Source:<\/p>\n
During an Oct. 31 press conference, leaders from conservative advocacy organizations in Texas urged Gov. Greg Abbott to call a special legislative session to elect a new House speaker.<\/p>\n
Earlier that month, embattled House Speaker Dennis Bonnen, R-Lake Jackson, announced that he would not seek reelection to his seat in the House.<\/p>\n
The activists also outlined policy proposals that they want lawmakers to address during a special session, proposals they say Republican leaders failed to pursue during the regular session earlier this year.<\/p>\n
Cindi Castilla, president of the Dallas Eagle Forum, said lawmakers need to take steps to limit what gender transition treatments are available to children, in light of an ongoing legal battle in Dallas over the gender identity of a 7-year-old.<\/p>\n
\u201cDuring our last session, our legislators decided to pass a law protecting Texans from e-cigarettes until they reach the age of 21,\u201d she said. \u201cThey left children able to be sterilized and mutilated at any point in their life. This was a failing, and we need a remedy.<\/p>\n
\u201cTexas Eagle Forum asked lawmakers to carry a very common-sense bill that would protect young Texans. That bill would have protected (the child), no matter what the verdict was going to be from the courts.\u201d<\/p>\n
Before we dive into this check, it should be noted that medical or surgical treatments used by doctors for transitioning must meet the same safety requirements of other medications or surgeries. To suggest that any child might be mutilated by doctors is inaccurate.<\/p>\n
\u201cChildren in Texas are already robustly protected by the Texas Family Code and medical rules of ethics,\u201d Brian Klosterboer, an attorney at the American Civil Liberties Union of Texas, said in a statement. \u201cNo one in Texas may harm a child, including parents and medical professionals.\u201d<\/p>\n
When reached via email, Castilla said that she is unaware of any state laws that \u201cprotect children from being given treatments that can lead to sterilization and no law prohibiting surgeries that would seek to make a child appear to be a gender different than the gender they were born.\u201d<\/p>\n
\u201cThus far, it appears very young children have been protected from this only because of the good sense of the medical community,\u201d she said. \u201cAs we see this protection waning among a small portion of the medical community we would like to make sure that the most vulnerable Texans are protected.\u201d<\/p>\n
Castilla said the bill she mentioned at the press conference would have \u201cprotected children from these procedures,\u201d but the group could not find a lawmaker to carry the legislation.<\/p>\n
Dallas custody case<\/p>\n
The legal battle in Dallas that Castilla mentioned in her remarks is a custody dispute between a mother and father that centers on the gender identity of their 7-year-old child.<\/p>\n
The child\u2019s mother says the 7-year-old is a transgender girl and wants to dress as a girl and be identified by female pronouns \u2014 a process referred to as a\u00a0social transition. The child\u2019s father disagrees and insists that the child is a boy.<\/p>\n
The case has spurred a national debate about children and their gender identities, with some Texas Republicans\u00a0pledging to pursue legislation\u00a0to prevent minors in Texas from transitioning by medical means.<\/p>\n
Gillian Branstetter, spokeswoman for the National Center for Transgender Equality, said an important point to consider in this case is the child\u2019s age.<\/p>\n
\u201cThis child is 7 years old,\u201d she said, noting that \u201cno one is talking about\u201d pursuing a medical or surgical transition. \u201cWe\u2019re talking about gender affirming parenting and letting the child explore who they are.\u201d<\/p>\n
Looking at the law<\/p>\n
Under federal law, transition-related medical care is considered the same as any other medically-necessary care and carries the same requirements when it comes to minors, according to Branstetter and attorneys with ACLU of Texas.<\/p>\n
Generally speaking,\u00a0Texas law dictates that parents have a \u201cduty\u201d to provide medical and dental care to their children and they have the \u201cright\u201d to consent to that care.<\/p>\n
But pursuing gender transition treatment is an individualized process for transgender and gender non-binary people and can take many forms, according to multiple resources on gender identity and gender dysphoria.<\/p>\n
People with\u00a0gender dysphoria\u00a0\u2014 when a person feels a conflict between the gender they were assigned at birth and the gender with which they identify \u2014 choose to act on this in different ways.<\/p>\n
This can include wearing clothes and using pronouns associated with their gender identity; changing their gender and name on legal documents; pursuing hormone treatment or surgical options available for transitioning.<\/p>\n
Not every person who has gender dysphoria and is transgender will pursue medical or surgical transition treatment.<\/p>\n
People can be diagnosed with gender dysphoria at any age, even as children.<\/p>\n
\u201cWhile some children express feelings and behaviors relating to gender dysphoria at 4 years old or younger, many may not express feelings and behaviors until puberty or much later,\u201d reads\u00a0an article on the subject\u00a0from the American Psychiatric Association. \u201cFor some children, when they experience puberty, they suddenly find themselves unable to identify with their own body.<\/p>\n
Medical treatment standards prioritize affirmation<\/p>\n
When it comes to caring for children who might be exhibiting signs of gender dysphoria, the American Academy of Pediatrics recommends the \u201cgender-affirmative care model\u201d that prioritizes validating a child\u2019s gender identity and supporting their exploration and expression of that identity.<\/p>\n
\u201cThere are absolutely no medical interventions or surgical interventions on any prepubertal child,\u201d said Colt Keo-Meier, a Texas-based psychologist and author who specializes in gender and sexual health. \u201cThat is not happening.\u201d<\/p>\n
The widely accepted \u201cStandards of Care\u201d maintained by the World Professional Association for Transgender Health also emphasize this point.<\/p>\n
\u201cBefore any physical interventions are considered for adolescents, extensive exploration of psychological, family, and social issues should be undertaken,\u201d the standards read. \u201cThe duration of this exploration may vary considerably depending on the complexity of the situation.\u201d<\/p>\n
Once a child starts puberty, other options emerge. Keo-Meier said the most common treatment \u2014 medication to delay the onset of puberty \u2014 is fully reversible.<\/p>\n
\u201cThat is literally just hitting pause,\u201d he said.<\/p>\n
The World Professional Association for Transgender Health outline minimum criteria that must be met before a child can receive puberty-suppressing medication, including that the child has demonstrated a \u201clong-lasting and intense pattern of gender nonconformity or gender dysphoria\u201d and that it \u201cemerged or worsened with the onset of puberty.\u201d<\/p>\n
Other interventions like hormone therapy (partially reversible) or surgery (irreversible) won\u2019t be considered until a patient reaches adolescence.<\/p>\n
Even then, the Standards of Care stress that certain procedures should not be performed until a patient is old enough to consent on their own (typically 16-18 years old) and others should occur only once a person has received other treatments for a specific time period.<\/p>\n
Our ruling<\/p>\n
Castilla said state lawmakers \u201cleft children able to be sterilized and mutilated at any point in their life\u201d by failing to adopt a law prohibiting minors from undergoing medical or surgical gender transitions.<\/p>\n
Castilla is right that there is no law regulating transition-related treatment separately from other medically-necessary care and the same age regulations apply \u2014 minors need parental consent.<\/p>\n
Widely accepted guidelines for transition care emphasize gender-affirming care and therapy as primary tools for children. More intensive options, like surgery or hormone treatment, are typically reserved for older adolescents (with parental consent) and adults.<\/p>\n
We rate this claim Mostly False.<\/p>\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2723,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[273,434,166,2338,564],"class_list":["post-2722","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sex-reassignment","tag-health","tag-sex-reassignment","tag-surgery","tag-surgical-treatments","tag-transgender"],"yoast_head":"\n