Tag: House Bill 454

  • Jeopardy champion Ohioan, others testify against anti-LGBTQ health care bill

    Jeopardy champion Ohioan, others testify against anti-LGBTQ health care bill

    Amy Schneider, Dayton native and Jeopardy! champion, leaves the Ohio House Families, Aging and Human Services Committee after testifying against House Bill 454. Schneider, who is a trans woman, said the bill would be “tragic” for Ohio children. Photo: Susan Tebben, OCJ

    BY: SUSAN TEBBEN – Ohio Capital Journal

    A packed and stuffy Families, Aging and Human Services committee room was flanked by multiple overflow rooms, where applause could be heard after parents, trans advocates and individuals implored the committee not to approve of House Bill 454, a bill created by committee member state Rep. Gary Click, R-Vickery.

    One of the testimonies came from Dayton native Amy Schneider, a trans woman who went on to become a Jeopardy! super champion, and has used her platform to support her fellow LGBTQ+ community members.

    “To be given the chance in Ohio, where I spent 30 years of my life, to have a chance to make a difference and have a chance to actually, if nothing else, slow down these laws and give trans kids a little bit longer to be safe, then I’ve just got to do it,” Schneider told the OCJ before she gave her testimony to the committee.

    In her testimony, she sought not to demonize those who support the bill, but to ask that they do what they claim is the main goal of the bill: protecting children.

    “But if you do share that goal, then passing this bill would be a tragic mistake,” Schneider said. “Because far from protecting children, this bill would put some of them in grave danger, a danger that not all them would survive.”

    https://youtube.com/watch?v=5sRGUicLu6Q%3Ffeature%3Doembed

    Several of those that testified, including Schneider, called gender-affirming care “life-saving” care, in that it would help suicide rates among trans individuals, and the overall mental health of those attempting to live as they want to live.

    “With this bill, I wouldn’t be able to appear as I want to appear to the public with a form that would greatly appeal to me,” said 15-year-old Cass Steiner, who appeared alongside her mother, Kat. “This would likely send me, and everyone else who is expecting treatment, into another deep depression.”

     State Rep. Gary Click, R-Vickery, looks on as the House Families, Aging and Human Services Committee, of which he’s a member, listens to testimony against his bill restricting gender-affirming care, House Bill 454. The bill did not see a vote on Wednesday.
    Photo: Susan Tebben, OCJ

    In the middle of two hours of testimony, Click introduced a substitute version of the bill, that he said was an attempt to “meet in the middle” of opposition and support.

    In the new version, puberty blockers or hormone therapy is allowed for minors, but only after a doctor confirms that the child “has received on a routine basis and for at least a two-year period counseling related to gender dysphoria, mental health and the risks of gender transition,” according to the sub bill’s analysis by the Legislative Service Commission.

    A doctor must also screen for other things that “may be influencing the minor’s gender dysphoria,” including depression, autism or ADHD, and “ensure that these comorbidities are treated and stabilized for at least two years.”

    Along with conducting other physical, sexual, mental and emotional abuse screenings, a second doctor must be consulted and agree to the treatment plan.

    Asked twice how the two-year time frame was decided on, Click told reporters it was “discussed by some other folks who came up with that and I thought that sounded reasonable.”

    He did not specify who he consulted with to come to that amount of time.

    The substitute bill also seeks to keep track of the number of medical and therapy appointments the minor attended before a physician recommended hormones or puberty blockers, any mental health conditions before being diagnosed with a “gender-related condition” and any follow-up the minor received after treatment.

    The bill also requires physicians to report “the number of minors who resumed identification with their biological sex,” and “the number of minors for whom the physician previously prescribed drugs or hormones who have not been prescribed those hormones or drugs for one year or more,” according to the LSC analysis.

    https://youtube.com/watch?v=WUIJG2_rhU8%3Ffeature%3Doembed

    That information would be reported on a yearly basis to the General Assembly and to the Ohio Department of Health.

    Like the abortion ban that is currently held up in court, violating HB 454 could put doctor’s medical licenses at risk, and the state Attorney General would be authorized to bring against anyone violating the bill, should it become law.

    The bill was not voted on during Wednesday’s committee meeting, with chair Susan Manchester, R-Waynesfield, adjourning the meeting immediately after the last witness of the day finished.

    It’s not clear what the fate of the bill will be from here, with the General Assembly’s session ending at the end of December. More hearings could be scheduled, which Click supports because he said there are more people to hear from, particularly those who have been “damaged” by gender-affirming care.

    He said the testimony he heard on Wednesday wasn’t anything he hadn’t heard before, but it didn’t change his mind on the bill.

    “(Children) have to have that period to work through this to make sure this isn’t a phase, it’s not a social contagion … we want to give them that legitimate chance to work through this,” Click said.

    He said he won’t “write anything off” in terms of new amendments to the bill, but he feels the bill has come as close to “the middle” as possible.

    “There are proponents of this bill who are not happy with some of the concessions that we made, and of course the opponents aren’t happy with the fact that we didn’t make enough,” Click said.

    For Schneider, she sees attempts to keep trans folks from getting the care they need as a negative response to success and progress the trans community has had over the last few decades. Progress that will continue, she says.

    “The momentum will continue to be on our side and there’s this pain right now, but this is just sort of the last gasp of that resistance,” Schneider said.

  • Ohio pediatric doctors decry government control of gender-affirming care

    Ohio pediatric doctors decry government control of gender-affirming care

    Getty images

    BY: SUSAN TEBBEN – Ohio Capital Journal

    Doctors in Ohio’s major children’s hospitals say a bill that would regulate and restrict gender-affirming care puts both the patients and the doctors at risk, and brings government overreach into medical decisions.

    House Bill 454 had its fourth hearing in the Ohio House Families, Aging and Human Services Committee on Wednesday, where opponent testimony was heard from leaders of gender programs and treatment centers, all of whom said not only is a disconnect between a gender assigned at birth and one’s identity a medical condition, but it is one that should get the treatment that is needed.

    The decision as to how that treatment is conducted should not be made by the Ohio legislature, the medical professionals argued, but by those going through the process.

    “Decisions regarding treatment of gender dysphoria should be left to parents and their adolescents in consultation with their health care providers,”

    Dr. Armand Antommaria

    “Decisions regarding treatment of gender dysphoria should be left to parents and their adolescents in consultation with their health care providers,” Dr. Armand Antommaria, of the Cincinnati Children’s Hospital & Medical Center, told the committee on Wednesday.

    The bill, introduced by Republican state Reps. Gary Click and Diane Grendell, bars health professionals from providing “gender transition procedures” to minors, or even referring minors to doctors for the procedures.

    Medical professionals who provide such services could be accused of engaging in “unprofessional conduct,” which could affect their medical license, and could even expose doctors to lawsuits.

    The bill also restricts public funds from going to organizations who provide the procedures and would keep insurance coverage from going to gender-affirming care in minors, including Medicaid.

    All school staff, including school nurses, would be banned from “withholding, or encouraging or coercing a minor to withhold, from the minor’s parent or legal guardian, information that a minor’s gender identity is inconsistent with the minor’s biological sex.”

    But the physicians who spoke on the bill on Wednesday said the parents are engaged in the entire process when treatment for gender dysphoria – when a person’s gender identity differs from their gender assigned at birth – is conducted at Ohio medical facilities.

    “As a lifelong conservative, I implore you not to legislate personal family decision-making or override the professional practice of medicine,” said Nick Lashutka, president and CEO of the Ohio Children’s Hospital Association.

    Supporters of the bill include the religious lobby group Center for Christian Virtue, whose leaders deny that a person can be anything other than the biological gender they were assigned at birth. Dr. David Axelson, head of the Department of Psychiatry and Behavioral Health at Nationwide Children’s Hospital, said starting from the standpoint that gender dysphoria is a medical diagnosis, not an elective procedure, is vital to helping with children’s health.

    “Fundamental to our understanding of gender dysphoria is understanding and recognizing that medically, it is absolutely possible that a person’s gender identity can differ from their body for many reasons, and that these experiences are not choices or ideologies,” Axelson said.

    Lashutka submitted estimates that the OCHA member hospitals have seen about 3,300 patients in clinics under the age of 18 for gender dysphoria.

    Other data provided by Lashutka said patients receive a comprehensive evaluation by mental health specialists, and only 7% of minor patients have been prescribed “puberty blockers.” Only 35% of minor patients are prescribed hormone treatments, according to the OCHA data.

    “No minor can or has received any treatment without parental or legal guardian consent,” Lashutka said. “There has never been evidence presented to the contrary.”

    Antommaria said HB 454’s passage would “threaten the safety of some of Ohio’s most vulnerable children; it would threaten the mental health of adolescents with gender dysphoria.”

    The committee did not conduct a vote on the bill Wednesday, but one clarification was made by Click. He said questions had arisen about the bill’s regulation of therapy as a “gender transition procedure.” The Legislative Service Commission decided counseling does not meet the definition of gender transition procedure under the bill, according to Click.

    “In all the things (opponents and sponsors) disagree on, I think that’s one of the things we can all agree is that children do deserve to have counseling, and so we want to make sure that that’s possible,” Click said.

    Late Wednesday evening, another trans bill was pushed through the House along party lines, despite having not had a hearing in committee since June of last year.

    State Rep. Jena Powell’s bill to ban transgender athletes from competing in sports alongside others of their gender was added to a bill regarding local mentorship while it went through floor debate Wednesday night.

    Republican supporters said the issue centered on fairness in sports, and several female legislators talked of their own experiences in sports, arguing about the biological differences between boys and girls.

    “I got no issue with trans people,” said state Rep. Sara Carruthers, R-Hamilton. “I do have an issue with physically being able to outdo women in women’s sports.”

    Democrats, wearing rainbow lapel pins in honor of June’s designation as LGBTQ+ Pride month, heavily criticized the bill.

    “How nice it is that it’s 11 p.m. at night and we’re attacking trans kids in Ohio”

    Rep. Kent Smith, D-Euclid

    “How nice it is that it’s 11 p.m. at night and we’re attacking trans kids in Ohio,” said state Rep. Kent Smith, D-Euclid.

    State Rep. Richard Brown, D-Canal Winchester, called out sponsors for bringing an amendment that “is not germane at all” to the original bill’s purpose, and multiple Democrats criticized legislation of youth in Ohio, especially without passage by a House committee before it was presented on the floor.

    “This is an issue searching for a problem that doesn’t exist,” said state Rep. Phil Robinson, D-Solon.

    The bill must now go to the state Senate before it can move to the governor for signature.

    Last June, when the House tried to push through the bill the first time, Gov. Mike DeWine criticized the measure.

    “This issue is best addressed outside of government, through individual sports leagues and athletic associations, including the Ohio High School Athletic Association, who can tailor policies to meet the needs of their member athletes and member institutions,” the governor said in a statement.

    Also as previously reported, only five transgender girls competed in women’s high school sports as of April of last year.