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Statement on 11th Circuit Denial of Alabama Families’ Request to Reconsider Ruling That Allowed Transgender Health Ban to Take Effect

The 2023 panel opinion at issue reversed a federal district court opinion granting the plaintiffs a preliminary injunction blocking enforcement of the law

With four of eleven judges dissenting, the Eleventh Circuit Court of Appeals today issued its decision denying the request of parents and children challenging Alabama’s ban on healthcare for transgender adolescents for the entire court to rehear the case.

 In a sharply divided vote with multiple dissents, a bare majority of the court declined to review the 2023 panel opinion holding that Alabama’s ban neither discriminates against transgender people nor violates the fundamental right of parents to make medical decisions for their children. The 2023 panel opinion reversed a federal district court opinion granting the plaintiffs a preliminary injunction blocking enforcement of the law.  

In dissent, Judge Rosenbaum wrote:

“[T]he panel opinion is dangerous and wrong. Make no mistake: while the panel opinion continues in force, no modern medical treatment is safe from a state’s misguided decision to outlaw it almost regardless of the state’s reason. Worse still, if a state bans a post-1868 treatment, no patient has legal recourse to provide their child with that necessary, life-saving medical care in this Circuit. And if an individual can’t access a medical treatment because of their sex or transgender status, they are similarly without recourse.”

Also dissenting, Judge Jordan wrote:  

“The panel’s decision necessarily means that the fundamental right of parents to obtain medical treatment for their children extends only to procedures and medications that existed in 1868, and not to modern advances like the polio vaccine (developed in the 1950s), cardiac surgery (first performed in 1983), organ transplants (first successfully completed in 1954), and treatments for cancer like radiation (first used in 1899) and chemotherapy (which started in the 1940s).”

Judges Wilson and Jill Pryor also dissented from the denial of rehearing.

The plaintiffs’ case seeking a permanent injunction blocking the law is still pending before the district court. Earlier this year, the United States Supreme Court agreed to hear a case challenging a similar law from Tennessee, which also bans medical care for transgender adolescents.  That case will be heard later this year, and a decision is expected in 2025.  

Statement from counsel representing the plaintiff parents and youth challenging Alabama’s law:  

“We are disappointed by the decision, but encouraged that nearly half the court dissented from the denial of rehearing. We are also encouraged by the strong dissenting opinions, which are consistent with the view of most judges who have ruled in similar cases across the country. As the dissenting judges point out, the panel’s decision is not only wrong, but dangerous. Families, not the government, should make medical decisions for children. The evidence presented in the case overwhelmingly showed that the banned treatments provide enormous benefits to the adolescents who need them, and that parents are making responsible decisions for their own children. We will continue to challenge this harmful measure and to advocate for these young people and their parents. Laws like this have no place in a free country.”

南方贫困法律中心 (SPLC)、全国女同性恋权利中心 (NCLR)、GLBTQ 法律倡导者和捍卫者 (GLAD) 以及人权运动 (HRC) 与共同律师 King & Spalding LLP 和 Lightfoot, Franklin & White LLC 一起参与了诉讼。

详细了解 博伊诉马歇尔案.

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Parents Challenging Alabama Transgender Health Ban Oppose State’s Effort to Bypass Trial

Plaintiffs’ filing refutes false claims about the well-established standards of care for transgender adolescents and highlights how purposeful discrimination against transgender people, not concern about health or safety, was at the root of the criminal ban

Plaintiff families challenging Alabama’s ban on health care for transgender adolescents have asked the court to deny the State’s request to rule on the lawfulness of the ban before a full trial.

The plaintiffs’ filing meticulously refutes false claims made in the State’s motion for summary judgment about the established standards of medical care for transgender adolescents. The plaintiffs’ brief cites expert evidence about the rigorous development of those standards, the careful assessment and multidisciplinary approach involved in the delivery of care to transgender adolescents in Alabama, and the well-established benefits of care for transgender adolescents suffering from gender dysphoria.

The families challenging the ban argue that rather than short-circuit the process as the State requests, the case must be allowed to proceed to trial to ensure full consideration of the factual record on the safety and efficacy of transgender health care, the harm suffered by transgender adolescents when they are denied necessary care, and the purposeful discrimination against transgender people that motivated the sweeping ban.

详细了解 博伊诉马歇尔案

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GLAD Responds to Unprecedented Alabama Supreme Court Ruling Undermining Access to Family-building Healthcare 

Today, GLBTQ Legal Advocates & Defenders (GLAD) issued the following statement from Polly Crozier, GLAD’s Director of Family Advocacy, on the Alabama Supreme Court decision in LePage v. Center for Reproductive Medicine. 

“Fertility healthcare enables many Americans to have children and build a family. Bringing children into your family is about love, hope, and nurturing the next generation.  

“That’s why the Alabama Supreme Court decision in LePage v. Center for Reproductive Medicine is so sad and shocking. It seeks to prevent people from having children in a safe, effective, and common medical procedure—in vitro fertilization—that so many rely on. In an unprecedented ruling, the Alabama court concluded that a frozen embryo, created by hopeful parents with assistance from medical providers to build their family, is legally a child. This has untold, devastating, and heartbreaking consequences for people seeking to have children. The journey of infertility is stressful emotionally, physically, and financially, and this ruling threatens to snatch the opportunity of a family from many. Already, at least three clinics in Alabama halted their IVF services out of fear of running afoul of the ruling. 

This case is yet another terrible outcome of a broader effort to control not only women, but to dictate how all Americans should actualize the most intimate parts of our lives, including when and how to form a family.  

“Those who want to take us backward are working overtime to advance an extremist agenda: a complete ban on abortion, criminalization of fertility healthcare and healthcare for transgender people, reversing marriage equality, targeting LGBTQ+ parents and young people, and inserting government into our most personal and family decisions – with frightening implications for all of us. 

“We must also work overtime, collectively and with urgency to protect our common values of freedom and family autonomy. GLAD remains deeply committed to working in collaboration across movements to keep fighting for these shared values. We will continue our work to expand access to healthcare for family building—as we have done in Maine and are currently working on with partners in Connecticut, Massachusetts, New Hampshire, Rhode Island, Vermont, and federally—and also protect children born through assisted reproduction and surrogacy through vitally needed protections like 马萨诸塞州亲子法.”

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第十一巡回法院命令允许阿拉巴马州跨性别青少年医疗禁令生效

今天,第十一巡回上诉法院发布命令,允许阿拉巴马州禁止跨性别青少年接受医疗服务的禁令生效。该命令批准了阿拉巴马州的请求,即在对该法律的质疑进行期间,暂缓执行初审法院于2022年做出的阻止该法律执行的裁决。

代表挑战该禁令的跨性别青少年父母的律师发表了以下声明:

阿拉巴马州的跨性别医疗禁令将损害全州数千名跨性别青少年的利益,并将使父母陷入无法获得子女健康成长所需医疗服务的痛苦境地。在听取了家长、医生和医学专家数日的证词后,地方法院发布了初步命令,阻止了该禁令的实施。这些证词表明,该禁令的破坏性影响及其缺乏任何医学依据。今天的裁决将损害该州的父母和子女的利益。我们将继续挑战这项非法禁令,并支持父母及其子女反抗被剥夺获得必要、最佳医疗服务的危险现实。

8月21日,由三位法官组成的第十一巡回上诉法院推翻了地区法院于2022年5月作出的阻止禁令生效的裁决。原告在2023年9月提交的重审请求中辩称,合议庭应审查该裁决,因为该裁决与最高法院和第十一巡回上诉法院的先例相冲突,这些先例规定,所有基于性别歧视的法律都应根据《平等保护条款》接受更严格的审查;此外,该禁令侵犯了父母长期以来为子女做出医疗决定的权利,而不是将这项权力移交给州政府。该合议庭重审请求目前仍在审理中。关于该禁令合宪性的全面审判计划于2024年8月在联邦地区法院举行。

原告 博伊诉马歇尔案 他们的代理机构包括南方贫困法律中心 (SPLC)、全国女同性恋权利中心 (NCLR)、同性恋、双性恋、跨性别者 (GLBTQ) 法律倡导者与捍卫者 (GLAD) 以及人权运动组织 (HRC)。King & Spalding LLP 和 Lightfoot, Franklin & White LLC 律师事务所也参与了此次诉讼。

寻求支持的阿拉巴马州家庭可以联系 www.southernequality.org/ALresources

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阿拉巴马州家长要求第 11 巡回上诉法院审查专家组的决定,该决定允许州政府禁止其子女接受必要的医疗护理

专家组推翻了阿拉巴马州对跨性别者刑事医疗禁令的裁决,损害了父母为子女提供既定医疗服务的基本权利,并与针对跨性别者的法律基于性别歧视的明显先例相冲突

阿拉巴马州的家庭挑战该州禁止为跨性别儿童提供医疗服务的禁令 要求第 11 巡回上诉法院全体法官审查 专家组裁决称,在案件审理期间,禁令可以生效。

阿拉巴马州的禁令自2022年5月起被联邦地区法院在为期数日的证据听证会上签发的初步禁令所阻止,法院在听取了家长、医疗保健提供者和医学专家的证词。在审查证据后,地区法院认定,提供这些医疗服务是既定的医疗服务,如果被拒绝,将导致跨性别青少年遭受严重伤害。地区法院的意见认为,阿拉巴马州的法律针对跨性别青少年,可能违反了联邦《平等保护条款》,也侵犯了父母为子女做出医疗决定的基本权利。

8月21日,由三位法官组成的第十一巡回上诉法院推翻了地区法院的裁决。原告在重新审理请求中辩称,合议庭应审查该裁决,因为该裁决与最高法院和第十一巡回上诉法院的先例相冲突,这些先例规定,所有基于性别歧视的法律都应根据《平等保护条款》受到更严格的审查,而且该禁令侵犯了父母长期以来为子女做出医疗决定的权利,而不是将这项权力移交给州政府。 

阿拉巴马州家庭挑战法律 代表机构包括 GLBTQ 法律倡导者和捍卫者、全国女同性恋权利中心、南方贫困法律中心和人权运动.

GLBTQ 法律倡导与捍卫者组织跨性别和酷儿权利高级总监 Jennifer Levi 表示:
“正如地方法院在听取家长、医生和医学专家数日的证词后得出的结论,阿拉巴马州刑事跨性别医疗禁令的执行将损害全州数千名跨性别青少年的利益。这还将使阿拉巴马州的家长陷入无法获得子女健康成长所需医疗服务的痛苦境地。我们将在各个层面支持这些家长及其子女,共同对抗这一危险的现实。”   

美国全国女同性恋权利中心法律总监香农·明特 (Shannon Minter) 表示:
我们的客户和其他阿拉巴马州的家庭有权保护他们的跨性别子女,并确保他们获得所需的支持。陪审团的裁决践踏了这项权利,并与最高法院和第十一巡回法院明确确立的法律相冲突。我们希望全体法官能够审查此案,并阻止这项毁灭性的刑事禁令生效。 

南方贫困法律中心 LGBTQ 权利和特殊诉讼副法律总监 Scott McCoy 表示:
“允许SB 184生效除了阻止父母获得子女所需的医疗服务外,没有任何意义。所有听取过相关证据的联邦地区法院都得出了相同的结论:目前推荐用于跨性别青少年的现有医疗方法对某些青少年而言是安全、有效且可挽救生命的,没有正当理由禁止这些方法。”

人权运动法律总监莎拉·沃贝洛 (Sarah Warbelow) 表示:
“父母,而不是政府,最有资格为子女做出医疗决定。这种理解深深植根于我们的共识和法律基础。允许这项禁令生效,将是对既定先例的惊人颠覆,也是对私人家庭决策的严重侵犯。” 

南方贫困法律中心 (SPLC)、全国女同性恋权利中心 (NCLR)、GLBTQ 法律倡导者和捍卫者 (GLAD) 以及人权运动 (HRC) 与共同律师 King & Spalding LLP 和 Lightfoot, Franklin & White LLC 一起参与了诉讼。

了解更多案件信息.

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Update on the federal challenge to Alabama’s law banning medical care for transgender minors and access to care:

The most important thing to know is that the preliminary injunction blocking enforcement of Alabama’s law is still in effect and will remain in effect at least for the next two to three months, and possibly longer.

As you likely are aware, on August 21, 2023, a three-judge panel of the Eleventh Circuit issued a decision disagreeing with a ruling by a federal district court judge in Alabama blocking enforcement of Alabama’s criminal ban on the prescription or administration of puberty blockers or hormone therapy for transgender adolescents.  

Judge Burke issued his preliminary injunction last May, blocking any enforcement of Alabama’s law since that time.

The most important thing to know is that the preliminary injunction blocking enforcement of Alabama’s law is still in effect and will remain in effect at least for the next two to three months, and possibly longer.

Based on the ordinary legal process, an appellate decision reversing a preliminary injunction by a federal district court judge does not take effect immediately. The federal rules of civil procedure require that the plaintiffs be given 21 days to ask the entire court to review the decision (this is known as seeking rehearing en banc). The legal team representing the plaintiffs in Alabama intends to do so.  

Our petition for rehearing en banc must be filed by September 11. The preliminary injunction must remain in place until the Eleventh Circuit either denies that request or, if they accept the request and agree to review the panel decision, until they issue a decision.

While this process unfolds, the preliminary injunction remains in effect, which means the Alabama ban cannot be enforced. Medical providers in Alabama are continuing to provide care to transgender adolescents and will continue to provide care as long as the preliminary injunction is in effect.    

That said, depending on how the Eleventh Circuit rules, there may come a point at which the preliminary injunction is no longer in effect, so parents of transgender adolescents in Alabama should be prepared for that possibility as one they may have to face down the road. If that were to happen, the law does not bar parents from taking their children out of state to seek care, from getting prescriptions filled in Alabama, or from administering medications to their children. The law in Alabama applies only to doctors and other healthcare providers.

Please stay tuned for more updates, and feel free to reach out with any questions to any of our legal team organizations:

GLBTQ 法律倡导者和捍卫者
Legal Help Line: www.GLADAnswers.org
Contact
: Amanda Johnston, ajohnston@glad.org

全国女同性恋权利中心
Legal Help Line: www.nclrights.org/get-help
Contact
: Shannon Minter, sminter@nclrights.org

人权运动
Legal Help Line: www.thehrcfoundation.org/impact-litigation-and-advocacy
Contact: Aryn Fields, aryn.fields@hrc.org

南方贫困法律中心
Contact: Kimberly Allen, kimberly.allen@splcenter.org

For direct help navigating care in Alabama, including 1-on-1 conversations about your family’s situation and emergency funding, contact the Southern Transgender Youth Emergency Project, a project of the Campaign for Southern Equality, led in Alabama in partnership with the Magic City Acceptance Center and Prism United. 

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Statement on 11th Circuit Ruling Reversing Injunction on Alabama Transgender Healthcare Ban

Today, a three-judge panel of the 11th Circuit Court of Appeals issued a decision reversing a federal district court ruling blocking enforcement of Alabama’s law banning medical care for transgender adolescents. The district court opinion, which was issued last spring, held that Alabama’s law likely violated the federal Equal Protection Clause and parents’ fundamental right to make medical decisions for their children. Thus far, every single federal district court to hear a similar challenge has ruled similarly, holding that these state bans discriminate against transgender minors and burden their parents’ constitutionally protected rights. The 11th Circuit panel disagreed, holding that Alabama’s law does not discriminate based on sex or transgender status and is therefore subject only to the lowest level of constitutional review.  

The Alabama families challenging the law in 博伊诉马歇尔案 are represented by the National Center for Lesbian Rights, GLBTQ Legal Advocates & Defenders, The Southern Poverty Law Center, and Human Rights Campaign, who issued the following statement:

“This is a deeply disappointing decision that is difficult to reconcile with the 11th Circuit’s prior rulings and with the Supreme Court’s clear guidance that discrimination because a person is transgender is sex discrimination. Our clients are devastated by this decision, which leaves them vulnerable to what the district court—after hearing several days of testimony from parents, doctors, and experts–found to be irreparable harm as a result of losing the medical care they have been receiving and that has enabled them to thrive. 

While this is a setback, we are confident that it is only a temporary one. Every federal district court that has heard the evidence presented in these cases has come to the same conclusion: these medical treatments are safe, effective, and lifesaving for some youth, and there is no legitimate reason to ban them. We believe that at the end of the day, our nation’s courts will protect these vulnerable youth and block these harmful laws, which serve no purpose other than to prevent parents from obtaining the medical care their children need. Parents, not the government, are best situated to make these medical decisions for their children. These laws are a shocking example of government overreach and a jarring intrusion into private family decisions. This case is far from over, and we will continue to aggressively seek legal protection for these families.”   

南方贫困法律中心 (SPLC)、全国女同性恋权利中心 (NCLR)、GLBTQ 法律倡导者和捍卫者 (GLAD) 以及人权运动 (HRC) 与共同律师 King & Spalding LLP 和 Lightfoot, Franklin & White LLC 一起参与了诉讼。

了解更多案件信息.

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Plaintiffs urge the 11th Circuit Court of Appeals not to reinstate a law that would criminalize doctors and parents for ensuring their transgender children can access necessary medical care to support their well-being

MONTGOMERY – Plaintiffs challenging Alabama’s SB 184 today will urge the United States Court of Appeals for the 11th Circuit to affirm the district court’s order barring enforcement of the law, which would criminalize doctors and parents for providing transgender children with access to necessary medical care. The law was blocked by a federal district court judge in May 2022 after a two-day evidentiary hearing.

Arguments on Alabama’s appeal of the district court’s ruling will begin at approximately 9:30 a.m. CT on Friday, November 18 at the Frank M. Johnson Jr. U.S. Courthouse in Montgomery. The argument will be live-streamed. More information is available on the court website.

SB 184 criminalizes parents who seek essential medical care for their transgender children, the doctors who provide this medical care, and anyone else who assists transgender young people to get the care they need. Under the law, which is unprecedented, parents, doctors and others could face up to 10 years in prison and a fine of up to $15,000.

The district court blocked enforcement of SB 184 after an extensive evidentiary hearing in May 2022, finding that the law seeks to ban established, effective medical care and that doing so would cause severe harm. The district court found that the State of Alabama presented no credible evidence to contradict testimony from doctors and medical experts on the safety and efficacy of medical care for transgender youth who experience gender dysphoria, including the fact that over 22 major medical organizations recognize the established standard of care for transgender youth.

这套西装, Reverend Eknes-Tucker v. Marshall, is brought by five parents on the grounds that it strips them of the right to make important decisions about their children’s healthcare. In its order blocking the law from taking effect, the district court agreed that plaintiffs are likely to prevail in their claim that SB 184 unconstitutionally discriminates against transgender minors and violates the fundamental right of parents, rather than the state, to make healthcare decisions for their children.

Plaintiff Megan Poe, mother of 15-year-old Allison of Northern Alabama (both proceeding anonymously):

“Like any parent, I want to provide my children with the support they need. Ensuring that my daughter has access to the medical care she needs has meant that she can be a confident teenager who is happy and optimistic about her future. I hope the court of appeals will see that parents of transgender children simply want our children to be healthy, happy and safe.”

The parent plaintiffs are joined by a private practice pediatrician in rural Southeast Alabama and a clinical psychologist in Birmingham. The U.S. Department of Justice has also joined the suit as 原告介入者 challenging the constitutionality of the law, which would deny established medical treatments to youth who are transgender but not to others.

Additional Alabama parents of transgender children filed a friend-of-the-court brief asking the U.S. Court of Appeals for the 11th Circuit to uphold the injunction against SB 184. 

In their brief, parents describe the importance of being able to seek the best medical advice and care to support their children’s well-being, and how they have seen their children flourish with access to the right care:

Laura and Brian Coe, parents of 15-year-old Matthew (proceeding anonymously)

As much as Matthew has benefitted simply from being accepted and affirmed by his family, school, doctors, and friends, his medical transition is a critical measure for his well-being…Since obtaining the medical care that he needs, Laura and Brian have seen Matthew begin to “come to life.” The Coes would “worry for Matthew’s safety” if there were a disruption to his care. They are “simply trying to support their child and provide him with the best care possible.”

Melissa Soe, parent of 15-year-old Taylor (proceeding anonymously)

Since coming out and receiving care, Taylor has gone from “an anxious, sad kid who had a hard time getting up in the morning, to a kid who is up and out on their bike, in the woods, and going to camp.” Taylor is finally beginning to remind their parents of the happy-go-lucky kid they were when they were younger, prior to puberty taking its toll…” [It is] very important to Taylor to have continuity of care,” which would be disrupted by implementation of [SB 184]. Simply knowing that such care is accessible has significantly decreased Taylor’s distress.

Cynthia Lamar-Hart, parent of Gwendolyn who began receiving transition-related care while an adolescent living in Alabama and is now in her late 20s. Because access to care was not available in Alabama at the time, the family had to travel out-of-state:

[E]ven with the means to afford and make time for out-of-state treatment, Cynthia witnessed how …  months of delays in Gwendolyn’s care resulted in suffering that she would not have experienced had she been able to visit a clinic in-state. Cynthia quickly saw a change in Gwendolyn after she began receiving transition-related care. Once Gwendolyn began the process of transitioning, she was no longer withdrawn, and became more confident and engaged socially and at school.

Joining these parents in asking the 11th Circuit to continue blocking enforcement of SB 184 are:

Visit the case page to find all friend-of-the-court briefs filed in support of plaintiffs-appellees and other case documents. 

The plaintiffs-appellees are represented by Lightfoot, Franklin & White LLC, King & Spalding LLP, GLBTQ Legal Advocates & Defenders (GLAD), the National Center for Lesbian Rights (NCLR), the Southern Poverty Law Center (SPLC) and the Human Rights Campaign (HRC).

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Parents, Medical Experts, Faith Groups, and 21 States Urge Appeals Court Not to Reinstate Alabama Law Criminalizing Healthcare for Transgender Youth

Multiple friend-of-the-court briefs filed with the 11th Circuit Court of Appeals in support of Plaintiffs-Appellees in 埃克内斯-塔克牧师诉马歇尔案

ALABAMA – Parents of transgender children have filed a 法庭之友陈述 asking the U.S. Court of Appeals for the 11th Circuit to uphold the injunction against S.B. 184. The Alabama law, blocked by a federal judge in May 2022, would criminalize doctors and parents for ensuring their transgender children can access necessary medical care. Medical experts, faith groups, and 21 U.S. states also filed briefs urging the Appeals Court to keep the bar on S.B. 184 in place.

The Alabama parents of transgender children described in their brief the importance of being able to seek the best medical advice and care to support their children’s well-being, and how they have seen their children flourish with access to the right care.

Excerpts from the Parents’ brief:

When their children came out to them as transgender, each one of these parents was surprised, scared, and confused. Their very first step was to make sure their child knew that they would never stop loving and supporting them, and then they set out to determine what they needed to do to protect and ensure their child’s health and safety. This included seeking professional medical assistance to determine whether their child was, in fact, suffering from gender dysphoria and, if so, to devise a treatment plan.

Laura and Brian Coe, parents of 15-year-old Matthew (proceeding anonymously)

As much as Matthew has benefitted simply from being accepted and affirmed by his family, school, doctors, and friends, his medical transition is a critical measure for his well-being…Since obtaining the medical care that he needs, Laura and Brian have seen Matthew begin to “come to life.” The Coes would “worry for Matthew’s safety” if there were a disruption to his care. They are “simply trying to support their child and provide him with the best care possible.”

Melissa Soe, parent of 15-year-old Taylor (proceeding anonymously)

Since coming out and receiving care, Taylor has gone from “an anxious, sad kid who had a hard time getting up in the morning, to a kid who is up and out on their bike, in the woods, and going to camp.” Taylor is finally beginning to remind their parents of the happy-go-lucky kid they were when they were younger, prior to puberty taking its toll…” [It is] very important to Taylor to have continuity of care,” which would be disrupted by implementation of [SB 184]. Simply knowing that such care is accessible has significantly decreased Taylor’s distress.

Cynthia Lamar-Hart, parent of Gwendolyn who began receiving transition-related care while an adolescent living in Alabama and is now in her late 20s

Because access to care was not available in Alabama at the time, the family had to travel out-of-state:

[E]ven with the means to afford and make time for out-of-state treatment, Cynthia witnessed how …  months of delays in Gwendolyn’s care resulted in suffering that she would not have experienced had she been able to visit a clinic in-state. Cynthia quickly saw a change in Gwendolyn after she began receiving transition-related care. Once Gwendolyn began the process of transitioning, she was no longer withdrawn, and became more confident and engaged socially and at school.

Joining these parents in asking the Court of Appeals to continue blocking enforcement of S.B. 184 are:

All friend-of-the-court briefs filed in support of plaintiffs-appellees and other case documents can be found on the case page. Oral argument is scheduled for the week of November 14, 2022 at the U.S. Court of Appeals for the 11th Circuit in Montgomery, Alabama.

The plaintiffs-appellees are represented by Lightfoot, Franklin & White LLC, King & Spalding LLP, GLBTQ Legal Advocates & Defenders (GLAD), the National Center for Lesbian Rights (NCLR), SPLC Action Fund (SPLC), and the Human Rights Campaign (HRC).

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Parents challenging Alabama’s SB 184 have responded to the State’s appeal of a district court ruling that blocked enforcement of the law in May 2022. SB 184 criminalizes parents who seek essential medical care for their transgender children, the doctors who provide this medical care, and anyone else who assists transgender young people to get the care they need. Under the law, parents, doctors, and others could face up to 10 years in prison and a fine of up to $15,000. The State of Alabama has appealed the district court’s May 13 order blocking the law from being enforced to the U.S. Court of Appeals for the 11th Circuit.

In their brief filed last night, plaintiffs urged the Court of Appeals to keep the injunction against SB 184 in place, citing the district court’s reliance on well-established, evidence-based medical standards and parents’ fundamental right to obtain medical care for their children. At a May hearing before the district court and in related filings, parents testified that being able to access needed care has had an enormously positive impact on their children’s health and that being forced to stop treatment would create devastating consequences for their children’s wellbeing.

The district court blocked enforcement of SB 184 citing substantial evidence that the law seeks to ban established, effective medical care and that doing so would cause severe harm. In its order the court said that plaintiffs are likely to prevail in their claim that SB 184 unconstitutionally discriminates against transgender minors and violates the fundamental right of parents, rather than the state, to make healthcare decisions for their children.

In blocking the law, the district court noted that the State of Alabama presented no evidence to contradict testimony from doctors and medical experts on the well-established safety and efficacy of medical care for transgender youth who experience gender dysphoria, including the fact that over 22 major medical organizations recognize the established course of care for transgender youth.

这套西装, 埃克内斯-塔克牧师诉马歇尔案, is brought by five parents on the grounds that it strips them of the right to make important decisions about their children’s healthcare. They are joined by a private practice pediatrician in rural Southeast Alabama, a clinical psychologist with the UAB medical system, and Reverend Paul Eknes-Tucker, Senior Pastor at Pilgrim United Church of Christ in Birmingham, all of whom could face severe criminal penalties if the law were allowed to go into effect. The U.S. Department of Justice has also joined the suit as plaintiff-intervenor 质疑该法律的合宪性,该法律拒绝为变性青年提供既定的医疗治疗,但允许为其他青年提供治疗。

原告梅根·坡(Megan Poe),阿拉巴马州北部 15 岁女孩艾莉森(Allison)的母亲:

“While many people may not understand what it means to have a transgender child, I know any parent can relate to worrying about whether your child is healthy and safe. Stopping SB 184 from taking effect has let my family breathe a little easier as my daughter has continued to get the support and care she needs. This law has shined a spotlight on our family’s personal healthcare decisions that we didn’t ask for, but I’m so glad that the district court heard and understood our experience and the experience of other families like ours. My daughter is a confident, engaged and happy teenager today because we are able to provide her care. I hope the court of appeals will see that, too, and keep the injunction against SB 184 in place until we hopefully see it stopped for good.”

自 2015 年起担任历史悠久的朝圣者教堂联合基督教会 (UCC) 主任牧师的保罗·埃克内斯-塔克 (Paul Eknes-Tucker) 牧师表示:

“Parents of transgender children in congregations I have served are seeking what all parents want, to find the best path to ensure their kids are happy and healthy. I have sat with concerned parents and I have witnessed how finding the right support and individualized care has addressed their questions and allowed their transgender children to flourish. Allowing SB 184 to go into effect would take away Alabama families’ options for support and would put Alabama kids at risk.”

阿拉巴马州东南部农村私人诊所儿科医生 Rachel Koe 博士:

“The district court’s ruling blocking SB 184 brought overwhelming relief to parents of transgender children in my practice who, like all parents, want to do what’s best for their kids. It would be unbelievably cruel to put families through that fear again, and it would be devastating to put parents in the position of risking prison or stopping treatment that is enabling their kids to thrive.”

The families challenging SB 184 come from across the state and are proceeding anonymously due to the risk of criminal prosecution as well as for their privacy and safety.

The plaintiffs are represented by Lightfoot, Franklin & White LLC, King & Spalding LLP, GLBTQ Legal Advocates & Defenders (GLAD), the National Center for Lesbian Rights (NCLR), SPLC Action Fund (SPLC), and the Human Rights Campaign (HRC).

Jennifer Levi, GLAD Transgender Rights Project Director:

“The district court recognized that parents, not the government, should make decisions about what’s best for their kids’ health and wellbeing. Parents want what’s best for their kids. That’s why preserving parental rights to make healthcare decisions for their children has been such a long-held American value.”

Asaf Orr, NCLR Senior Staff Attorney and Transgender Youth Project Director:

“As the district court said, governments cannot deny transgender adolescents the ability to obtain essential medical care simply because of who they are. Holding otherwise would allow states to enact discriminatory laws that harm young people and intrude into family life.”

Sarah Warbelow, HRC Legal Director:

“It is absolutely critical that parents continue to have the autonomy to make these crucial, life-saving decisions for their children—not state lawmakers. It is imperative that the injunction remains in place against this unconstitutional, harmful law that strips parents of their ability to act in the best interest of their child.”

Scott McCoy, SPLC Action Fund Interim Deputy Legal Director LGBTQ Rights & Special Litigation:

“Maintaining the injunction against this ill-conceived law is critical to the children and families that rely on this life-affirming and life-saving medical care. We are hopeful that the Court of Appeals will see that the district court got it right in finding that this law is unconstitutional and risks the health and well-being of transgender kids.”

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