So far, Texas has taken the lead with 36 such bills, according to Equality Texas, a statewide LGBTQ advocacy group. Four states — Arkansas, Alabama, Tennessee and Arizona — have enacted restrictions on gender-affirming medical care for minors, though federal judges have blocked them from taking effect in Arkansas and Alabama. State Sen. David Bullard, the Republican sponsoring the bill, told The Oklahoman that gender-affirming medical care is a “permanent change in your body that cannot be reversed. Accredited medical associations — including the American Medical Association, the American Academy of Pediatrics and the American Psychological Association — have supported gender-affirming care for minors. Advocates and doctors who treat trans youth have said many of the health care restrictions proposed by state legislators mischaracterize what gender-affirming care is.

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