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A
Here:
okay,
everyone
in
their
seats
we've
covered
that
this
meeting
is
going
to
be
conducted.
Much
like
the
the
house
meeting
was
conducted
on
this
particular
Bill.
These
proceedings
will
be
held
in
a
calm,
structured
and
professional
manner.
The
focuses
of
this
meeting
needs
to
be
on
the
content
of
testimony,
not
the
distractions,
Applause
yelling,
including
daring
testimony
comments
made
out
loud
or
personal
attacks
against
legislators,
will
not
be
allowed.
A
We
will
bring
the
bill
sponsor
up
to
cover
the
bill.
We
will
cover
changes
in
the
committee
sub
and
then
we
will
ask
the
bill
sponsor
to
leave
the
table.
Those
opposing
will
be
given
30
minutes
to
present
their
case.
After
that,
those
supporting
the
bill
will
be
given
30
minutes.
We
will
then
take
30
minutes
for
questions
we
will
vote.
There
will
be
no
explanation
of
votes
when
we
come
to
the
voting
period.
A
A
Representative
Decker
I
would
ask
that
you
please
cover
the
basic
parts
of
your
bill,
we're
not
going
to
get
into
any
testimony
that
you
have
from
from
guests
at
this
point
that
will
be
reserved
for
the
the
last
part
of
the
testimony
ma'am.
Please
introduce
yourself
for
the
record,
and
you
have
the
floor.
A
C
C
The
bill
provides
due
process
by
directing
that
the
disciplinary
hearing
proceed
with
each
licensing
and
certification
board
for
medical
professionals
and
that
there
it
use
a
an
investigative
investigative
process
and
Report
the
provisions
of
the
gender
transition
services.
Having
taken
place
to
look
for
to
see
if
it
had
taken
place
for
people
under
the
age
of
18.,
the
bill
requires
revocation
of
a
provider's
license
and
termination
of
Public
Funding
for
any
Public
Employee.
C
The
bill
provides
a
complete
defense
to
any
provider
who
has
any
type
of
complaint
filed
against
him
or
her
because
they
do
not
provide
these
services
to
children
in
Section.
3.
The
bill
creates
a
cause
of
action
by
a
person
who
has
been
harmed
or
by
the
parent
or
guardian
of
a
person
before
the
person
reaches
18..
C
Section
6
creates
a
new
section
of
chapter
205
to
prohibit
Medicaid
coverage
of
gender
transition
services
for
persons
under
the
age
of
18
years.
Section
7
creates
a
new
section
of
subtitle
12
of
KRS
chapter
304,
to
establish
liability
for
private
insurers
that
elect
to
cover
gender
transition
procedures
for
persons.
Under
the
age
of
18
years,
Section
8
amends
KRS,
18a
0.225
to
prohibit
a
fully
insured
benefit
plan
or
self-insured
plan
for
public
employees.
From
covering
these
services
for
children
under
the
age
of
18.,
section
9
amends
krs-454.210
that
is
Kentucky's
long
arms
statute.
C
It
permits
a
court
to
exercise
personal
jurisdiction
over
a
person
who
has
acted
directly
or
by
an
agent
as
to
a
claim
arising
from
a
person's
engaging
in
the
provision
of
gender
transition
services
to
a
person
under
the
age
of
18..
In
our
state
section,
10
amends
KRS
141.039
to
require
that
corporate
income
relating
to
the
provision
of
gender
transition
services
to
children
be
added
to
the
net
income.
C
Section
11
amends
krs-2
13.121
to
prohibit
a
name
change
on
vital
statistic
documents
if
the
person,
if
the
purpose
of
the
name
change,
is
to
assist
a
person
under
the
age
of
18
with
a
gender
transition,
section
12
prohibits
a
name
change
by
a
court
if
the
purpose
is
to
assist
a
person
under
the
age
of
18
with
a
gender
transition
also
requires
detained
juveniles
to
be
classified
only
as
being
the
biological
state
of
being
male
or
female,
as
defined
in
this
act.
Section
14
includes
the
severability
Clause
section.
C
A
I
need
to
cover
some
of
the
changes
in
the
committee
sub
on
page
one
of
the
bill
at
the
bottom
line.
25
the
words
but
are
not
limited
to
have
been
struck
on
page
two
under
gender
transition
services
do
not
include.
We
have
added
language,
Mental,
Health
Services
that
address
a
person,
sex
or
gender,
but
that
do
not
promote
gender
transition
and
then,
on
page
seven
beginning
on
line
21.
A
D
Thank
you,
Mr
chairman
members
of
the
committee.
Thank
you
also,
representative
Decker,
so
Senate
Bill
150
has
already
passed
out
of
the
Senate
chamber,
so
I'm
only
going
to
be
discussing
what's
in
the
sub,
if
that's
okay,
Mr
chairman,
since
the
actuality
of
Senate
Bill
150,
already
passed
through
this
legislative
body.
So
if
you're
following
along
with
me
in
the
sub
for
members
and
those
also,
maybe
in
the
audience
Pages
30
through
36
or
where
you're
going
to
find
from
section
14
on
Senate
Bill
150.
D
the
changes
that
were
made
in
the
senate
committee
substitute
to
House
Bill
470.
The
first
is
on
page
31,
there
being
lines
11
through
14,
which
offers
a
parent
opt-in.
So
it
clarifies
that
a
school
shall
obtain
parental
consent
prior
to
referral
of
a
treatment
of
health
services
or
mental
health
services
related
to
human
sexuality,
contraception
or
family
planning.
The
next
change
you'll
find
is
on
page
33
lines
at
13
through
24,
which
are
curriculum,
editions
that
we'd
already
put
into
place
in
Senate
Bill
150,
the
local
school
board.
D
The
last
portion
of
the
curriculum
is
a
policy
to
notify
a
parent
in
advance
and
obtain
the
parents
written
consent
before
the
parent's
child
in
grade
6
or
above
receives
any
instruction
through
curriculum
or
programs
on
human
sexuality
or
sexually
transmitted
diseases
authorized
in
the
section.
The
last
change
made
in
the
sub
is
on
privacy
rights.
You
can
find
this
in
section
16,
which
are
lines
20
through
27
on
page
35
and
on
the
last
page,
on
page
36
lines
2
through
14..
D
We
live
in
a
time
right
now,
where
parents
have
the
expectation
and
the
students
have
an
expectation
of
a
right
to
privacy
of
undressing
in
front
of
members
of
the
opposite
biological
sex.
This
may
be
in
a
bathroom.
This
may
be
in
a
locker
room.
This
may
be
in
a
shower
room,
so
local
school
boards
must
develop
and
adopt
a
privacy
policy
align
with
those
expectations
in
those
privacy
rights,
as
it
relates
to
restrooms
locker
rooms
or
shower
rooms.
D
Parents
are
demanding
and
are
expecting
that
we
have
policies
in
place
at
the
school
board
level
to
handle
situations
of
boys
and
girls
in
restrooms
and
in
locker
rooms,
and
in
shower
rooms
of
that
expectation
of
privacy
and
also
an
expectation
of
safety.
Mr
chairman,
that
is
what
the
committee
sub
does
from
Senate
Bill
150
I'm
happy
to
answer
any
questions
if
they
may
arise.
Thank
you.
A
Thank
you,
Senator
wise
I
would
ask
the
representative
Decker
to
please
take
your
seat
I'm,
going
to
call
up
at
names
as
they
appear
on
the
sign
up
list.
Keep
in
mind.
We
are
timing,
30
minutes.
So
whatever
time
you
take
is
taking
away
from
someone
else's
ability
to
express
their
views
on
this
issue
and
I'm
going
to
start
at
the
top
of
the
list.
Jerry
Miller.
A
E
You
you
have
the
floor.
I
am
Jerry.
Miller,
former
state
representative
retired
from
the
legislature
last
year,
never
really
wanted
to
come
back
to
Frankfurt
unless
it
was
to
go
to
Buffalo
Trace,
but
nonetheless
HB
470.
When
I
realized
it
had
a
real
chance
of
passing,
even
though
it
restricts
parents
rights.
It
now
became
personal
because
my
seven-year-old
grandchild
would
be
directly
affected
by
it.
E
I
want
to
Center
my
testimony
on
the
personal
experience
of
my
wife
and
I.
As
a
grandfather
of
two
girls,
I
was
thrilled
to
learn.
My
daughter
was
pregnant
with
a
boy
I
thought
of
all
the
things
we
would
do
together
like
playing
ball.
That's
just
not
been
my
reality
as
a
toddler.
He
wasn't
interested
in
balls.
He
has.
She
has
focused
on
dolls,
not
balls.
E
He
started
dressing
a
girl
like
a
girl,
mainly
princess
dresses
at
age
three
at
home.
My
his
mother
tried
to
dissuade
him
from
doing
so
at
age.
Four,
my
intuitive
wife
asked
the
dress
chair
wearing
child.
If
he
didn't
like
being
a
boy,
his
response
was
quote
inside
I
feel
like
a
girl,
close
quote,
my
wife
accepted
that
Jonah
was
different
well
before
I
did
I
thought
it
was
because
he
had
an
older
sister
that
he
was
competing
with
I
hoped
he
would
grow
out
of
it,
but
that
has
not
happened
at
daycare.
E
E
The
government
has
no
compelling
interest
here
in
violating
parents
rights.
Kentucky
Constitution
says
that
we
should
seek
section.
One
says
we
are
able
to
seek
and
pursue
safety
and
happiness
and
I
ask
you:
where
is
Kentucky's
compelling
government
interest
in
not
letting
a
parent
protect
their
own
children's
safety
and
happiness?
E
Every
study
you
see,
is
you
see
them
on
both
sides
and
I'm
not
going
to
talk
about
studies,
but
I
know
this
has
a
real
potential
to
impact
Jonah.
My
grandson.
E
While
I
know
some
therapies
and
I'm
mainly
I'm,
really
just
talking
about
the
hormonal
therapy
and
I
know,
it
can
have
side
effects,
but
every
drug
you
see
advertised
on
television
has
side
effects.
That's
the
point
of
disclaimers,
but
puberty
is
irreversible,
but
the
time
Jonah
is
18
beard,
Adam's,
Apple,
deeper
voice,
and
if
it
goes
like
often
goes,
he'll
be
persecuted
for
that.
E
If
he
dresses
as
a
girl,
I
voted
4
SB
83
last
year
to
protect
girls,
Sports
and
I
thought.
That
was
the
best
for
my
granddaughter.
Who
is
a
three-sport
athlete
that
said,
HB
470
will
not
quote
Do
no
harm,
close
quote
quite
the
opposite.
This
bill
condemns
vulnerable
children
to
an
even
more
difficult
life
than
they've
already
been
born
into.
Please
don't
apparent,
don't
let
a
parent's
right
to
protect
their
children
be
collateral
damage
in
the
culture
wars.
E
F
Thank
you.
Mr
chairman
members
of
the
committee,
Bob
hellringer
Louisville
Kentucky
I
represent
the
fairness
campaign
and
this
legislative
session
I
live
in
the
19th
Senate
District,
the
last
senate
committee,
I
appeared
in
front
of
we
didn't
have
a
senator
represent
me.
We
now
have
one
wow
I,
don't
know
how
to
begin.
The
committee
sub
has
combined
multiple
multiple
examples
of
discrimination
against
a
very
small
minority
in
Kentucky,
and
it's
a
disgrace.
F
I've
been
around
this
legislature
since
1978,
when
I
worked
on
the
staff
of
the
Republican
Senate
caucus
that
had
all
of
eight
members,
then
I
became
a
member
of
the
House
served
23
years,
I
took
two
years
off
to
run
for
lieutenant
governor
on
a
ticket
with
a
house
colleague
of
mine,
Steve,
Nunn,
and
then
I've
been
a
lobbyist
since
that
time,
I've
never
seen
a
bill
in
45
years
as
Despicable
as
this
one.
It
codifies
discrimination.
F
It's
a
rank
of
Sanity
on
the
reputation
of
the
people's
branch
of
government,
the
Kentucky,
General,
Assembly,
I,
I,
guess
I
could
ask
you
to
to
think
about
it
and
to
vote
against
it.
This
reminds
me
of
the
what
are
the
case:
I
studied
in
law
school,
the
coromatsu
case
during
World
War
II,
when
America
rounded
up
all
the
Japanese
American
citizens,
citizens
on
the
west
coast,
because
the
war
hysteria
they've
done
nothing
wrong.
F
They
had
no
evidence
against
them,
but
they
were,
they
were
discriminated
against,
but
not
because
of
who
they
were,
but
because
of
what
they
were,
and
it
was
upheld
by
our
our
United
States
Supreme
Court,
in
a
six
to
three
decision
signed
by
two
of
the
most
liberal
justices
ever
William,
O,
Douglas
and
Hugo
Black,
and
they
regretted
that
decision
without
their
votes.
F
That
becomes
one
of
the
greatest
decisions
in
the
history
of
the
United
States
Supreme
Court,
one
of
the
descending
justices
Frank
Murphy,
called
it
rank
racism
first
time
the
word
racism
ever
appeared
in
the
United
States
Supreme
Court
opinion.
That's
what
we're
doing
here,
we're
isolating
gay
people,
transgender
children,
we're
not
sending
them
to
relocation,
centers,
perhaps
well,
not,
but
in
theory
we
are
we're,
isolating
them.
We're
ostracizing
them
we're
humiliating
them.
F
With
this
kind
of
legislation
we're
intruding
even
down
to
the
pronouns,
they
can
use
what
bathrooms
they
can
use.
I
I
heard
Senator
wise,
say:
parents
are
demanding
this
kind
of
legislation.
Where
are
they?
None
of
them
have
come
to
Frankfurt.
There
were.
There
were
four
hours
worth
of
hearings
on
Senator
wise's,
Senate,
Bill
150,
which
apparently
is
run
into
some
kind
of
trouble,
because
now
we
got
to
piggyback
it
onto
this
bill.
Four
hours
of
hearings,
not
a
parent,
not
a
PTA
official,
not
a
school
superintendent,
not
a
principal,
not
a
teacher.
F
You
know
those
two
justices
I
told
you
that
signed
on
they
later
regretted
that
I
don't
want
you
to
regret
your
vote
today.
I,
don't
want
you
to
be
like
them.
I
want
you
to
be
like
Frank
Murphy
today
and
vote
for
justice
in
real
time
today
and
not
10
years
from
now,
oh
wow.
F
How
did
why
did
I
vote
for
that,
because
you
know
what
if
this
pernicious
bill
becomes
law,
I
can
tell
you
with
every
confidence.
It
will
be
repealed
by
a
future
legislature
and
they
will
be
embarrassed
and
a
governor
will
get
up
like
President
Reagan
did
in
1988
and
apologized
and
signed
a
bill
for
reparations
for
the
Japanese
Americans
and
President
Reagan
said
the
same
thing
that
the
next
the
governor
will
sign
will
say
when
they
pass
the
bill
to
repeal
this.
We're
sorry
we're
sorry
that
happened,
and
it
will
never
happen
again.
F
F
G
Professionals
about
lgbtq
youth,
mental
health
and
suicide.
You
heard
from
your
own
colleague,
Senator
Karen
Berg
how
this
constant
barrage
of
legislated
hate
caused
her
son
Henry
to
take
his
own
life
at
the
age
of
24..
None
of
this
has
phased
you,
foreign
I
sense
that
most
of
you
can't
wait
for
this
hearing
to
finish
so
that
you
can
pull
the
trigger
on
House
Bill
470
and
send
it
to
the
floor
to
be
passed
before
this
day
is
over.
G
So
what
in
the
world
can
I
do
with
my
two
or
three
minutes
here
I'm
in
the
46th
year
of
an
exceptional
child,
education
I
have
spent
my
whole
life
working
with
kids
and
adults,
whose
brains
and
bodies
are
wired
so
differently
that
they
are
qualified
for
exceptionalities
I'm.
A
college
professor
and
I
just
took
early
retirement
from
JCPS,
where
I
was
a
special
resource
teacher
to
adolescents
who
are
hospitalized
in
the
state
agency
system
of
psychiatric
residential
facilities.
I'm
talking
about
places
like
Our
Lady
of
Peace,
Brooklawn,
Pembroke
maryhurst.
G
G
There
I'm
furious
at
the
number
of
kids
that
I
am
teaching
who
are
actively
trying
to
kill
themselves
I,
have
to
chart
what
they're
doing
every
15
minutes
I
have
to
check
their
pockets
when
they
come
in
the
room
and
when
they
leave
the
room
because
they're
looking
for
anything,
they
can
find
like
a
staple
or
the
little
wire
out
of
their
face
mask
or
a
pencil.
Somebody
left
on
the
floor,
so
they
can
take
the
Brass
Band
off.
Of
that
anything
they
can
find
to
cut
themselves.
G
They
are
actively
trying
to
kill
themselves
because
the
bullying
and
the
lack
of
Hope
is
so
relentless,
and
so
persistent
in
this
state
and
I
am
telling
you
I
have
worked
with
kids,
who
have
killed
themselves
I'm,
not
talking
about
statistics
from
the
psych
journals,
I'm
talking
about
dead
children
in
the
last
two
in
the
first
two
months
of
2023
in
Jefferson,
County
we've
had
three
lgbtq.
Students
kill
themselves
two
at
dos
High
School
in
one
month
because
of
the
Relentless
bullying
and
the
absolute
lack
of
hope
that
they
have.
G
So
let
me
tell
you
why
they're
trying
to
kill
themselves
and
why
the
first
thing
is
Relentless,
bullying
and
so
Senate
Bill
150,
which
Senator
wise
says.
Oh
there's
no
hate
at
all
in
this
bill.
Well,
I'm
telling
you
none
of
us
are
feeling
the
love
Senator.
It's
like
they're,
the
Relentless
bullying.
You
are
legalizing
disrespect.
You
are
giving
adults
in
the
building
permission
to
say:
Oh,
My
Religion
forbids
me
from
talking
to
you
that
way
and
I
don't
care.
How
often
I've
got
to
hurt
you
or
humiliate
you.
G
If
it's
comfortable
to
me,
I
want
to
teach
everybody
around
me
to
disrespect
you,
your
safety
isn't
important
and
more
than
anything,
I
am
not
an
adult
that
you
can
trust
I'm,
not
an
ally,
I'm,
not
a
friend.
That's
the
message
that
these
adults
are
going
to
be
doing.
That
is
Relentless
bullying,
because
it
teaches
everybody
around
them.
Hey
it's
okay
to
pile
on
so,
and
so
the
other
thing
is
the
hopelessness
over
gender
affirming
care
and
how
they
really
need
to
stop
their
adolescence.
Well.
G
I'm
openly,
transgender
I
was
born
72
years
ago,
east
of
here
in
the
Appalachian
coalfields.
There
was
no
gender
affirming
care
when
I
was
a
kid
and
so
I'm
a
perfect
example
of
why
these
kids
are
wanting
to
kill
themselves
when
you
force
them
to
go
through
adolescence
on
the
size
of
an
Amazon
by
the
time,
I'm
18
years
old,
I'm
over
six
feet
tall,
my
hands
are
fully
grown.
My
feet
are
fully
grown,
I've
got
body,
hair,
facial,
hair,
Adam's
Apple.
My
voice
has
changed.
G
All
of
that
stuff
is
irreversible
damage
you're,
claiming
that
this
bill
is
stopping
irreversible
damage,
but
you
are
doing
irreversible
damage
to
these
kids
because
you're
forcing
them
to
go
through
puberty
you're,
forcing
them
to
deal
with
all
of
this
stuff
that
they've
got
to
undo
well.
I
gotta
tell
you:
I've
worked
two
full-time
jobs,
that's
what
it
took
and
I
was
60
before
I
could
finally
afford
all
this
stuff.
I
have
spent
hundreds
of
thousands
of
dollars
dollars
and
that's
why
kids
are
trying
to
kill
themselves.
They
it's
like.
G
Oh
my
gosh,
if
I
I'll
never
make
it.
If
I've
got
to
wait
that
long
and
so
I
want
you
to
understand
those
three
kids
that
killed
themselves
in
JCPS
in
January
and
February
get
ready
because
it
is
going
to
Avalanche.
If
you
pass
this
bill,
they
have
had
it.
And
finally,
the
other
thing
I
want
to
do.
I
said
I
was
openly
transgender
well
in
biblical
terms.
I
would
have
been
called
a
eunuch
and
I
like
that
term.
G
Eunuch
and
I
want
to
I
want
to
challenge
every
one
of
you
who
claims
to
be
a
Bible
believer
to
go
back
home
and
study
eunuchs
throughout
the
Bible.
They
are
both
and
neither
male
or
female.
They
have
been
called
to
live.
Exceptional
lives
where
participating
in
procreation
is
not
going
to
be
part
of
the
plan,
but
they're
called
to
live.
Exceptional
lives.
I,
especially
want
you
to
focus
on
what
Jesus
himself
says
in
Matthew
19,
where
he
said
some
people
are
born,
eunuchs,
God
and
I.
G
Did
that
intentionally
we
create
people
that
are
both
and
neither
male
and
female.
We
have
called
them
to
live
an
exceptional
life
and
what
you're
doing
is
you're
pulling
the
rug
out
from
underneath
of
those,
because
somebody
told
you
there's
only
six
out
of
a
thousand
kids
that
are
transgender
and
you
can
declare
war
on
them.
You
can
make
culture
wars.
You
can
have
a
day
you're
going
to
get
reelected.
G
You
are
the
ones
that
are
about
to
legislate,
irreversible
damage
because
98
of
the
kids
that
begin
gender
affirming
care
continue
it
well
after
they're
18
years
old.
It
is
one
of
the
most
successful
interventions.
Medicine
has
come
up
to.
If
there
was
any
other
procedure
you
wanted
to
get
for
your
children
and
I
said:
oh
well,
98
of
the
people
love
it
have
no
regrets
the
AMA
approves
it.
G
The
APA
approves
that
the
American
Academy
of
Pediatrics
approves
that
it's
great,
you
say,
praise
holy
God,
but
when
it
comes
to
something
you
don't
understand
and
you
refuse
to
understand
like
gender
diversity
and
sexual
orientation,
you
say
well,
I
know
as
much
as
God
on
this
one.
So
go
home.
Read
your
Bibles.
It's
I
need
to
shut
up.
Thank
you.
A
A
H
Thank
you
Mr
chairman,
my
name
is
Christopher
Bowling
MD
I'm,
representing
the
Kentucky
Medical
Association,
and
the
Kentucky
chapter
of
the
American
Academy
of
Pediatrics,
which
you
may
remember
from
our
previous
name.
Also
the
Kentucky
Pediatric
Society.
H
You
will
hear
from
testimony
today
from
people
who
claim
that
they
got
what
sounds
like
very
substandard
care.
To
me,
I
asked
you
please
talk
with
Kentucky
Youth
and
families.
That
is
not
the
standard
of
care
that
they
have
received
at
transgender
clinics.
H
H
Make
no
mistake
by
passing
House
Bill
470,
the
Kentucky
Legislature
is
choosing
to
ban
provision
of
gender
care
services
over
the
advice
of
and
evidence
from
practicing
Kentucky
Health,
Care
Providers,
numerous
National
medical
organizations
and
the
pleas
of
Kentucky
parents
and
patients.
Another
implication
of
this
misguided
Bill
demands
the
committee's
attention
I,
recently
retired.
After
serving
as
a
pediatrician
in
Northern
Kentucky
for
over
30
years,
I
found
in
my
practice
with
a
friend
dedicating
ourselves
to
Kentucky
families.
H
H
If
you
choose
to
make
House
Bill
470
the
law
in
Kentucky,
you
are
putting
providers
Like
Us
in
an
impossible
situation,
I'm
incredibly
grateful
to
be
retired,
because
I
have
time
to
be
here
to
advocate
for
my
former
patients
and
their
families,
but
also
because
I
do
not
have
to
practice
in
a
situation
where
I'm
conf,
where
I'm
forced
to
choose
either
violate
my
professional
obligation
to
refer
and
provide
for
recognized
standard
of
care
or
lose.
My
Pratt
license
to
practice
in
Kentucky
at
all.
H
This
body
has,
for
many
years,
tried
to
pass
legislation
that
helps
ease
our
Commonwealth's
shortage
of
Health
Care
providers.
When
the
legislature
feels
compelled
to
set
out
its
own
medical
standards
that
are
in
direct
opposition
to
Medical
Science,
it
will
chase
away
qualified
providers
who
are
practicing
or
are
looking
to
practice
in
Kentucky.
H
I
do
not
know
how
I
could
have
continued
to
practice
if
houseboat
470
were
on
the
books
or
how
Kentucky
Physicians
will
in
the
future,
and
as
with
many
of
our
health
care
challenges
in
Kentucky,
these
effects
would
be
most
severe
and
are
already
underserved
areas.
We
do
not
need
further
impediments
in
attracting
providers
to
our
state.
H
In
conclusion,
you
have
a
choice:
either:
listen
to
kentuckians
their
health
care
providers
and
evidence-based
medicine
or
enter
the
realm.
Where
politicians
declare
the
science
settled
decide.
Based
on
your
opinion,
what
medical
standards
of
care
is
and
deny
Kentucky
patients
and
parents
their
rights
to
guide
their
own
health
care
choice?
Is
yours,
please
defeat
House,
Bill
450
and
thank
you.
I
Thank
you,
chair
Carol,
and
members
of
the
committee.
My
name
is
Dr
Laurie
Mount,
Grimes
I'm,
a
pediatric
psychologist
and
I'm
here
today,
representing
the
Kentucky
Psychological
Association
kPa
opposes
the
practice
of
singling
out
a
very
small
and
vulnerable
group
of
people
and
denying
them
Health.
Care
kPa
opposes
denying
parents
their
right
to
access
health
services
and
care
for
their
children
as
they
see
fit.
I
Kpa
opposes
jeopardizing
the
state's
Recruitment
and
Retention
of
Health
Care
Providers
medical
and
mental
health
by
usurping
years
of
training,
legal
regulations,
practice
guidelines,
standards
of
care
and
ethical
codes
with
a
single
law.
Kpa
opposes
knowingly
inflicting
harm
on
children
and
their
developing
Minds
kPa
opposes
willfully
looking
the
other
way
as
children
decide,
they
don't
have
tolerable
Futures
ahead
of
them
and
take
their
own
lives.
Kpa
opposes
hb470
because
this
would
be
its
Legacy.
The
support
for
this
legislation
comes
from
the
underlying
belief
that
trans
is
not
a
real
thing.
I
That
God
only
makes
girls
or
boys,
and
it's
evident
at
Birth.
Even
if
you
don't
think
trans
is
right.
It
doesn't
change
the
fact
that
there
are
still
children
who
are
suffering
and
wondering
and
feeling
different,
and
they
need
help
and
support
evidence-based
gender.
Affirming
care
actually
buys
time
for
kids
and
families
so
that
they
can
receive
therapy
and
medical
care
as
they
determine
their
needs.
The
suicide
statistic
is
well
known.
I
Trans
people
commit
suicide
at
four
times
the
rate
of
non-trans
people,
but
use
the
iceberg
image
with
suicide
being
the
tip
of
the
iceberg,
visible
above
the
water
and
the
massive
block
of
ice
below
the
surface
represents
the
rampant
mental
health,
symptoms
of
trans
kids,
denied
treatment
and
support
depression,
anxiety,
stress,
isolation,
self-hatred
family
conflict,
all
of
which
prevent
kids
from
tending
to
the
work
of
childhood
and
Adolescence.
Like
learning
growing
and
making
friends,
HB
470
will
leave
these
kids
with
no
support.
I
Hb
470s
reach
is
so
Broad
and
intrusive
that
it
purports
to
supersede
laws
and
regulations
established
by
this
very
general
assembly
to
license
and
govern
medical
and
therapeutic
practice.
Mental
and
Medical
Health
Providers
are
bound
by
ethical
principles
and
statutory
authority
to
do
no
harm
respect
the
dignity
and
rights
of
people.
I
Maintain
confidentiality
not
discriminate,
not
harass
or
demean
people
and
minimize
intrusion
of
privacy,
yet
HB
470
would
severely
punish
providers
for
adhering
to
evidence-based
treatment,
protocols,
state
law
and
professional
ethics
codes
they
could
face
rear,
destroying
actions
for
supporting
a
child
in
need
providers
would
lose
their
jobs
their
license
and
their
livelihood
trans
people
will
lose
their
lives.
Hb
470
is
wrong
for
the
half
of
one
percent
of
people
who
identify
as
trans
and
it's
wrong
for
the
state
of
Kentucky
vote
no
on
470..
A
Thank
you,
Dr
bowling,
Dr
Grimes.
We
have
about
four
minutes.
Dr
Craig
losacamp
did
I
pronounce
I
apologize.
J
The
floor:
I'm
Dr
Craig
Los,
Camp
I'm
from
Bowling
Green,
I'm,
Dr,
Craig,
Los,
Camp
I'm
from
Bowling
Green
Kentucky
I
provide
gender
affirming
care
for
adults,
President
Ronald
Reagan
said
the
nine
most
terrifying
words
in
the
English
language
are
I'm
from
the
government
and
I'm
here
to
help
this
interferes
with
the
livelihood
of
doctors
and
their
patients.
Just
on
March
3rd,
the
official
GOP
Twitter
account
said
government
should
be
so
small.
You
don't
even
realize
it's
there.
J
This
is
incredibly
large,
it's
incredibly
in
the
way
it
interferes
with
parents
and
the
rights
that
they
have
to
help
their
children
they're,
trying
to
keep
their
kids
alive.
One
of
the
big
conservative
talking
points
is
that
parents
have
rights
that
family
is
the
foundation
of
American
society.
This
interrupts
that
very
thing
for
them.
This
gets
between
me,
the
patient
and
the
parents.
It's
going
to
increase
the
risk
for
them
to
die.
This
is
also
a
bill
that
most
kentuckians
do
not
want.
J
J
K
Thank
you
good
morning
and
I
really
really
appreciate
the
chance
to
address
this
committee
for
a
minute.
As
you
know,
I'm
Dr,
Karen,
Berg
I'm,
a
board
certified
diagnostic
radiologist,
but
I'm,
actually
here
as
the
mother
of
a
trans
child
who
did
not
make
it
and
I
want
to
take
two
minutes
to
share
our
journey
with
you.
You
do
have
two
minutes.
Two
minutes,
sir.
K
Two
day,
twos
preschool
we're
getting
ready
for
the
first
time
for
my
child
to
go
for
two
days
a
week
to
preschool
it's
orientation,
we're
at
my
synagogue,
we're
a
religious
family
and
at
one
point
the
director
of
the
preschool
calls
the
children
up
to
the
pulpit
boys
to
the
right
girls
to
the
left.
My
little
two-year-old
child
goes
straight
up
to
the
right
with
the
boys.
My
husband
and
I
are
sitting
there.
Our
mouths
are
dropping.
K
K
My
husband
and
I
were
so
concerned
so
concerned
that
we
talked
to
the
preschool
director
immediately
afterwards.
What
is
going
on
is
this
little
two-year-old
child
telling
us
that
they
are
gay
had
I
known,
and
this
was
20
plus
years
ago-
guys
had
I,
known
and
I
didn't
know.
As
a
physician,
I
did
not
know
to
recognize
that
my
child
was
trans
lined
up
with
the
boys
at
potty.
Every
day
got
taken
over
to
the
girls
side
wanted
to
play
with
hot
cars
and
and
planes
all
sorts
of
dress-up
clothes
didn't
want
him.
K
A
A
Just
as
you
as
you
speak,
introduce
yourself
for
the
record.
C
L
Hello,
thank
you
Mr
chairman
and
members
of
the
committee,
I'm
Dr,
Andre,
Van
Mall,
a
board-certified
family
physician
I
would
have
you
know
that
gender
and
I
would
I
would
have
you
think
of
it
as
transition
affirming
medical
interventions
actually
in
Peril
already
at
risk.
Gender
dysphoric
youth
with
experimental
and
unproven
hormonal
and
surgical
procedures,
which
medical
lies
prematurely
and
permanently
transition
interventions
are
not
proven
effective,
not
proven
safe,
do
not
reduce
suicides
and
are
actually
not
the
standard
of
care
for
gender.
Dysphoria.
L
L
The
governments
and
medical
institutions
of
the
United
Kingdom
Sweden
Finland
and
last
week,
Norway
have
rejected
prioritizing
gender
affirming
transition
in
favor
of
emphasizing
extended
mental
health
evaluation
and
support
and
the
UK
closed
the
world's
largest
pediatric
gender
Clinic,
due
to
findings
of
their
cast
review.
Interim
report,
the
assistance,
the
assistance
is
the
norm
for
minors,
with
trans
identification,
resolving
on
its
own
for
an
average
of
85
percent
by
adulthood,
unless,
of
course,
it
is
affirmed,
and
why
would
we
permanently
medicalize
a
child
for
a
condition
that
usually
goes
away?
Transition?
L
Yes,
the
latest
soc-8
version
removed
age
restrictions
for
medical
and
surgical
interventions.
Now,
conversely,
the
2017,
endocrine
Society
guidelines,
were
the
first
from
an
actual
medical
organizations
and
they
specify
this
disclaimer
on
page
3895
quote
the
guidelines
cannot
guarantee
any
specific
outcome,
nor
do
they
establish
a
standard
of
care.
Close
quote
transition
interventions
are
not
the
standard
of
care.
Miners
cannot
give
truly
informed
consent,
they
have
developing
brains,
their
minds
change
often,
and
they
don't
grasp
long-term
consequences.
A
UK
high
court
in
Bell
versus
Tavistock
specified.
L
There
is
no
age-appropriate
way
to
explain
to
many
of
these
children
what
losing
their
fertility
or
full
sexual
function.
May
mean
to
them.
In
later
years.
Puberty
blocking
agents
chemically
sterilized
at
the
level
of
the
brain
puberty
blockers
risk
infertility
by
blocking
the
maturing
of
sperm
and
eggs
following
them
with
cross-sex
hormones,
guarantees
sterility
puberty
blockers,
compromise
bone
mineral
density
of
what
should
be
their
period
of
peak
increase.
They
hinder
brain
development,
they
compromise
sexual
function.
L
Self-Harm
does
not
improve
on
puberty
blockers
and
puberty
blockers
are
not
proven
to
be
fully
reversible.
Long-Term
complications
are
already
known
as
for
cross-sex
hormones,
estrogen
use
and
male
biology
strongly
increases
the
risk
of
blood
clots,
heart
attacks,
Strokes
breast
cancer,
insulin,
resistance
and
more,
and
that
risk
increases
dramatically
with
the
length
of
use.
Testosterone
use
in
female
biology,
strongly
increases
the
risks
of
heart
attack,
Strokes,
breast
and
uterine
cancer,
hypertension,
severe
acne
and
more
many
regret
transition.
L
Many
claim
their
consent
lacked
information
on
risks
and
Alternatives,
but
what's
gone
is
gone
by
that
point
and
pro-transition
studies
commonly
share
the
same
fatal
flaws
resulting
in
low
quality
untrustworthy
data.
You
shouldn't
trust
them
suicide
reduction.
Claims
of
transition
are
a
myth
used
as
emotional
blackmail.
L
Many
parents
report
to
us
that
they
were
told
regarding
their
gender-confused
youth
by
a
medical,
health,
official
or
a
mental
health
professional.
Do
you
want
a
live
son
or
a
dead
daughter?
Would
you
rather
be
planning
a
transition
or
a
funeral,
but
sex
researchers,
Bailey
and
Blanchard
note
that
there
is
no
persuasive
evidence
that
gender
transition
reduces
gender
dysphoric
children's
likelihood
of
killing
themselves
a
2011
Swedish
study
of
all
of
their
post-sex
reassignment
adults
showed
a
completed
suicide
rate.
L
If
you
followed
them
10
years
out,
that
was
19
times
higher
than
the
general
population
and
they
had
three
times
the
rate
of
psychiatric
inpatient
care.
A
2020,
General
Swedish
study
by
Branson
in
patankas
ultimately
showed
that
neither
gender
affirming
hormone
treatment
nor
gender
affirming
surgery
improved
any
of
the
mental
health
benchmarks
they
were
looking
at.
There
is
no
one
reason
for
suicide.
The
uscdc
has
warned
for
over
30
years,
against
quote
presenting
simplistic
representations
of
suicide.
L
Suicide
is
never
the
result
of
a
single
factor
or
event,
but
rather
results
from
a
complex
interaction
of
many
factors
and
usually
involves
a
history
of
Psychosocial
problems.
In
conclusion,
the
chemical
sterilization
and
surgical
mutilation
of
otherwise
healthy
young
bodies
is
not
Healthcare
transition.
Affirming
medical
interventions
are
being
rejected
by
the
very
Nations
that
formally
embrace
them.
These
interventions
are
unproven.
Child
experimentation
masquerading
as
something
better
minors
should
be
protected
for
them.
I
ask
you
to
please
support
HB
470,
and
they
thank
you
for
your
kind
detection.
C
M
Thank
you.
Yes,
my
name
is
Jeanette
Cooper
I
am
here
to
State
my
support
of
House
Bill
470
on
behalf
of
partners
for
ethical
care,
a
secular,
non-partisan,
all-volunteer,
non-profit
organization.
I
have
members
in
the
state
of
Kentucky
who
I've
been
texting
with
in
the
last
few
minutes.
I
am
here
on
their
behalf,
not
to
State
my
personal
testimony.
They
are
not
here
because
they
are
afraid
that
they
will
suffer
my
fate,
which
I
have
lost
the
custody
of
my
only
child
because
of
this
issue.
M
Parents
aren't
are
asked,
would
you
rather
have
a
living
son
or
a
dead
daughter?
It
is
the
greatest
fear
of
every
parent
to
outlive
her
own
child.
It
makes
sense
for
a
parent
to
choose
a
physically
harmful
Intervention
when
they
are
faced
with
that
choice
from
unethical
and
misinformed
health
care
providers.
M
It
makes
sense
for
a
mother
to
choose
a
sterile
desexed
child
over
a
dead
child.
It
makes
sense
for
a
parent
to
consent
to
the
removal
of
healthy
breasts,
rather
than
the
removal
of
her
daughter's
body
from
the
morgue.
It
makes
sense
when
a
parent
is
surrounded
by
people
repeating
the
Mantra
of
life-saving
care.
M
The
fear
is
immense
and
it
is
nearly
unbearable,
but
this
is
the
suicide
myth,
which
assumes
only
two
options:
transition
or
suicide.
That
is
a
false
dichotomy.
There
are
always
more
than
two
options,
but
stopping
normal
puberty,
administering
wrong
sex
hormones
and
removing
healthy
body
parts
should
never
be
an
option
not
in
any
state.
M
M
I
help
run
an
online
group
of
thousands
of
parents
who
do
not
affirm
their
child's
transgender
identity.
Rather,
we
support
our
children's
social,
emotional
and
physical
needs
as
human
beings
in
their
natural
male
and
female
bodies.
We
let
our
kids
wear
what
they
want
cut
their
hair.
However,
they
please
we
accept
and
love
our
children
as
lesbian
or
gay
I
myself
do
not
shave,
do
not
wear
a
bra,
have
never
worn
makeup.
M
We
are
liberal,
like
me
and
conservative,
we
are
atheists
like
me
and
religious.
We
are
former
Democrats
like
me,
and
former
Republicans.
We
are
a
diverse
group
of
parents.
I
am
not
aware
of
any
children
of
parents
in
our
group
who
have
committed
suicide
because
they
were
not
affirmed.
On
the
contrary,
we
observe
hundreds
of
children
who
recover
from
gender
dysphoria
and
Thrive
once
they
don't
need
the
crutch
of
a
transgender
identity
after
their
underlying
mental
and
physical
health
issues
are
addressed
with
legitimate
and
ethical
care.
M
We
know
how
to
resolve
gender
dysphoria
without
harming
healthy
bodies
and
it
works,
provided.
Children
are
not
encouraged
to
believe
a
falsehood
in
other
private
online
groups.
Sadly,
we
have
read
accounts
from
parents
who
have
affirmed
their
child's
transgender
identity,
but
their
children's
mental
health
still
did
not
improve
in
their
physical
health
deteriorated.
M
Some
have
committed
suicide.
I
have
talked
to
some
of
those
parents.
We
have
read
many
many
accounts
of
the
coming
suicides
that
Dr
vanmole
refers
to
the
promises
of
transition.
Joy
didn't
save
the
lives
of
these
young
people.
It
was
snake
oil
I
am
here
with
observations
of
personal
experiences
from
thousands
of
parents
who
have
had
trans-identified
children
and
that
we
know
what
prevents
suicide
and
it's
not
affirmation.
We
know
how
to
support
children
who
identify
as
transgender-
and
it
is
not
affirmation
using
someone's
chosen.
Pronouns
is
not
going
to
save
their
life.
M
A
A
M
Thank
you,
sir.
In
order
to
have
a
completed
suicide
according
to
Jack
clot,
a
suicidologist
with
over
45
years
experience
and
with
whom
I
spent
an
entire
day
learning
about
suicide,
a
person
will
have
all
four
of
these
things.
In
order
to
have
a
completed
suicide,
they
must
have
hopelessness,
aloneness
self-hatred
and
an
inability
to
cope.
M
Suicide
is
complex.
It
is
not
about
names
and
pronouns.
Contrary
to
the
popular
myth,
told
and
retold
pronouns
do
not
literally
save
lives.
There
is
no
injection,
not
wrong
sex
hormones
or
anything
else
that
can
be
given
to
prevent
suicide.
Suicide
prevention
is
about
social
and
psychological,
supports,
not
surgeries,
which
you
are
doing
in
this
state,
because
I
had
a
parent
call
your
clinic
and
ask
to
get
a
double
mastectomy
for
her
15
year
old.
She
recorded
that
call,
and
we
will
provide
it
to
you.
M
It's
about
changing
your
mind,
not
irreversibly
changing
your
body.
Gender
medicine
is
the
latest
miracle
drug
sold
to
desperate
parents
and
young
people.
I
wish
it
was
a
miracle
cure,
but
it's
not
I
feel
for
the
parents
and
young
people
who
have
been
emotionally
coerced
into
believing
this
lie.
It
is
not
true,
no
one
needs
gender
medicine
and
no
one
must
kill
themselves
if
they
don't
get
it.
This
isn't
life-saving
care.
M
M
N
Hello,
dear
chair
Carol,.
N
Is
Kelly
Wagner,
dear
chair
Carol,
and
vice
chair
Adams
and
honorable
senators
of
the
state
of
Kentucky
members
and
members
of
the
family
and
children's
committee?
Thank
you
for
your
service
and
thank
you
for
the
opportunity
to
testify
as
a
proponent
regarding
House
Bill
470.
Today,
I
am
here
to
speak
today,
because
children
should
not
be
experimented
on
all
people
deserve
love,
respect
and
dignity
and
I
come
today
to
you
to
speak
in
Truth
and
Love.
N
Children
should
not
be
making
life-altering
decisions
on
their
body
when
they
are
not
old
enough
to
understand
the
long-term
consequences
of
their
decisions
and
including
sterilization.
Puberty
is
a
natural
process
of
human
development.
It
is
not
a
disease
that
needs
to
be
medically
treated
growing
up,
I
always
played
Sports
and
sometimes
I
wore
men's
workout
clothes,
I
progressed
to
wearing
men's
daily,
wear
in
college
and
as
a
biological,
female
I
did
not
conform
to
gender
Norms
I
believed
I
was
born.
Gay
I
was
in
relationships
with
females
for
several
years.
N
N
N
People
have
testified
that
they've
heard
that
they've
believed
that,
and
then
they
acted
on
that
in
medical
intervention
and
experimentation
ways.
I
am
so
thankful
that
I
never
heard
words
like
that
back
then
it
is
hard
to
believe,
but
when
I
was
growing
up,
there
was
no
internet,
no
cell
phone,
no
personal
computers
and
no
social
media.
N
Many
children
will
grow
out.
As
the
doctor
mentioned,
of
gender
confusion
and
dysphoria
without
gender.
Affirming
care,
I
was
one
of
them.
I
had
the
chance
to
grow
up.
I
was
given
the
time
for
my
brain
to
develop
and
I
am
very
thankful
that
no
one
ever
told
me
that
ending
My
Life
as
a
female
and
attempting
to
become
a
male
would
ease
my
pain
body,
hatred,
depression,
anxiety
or
my
suicidal
thoughts.
That
I
battled
with
often.
N
I
would
have
been
very,
very
vulnerable
to
those
suggestions
and
seeds.
Those
words
because
I
was
looking
for
anything
anything
that
would
bring
me
peace
in
this
world
when
I
was
24.
People
spoke
truth
and
love
to
me
and
those
encounters
encouraged
me
to
seek
healing
for
the
Wounded
Heart
that
I
had
and
the
pain
and
the
root
issues
that
were
causing
that
pain.
N
I'm
very
thankful
today
and
I
can
offer
my
body
as
a
gift
to
my
husband
in
our
marriage,
however,
because
of
a
totally
unrelated
reason.
Nothing
to
do
with
this.
My
husband
and
I
received
a
sterile
diagnosis.
As
a
couple
and
I
know,
firsthand
I
can
testify
to
the
experience
of
immense
suffering
that
that
diagnosis
causes
when
your
heart
changes
and
your
mind
changes,
and
you
want
to
have
children
and
a
generation
and
a
legacy
one
day.
N
N
O
Hi,
my
name
is
parisha
Mosley.
Can
you
hear
me.
O
Yes,
sir,
my
name
is
presha
Mosley
I'm,
just
representing
myself
and
gender
non-conforming
people
and
d-trans
people.
By
the
time
I
was
15
years.
Old
I
was
suffering
from
multiple
diagnosed
mental
illnesses,
including
borderline
personality
disorder
and
anorexia
nervosa.
I
was
suicidal,
self-harming
and
hated
myself.
These
conditions
and
my
age
made
me
extremely
impressionable
and
suggestible.
It
was
at
this
time
that
the
trans
Community
found
me
and
convinced
me
that
all
of
my
suffering
was
because
I
was
born
in
the
wrong
body.
O
O
The
appointment
with
my
gender
therapist
was
only
15
minutes
long
when
I
walked
in
my
letter
of
recommendation
was
already
typed
up
on
her
computer
and
she
was
filling
in
my
name
in
minutes.
I
had
only
I
had
been
seeing
a
regular
therapist
for
several
years
for
my
mental
disorders.
Even
she
said
that
all
of
my
conditions
were
caused
by
being
born
in
the
wrong
body.
My
parents
were
lied
to
and
manipulated
by
the
same
therapists
and
my
doctors.
They
were
told
to
choose
between
a
dead
daughter
and
a
living.
Son.
O
I
had
already
attempted
suicide
by
this
time,
and
this
was
held
over
them
as
proof
that
they
were
not
affirming
me
enough.
Doctors
said
that
if
I
was
not
medicalized,
I
would
try
to
kill
myself
again.
Testosterone
caused
severe
emotional
and
physical
issues.
It
made
my
emotions,
harder
to
control
and
understand
and
even
affected
my
sexuality.
O
My
body
Burns
all
of
the
time
due
to
the
changes
it
caused.
My
hips
are
so
small
that
they
cannot
support
the
weight
of
my
painfully
overgrown
shoulders
being
disproportionate,
like
this
causes.
Constant
pain
and
clumsiness.
I
almost
lost
my
nipples
after
my
top
surgery.
During
this
procedure,
which
is
done
on
minors,
the
nipples
are
removed,
cut
up
and
reshaped
and
Frozen,
while
the
chest
is
scraped
before
being
reattached
to
the
chest.
O
One
day,
I
pulled
back
my
bandages
to
change
them
and
half
of
my
nipples
were
attached
to
the
bandage.
I
am
missing
pieces
of
them
now,
I
now
experience
Phantom
breast
syndrome.
It
is
the
worst
at
night
when
I'm
lying
in
bed.
There
is
an
empty
space
against
my
scarred
chest
I
feel
my
breasts
as
they
were
before
being
cut
off.
It
hurts
and
it
adds
to
my
grief.
I
am
also
probably
sterile,
but
no
doctors
will
touch
me
now.
O
I
also
suffered
suffered
hair
loss
on
top
of
my
head
and
hair
growth
on
my
body,
which
I
have
to
treat
with
laser
hair
removal
insurance
does
not
cover
this.
My
endocrine
system
is
ruined,
I
cannot
regulate
my
own
hormones
because
of
the
years
of
testosterone
abuse
on
top
of
this
I
am
experiencing
severe
vaginal
atrophy,
it
is
painful
and
it
scares
me
it
causes
me
to
tear
and
bleed.
O
No
doctors
will
help
me
fix
this,
and
insurance
is
paying
for
nothing.
I'm
turned
away
everywhere,
I
go
there,
aren't
even
medical
codes
for
d-trans
people,
so
we
don't
know
how
many
there
are,
and
there
is
no
way
to
help
no
one
to
help
us
with
our
physical
suffering,
which
was
caused
by
transition.
The
medical
system,
which
did
this
to
me,
has
completely
abandoned
me.
O
C
P
You
know.
I
was
a
vulnerable
young
person
with
a
history
of
mental
health
issues
who
have
been
extremely
preyed
upon
groomed
and
sexually
exploited,
aligned
to
the
point
of
police
involvement,
I
spiraled
into
a
hatred
of
my
body
and
myself,
which
ended
in
me.
Being
me
truly
believing
that
I
was
just
a
boy
born
in
the
wrong
body.
P
The
professionals
ignored
my
actual
issues
and
instead
affirmed
me
down
a
path
of
medicalization,
not
asking
why
I
felt
they
need
to
escape
my
body
at
such
a
young
age
16..
The
very
first
medical
intervention,
I
ever
had
was
a
double
mastectomy
and
then
a
few
years
later,
I
was
a
few
months
later.
I
was
put
on
testosterone,
which
I
took
for
four
years
now
at
20.
I
wish
I
could
go
back,
but
there
is
irreversible
Damage
Done,
I,
Live
Now,
with
constant
joint
pain.
P
P
P
I
wish
I
could
be
there
today
and
even
if
I
could
I'm,
not
sure
I
feel
completely
safe.
Coming
back
to
your
capital
due
to
what
happened
last
time,
I
came
to
testify,
but
I
will
still
call
in
and
I
will
be
here
to
share
my
experience
and
defend
children
because
they
are
worth
it
and
they
deserve
that
chance
to
grow
up.
A
C
Ask
this
committee
to
listen
to
the
life
stories
of
people
who
have
been
through
this
and
those
who
have
escaped
it
to
go
on
to
productive
Lives,
who
are
glad
that
they
were
not
in
a
time
when
this
was
the
care
that
was
given
all
of
the
people
who
testified
from
the
medical
profession.
One
of
them
even
said
this
hurts
their
financial
Bottom.
Line
This
is
a
multi-billion
dollar
industry
which
is
expected
to
grow
exponentially
over
the
next
few
years,
and
one
of
the
explanations
given
to
the
market.
C
Forecaster
for
this
growth
was
as
we
do,
these
surgeries
and
treatments
they
will
grow.
There
will
be
more
and
more,
and
that
is
what
they're
hoping
if
you
happen
to
see
when
Vanderbilt
University
was
thinking
about
opening
a
gender
Clinic.
The
discussions
at
with
the
medical
staff
were
not
about
this
life-giving
care.
It
was
about
the
bottom
line.
It
was
about
the
cost.
It
was
about
the
expected
income
from
the
patients,
and
it
is
huge.
C
So
when
you
hear
medical
professionals
who
are
defending
their
practices,
they
are
also
defending
their
bottom
line.
Not
one
word
was
spoken
at
Vanderbilt
about
the
risks
about
the
children
about
their
health.
It
was
the
bottom
line.
I
submit
that
this
is
the
business
of
government
to
protect
the
most
vulnerable
of
its
citizens.
C
Parents
have
rights
and
I
defend
those.
No
parent
has
a
right
to
cause
irreparable
harm
or
allow
it
to
their
child.
We
don't
allow
parents
to
give
their
children
alcohol.
We
don't
allow
parents
to
give
their
children
cigarettes.
We
don't
turn
over
our
car
keys
to
our
children.
It's
not
allowed
in
Kentucky,
and
this
should
not
be
allowed
either.
Thank
you.
Mr
chairman
I
asked
the
committee
to
vote
Yes
thank.
A
A
A
A
Okay,
Senator
Rocky
Adams
is
is
on
her
way
back
so
we'll
call
the
meeting
back
to
order
and
do
I
have
a
motion
on
the
bill.
Have
a
motion
motion
by
Senator
petitioner.
Second,
a
second
Senator
wise
again,
because
we
do
have
time
remaining.
We
did
not
have
questions.
You
will
be
allowed
to
explain
your
vote.
You
will
have
three
minutes
maximum
secretary.
Please
call
the
roll.
Q
Explain
my
vote.
Mr
chairman.
Thank
you
for
the
opportunity.
Please
proceed,
I
vote.
No.
This
is
the
largest
attempt,
a
government
overriding
the
will
of
our
people,
our
children,
our
parents,
that
I've
ever
seen
in
the
last
20
years
that
I've
been
here.
It
is
going
to
have
devastating
results
and
it
will
not
have
my
name
attached
to
it.
I
vote
no.
R
R
I,
don't
want
people
to
understand
that
we
need
to
continue
to
have
this
dialogue
I,
certainly
like
the
provisions
of
Senator,
wise's,
Bill
I.
Think
it's
very
much
needed
and
I'm
sorry
that
these
things
are
put
together.
There
are
a
couple
things
that
that
still
bother
me
about.
R
This
is
the
definition
of
mental
health
services
that
address
a
person's
sex
or
gender,
but
that's
do
not
promote
gender
transition,
I'm,
not
sure
exactly
what
that
means,
but
when
you
couple
that
with
revoking
a
provider's
license
or
certification,
your
report
is
made
during
this
subsection
is
confirmed.
I
think
is
a
bridge
too
far.
R
Probably
the
deciding
factor
for
me
is
this
discussion
about
who
gets
to
make
these
decisions
and
I've
heard
Corporate
America
I've
heard
the
medical
community
I've
heard
government.
You
know.
Throughout
this
legislative
session
we
have
promoted
bills,
to
support
parent
rights
and
I
still
think
that's
where
this
should
lie.
R
R
Beyond
that,
I
think
is
also
just
a
bridge
too
far,
and
we
can't
on
one
occasion
say
well:
this
is
about
parental
rights,
and
another
occasion
say
it's
it's
not
in
probably
the
thing
that
disturbs
me
most
about
this
is
I
think
that
children
should
wait
until
they're
18
years
of
age
before
they
have
a
surgery
involved.
So
there's
certainly
pros
and
cons
for
this
either
way.
But
again,
my
vote
is
no
because
I
think
the
decision
needs
to
rest
with
the
parent.
Thank
you.
S
S
They're,
not
frontal
lobes
are
not
developed
until
early
mid-20s.
They
have
no
idea
what
the
consequences
could
be
until
they
get
to
that
age,
and
at
that
point
you
cannot
undo
what
is
being
done.
There
is
no
long-term
study.
The
only
long-term
study
from
Sweden
shows
that
this
actually
is
very
harmful,
so
much
so
that
Europe
is
starting
to
backtrack.
As
we
heard
the
doctor
testify.
T
You
chairman,
I've,
spent
more
time
on
this
bill
than
I
have
any
other
bill
so
far
this
session,
with
the
exception
possibly
of
medical
marijuana
and
the
sub.
That's
in
the
committee
today,
I,
don't
like
how
far
this
bill
goes.
I
agree
that
surgery
for
minors
is
inappropriate.
I
believe
that
puberty
blockers
and
Other
Drugs
that
provide
permanent
changes
are
inappropriate
for
minors.
T
I,
don't
agree
with
that.
I
don't
agree
with
those
being
out
loud
if
you're
an
adult,
do
whatever
you
want
adults,
do
what
what
I
don't
agree
with
every
day
and
I
I
do
things
that
other
adults
don't
agree
with
every
day,
I'm
sure
so,
but
for
minors.
I
agree
with
that
when
I
look
at
the
sub
on
what
gender
transition
services
are
two
three
four
and
five
I
don't
have
any
problem
with
that
under
sub
section,
six
and
section
one,
the
part
that's
given
me.
T
A
lot
of
trouble
is
one
inpatient,
outpatient
hospital
services
that
is
written
so
broadly,
if
I'm,
the
lawyer
for
a
doctor,
I,
don't
know
how
to
tell
them
to
answer
a
question
that
a
mom
or
a
dad
asks.
T
Even
if
I
was
the
doctor,
myself
and
I
wanted
to
ask
a
question
about
or
if
I
was
being
asked,
a
question
and
I,
don't
believe
in
this
and
I,
don't
believe
in
in
transitioning
I.
Don't
think
that's
good
I,
don't
think
it's
healthy
I
think
it
goes
against
what
God
created,
but
if
I
was
the
doctor
in
that
situation,
even
if
I
wanted
to
steer
that
child
away,
I,
don't
know
how
I'd
answer
the
question
in
a
way
that
one
parent
might
not
think
I
was
trying
to
assist.
T
T
I
struggle
with
this
bill.
I
know
chairman
that
you
and
I
have
talked
about
and
I've
spoken
with
members
and
you
guys.
Obviously
the
text
messages
have
been
flying
around
in
emails
just
in
the
last
two
or
three
hours,
I
hope
to
make
changes
on
the
floor.
Should
this
make
it
to
the
floor.
T
I
support
Senator
wise
your
language
in
150,
I,
don't
know
how
much
time
I've
got
left
chairman,
I'm,
sorry,
I'm,
sure
I've
gone
two
down
two
down:
two
dag
them
long
I'm
going
to
vote
I,
but
with
with
the
understanding
that
I'm
going
to
pursue
changes
on
the
floor
to
address
the
concerns
I've
expressed
and
that
owners
have
expressed
here
today,
I,
don't
think
the
bill
should
come
to
the
floor.
The
way
it's
written
today
and
I'd
vote.
No.
If
it
comes
to
the
floor
the
way
it's
written
today.
U
Yeah,
thank
you.
Mr
chairman
I've
been
pretty
clear
that
I
I,
don't
like
the
bill.
I've
met
with
the
sponsor
I
I've,
really
struggled
with
the
language
and
I
told
the
chairman
today
that
the
only
way
that
I
would
vote
Yes
is
if
he
promised
that
we
would
make
some
changes
to
the
bill,
and
he
has
assured
me
that,
in
order
to
get
myself
and
other
caucus
members
comfortable
that
he
would
agree
to
some
further
changes.
So
with
that
I
vote,
Yes.
A
I'd
like
to
vote
I
and
explain
my
vote.
I
have
spent
the
the
last
two
days
researching
reading
spent
this
morning.
Speaking
with
a
pediatrician
I
asked
a
close
friend
of
mine
to
connect
me
with
a
pediatrician
who
was
unbiased
in
this
issue
and
they
could
speak
medically
and
medically
only.
A
There
there
are
no
absolutes
in
this
issue:
the
science.
The
data
is
just
simply
not
there.
We
all
want
to
do
what's
best
for
kids
and
I
I,
don't
think.
A
I,
don't
think,
there's
any
question
about
that:
I'm
extremely
uncomfortable,
putting
myself
in
the
place
where
a
doctor
should
be
I,
don't
have
the
training
I
don't
have
the
knowledge
to
to
make
decisions.
However,
I
feel
a
complete
obligation
to
protect
our
kids
I
I
too
I.
Don't
like
the
bill.
I
hate
the
tone
of
the
bill.
I
think
we
could
have
accomplished
what
we
needed
to
accomplish
without
going
so
far
I'm
in
the
process
on
working
on
some
changes
to
this
bill.
A
A
V
Thank
you
and
I
want
everybody
to
know,
even
though
I
had
to
be
in
and
out.
I
was
listening
to
the
testimony
and
most
of
my
position's
already
been
said,
I'm
going
to
vote
no
on
this
bill
today,
because
I
do
not
want
to
interject
myself
with
trained
medical
professionals.
My
father
was
a
doctor
of
Optometry
and
I
always
deferred
to
him
on
those
issues.
V
We've
talked
a
lot
about
Juvenile
Justice,
this
issue
in
the
session
and
I
think
our
hearts
are
in
the
right
place
when
I
think
of
Juvenile
Justice.
We've
also
talked
a
lot
about
Mental
Health
Services,
which
I
think
we
have
woefully
underfunded
for
decades
in
this
Commonwealth,
and
there
are
deserts,
such
as,
where
I
represent
of
Mental
Health,
Access
opportunity
and
affordability.
V
I
can,
in
good
conscience,
go
against
medical
community
and
parental
rights.
I
think
one
of
my
colleagues
stated
earlier
very
eloquently
that
and
I've
had
these
discussions
with
some
groups:
how
to
reconcile
my
parental
rights
votes
as
a
parent
in
my
faith
and
parental
rights
and
be
all
over
the
board
with
it
choosing
issues
so
I
believe
in
parental
rights
until
something
goes
wrong
and
there's
mechanisms
in
this
state
we
utilize
now
when
parents
make
bad
decisions
and
bad
choices
and
those
mechanisms
are
still
in
place.
V
My
faith
requires
me
to
look
at
Humanity
and
look
at
individuals
in
their
Humanity,
we're
all
flawed
in
our
humanity,
and
my
faith
allows
me
to
offer
myself
and
love
to
individuals
and
not
hate
them
to
embrace
them
like
Jesus
did
on
the
cross.
You
know
and
I
prayed
a
lot
about
this.
My
faith
acquires
me
to
vote
no
on
this
particular
bill.