puberty blockers to new patients, several days after the website suddenly came down on November 12. Existing patients were allowed to continue all treatment, but new patients would only be able to access psychiatric evaluation and counseling, and be evaluated for gender dysphoria.

Physicians and staff debated how to maintain some semblance of care for trans youth under their new normal. Several GENECIS staff members raised concerns that the program was not designed to offer psychological care alone — and that the ultimate point of evaluating patients’ mental health is to determine whether they can receive hormone treatment or puberty blockers, considered life-saving care by families of trans kids and many of the physicians who work with them.

Access to hormone therapy and puberty-suppressing drugs, widely recommended by medical authorities, is linked to lower rates of suicidal ideation and improved mental health among trans youth. Kids who received one year of hormone therapy through GENECIS reported small to moderate improvements in symptoms of depression, per research by leaders of the program published in the American Academy of Pediatrics in March 2020.

Evan Singleton, 19, who lives outside Dallas, told The 19th that he believes the gender-affirming care he received through GENECIS — puberty blockers and hormone treatment — saved his life.

“I feel scared and sorry for these kids that can’t get the help that they need,” he said. For him, starting puberty blockers soon after he turned 10 was a relief. His mother, Mela, added that finding a way to halt her son’s puberty afforded her time to learn the best course of action for her child’s future, while halting the extreme emotional distress caused by his puberty.

There’s more and you should read it. The Dallas Morning News and the New York Times were on this as well. Here’s a bit of interest from the latter:

Since its founding in 2014, the Genecis clinic had offered patients aged 5 to 21 counseling, pediatric care and, starting at adolescence, puberty-blocking drugs and hormones. (The clinic did not perform surgeries.) With no other options for such comprehensive care, the clinic was sought out by families across the state. It also published scientific research about its patients.

“The Genecis clinic has been a leader in producing data about the youth they see — data that everyone on every side of this issue has argued that we need,” said Kristina Olson, a psychologist at Princeton University who studies gender development in children.

Early evidence suggests that these hormone treatments, part of what’s known as “gender affirming” care, improve the mental health of trans teenagers. But few studies have looked at the long-term outcomes of adolescents who take these medications, which may also come with risks, like fertility loss.

Gender-affirming care has been endorsed by major medical groups in the United States. Although some doctors have debated which adolescents will benefit most from such treatments, many say that the decision to take them should be made by patients, their parents and their health care providers, not the state.

Legal experts have also questioned whether shutting down the clinic could constitute discrimination under federal statutes. Pediatric endocrinologists around the country — including those at U.T. Southwestern — routinely prescribe similar drug regimens to children with hormonal disorders who are not transgender.

“The U.S. Supreme Court has held in the ‘Bostock’ case that discriminating because of sex does include gender identity,” said William Eskridge, a professor at Yale Law School. “Ultimately they are denying medical care based upon gender identity.”

The federal government has taken a similar stance. “Denials of health care based on gender identity are illegal, as is restricting doctors and health care providers from providing care because of a patient’s gender identity,” according to a statement released last week by the Department of Health and Human Services.

I suppose this means we should expect more litigation, this time in the federal courts, which unfortunately will mean another opportunity for the Fifth Circuit to act like monsters. Just a reminder, that article from The 19th notes that access to this kind of care correlates with “lower rates of suicidal ideation” in these kids. If it’s really being taken away, Abbott and Paxton and the rest will have blood on their hands. Don’t ever forget that.

We’ve heard a lot from Amber Briggle lately, now here’s an interview with her husband Adam Briggle, who discusses the recent CPS visit to their house, courtesy of Abbott and Paxton.

How long did the interviews last, and what sorts of questions did they ask you?

The whole thing felt like forever, but I guess it took about two hours. It’s humiliating. She asked me first, do I have a history of mental illness? And second, do I have a history of abuse? Like abusing my kids, my wife. Of course the answer is no. Then she asked about our social support network, like what kind of connections do we have in the community. And then she wanted to know what our daily routines are like. She wanted to see the house to see where we have food, to see if we have blankets, to see all the things you would want to see if somebody was really being a child abuser. It was surreal.

[…]

How were your kids reacting to all of this?

Well, Amber and I have been publicly raising a trans child and being a trans-inclusive family in Texas for about seven years now. And until now, we’ve been able to shield our children from the hatred that pervades our country’s politics, but I’m afraid now that it has walked through our door it’s taking a toll on them mentally and emotionally. So we’re not doing well, to put it bluntly. We get through the day, but it’s hanging over all of us.

And they’re pretty young, right? Your son is 14, and you have a 9-year-old daughter. How did you explain to them what was happening?

Well, I don’t know if we did it right. Because you never really imagine being in this situation. But I told the kids, “We’ve done nothing wrong. We never want you to lie. We’re not going to lie about anything. But we’re not going to answer questions, because the government is sending a spy into our house, and we don’t talk to spies. And we’re being interrogated for no legal or moral reasons.” It was, as you might imagine, scary for kids to hear that. But I didn’t know how to sugarcoat it. Because it’s very serious. You know, the consequences at stake for us are losing our child or uprooting our family. I’d lose my job, my health insurance. You look around the country, where could we move? There’s a guy who said he could maybe help me find a job in Arizona, but Arizona is hardly any better with this shit.

[…]

How did it feel, after inviting Paxton to dinner, to see his recent opinion on trans kids and to learn that an investigation was being opened against you?

Like the depths of betrayal, basically. And utter cynicism on his part, that this is just a way to get through a primary season for him, just using us. He knows us. He said at the end of that dinner, he looked at our son, he said, “You got a good kid there.” By the way, it’s the same thing the CPS worker said after our visit. She looked at us and over at our son, who was practicing his cello at that point, and said, “Clearly you’re doing something right because you have wonderful children.” It’s maddening that we are going through this when anybody who meets us is like, “This is just a loving family.”

Have you reached out to Paxton again since the investigation was opened?

No, we haven’t. He’s made it plain that he’s not open to learning. I think what’s going on, like historically in this moment in time, is you have trans folks who feel like they can be out as their authentic selves within circles of friends or within safe communities. And the struggle we’re in now is how to achieve that liberation more widely in public society. And frankly, people like Paxton are just acting as the oppressors preventing that from happening. And at some point, dialogue is impossible with those sorts of people. So we tried, but he’s shown us his hand, and so there’s no point with him anymore.

I would like nothing more for the Briggle family and everyone else in their position than to be left alone. But we have work to do before that can happen.

Texas sues to keep federal funds that would be denied for bullying trans kids

The utter gall, it’s breathtaking.

Texas is worried it could lose over a billion dollars in federal funding over Gov. Greg Abbott’s directive requiring medical professionals to report transgender children receiving gender-affirming health care as potential child abuse.

Texas Attorney General Ken Paxton amended an existing lawsuit suing the Biden administration Wednesday, attempting to void guidance issued by the U.S. Health and Human Services on March 2 that said restricting someone’s ability to receive medical care solely on the basis of their sex assigned at birth or gender identity is likely a violation of the Affordable Care Act for federally funded entities. That federal guidance came in response to Abbott’s directive issued late last month to treat certain medical treatments for trans children as possible crimes to be investigated by the Department of Family and Protective Services.

The federal guidance stated that health care providers do not need to disclose private patient information regarding gender-affirming care and that it is illegal to deny health care based on gender identity.

Paxton, in the lawsuit, said that guidance is based on “erroneous interpretation of sex discrimination.” The lawsuit says Texas does not aim to deny health care based on gender identity. Instead, the state argues its investigations disregard gender entirely, barring all children from “unnecessary medical interventions.”

In 2020, $1.36 billion in federal funds went to Texas’ Department of State Health Services, Paxton said in the lawsuit. More than $26 billion went to the State’s Health and Human Services Commission.

I noted the federal guidance in this post. The main thing you need to know at this point is this:

It’s not a guarantee that Paxton will get what he wants from his hand-picked judge. But there’s a reason he picked him, you know? Daily Kos has more.

Statewide injunction issued against Abbott/Paxton witch hunt

Some good news to end the week.

State District Judge Amy Clark Meachum ruled Friday that providing gender-affirming care is not a reason for the state to investigate a family for child abuse, and halted all such investigations.

The statewide injunction will remain in effect until “this court, and potentially the Court of Appeals, and the Supreme Court of Texas” hear the case, Meachum said.

Meachum said there is a “substantial likelihood” that lawyers for the American Civil Liberties Union and Lambda Legal will prevail in getting Gov. Greg Abbott’s directive for such investigations permanently overturned, calling his actions “beyond the scope of his duty and unconstitutional.”

[…]

Since the directive, the state has opened nine investigations into families who provide this medical care to their children. The injunction stops the state from investigating anyone for child abuse based solely on the allegation that they provided gender-affirming medical treatment. It also stops anyone from being prosecuted for child abuse for providing gender-affirming care and lifts the mandatory reporting requirements laid out in the directive.

Meachum ruled that Abbott’s directive had the effect of a new law or agency rule “despite no new legislation, regulation or even stated agency policy,” which improperly encroached on the legislative arm of the government.

A DFPS supervisor who was called to testify at the Friday court hearing said that the child abuse investigations into families of transgender children are being held to a different standard than other cases.

Investigators can’t discuss cases with colleagues via text or email, and they are required to investigate the cases, even if there’s no evidence of abuse, said Randa Mulanax, an investigative supervisor with DFPS.

Mulanax has decided to resign as a result of this directive after six years with the agency.

“I’ve always felt that, at the end of the day, the department had children’s best interest at heart,” she said. “I no longer feel that way.”

[…]

Lawyers for the ACLU and Lambda argued in court Friday that Meachum should grant a statewide injunction on all of these investigations until the legitimacy of this directive can be argued in trial.

“The defendant’s directives and actions are traumatizing,” said ACLU of Texas attorney Brian Klosterboer. He added that the actions are “killing the ability of transgender youth to continue to get necessary care, and forcing physicians and mandatory reporters … to decide between civil and criminal penalties … and doing what’s right for the health of their patients.”

A lawyer for the state argued that simply opening a child abuse investigation into a family is not necessarily evidence of harm to that family, and that it would be overreach for “the judicial branch to infringe on the executive branch’s ability to perform such a critical task as ensuring the welfare of the state’s children.”

Mulanax said employees have been told not to communicate with colleagues about these cases via email or text message, which she described as unusual and “unethical.”

She said investigators have been told they cannot mark these cases as “priority none,” a designation staff members use when they believe a report does not merit investigation, and must alert department leadership and the general counsel when they’re working on one of these cases.

See here, here, and here for the background, and here for a statement from the ACLU. The state’s argument that merely having CPS open a child abuse investigation into your family is no big deal is just mind-boggling. Like, even if it does eventually go nowhere and the investigators come away telling you that you’re actually doing a swell job as parents, as they told the Briggles, a lot of trauma and very likely lasting damage to your reputation has already happened. I suppose Paxton, who knows a thing or two about being investigated by a grand jury, would argue that that’s no big deal either, since you haven’t been arrested yet. I can name at least two people who would vigorously disagree with that.

The Chron adds a few details.

District Court Judge Amy Clark Meachum, who ruled from the bench late Friday afternoon, said the plaintiffs would suffer “imminent and irreparable injury” if the directive were allowed to stay in place. Among those harms, she said, the mother, who is a DFPS employee, could lose her job; the family would face deprivation of their constitutional rights and the stigma of being subjects of a child abuse investigation; and the daughter would face the loss of necessary medical care.

So far, nine investigations have been opened against parents who are supporting their children’s medical care, DFPS spokesman Patrick Crimmins confirmed. The state and nation’s largest pediatric facility, Texas Children’s Hospital, has temporarily stopped prescribing gender-affirming hormone therapies, and Legacy Community Health has said it’s “analyzing available options.” Several months earlier another program in Dallas pulled its website and halted services to new patients.

“This vast overreach … establishes a new presumption of abuse by parents of transgender children who receive gender-affirming care, triggering investigations of families based solely on the provision of that care and prioritizing those investigations in an unprecedented way,” said Paul Castillo, Lambda Legal’s senior counsel, at the hearing Friday.

[…]

Also Friday, just down the street from the Austin courthouse, more than 100 advocates for LGBT Texans showed up at a public meeting to protest the policy. There were so many people that staff were still unfolding chairs as the meeting started, placing them all the way at the back of the room. Still others sat on the floor.

Dozens held pages of white printer paper in their hands, which contained what they described as statements written by parents of transgender youth who are too afraid of coming under investigation to speak publicly for themselves. The meeting was emotional and angry, and many speakers choked back tears.

“It’s so important that we look up with pride and confidence at the organization” that sets standards for safety for Texas children, said Marie Catrett, who said she has worked as a child care provider for 25 years. “And now I’m looking at this organization possibly being used as a political tool, again, against transgender children. … Your job is not to be political. Your job is to advocate for the safety of children based on facts, based on science, and not for political reasons.”

Outside, advocates held a rally calling for a public outcry against Abbott’s new directive.

Anne Lewis, a board member for Texas State Employees Union, said statements from rank-and-file staff indicate many think asking CPS workers to investigate these families “is baffling, hypocritical and disturbing.”

Lewis quoted one worker anonymously: “I am terrified for families with transgender children.” The worker said she had documented details about a family supporting their transgender teen and now is concerned those details will now be used against them.

Also at the rally was Sam Ames, from The Trevor Project, a LGBT suicide prevention group. He called Paxton’s guidance “a politically motivated opinion that is only going to pit the government against loving families, teachers against students, doctors against patients and neighbors against neighbors, which is language we should all find familiar and has never been on the right side of history.”

Seems Judge Meachum viewed that ridiculous state argument as I did. Of course, this has already been appealed:

Here’s hoping the injunction will at least stay in place as the litigation proceeds. There’s a hearing on July 11 for a permanent injunction if the appellate process allows it to happen at that time.

Ken Paxton repays the Briggle family for their hospitality

What a scumbag he is.

When the case worker asked to inspect the house, Amber and Adam Briggle first led her to the kitchen. They opened the cabinets to show they were full of food.

They moved on to the dining room. Every Sunday the Briggles and their two kids, now 14 and 9, sit in those chairs for dinner and talk about gymnastics or their new purple hair. It was around the dining room table where, six years earlier, Attorney General Ken Paxton and his wife, Angela, sat with the Briggle family eating steak kabobs and watermelon. But last month, Paxton issued a nonbinding legal opinion that gender-affirming health care for transgender kids, like the Briggles’ son, constitutes child abuse. Shortly after, Gov. Greg Abbott ordered the Texas Department of Family and Protective Services (DFPS) to investigate the parents of trans kids.

The Dallas-area family now says it is under investigation and at risk of losing the kids.

“When we were notified of the allegations, it was as if the wind had been knocked out of us. We wanted to scream and cry, but we had no air,” the couple wrote in a statement approved by their lawyer. “Raising a transgender child in Texas has been one long political emergency.”

Briggle said she learned of the investigation February 28, when she found a sticky note on her desk at the massage studio she owns saying she had missed an urgent private call. She assumed it was from another parent of a trans kid looking for advice. When she called the number, the woman on the line informed her that she was a Child Protective Services investigator, and she was 30 minutes away from the Briggle home.

The next 30 minutes went by in a blur, Briggle said. She managed to reach Adam, and they got family attorney Ian Pittman on the phone. They convinced the investigator to meet them at Briggle’s office. She would schedule another meeting for that Wednesday at the house.

“We told the children that they have the right to not answer questions,” the couple wrote in a statement. “We told them that the government is trying to spy on us even though we have done nothing wrong.”

[…]

In the meantime, families like the Briggles have been working feverishly to secure attorneys who will work pro bono, testimonials from friends and family, and home studies for a “safe folder,” an emergency packet of documents to demonstrate their parenting skills. The Briggles have filed a federal complaint against the state, Adam Briggle said.

“The Texas government has launched an effort to round up transgender children and send them off to a broken, overcrowded, and dysfunctional foster care system,” the Briggles wrote.

Last year, the legislature failed to pass a bill that would have labeled gender-affirming medical care as child abuse. Briggle testified against that bill. The couples say their family has been the subject of death threats and harassment ever since.

The family is terrified of speaking up about the investigation now, they said. But the couple is prepared to flee the state, and they worry that if no parents speak up, other trans kids will also face removal.

Adam is a tenured professor. Briggle owns a business. Both kids have a lot of friends. Leaving Texas would destroy their lives, they said.

“I really think that we need to start a contingency plan of that nature,” Adam said.

“If we have to become political refugees in our own country, then that’s what we do,” Briggle added. “But I don’t know where it’s safe.”

I wrote about the Paxtons’ dinner with the Briggles at the time. I did not believe that the Briggles’ generosity would have any effect on the Paxtons, and I’m sad to have been right about that. I can’t imagine what the Briggle family is going through right now. Just seeing them talk about the possibility of leaving the state is breathtaking, given that Amber Briggle was saying this on the same day that story was published:

Whatever the Briggles decide to do, they’re not the only parents who are thinking of fleeing. I can’t even type things like that without wanting to scream. If we’re lucky, there will be a statewide injunction against this cruel policy as soon as today. But that will be appealed, and who knows what happens after that. We also know that losing in court is not going to stop the Republicans, who are all in on hating transgender people now. I’ve said it many times, they’re going to have to lose elections over this. Like, a lot of elections. That’s not going to be easy. The Briggle family is out there doing their part. We all have to do ours.

This is a good start, if a belated one.

Sixty-five major U.S. companies who do business in Texas are calling on Gov. Greg Abbott to reverse his order requiring the state’s child welfare agency to investigate gender-affirming care for transgender youth as a form of child abuse by their parents.

The companies, including Apple, Dow, Google, Johnson & Johnson, Meta and PayPal, in conjunction with the LGBT advocacy nonprofit Human Rights Campaign took out full-page print and digital advertisements in the Dallas Morning News that state in all capital, bold letters: “Discrimination is bad for business.”

“The recent attempt to criminalize a parent for helping their transgender child access medically necessary, age-appropriate health care in the state of Texas goes against the values of our companies,” they wrote. “This policy creates fear for employees and their families, especially those with transgender children, who might now be faced with choosing to provide the best possible medical care for their children but risk having those children removed by child protective services for doing so.”

So far, there are nine new CPS investigations statewide involving parents who are supporting their children’s medical care, said Patrick Crimmins, spokesperson for the state Department of Families and Protective Services. But advocates and lawyers say even just the fear of an investigation is putting immense stress on Texas families with transgender children.

Good for them, but there are a lot more companies that do business in Texas. Where are they? As that Trib story I linked to above points out, the Republican animosity towards the transgender community (as well as some other social issues) has caused a rift between them and their longtime benefactors in the business world, because they care about homophobia and transphobia and “critical race theory” and voter suppression so much more. When is the business community going to recognize this and start acting accordingly?

As a reminder, this is the system that Abbott and Paxton want to put these children into.

Employees at a state-contracted foster care facility established to help female victims of sex trafficking were instead trafficking the children staying there, state officials said Thursday.

The Bastrop operation, called The Refuge, has served 11 children ages 11 to 17. State officials began receiving reports of sexual abuse at the facility in late January, when a staffer alleged that a former employee had sold nude photos of two young girls and used the money to purchase illegal drugs and alcohol for them.

More accusations were made in the following weeks, and state investigators discovered that several staffers still employed at The Refuge were involved in the criminal activity. In total, there are seven alleged victims and nine alleged perpetrators, state officials said at an emergency court hearing Thursday afternoon.

All of the children were finally removed from the facility on Wednesday. One staff member has been arrested, and additional criminal charges are expected, officials said.

“The most appalling thing about this is the disregard of these children and you had to wait to get eight calls before you took 11 female already-trafficked children out of this trafficking situation,” said U.S. District Judge Janis Jack, who has overseen a decade-long lawsuit over the state’s foster care conditions. “This is a system that remains broken.”

The matter came to light Thursday, after the state Department of Family and Protective Services notified court-appointed monitors of the “urgent situation” at The Refuge. Jack blasted state officials for withholding the information from the monitors for several weeks, and for failing to remove the children after the first reports of abuse.

Emphasis mine. Such a commitment to “protecting” children Abbott and Paxton have. Maybe this should be a bigger story? I’m just saying. The Trib has more.

One more thing:

My family has personal experience with evidence-based gender-affirming health care at Texas Children’s Hospital. An amazing team of professionals lovingly guided us through a process that involved months of discernment with an incredible array of best-in-the-world physicians, social workers and mental health professionals. And our child’s quality of life immediately improved. Everything we did was medically necessary. We cannot imagine the devastation we would feel at being told “our lawyers say we cannot provide the medically necessary health care you desperately need.”

Last week, Texas Children’s announced that it would halt gender-affirming procedures. The hospital leaders should know that this is exactly the result Rep. Matt Krause, Attorney General Ken Paxton and Gov. Greg Abbott hoped would occur with their thinly-veiled circumvention of the democratic process: chaos and fearful reactions.

[…]

Abbott not only used Paxton’s legal opinion but misrepresented it to instruct the state to investigate families. In his letter to Department of Family and Protective Services Commissioner Jaime Masters, Abbott states that the attorney general determined that the gender-affirming health care procedures about which Krause inquired “constitute child abuse under existing Texas law.” Abbott completely ignored the express limitations in Paxton’s opinion. As a former Texas attorney general himself and a former justice on the Texas Supreme Court, it is fair to assume Abbott understands the difference. Frankly, the sheer political expedience of his actions seriously endangering the lives of the very children he should be protecting is beyond reprehensible — it is diabolical.

Finally, the simple truth is that Texas Children’s Hospital has allowed the Abbott/Paxton scheme to work by failing to stand up for the right of physicians (not politicians) to determine the medical standards of care for transgender youth. The hospital explanation was that it made the decision to halt care “to safeguard our healthcare professionals and impacted families from potential criminal legal ramifications.” While it is wrong for politicians in Austin to decide what the medical standard of care should be, it is also wrong for lawyers rather than physicians at the leading clinical and teaching children’s hospital in the world — located in the Texas Medical Center of Houston, literally the apex of medicine — to determine standards of medical care.

More importantly, the hospital has missed this opportunity to stand up for their patients. The hospital has left families like ours out in the cold and dashed the hopes of transgender kids just wanting to be their authentic selves.

Instead of using lawyers to dictate medical standards of care, put them to use in the legal arena fighting for medical independence of physicians and the rights of your patients. Don’t succumb, fight back. File a petition in intervention or an amicus brief in support of the lawsuit filed by the ACLU of Texas and Lambda Legal. Show up. Be courageous. Make the voices of the best medical experts in the world heard on these issues. Your silence is deafening.

See here for the background. Whether we get that statewide injunction or not, I agree with this. Texas Children’s Hospital, the other hospitals that have halted gender affirming care, the physicians who treat trans kids, the Texas Medical Association, all of them and more should be doing their part to fight back. If not now, then when?

Appeals court denies Paxton appeal of gender affirming care order

Good.

A Texas appeals court sided with the parents of a transgender teenager in a ruling Wednesday, rejecting Attorney General Ken Paxton’s efforts to allow a child abuse investigation to proceed.

The ruling will allow a lower court to hold a hearing, scheduled for Friday, where lawyers for the American Civil Liberties Union and Lambda Legal will ask a judge to stop the state from launching child abuse investigations against parents who have obtained gender-affirming care for their transgender children.

“This crisis in Texas is continuing every day, with state leaders weaponizing the Department of Family and Protective Services to investigate families, invade their privacy, and trample on the rights of parents simply for providing the best possible health care for their kids under the guidance of doctors and medical best practices. This appeal was always groundless and DFPS and the courts need to stop this egregious government overreach,” said Brian Klosterboer, an attorney with ACLU of Texas.

[…]

The state has opened at least five child welfare investigations into parents of trans children since Abbott issued his directive on Feb. 22, though the real number may be much higher. The state has declined to provide the number of active investigations, citing the pending litigation.

The ACLU and Lambda Legal have sued on behalf of a state worker who has a trans child and alleges she was put on leave and investigated by CPS after asking questions about the directive.

Last week, state District Judge Amy Clark Meachum granted a temporary restraining order blocking the state from investigating the family. Paxton immediately appealed that ruling, and on Wednesday, the Texas 3rd Court of Appeals ruled that it did not have jurisdiction to proceed.

Meachum also scheduled a hearing for Friday to hear arguments on whether to grant a temporary injunction until trial, and whether it should extend to all parents of transgender children.

See here and here for the background. I found a copy of the opinion here – it either wasn’t findable on the Third Court of Appeals website or they just didn’t have it loaded yet. The case information is here. This was a wonky and technical matter of whether the state could appeal a temporary restraining order at this time – you can just skim it to get the gist. Among other things, it means that if Judge Meachum does issue a statewide injunction following the Friday hearing, this will get appealed again, and I imagine it will be on an express lane to the Supreme Court. How it all might go is anyone’s guess. For now at least, this family has a bit of relief, and I hope every other family in that same terrible position will get the same soon.

Paxton appeals gender affirming care order

Of course he did.

Attorney General Ken Paxton filed for an appeal Thursday after a state judge blocked Texas’ child protection agency from investigating the parents of a transgender teenager who received gender-affirming medical care.

District Judge Amy Clark Meachum had granted a temporary restraining order on Wednesday. It did not stop the agency from opening investigations into other families in similar situations.

Meachum was scheduled to consider issuing a statewide injunction blocking such investigations into all parents of trans children on March 11, but that hearing has been put on hold until an appeals court rules on Paxton’s request.

And U.S. Health and Human Services Secretary Xavier Becerra said his agency is looking into tools that would shield transgender Texans from the state’s attempts to hinder access to gender-affirming care.

“The Texas government’s attacks against transgender youth and those who love and care for them are discriminatory and unconscionable,” he said. “These actions are clearly dangerous to the health of transgender youth in Texas.”

[…]

Becerra released guidance Wednesday that says refusing health care because of gender identity is illegal and that health care providers are not required to disclose information regarding gender-affirming care.

President Joe Biden also released a statement Wednesday condemning Texas’ actions.

“This is government overreach at its worst,” Biden said in a statement. “Like so many anti-transgender attacks proliferating in states across the country, the Governor’s actions callously threaten to harm children and their families just to score political points. These actions are terrifying many families in Texas and beyond. And they must stop.”

See here for the background. This is primarily about preventing Judge Meachum from being able to issue a statewide injunction, since the hearing for that action is on hold pending the appeal. The Third Court is more likely than not to deny Paxton’s appeal, but then he’ll go to the Supreme Court, and who knows how long that could take. And delay is good enough for Paxton and Abbott and their wicked aims.

Texas Children’s Hospital has “paused” hormone-related prescription therapies for gender-affirming care in response to the controversial directive from state leaders to investigate medical treatments for transgender youth as child abuse, according to a statement from the hospital.

“The mission of Texas Children’s Hospital is to create a healthier future for all children, including transgender children, within the bounds of the law,” the statement reads. “After assessing the Attorney General’s and Governor’s actions, Texas Children’s Hospital paused hormone-related prescription therapies for gender-affirming services. This step was taken to safeguard our healthcare professionals and impacted families from potential criminal legal ramifications.”

[…]

Lou Weaver, a transgender man and community advocate for transgender children and adults, said very few facilities offer gender-affirming care for children, and Texas Children’s is among the biggest programs in Texas that offered it.

“This is a truly frightening time for trans youth and their parents and guardians,” he said. “The doors to life-saving health care are literally being shut in their faces.”

UT Southwestern’s children’s hospital in Dallas shut down services for new patients at the end of the last legislative session due to political pressure, Weaver said.

I can’t blame Texas Children’s for not wanting to risk the legal exposure, but this is truly harmful and there’s not a clear endpoint. That harm is also financial for the families involved. I don’t know what the feds can do, but they need to figure it out quickly.

And in what may be the most infuriating but least surprising part of this, the opinion Paxton issued was based on misreading studies and making false claims.

One researcher said Paxton distorted her work for political purposes and that she’s “mortified” her research was included in the opinion.

Alexandra Minna Stern, a professor of history at the University of Michigan, studies the history of forced sterilization in the United States. Paxton’s office drew a parallel between forced sterilization and gender affirmation surgeries for minors. “I’m adamantly opposed to this interpretation and it does not align with my research and the conclusions of my research,” she said.

“If they knew anything about my scholarship more generally, they would know that I am someone whose research demonstrates the harm of the very types of policies they’re trying to enact on marginalized people.”

[…]

In his opinion, Paxton cited the work of Dr. Cecilia Dhejne, a Stockholm-based researcher, to support the idea that gender-affirming health care could be harmful to transgender children.

Dhejne led a 2011 study that found that transgender people who have undergone gender-affirmation surgery have worse mental health outcomes than the general population. Dhejne did not respond to a request for comment. However, in the text of the 2011 study, Dhejne and her team caution specifically against using the study to conclude that gender-affirming surgery is problematic, noting that the study did not compare the mental health outcomes of people before and after gender-affirming surgery.

The study’s “results should not be interpreted such as sex reassignment per se increases morbidity and mortality. Things might have been even worse without sex reassignment,” the study says.

Dhejne and her colleagues wrote instead that the study shows a need for better support for transgender people after they undergo surgery.

Paxton also asserts that there has been a recent “spike” in minors receiving gender-affirming “procedures.” He cited the Society for Evidence Based Gender Medicine, an anti-trans advocacy group.

The link in Paxton’s citation leads to a graph showing an increase in youth referrals to the United Kingdom’s Gender Identity Development Service. That national clinic provides a range of care, including counseling; the number of clinic referrals is not necessarily the number of medical interventions like the legal opinion implies.

Similarly, Paxton’s opinion cited the World Professional Association for Transgender Health and said that transgender people should typically be adults before receiving the listed types of gender-affirming care.

In a statement to the Star-Telegram, WPATH said that Paxton applied the citation too broadly. While WPATH does state in its standards of care that genital surgery should typically wait until a transgender person reaches the age of majority, Paxton’s opinion applied that standard to less-invasive interventions, too, including puberty blockers.

“It’s disheartening to see the Texas Attorney General’s opinion referencing WPATH to bolster an overall argument completely at odds with WPATH guidance,” the organization said in a written statement. “The citation is accurate but does not apply here because the AG’s opinion is arguing against reversible blockers while the cited WPATH content relates to gender affirming surgery.”

There’s a lot more and you should read the rest, but you get the idea. Lying has never bothered Ken Paxton. It’s serving him pretty well right now. The Statesman has more.

Investigation into trans teen’s family halted

It’s a start.

A state judge blocked Texas’ child protection agency from investigating the parents of a transgender teenager who received gender-affirming medical care, citing the “irreparable injury” they would likely suffer. District Judge Amy Clark Meachum’s ruling does not stop the agency from opening investigations into other families in similar situations.

The American Civil Liberties Union and Lambda Legal brought a lawsuit challenging these investigations on behalf of a state employee, her husband and their 16-year-old who received gender-affirming treatment, plus Dr. Megan Mooney, a psychologist who works with trans teenagers.

Meachum will consider issuing a statewide injunction blocking such investigations into all parents of trans children on March 11.

“We appreciate the relief granted to our clients, but this should never have happened and is unfathomably cruel,” Brian Klosterboer, an attorney with ACLU of Texas, said in a statement. “Families should not have to fear being separated because they are providing the best possible health care for their children.”

[…]

Lambda Legal lawyer Paul Castillo said he was aware of at least two other families, beyond the Does, who have been contacted by DFPS for investigations. And the chilling effect for parents of trans children has been immense, he said.

“Families aside from [those investigated] will cease care,” he said. “As a result of this order … medical providers have stopped care in terms of prescriptions to transgender kids because the threat of continuing to provide, the harm is so great.”

In Wednesday’s hearing, a lawyer for the state argued that the governor’s letter has been misconstrued to imply that all parents who provide gender-affirming care would be investigated by DFPS.

The opinion from the attorney general was intended to show “not that gender-affirming treatments are necessarily or per se abusive, but that these treatments, like virtually any other implement, could be used by somebody to harm a child,” Assistant Attorney General Ryan Kercher said.

Kercher argued that Abbott’s letter was merely clarifying a “concern” that gender-affirming treatments could never be considered child abuse.

Meachum challenged that argument, asking how common it is for the governor to issue directives like this to DFPS. Kercher said he did not know.

See here, here, and here for the background. A copy of the order is here and the ACLU’s statement is here. The state’s argument that people have “misconstrued” Abbott’s order is one part baffling, one part brazen bullshit, and one part maybe a bit of backpedaling. I get the impression they really didn’t have an argument and so went for the “that’s not what I meant” defense. Let’s just cut to the part where the judge issues the injunction, shall we?

Lawsuit filed to block investigation of gender-affirming care for trans teenager

This was inevitable. I very much hope it is successful.

The state of Texas is investigating a family for child abuse after the parents obtained gender-affirming care for their 16-year-old transgender daughter. It’s believed to be among the first of these probes since the governor directed the Texas Department of Family and Protective Services to target such care a week ago.

The child’s mother — a DFPS employee who reviews cases of abuse and neglect — has been placed on leave after asking for clarification from her supervisor about the recent executive branch orders.

The investigation came to light on Tuesday — the day of the Texas primary elections — in a lawsuit the American Civil Liberties Union and Lambda Legal filed in Austin on the family’s behalf to block investigations of families seeking such medical care for their children.

The suit names both Gov. Greg Abbott and the Department of Family and Protective Services as defendants.

“No family should have to fear being torn apart because they are supporting their trans child,” Adri Pérez, a policy and advocacy strategist at the ACLU of Texas, said in a statement. “A week before an election, Gov. Abbott and Attorney General Ken Paxton issued a partisan political attack that isn’t rooted in the needs of families, the evidence from doctors and the expertise from child welfare professionals.”

The action is the first legal challenge in response to Abbott’s directive last week to child welfare officials to investigate parents of transgender children for child abuse. The order came within days after an opinion issued by Paxton, which classified certain types of gender-affirming care as child abuse.

[…]

Last week, the agency confirmed that three reports of transgender children receiving gender-affirming care were made through the child abuse reporting system. On Tuesday, the agency declined further comment other than to say it was aware of the ACLU suit. The governor’s office did not immediately respond to requests for comment about the lawsuit.

The teenager’s family is not named. The lawsuit instead refers to the parents as Jane and John Doe and the daughter as Mary Doe. When an investigator visited the family’s home last Friday, they interviewed the parents and the child, the lawsuit states. The family has so far refused to hand over the girl’s medical records to the agency.

If the agency determines the family has committed child abuse, the parents would be placed on a child abuse registry and the mother could be fired, according to the suit.

The mother said in the lawsuit that she and her husband have “been unable to sleep, worrying about what they can do and how they can keep their family intact and their daughter safe and healthy.”

Houston-based clinical psychologist Megan Mooney is also named as a plaintiff. Mooney is now required by state law to report her clients receiving gender-affirming care, but she stated in the suit that complying with the governor’s directive raised ethical concerns.

See here and here for the background. The ACLU’s press release, which contains a link to the complaint, is here. You might give a listen to Tuesday’s What Next podcast, which explored this terrible action by Abbott and Paxton and the effect it is already having on people, including children, who have done absolutely nothing wrong. This is happening now. It’s hard for me to even form sentences about this without wanting to scream, so please use this as some extra motivation to vote these awful people out of office this November. We may win this in court, but as long as these assholes have power, this will continue and it will get worse. The Chron has more.

Some DAs refuse to enforce Abbott’s anti-trans order

More like this, please.

District attorneys in five of the largest counties in Texas on Thursday announced that they will not comply with Gov. Greg Abbott’s (R) and state attorney general Ken Paxton’s (R) directive that state agencies begin investigating gender-affirming medical care for transgender youths.

The district attorneys of Dallas, Travis, Bexar, Nueces and Fort Bend counties condemned the directive in a statement issued Thursday. The group, which is comprised of five Democratic district attorneys, slammed Abbott and Paxton’s characterization of gender-affirming care for minors as “child abuse.” They declared Abbott and Paxton’s recent rhetoric is an “onslaught on personal freedoms” that is on its face “un-American.”

“We also want to be clear: we will enforce the Constitution and will not irrationally and unjustifiably interfere with medical decisions made between children, their parents, and their medical physicians,” the district attorneys wrote. “We trust the judgment of our state’s medical professionals, who dedicate themselves to providing the highest degree of care not only for our transgender youth, but for all youth in our communities.”

The group of district attorneys also assured parents that they are “safe” to continue seeking gender-affirming care for their children.

“We will not allow the Governor and Attorney General to disregard Texan children’s lives in order to score political points,” they wrote.

See here for the background. A copy of the DAs’ letter is embedded in the story. Harris County Attorney Christian Menefee has issued a similar statement, but his is a civil law office, not a criminal law office. I’d very much like to know where Harris County DA Kim Ogg – and every other Democratic DA in this state – is on this. As others have noted, AG opinions are non-binding, and it’s not at all clear that Abbott’s order is enforceable – remember how he himself admitted that his no-mask-mandate executive order could not be enforced? This is entirely discretionary, so take a stand. Someone in power needs to be standing up for these kids and their families.