North Carolina 2023-2024 Regular Session

North Carolina Senate Bill S639

Introduced
4/5/23  

Caption

Youth Health Protection Act

Impact

If enacted, S639 will significantly alter the legal landscape regarding youth healthcare in North Carolina. It preemptively limits the ability of health professionals to offer care related to gender dysphoria, as it prohibits any treatment that diverges from the definitions set by the state related to gender identity. This could affect not only psychological support services but also future access to medical interventions for minors seeking gender-affirming care. By embedding parental consent requirements and safeguarding parental rights, the bill seeks to reinforce traditional notions of parental authority in health decisions concerning children.

Summary

Senate Bill 639, also known as the Youth Health Protection Act, aims to impose restrictions on the administration of gender transition procedures to minors. This legislation defines gender transition procedures broadly to include the use of puberty blockers, cross-sex hormones, and related surgical interventions, making it illegal for state-funded health care providers to perform these procedures on individuals under 18. The bill reflects concerns among lawmakers regarding the irreversible consequences of these medical interventions, with the sponsors arguing that minors may not fully comprehend the long-term risks associated with them, including potential infertility and other health complications.

Sentiment

The sentiment surrounding the bill is deeply polarized. Supporters view it as a protective measure to safeguard children's health and well-being, arguing that many minors will outgrow their feelings of gender dysphoria without undergoing medical interventions. They emphasize the importance of caution in administering such treatments to children who may not fully understand their significance. Conversely, opponents of the bill see it as harmful and restrictive to individual rights and medical autonomy, warning that it could exacerbate issues related to mental health for those who identify as transgender or non-binary, by limiting their access to necessary medical support.

Contention

S639 has generated considerable debate regarding the rights of minors versus the authority of the state and parents in making health care decisions. Critics argue that the bill could lead to increased mental health crises among LGBTQ+ youth who depend on affirming care. Additionally, the definitions and scope of what constitutes gender transition procedures have sparked contention within the medical community about the implications for health professionals who are legally bound by ethical guidelines to provide care that aligns with a patient’s needs. The result could be reduced access to comprehensive health services for transgender youth and significant legal challenges surrounding its implementation.

Companion Bills

NC H808

Same As Gender Transition/Minors

Similar Bills

IA SF129

A bill for an act relating to actions relative to treatment or intervention regarding the discordance between a minor's sex and gender identity, and providing civil penalties.

AZ SB1687

Gender transition; public funds; prohibition

NJ A2681

"Mental Health Access Act;" increases Medicaid reimbursement rates for certain evidence-based behavioral health services.

NJ A2500

"Mental Health Access Act;" increases Medicaid reimbursement rates for certain evidence-based behavioral health services.

NC H808

Gender Transition/Minors

CA AB2317

Children’s psychiatric residential treatment facilities.

AZ SB1138

Irreversible gender reassignment surgery; minors

MS SB2728

Mississippi Save Adolescents from Experimentation Act; create.