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A
A
B
B
My
name
is
Fisher
Wells
I
sold
on
denial
to
Atherton
high
school
next
school
year,
so
that
should
be
fun.
I
just
wanted
to
come
here
and
say
that
I
am
in
strong
opposition
to
this
bill.
B
I
got
a
puberty
blocker
implant
a
couple
months
ago,
which
was
a
very
fun
experience
and
I
know
a
couple
friends
who
have
also
gotten
puberty
blocker
implants,
but
here's
the
thing
I
also
know
a
ton
of
people
who
are
trans
at
school,
but
at
home
their
parents
would
kick
them
out
and
beat
them
bloody
if
they
came
out,
I
fear
for
them,
I,
don't
fear
for
myself,
but
I
fear
for
my
friends.
Thank
you
so
much
and
please
vote
now.
Thank.
B
D
I'm
Jennifer
Alonso,
I'm,
Fisher's
mom
I,
want
to
tell
you
about
a
member
of
my
family.
You
you
haven't
met
his
arm.
Muscles
were
like
this.
He
wore
cowboy
boots,
he
voted
for
Trump
twice
and
he
probably
would
have
voted
for
all
y'all
and
he
was
an
Evangelical
and
when
we
told
him
about
Fisher,
he
came
to
us
with
love
and
he
sat
Fisher
and
I
down
and
he
said
I
want
to
tell
you
something.
I
have
never
told
anyone
and
he
said
I've
always
thought
I
was
a
woman.
D
He
told
me
that
he
fought
against
it.
His
whole
life
because
his
father
beat
him
and
he
knew
he
would
kill
him
if
he
knew
who
he
really
was.
He
said
his
mother
would
have
abandoned
him.
He
was
assaulted
many
times
as
a
teenager
because
he
hadn't
quite
learned
how
to
hide
it.
He
struggled
his
whole
life
to
maintain
his
relationships.
Even
with
his
children.
D
We
told
Fisher
and
I
that
he
was
so
glad
things
are
different.
Now
he
said
y'all
do
what's
right,
you
fight
for.
What's
right
and
I
told
him
I
thought
things
were
different
here
in
Kentucky
that
maybe
he
could
come
out?
Maybe
he
could
come
to
Kentucky
and
find
a
home
with
us
and
our
wonderful
Community
here.
Maybe
he
could
let
himself
be
who
he
was
just
a
little
bit
now
and
he
said
no,
it
was
too
late
and
all
the
pain
would
be
over
soon
and
I'm.
D
C
E
C
F
C
E
You
Mr
chairman
I'm
here
today
to
present
house
committee
substitute
to
House
Bill
470.
legislation
that
seeks
to
protect
Kentucky's
children
from
irreparable
damage.
This
substitute,
as
amended,
prohibits
access
to
gender
transitioning
services
to
those
under
the
age
of
18.,
specifically
hormone
and
surgical
treatments.
E
E
The
sub
requires
revocation
of
a
provider's
license
and
termination
of
Public
Funding
for
any
Public
Employee.
If
the
provision
of
such
Services
is
confirmed,
Section
3
of
the
sub
creates
new
section
of
krs-311
to
require
that
providers
be
jointly
and
severally
liable
for
all
damages
and
costs
sustained
for
providing
gender
transition
services
or
aiding
and
assisting
a
person
under
the
age
of
18
years
to
consider
or
to
obtain
gender
transition
services.
E
The
sub
also
allows
a
cause
of
action
to
be
brought
by
a
parent
or
guardian
of
the
person
if
the
person
or
the
provider
dies
before
the
child
reaches
the
age
of
18..
Within
the
statute
of
limitations,
section
4
creates
a
new
section
of
KRS
chapter
311
to
prohibit
the
use
of
public
funds
for
gender
transition.
Services
prohibits
a
provider
employed
by
the
state,
local
or
County
government
to
include
gender
transition
services.
E
If
they
are
challenged,
it
prohibits
publicly
employed,
Health,
Care
Providers
from
intervening
in
any
legal
action,
challenging
the
provisions
of
this
act.
Section
6
creates
a
new
section
of
KRS
section
205
to
prohibit
Medicaid
coverage
of
gender
transition
services
for
a
person
under
the
age
of
18
years.
E
Kentucky's
long-arm
statute
to
permit
a
court
to
exercise
personal
jurisdiction
over
a
person
who
acts
directly
or
by
an
agent
as
to
a
claim
arising
from
a
person's
engaging
in
the
provision
of
gender
transition
services
to
a
Kentucky
resident
under
the
age
of
18
years,
it
amends
chapter.
10
amends
KRS
141.039
to
require
that
corporate
income
relating
to
a
provision
of
gender
transition
services
to
a
person
under
the
age
of
18
be
added
to
net
income.
E
Section
11
amends
krs-213.121
to
prohibit
name
changes
on
vital
statistic
records
if
the
purpose
of
that
name
change
is
to
assist
a
person
under
the
age
of
18
with
a
Transit
gender
transition,
12
amends
krs-401.020
to
prohibit
a
name
change
by
a
court.
If
the
purpose
of
the
name
change
is
to
assist
a
person
under
the
age
of
18,
with
a
gender
transition,
section
13
of
the
Bill
of
the
subject.
E
who
seek
these
services
and
their
parents
and
on
the
side
of
the
up
of
the
of
supporting
this
bill,
there
is
compassion
on
both
sides.
However,
there
is
no
quality
long-term
study
to
establish
that
there
is
no
long-term
benefit
to
gender
transition
services
and,
more
importantly,
there
is
long-term
evidence
that
these
Services
result
in
permanent
lifelong
harm
to
children.
C
You
Mr,
chair,
Decker
and
I
know
that
you
have
several
witnesses
that
you
have
presented
to
the
committee
and
I
will
let
you
go
through
each
one
of
those
as
time
permits
and
I.
Think
Dr
Hyatt
has
made
an
appearance
already
so
should
we'll
recognize
you
Dr
Hyatt.
If
you'll
introduce
yourself
now
you
unmute
yourself,
there.
C
G
For
that,
my
name
is
Dr
Roger
Hyatt,
Jr
I'm,
a
Child
and
Adolescent
psychiatrist
been
in
practice
for
over
30
years.
I've
worked
with
thousands
of
young
people,
including
several
hundred
who
deal
with
the
issue
of
gender
dysphoria.
G
H
G
Please
proceed.
Please
proceed.
Yes,
sir.
Thank
you.
Let
me
I
have
some
prepared
remarks.
I
just
got
through
with
a
big
meeting,
so
my
apologies.
G
Mine,
as
I
mentioned
I'm
a
Child
and
Adolescent
psychiatrist,
I've
worked
with
thousands
of
troubled
youth,
including
hundreds
struggling
with
the
Institute
of
gender
dysphoria.
In
reality,
the
question
of
gender
is
answered
at
conception.
Opinions
to
the
contrary,
are
simply
misinformation.
G
Opponents
of
this
bill
must
convince
you
that
it
is
not
the
performance
of,
but
rather
the
prevention
of
chemical
castration
and
gentle
genital
mutilation
of
gender-confused
minors,
that
is
the
act
of
child
abuse
and
that
such
legislation
will
result
in
skyrocketing
levels
of
suicidal
thought
and
behavior
in
otherwise
healthy
kids.
This
is
simply
not
the
case.
On
the
contrary,
suicidality
is
a
close
companion
of
transgender
identity
throughout
the
life
cycle.
G
Despite
all
medical
and
surgical
efforts,
the
suicide
rate
among
transgender
individuals
is
documented
to
be
about
19
times
higher
than
for
those
who
Embrace
their
chromosomal
sex.
The
only
outcome
that
actually
results
in
decreased
suicidality
is
desistence
or
return
to
gender
identity
consistent
with
biological
reality.
G
The
pivotal
event
leading
to
Children
abandoning
transgender
identity
is
the
onset
of
puberty.
Puberty
blockers
therefore
adversely
impact
the
probability
of
the
very
outcome
with
the
most
favorable
prognosis,
while
80
to
90
percent
of
affected
kids
will
desist.
Without
these
interventions,
almost
all
who
initiate
puberty
blockers
will
continue
to
identify
as
the
opposite
sex
into
adulthood.
G
Efforts
to
medicalize
this
psychiatric
disorder,
Rob
otherwise
helped
the
Youth
of
the
opportunity
to
ReDiscover
their
innate
biology
and
instead
Doom
them
to
a
lifetime
as
medical
patients
in
pursuit
of
an
Impossible
Dream.
A
change
in
biological
sex.
Therefore,
I
urge
you
to
support
this
legislation
that
clearly
promotes
the
best
interests
of
children.
Thank.
C
H
Okay
can.
H
Yes,
we
can
hear
you
great.
Thank
you.
Thank
you.
Mr
chairman.
Thank
you,
members
of
the
committee.
My
name
is
Dr
Andre
Van
Mall
I
am
a
board.
Certified
family
physician
in
California
I
co-chair
the
Council
on
adolescent
sexuality,
for
the
American
College
of
Pediatricians,
among
other
organizations
that
I
help
I
would
have
you
know
that
transition
affirming
medical
interventions
actually
in
Peril
at
risk,
gender,
dysphoric,
youth
with
experimental
and
unproven
hormonal
and
surgical
gender
procedures,
which
medicalize
prematurely
and
permanently
transition
affirming
medical
interventions
have
not
been
proven
effective.
H
They
have
not
been
proven
safe,
they
do
not
reduce
suicides
and
they're,
not
actually
the
standard
of
care.
Scientific
and
legal
evidence
is
driving
an
international
pushback
against
these
kind
of
interventions
in
favor
of
intensive
psychologic
evaluation
and
support
and
the
lawsuits
over
the
harms
of
transition
have
begun.
H
I
would
have
the
committee
know
that
the
governments
and
medical
and
academic
institutions
in
the
United
Kingdom,
Sweden
and
Finland,
and
to
an
increasing
degree
France,
have
rejected
prioritizing
gender
affirming
transitions
in
favor
of
emphasizing
extended
mental
health
evaluation
and
support
both
for
the
child
and
the
family.
In
fact,
the
UK
closed
the
world's
largest
pediatric
gender
Clinic,
their
NHS
Tavistock
Center.
Precisely
because
of
the
findings
of
comprehensive
literature.
H
Reviews
desistance,
as
you've
heard,
is
the
norm
for
minors,
with
trans
identification,
resolving
on
its
own
an
average
of
85
percent
of
the
time
by
adulthood
unless
it
is
affirmed.
Why
permanently
medicalize
a
child
for
a
condition
that
usually
goes
away.
Gender
affirming
medical
interventions
are
actually
not
the
standard
of
care.
H
So
again,
I
would
how
you
understand
that
transition
is
not
the
standard
of
care.
Then
there's
the
problem
that
miners
cannot
give
truly
informed
consent.
They
have
a
developing
brains,
their
minds
change,
often,
and
they
don't
grasp
long-term
consequences
again.
That
UK
high
court
and
the
bell
versus
Tavistock
decision
of
2020
said
this.
There
is
no
age-appropriate
way
to
explain
to
many
of
these
children
what
losing
their
fertility
or
full
sexual
function.
H
May
mean
to
them
in
later
years
in
terms
of
risks,
puberty
blocking
agents
or
pbas
chemically
castrate
at
the
level
of
the
brain
pba's
risk
infertility
by
blocking
the
maturing
of
sperm
and
eggs
and
following
them
with
cross-sex
hormones,
guarantees
sterility
pbas
compromise
bone
mineral
density
right
when
it
should
be
achieving
its
period
of
peak
increase.
Pbas
hinder
brain
development,
they
compromise
sexual
function,
self-harm
does
not
improve
on
them
and
they
have
not
been
proven
to
be
fully
reversible.
H
Studies
show
long-term
complications
are
known
as
for
cross-x
hormones,
estrogen
use
in
a
biologic
male
strongly
increases
the
risk
of
blood
clots,
heart
attacks,
Strokes
breast
cancer,
insulin
resistance
and
more,
and
these
increase
with
length
of
use
testosterone
use
in
a
biologic
female
strongly
increases
the
risks
of
heart
attacks,
Strokes,
breast
and
uterine
cancer,
hypertension,
severe
acne
and
More.
In
fact,
an
International
Panel
of
Endocrinology
organizations
was
asked
to
look
at
the
literature
on
testosterone
use
in
females
they
published
in
2019
and
I
quote.
H
The
only
evidence-based
indication
for
testosterone
therapy
for
women
is
for
the
treatment
of
hsdd,
by
which
they
mean
hypoactive
sexual
desire
disorder.
They
found
no
exceptions
and
warned
that
the
long-term
safety
of
testosterone
had
not
been
established
in
women.
Now
many
regret
their
transitions.
They
tell
us
that
their
consent
lacked
information
on
the
risks
of
the
procedures,
as
well
as
the
available
Alternatives.
But
the
problem
with
regret
is
what's
gone,
is
gone.
H
Pro-Affirmation.
Excuse
me,
pro-gender
transition
studies
commonly
share
the
same
fatal
flaws
that
were
aptly
described
by
pediatric,
endocrinologists
and
academic
Paul
hruz.
He
says
that
these
quote
include
a
general
lack
of
randomized
prospective
trial,
design,
small
sample
size,
recruitment,
bias,
short
study,
duration,
very
high
subject,
Dropout
rates
and
Reliance
on
so-called
expert
opinion
instead
of
expert
evidence.
The
suicide
reduction
claim
of
transition
is
a
myth,
but
it's
commonly
used
as
emotional
blackmail
against
parents.
We
hear
parents
throughout
the
country
telling
us
that
they
were
told
by
therapists
or
doctors.
H
Do
you
want
to
have
a
live
son
or
a
dead
daughter?
Would
you
rather
be
planning
a
transition
or
a
funeral?
That's
reckless
and
irresponsible
researchers,
Bailey
and
Blanchard
say
there
is
no
persuasive
evidence
that
gender
transition
reduces
gender
dysphoric
children's
likelihood
of
killing
themselves.
H
A
2020
study
by
bransterman
pachankis
ultimately
showed
that
neither
gender
affirming
hormone
therapy
nor
gender
affirming
surgery
improved
any
of
the
mental
health
benchmarks
they
looked
at,
and
the
U.S
Center
for
Disease
Control
has
been
telling
us
for
30
years,
not
to
oversimplify
reporting
on
suicide
and
not
to
attribute
it
to
one
thing,
because
there
is
no
one
thing
that
causes
suicides.
In
conclusion,
the
chemical
sterilization
and
surgical
mutilation
of
otherwise
healthy
young
bodies
is
not
Health.
Care
transition.
Affirming
medical
interventions
are
being
rejected
by
the
very
Nations
that
formerly
LED
it.
H
These
interventions
are
not
proven
safer,
effective
they're,
in
fact
unproven
child
experimentation,
masquerading
is
better.
Minors
should
be
protected
from
them.
So
I
ask
you
to
please
support
HB,
470
and
I.
Thank
you
for
your
kind
attention
and
allowing
me
to
testify.
Thank.
C
You
for
your
testimony,
Dr
Ashburn,
has
joined
us
I.
Believe
is
that
right,
yes,
sir,
and
you
may
proceed
with
your
testimony.
I
My
name
is
Tom
Ashburn
I'm,
a
board-certified
family
medicine
doctor
who
is
practiced
in
Knox
County
Kentucky
for
35
years
I
practiced,
Full
Spectrum,
Family
Practice,
including
obstetrics
I,
delivered
over
a
thousand
babies
during
my
practice
and
have
cared
for
thousands
of
children,
their
parents
and
grandparents
and
I'm
honored
to
be
here
this
morning.
The
first
issue,
in
my
mind
in
the
discussion,
is
that
there's
no
debate
that
the
brain
development
is
not
complete
until
approximately
25
years
of
age.
I
There
is
some
research
that
says:
Brain
development
may
not
even
be
completely
formed
until
almost
30.,
so
a
child,
youth
or
teenager
who
are
making
decisions
without
fully
functioning
brains,
and
you
also
have
they
cannot
make
a
fully
informed
medical
decision
because
they
don't
have
a
full
adult
cognitive
function,
in
other
words,
they're
working
with
underdeveloped
brains.
I.
I
Imagine
that's
why
in
Kentucky,
if
a
doctor
has
a
young
lady
who
is
the
mother
of
several
children
or
a
young
man
who
has
several
children
in
the
state,
they
will,
the
state
will
not
pay
for
a
sterilization
procedure
for
them
until
they
have
reached
21
years
of
age.
But
yet,
in
some
parts
of
our
country,
children
are
choosing
to
start
using
puberty
blocking
agency
agents,
while
still
in
the
concrete
stage
of
brain
development,
not
even
able
to
think
abstract,
abstract,
abstractly
I'm.
I
Sorry
I
am
not
going
to
repeat
any
of
the
stuff
that
Dr
the
previous
doctor
had
said.
So
I
wanted
to
conclude
with
a
story
of
a
patient
from
our
office.
This
went
individual,
went
to
a
clinic
in
Louisville
on
her
own
and
was
asked
to
receive
hormone
blockers
and
was
placed
on
them
with
only
screening
questions
asked
the
individual
was
never
offered
or
required
to
have
a
mental
health
evaluation.
The
person
was
placed
on
hormone
blockers
and
hormones
and
never
had
any
mental
health
treatment.
I
The
person
was
seen
by
mid-level
in
my
office,
who
recommended
that
they
see
a
mental
health.
Have
a
mental
health
evaluation
by.
C
I
C
J
F
F
I
now
deal
with
constant
joint
pain
ribbon
spine
damage,
heart
issues,
my
vocal
cords
will
ache.
I
watched
as
my
muscle
mass
wasted
away.
I,
don't
know
if
I
will
ever
be
able
to
carry
a
child,
and
my
breasts
are
gone.
I
feel
completely
abandoned
by
the
medical
professionals
that
did
this
to
me.
I
will
have
to
live
with
this
for
possibly
the
rest
of
my
life,
and
so
will
the
many
other
people
come
like
me
who
are
coming
forward
to
talk
about
it.
F
F
F
Children
deserve
to
know
that
their
body
isn't
something
needing
to
be
fixed.
They
deserve
to
get
actual
help
that
will
get
to
the
bottom
of
what
is
causing
their
distress.
They
deserve
to
grow
up
whole.
Please.
It
is
time
for
the
adults
in
the
room
to
stand
up
and
follow
the
lead
of
the
medical
system
and
states
that
have
taken
the
steps
to
protect
these
children.
F
C
E
C
E
That
this
Amendment
believe
that
sub
hovered
in
section
one
subsection,
6
B
3,
but
it
was
suggested
to
me
that
we
could
make
that
point
even
clear,
and
so
that
is
what
this
committee
sub
to
the
sub
does
so
in.
E
In
essence,
this
sub
this
amendment
re,
adds
to
the
definitions
of
the
services,
gender
transition
services
and
specifically
adds
on
page
to
line
19
after
this
act
says
that
gender
transition
services
do
not
include
Services
of
a
health
care
provider
perform
for
the
purpose
of
tapering
and
discontinuing
the
use
of
puberty
blocking
drugs
and
cross-sex
hormones
prescribed
to
a
person
under
the
age
of
18
years
and
on
page
30.
It
deletes
the
lines
10
through
13
in
their
entirety.
C
C
C
L
Thank
you,
chairman
and
I
want
to
thank
representative
Decker.
You
did
a
really
really
great
job
I'm.
L
I
think
that
we
have
some
very,
very
smart
people
testifying
today,
but
I,
don't
feel
that
it's
our
position
to
interfere
in
the
lives
of
of
families
and
I'm,
hoping
that
by
recognizing
and
listening
today
that
people
go
to
the
places
with
the
best
care
and
the
best
things
that
they
can
the
best
services
that
they
can
get,
which
I
know
for
a
fact
that
a
couple
of
our
doctors
that
testify
today
offer
that
so
that's
just
kind
of
what
I
publicly
want
to
say
is
find
the
very
best
care,
don't
wing
it.
M
Thank
you,
chairman
I,
just
I
wanted
to
I
guess
reiterate
to
members
the
packet
of
information
that
we
got,
which
was
pretty
compelling
to
me
in
terms
of
the
businesses
that
were
in
opposition
to
this
bill
and
every
major
U.S
medical
and
Mental
Health
Care
Organization
I
I
wanted
to
ask
the
sponsor.
If
you've
spoken,
two
members
of
the
AMA,
the
kma,
the
Pediatric
Association
I,
mean
any
of
these
organizations
that
oppose
this
bill.
I.
E
N
You
chairman,
hey
representative,
Decker
microphone,.
N
E
Thank
you
for
that
question.
Representative
Stevenson
I
I
have
great
compassion
for
the
children,
parents
and
their
families
who
are
in
this
situation.
However,
ultimately
it
is
Our
obligation
to
protect
children
from
irreparable
harm.
The
state
has
a
compelling
interest
in
that
proposition.
Representative
Stevenson.
We
do
not
allow
parents
to
give
their
children
alcohol
until
the
age
of
18..
We
do
not
allow
parents
to
give
children
cigarettes.
We
don't
allow
parents
to
turn
over
their
car
to
Children.
The
state
has
a
compelling
interest
in
protecting
children
from
decisions
that
are
cause
irreparable
harm.
N
N
So
my
question
is
the
other,
the
associations
in
this
bill.
We
are
telling
associations
that
they
have
to
decertify
people
we're
telling
associations
what
the
standards
are.
We're
telling
associations
how
to
run
their
business
and
we're
legislators
I'm,
not
a
doctor.
How
is
it
that
we
get
to
substitute
the
government's
political
desires
for
professionals
who
do
this?
Lifelong,
like
yeah,
you.
E
N
You
for
asking
thank
you
for
asking
you're,
recognized
and
I
just
want
to
comment
on
the
bill.
Please
do
okay!
Thank
you.
You
know,
as
a
vet,
I
served
27
years
in
the
United
States
Air
Force
for
the
freedom
of
all
people,
all
people,
not
just
the
ones
you
like,
and
also
as
a
minister,
a
ordained
minister
I,
believe
that
God
made
us
perfectly.
That's
what
we
teach
everybody.
God
is
perfect
and
he
makes
no
mistakes.
And
now
we're
saying
God
is
messed
up
and
he's
made
a
lot
of
mistakes.
N
So
the
legislators
will
step
in
and
fix
God's
mistakes.
It
makes
no
sense
and
then
finally,
as
a
mom
I
am
never
ever
had
anybody
come
into
my
house
and
tell
me
how
to
raise
my
kids.
Why
don't
we
give
them
help?
Why
don't
we
fulfill
it
by
giving
them
Mental,
Health,
Services
doing
other
things
except
taking
away
the
parental
rights
and
thinking
that
we're
going
to
be
there
when
they
walk
in
the
room
and
see
their
dead
kid
we're
going
to
be
there
when
their
kid
is
sad.
We're
going
to?
N
Is
the
government
going
to
be
there
when
any
of
that
happens,
no
we're
going
to
go
back
to
our
cushy
places
and
think
we've
done
a
good
job
while
families
are
suffering
this
bill
is
a
no
because
of
all
the
wrong
reasons.
You
can't
make
me
do
what
you
want
me
to
do,
because
you
think
it's
good
for
me,
stop
it.
O
Thank
you,
chairman.
I've,
listened
to
all
the
testimony
today,
I've
read
all
the
emails
that
I've
received.
I've
read
most
of
the
articles
and
in
the
testimony
that
we
heard
today,
I
listened
to
Dr
bowling
and
he
used
the
word
safe,
healthy
and
happy
and
I
want
to
believe
that
everybody
in
this
room
wants
the
same
things
for
their
children,
safe,
happy
and
healthy
and
I.
O
Don't
believe
that
this
bill
accomplishes
that
I'm,
a
family
law
attorney
and
I
come
to
Frankfurt
with
a
lot
of
different
experiences
and
a
lot
of
different
stories
and
I
have
cases
where
families
are
raising
non-binary
children
and
are
dealing
with
these
issues
and
I.
Don't
believe
that
this
legislation
accomplishes
this
goal.
O
It
punishes
Physicians
where
they
should
be
making
the
decisions
on
how
to
treat
the
family
holistically,
whether
that's
with
therapy
or
with
their
recommendations
and
I,
believe
they've
got
licensure
boards
that
can
deal
with
anything,
that's
unethical,
but
for
us
to
predetermine
what
is
unethical
and
not
let
that
go
before
the
licensure
board.
I
have
a
problem
with
so
I'm
going
to
be
a
no
today.
C
E
P
You
Mr
chairman
I,
have
for
the
representative
Decker
three
General
legal
questions
about
this
bill,
so
the
first
relates
to
free
speech
rights
both
of
young
people,
their
parents
and
their
doctors.
Do
you
believe
that
this
do
you
believe
that
this
bill
interferes
with
the
Free
Speech
rights
or
is
subject
to
challenge
on
the
grounds
of
free
speech,
for
either
children,
parents
or
their
doctors.
E
P
Thank
you
chair.
You
are
familiar
with
Tinker
versus
Des
Moines,
where
it
says
students
in
this
case
children
have
the
right
to
do
performative
speech.
In
that
case,
children
were
wearing
black
armbands
in
support
of
Vietnam
veterans
and
withdrawing
from
the
war
in
Vietnam.
The
court
found
that
they
had
the
right
to
do
that.
How
can
you
distinguish
a
child's
right
to
dress
in
a
way
that
he
or
she
feels
comfortable
and
to
use
names
and
pronouns
that
make
him
or
her
feel
comfortable
from
that
same
protected
speech?
That.
E
P
P
Okay,
then
I'll
hone
in
on
Section
1557
of
the
Affordable
Care
Act
1557
Affordable
Care
Act,
says
that
insurers
cannot
discriminate
based
on
sex.
The
Court
Supreme
Court
Justice
Gorsuch
a
trump
appointee,
found
that
that
applies
to
gender
identity,
sexual
orientation.
That
was
a
strict
reading.
It
was
literal
interpretation
of
the
law
when
he
found
that
insurers
could
not
discriminate
based
on
sexual
identity
orientation,
gender
identity,
and
now
we
are
prescribing
that
they
must
do
that.
How
is
that
constitutional?
Well,.
E
C
K
Thank
you,
representative,
Decker.
Yesterday,
when
we
left
committee,
you
asked
me
what
I
thought
about
this
this
bill
and
the
committee
solving
at
the
time
I
had
not
seen
it
and
I
think
that
this
piece
of
legislation
is
is
shameful.
K
It's
it's
very
it's
very
interesting
to
to
sit
here
and
listen
to
testimony.
Read
the
bill
that
we
want
to
insert
ourselves
in
people's
lives.
We
want
to
make
decisions
for
People's,
Health,
Care,
we've
seen
it
in
other
pieces
of
legislation
and
so
I
I
guess.
My
my
question
is
as
far
as
the
values
that
you
have
stood
on
prior
to
is
not
wanting
government
in
the
lives
of
individuals.
K
What
makes
this
piece
of
legislation?
Okay
to
be
engaged
in
the
lives
of
individuals.
E
E
Freedom
is
a
matter
that
Luca
will
will
not
be
able
to
fully
achieve
because
her
body
has
been
harmed
by
others.
She
has
severe
questions
about
her
future,
her
she's
Limited
in
her
options,
I've
spoken
with
her
outside
of
the
committee.
When
she
tells
me
she
wants
to
join
a
group
that
goes
hiking,
but
she
knows
that
she
can't
keep
up
anymore
because
of
the
harm
done
by
hormones
to
her
body.
E
She
needs
protection.
She
needed
protection
by
the
state
to
keep
her
from
being
harmed,
not
to
keep
her
from
herself.
She
should
could
not
make
that
decision
on
her
own
as
a
child
of
16.,
so
it
is
not
inconsistent.
It
is
exactly
what
government
should
do
is
protect
us
from
harm
at
the
hands
of
others.
K
Do
you
have
a
father?
Yes,
please
and
I
I
want
to
thank
Luca
for
your
bravery.
I,
don't
know
if
you're
still
in
the
space
and
and
I
will
never
attempt
to
deny
someone's
experience.
I
also
think
that
several
things
can
be
true
at
the
same
time
and
being
a
masculine-centered
individual
who
identifies
as
queer
I'm
letting
you
know
that
this
is
a
very
dangerous
and
harmful
piece
of
legislation.
K
K
C
K
Say
to
the
members
on
this
committee
is
one
of
the
the
individuals
who
who
testified
with
you.
Representative
Decker
talked
about
the
brain,
the
brain
development
of
young
people
and
I'm
glad
that
they
brought
that
up,
because
it's
very
true
that
that
is
scientifically
true,
that
that
the
brain
of
young
people
do
not
develop
until
25.
K
I
want
this
body
as
we're
here
in
judiciary.
This
is
a
medical,
really
a
medical
piece
of
legislation,
but
since
we're
here
in
judiciary,
I
want
this
body
to
remember
and
understand.
As
we
talk
about
our
young
people
who
are
Justice
involved,
let's
also
talk
about
their
brains,
aren't
developed
until
they're
25..
K
And
that
they
cannot
give
consent,
let's
also
talk
about
that
when
they
should
not
be
interrogated
with
with
with
police
officers
without
having
a
parent
or
a
lawyer
present.
C
Q
Okay,
chairman
and
sorry
that
I've
been
you
know,
we
had
my
health
services
committee,
which
I
had
to
chair
so
I
appreciate
the
changes
in
the
committee.
Sub
I
still
have
pretty
grave
concerns
about
this
piece
of
legislation.
I'd
like
to
just
quickly
read
an
email
and
I
know
that
we've
heard
from
a
lot
of
the
Healthcare
Community,
but
this
is
from
a
physician,
and
she
says,
as
a
physician
and
in
upholding
my
Hippocratic
oath,
I
cannot
be
halted
in
discussing
important
Health
Care
concerns
with
my
patients.
Q
I
am
appalled
at
the
suggestion
that
a
legislative
action
would
interfere
with
the
mental
health
care
of
any
individual,
with
the
incidence
of
mental
health
issues
skyrocketing
in
youth.
I
am
flabbergasted
that
the
legislature
would
consider
a
bill
that
would
interfere
with
the
health
care
of
any
individual.
Transgender
issues
are
not
common,
but
when
they
are
present,
the
incidence
of
severe
depression
and
suicide
are
very
real.
Q
How
could
the
legislature
possibly
think
that
not
allowing
Physicians
and
health
care
providers
to
talk
about
issues
of
gender
identity
or
gender
would
suddenly
cause
these
issues
to
go
away?
These
kids
need
help
in
understanding
and
guidance
in
support,
and
so
I
I
would
agree
that
of
all
the
important
issues
that
we
have
to
discuss
here
in
Kentucky
that
were
really
I.
Q
Think
addressing
fear
in
this
bill
we're
imposing
life-changing
penalties
on
our
health
care,
Workforce
and
I
think
we
need
to
be
very
cautious,
We,
Are,
Forever,
changing
who
will
come
and
work
and
live
here.
Nothing
says
we
Value
Health
Care
workers
like
a
30-year
statute
of
limitations.
The
message
we
are
sending
is
atrocious
to
our
health
care
Workforce.
Q
We
are
stripping
Authority
from
the
licensure
boards
who
are
obligated
to
report,
investigate
and
penalize
any
unethical
breaches
in
malpractice,
so
instead
I
think
that
we
could
strengthen
our
boards
and
and
instead
of
inserting
more
government
I,
think
that
there
are
ways
to
to
give
our
boards
more
Authority.
If
that's
what
we
wish
I
just
am
afraid
that
this
proposal
undermines
everything
that
we've
done
to
increase
our
health
care
Workforce
and
address
the
shortfall.
Q
It
undermines
the
work
that
we've
done
for
the
past
six
years
to
address
mental
health
parity
in
our
state,
and
we
wonder
why
we
have
poor
health
metrics
here
in
Kentucky
we
are
undermining
undermining
physician,
training
and
discretion.
We
are
limit
need
access
to
care.
We
are
forgetting
that
we
are
concerned
about
social
determinants
of
Health.
Eighty
percent
of
what
family
practitioners
deal
with
in
their
office
are
often
mental
health
issues,
and
so
now
we're
legislating.
What
Physicians
and
apparently
podiatrists
what
they
can
say
in
the
exam
room.
Q
I
I
mean
I,
understand
the
the
desire
to
keep
our
kids
safe
from
Predator,
predatory
actions,
but
I,
don't
think
that's
what's
happening.
I
think
this
is
unfortunately
short-sighted
and
discriminatory.
It
sets
Kentucky
back
decades.