After five hours of tense testimony and protests, the Florida Board of Medicine voted Friday to start drafting a rule that would bar all minors in the state from receiving puberty blockers, hormone therapy or surgeries as treatment for gender dysphoria.
Florida’s medical board is the first in the country to pursue such a rule, but Florida is among a wave of states where officials have attempted to restrict gender-affirming medical care for transgender minors.
By the end of the 5-hour meeting, protesters began chanting “Shame!” at the board members. They even staged a “die-in” in the lobby of the Orlando International Airport, where the meeting was held.
The vote is the latest update in a months-long effort led by Gov. Ron DeSantis’ administration to restrict transition-related care for people under 18.
The effort to restrict such care began in April, when DeSantis and Florida Surgeon General Joseph Ladapo issued non-binding guidance through the Florida Health Department that sought to bar both “social gender transition” and gender-affirming medical care for minors.
Their stance drew backlash from LGBTQ advocates and medical experts.
Accredited medical groups, including the American Medical Association, the American Academy of Pediatrics and the American Psychological Association, have supported gender-affirming care for transgender youths.
Despite that support, Florida’s Agency for Health Care Administration issued a report in June that “found that several services for the treatment of gender dysphoria, i.e., sex reassignment surgery, cross-sex hormones and puberty blockers, are not consistent with widely accepted professional medical standards and are experimental and investigational with the potential for harmful long-term affects.”
The board held its first meeting on the issue in August, and on Friday it officially voted to draft a ban on certain gender-affirming therapies for minors.
Dr. Michael Laidlaw, an endocrinologist in Rockland, California, cited often-criticized research that found 50% to 90% of children whose gender identity isn’t consistent with their assigned sex at birth grow out of the condition by adulthood.
“The basic problem with this treatment as I see it is: ‘What happens when you force a square peg into a round hole?’” he said. “You end up injuring or destroying the peg in the process.”
After expert testimony, the board began the public comment period, which was scheduled to last two hours, according to multiple attendees.
The first nine attendees who spoke were in favor of restricting gender-affirming care for minors. Eight of them said they have detransitioned, or come to identify with their assigned sex at birth after having previously identified as trans. Only one of the eight had received gender-affirming medical care as a minor.
Chloe Cole, who described herself as an 18-year-old detransitioned female from California, said she began transitioning at 12 and received a double mastectomy at 15. At 16, she said, she realized she regretted her transition.
“All the talk about mental health, self perception, pronouns and ideology leads me to the question, why is a mental health epidemic not being addressed with mental health treatment to get at the root causes for why female adolescents like me want to reject their bodies?” Cole said.