The state’s ban on gender-affirming pediatric care “cannot be justified” by science, a two-year review concluded.
Madison PaulyMay 27, 2025, 3:00 pm EDT
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
In 2022, Utah Gov. Spencer Cox was the rare Republican governor who seemed to truly care about the well-being of transgender kids. “I don’t understand what they are going through or why they feel the way they do. But I want them to live,” he wrote in a letter that year, explaining why he was vetoing a bill that would have banned four trans middle- and high schoolers in Utah from playing on sports teams with classmates who shared their gender identity. “All the research shows that even a little acceptance and connection can reduce suicidality significantly.”
Meanwhile, nationally, Republican politicians were making opposition to trans rights a core tenet of their platforms, filing hundreds of bills attacking trans kids at the doctor’s office, at school, and on the field. Early in the 2023 legislative session, Cox capitulated, signing a bill that placed an indefinite “moratorium” on doctors providing puberty blockers and hormone therapy to trans kids with gender dysphoria. The bill ordered the Utah health department to commission a systematic review of medical evidence around the treatments, with the goal of producing recommendations for the legislature on whether to lift the moratorium. “We sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures,” Cox said at the time.
Now, more than two years later, that review is here, and its conclusions unambiguously support gender-affirming medical care for trans youth. “The conventional wisdom among non-experts has long been that there are limited data” on gender-affirming pediatric care, the authors wrote. “However, results from our exhaustive literature searches have lead us to the opposite conclusion.”
The medical evidence review, published on Wednesday, was compiled over a two-year period by the Drug Regimen Review Center at the University of Utah. Unlike the federal government’s recent report on the same subject, which was produced in three months and criticized gender-affirming pediatric treatments, the names of the Utah report’s contributors are actually disclosed on the more than thousand-page document.
The authors write:
The consensus of the evidence supports that the treatments are effective in terms of mental health, psychosocial outcomes, and the induction of body changes consistent with the affirmed gender in pediatric [gender dysphoria] patients. The evidence also supports that the treatments are safe in terms of changes to bone density, cardiovascular risk factors, metabolic changes, and cancer…
It is our expert opinion that policies to prevent access to and use of [gender-affirming hormone therapy] for treatment of [gender dysphoria] in pediatric patients cannot be justified based on the quantity or quality of medical science findings or concerns about potential regret in the future, and that high-quality guidelines are available to guide qualified providers in treating pediatric patients who meet diagnostic criteria.
In a second part of their review, the authors looked specifically at long-term outcomes of patients who started treatment for gender dysphoria as minors:
Overall, there were positive mental health and psychosocial functioning outcomes. While gender affirming treatment showed a possibly protective effect in prostate cancer in transgender men and breast cancer in transgender women, there was an increase in some specific types of benign brain tumors. There were increased mortality risks in both transgender men and women treated with hormonal therapy, but more so in transgender women. Increase risk of mortality was consistently due to increase in suicide, non-natural causes, and HIV/AIDS. Patients that were seen at the gender clinic before the age of 18 had a lower risk of suicide compared to those referred as an adult.
Submitted with the review was a set of recommendations—compiled by advisers from the state’s medical and professional licensing boards, the University of Utah, and a Utah non-profit hospital system—on steps the state legislature could take to ensure proper training among gender-affirming care providers, in the event it decides to lift the moratorium.
But according to the Salt Lake Tribune, legislators behind the ban are already dismissing the findings they asked for. In response to questions from the Tribune, Rep. Katy Hall, who co-sponsored the 2023 ban, issued a joint statement with fellow Republican state Rep. Bridger Bolinder, the chair of the legislature’s Health and Human Services Interim Committee, that dismissed the study’s findings. “We intend to keep the moratorium in place,” they told the Tribune. “Young kids and teenagers should not be making life-altering medical decisions based on weak evidence.”
Why ignore their own review? Polling, the legislators’ statement suggests. “Utah was right to lead on this issue, and the public agrees—polls show clear majority support both statewide and nationally,” Hall and Bolinder added in their statement. “Simply put, the science isn’t there, the risks are real, and the public is with us.”
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At the same time this flag allows the flags supported by the right, the Confederate battle flag, the thin blue line flag, the Dresden don’t tread on me flag, along with others. The only political flag not allowed is those supporting the LGBTQ+ community. Hugs
Montana’s Gov. Greg Gianforte (R) has passed a law prohibiting the flying of Pride flags on government property and public schools. However, the law allows “historic flags,” like the Confederate flag, to be flown even though that flag represents support for Black slavery.
House Bill 819 allegedly restricts any flags that “represent a political party, race, sexual orientation, gender or political ideology.” It also allows the flying of any flags “honoring law enforcement officers, military service members, and public service organizations [that] provide appropriate, nonpolitical recognition of their contributions to public safety and national defense.”
The law was sponsored by 25-year-old state Rep. Braxton Mitchell (R), who introduced a law banning drag shows (including drag storytime events) from taking place on public property. The law remains unenforceable due to a federal court injunction against it.
Justifying his flag ban, Mitchell said during a March 6 state House floor debate, “Government buildings, schools and public facilities serve all citizens and should not be used to promote political, ideological or activist messaging,” according to KTVH.
However, Rep. Pete Elverum (D) pointed out, “What we’re doing here is we’re expressly prescribing what speech is allowed, ‘these flags’, and what speech is not allowed, ‘these other flags’,” adding, “And as for the definition of ‘promoting a certain ideology,’ those [flags] are expressly prohibited, but at the exact same time we’re sitting here with a bill proclaiming to be about free speech, we’re expressly prohibiting some and promoting others.”
Both Utah and Idaho have signed similar laws restricting the flying of Pride flags in schools and government property. The move led the capitol city governments of Salt Lake City,Utah and Boise, Idaho to designate the Pride flags as official city flags, so they can still fly them under the law.
When Mitchell introduced his aforementioned statewide drag ban, he claimed that all drag performances are “sexually oriented,” “indecent,” “inappropriate,” and “harmful” for minors. A federal judge issued an injunction against the ban in October 2023 — saying the broadly written law would encourage “discriminatory enforcement” and “disproportionally harm … anyone who falls outside of traditional gender and identity norms.” The judge’s injunction has stayed in place ever since.
Mitchell supports far-right causes, like pro-gun protests in the face of school shootings, joined the young conservative group Turning Point USA, supported the current U.S. president’s baseless claims of a “stolen” 2020 election, and has shared images of the far-right paramilitary group the Proud Boys on social media,The Daily Beast reported.
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“In almost every single case, the reason was anti-trans discrimination in the form of pressure to ‘detransition’ from one’s family, friends, or community.”
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A report on the largest survey ever of trans Americans’ health was released on Wednesday, June 11, and its findings reaffirmed what many academics, health care providers and trans people already know: gender-affirming care saves and improves lives, but transphobia often dissuades people from pursuing or continuing it when they need it most.
Over 84,000 trans, nonbinary and gender nonconforming people aged 18 and up responded to the 2022 U.S. Transgender Survey, spearheaded by Advocates for Trans Equality (A4TE). Of respondents who had transitioned, 9% had gone back to living as their sex assigned at birth at some point in their lives, at least for a short while—but in almost every single case, the reason was anti-trans discrimination from one’s family, friends, or community.
“Social and structural explanations dominated the reasons why respondents reported going back to living in their sex assigned at birth at some point,” the report found. “Only 4% of people who went back to living in their sex assigned at birth for a while cited that their reason was because they realized that gender transition was not for them. When considering all respondents who had transitioned, this number equates to only 0.36%.”
Meanwhile, respondents who received gender-affirming hormone therapy (GAHT) or gender-affirming surgery overwhelmingly reported feeling “more satisfied” with their lives—98% and 97% respectively.
Graphic courtesy of the 2022 U.S. Transgender Survey – Health and Wellbeing Report
This watershed report contradicts the popular narrative being circulated by mainstream media, far-right politicians and anti-trans groups that transgender people are “detransitioning” en masse due to life-shattering “transition regret.” In reality, it shows gender diverse people are living rich and vibrant lives—so long as they are provided the space, support and care they need from their health care providers and communities.
The survey found a trans person’s overall health and wellbeing also heavily depends upon rates of familial support, a factor that has a profound influence over a trans person’s lifetime experience of suicidality.
Graphic courtesy of the 2022 U.S. Transgender Survey – Health and Wellbeing Report
The survey has been released in increments as researchers at A4TE wade through the unprecedented amounts of data from trans people who lent their voice to the project. It is a much-needed, comprehensive overview on the challenges—and victories—seen in trans health care since the prior iteration of the study. The report is especially vital considering the Trump Administration moved to remove transgender people from the U.S. Census and other government websites, rendering trans communities potentially invisible, and robbing researchers of crucial data informing public policy decisions.
“Having real concrete and rigorous data about the realities of trans people’s day-to-day lives is also a vital part of dispelling all of those assumptions and stereotypes that plague the public discourse about our community,” said Olivia Hunt, A4TE’s Director of Federal Policy, during a press briefing this week.
The report also touched upon trans people’s access to health care, which increased between 2015 and 2022; the quality of care, as trust between doctors and trans patients has improved; disparities between trans people across racial groups, which showed trans people of color are generally more prone to experience discrimination compared to white trans people; and the mental health challenges facing the trans community, as 44% of respondents met the criteria for serious psychological distress, compared to less than 4% of the general U.S. population.
Many of these issues have likely been exacerbated since the data was collected. The lead-up to President Donald Trump’s return to the Oval Office incited a new wave of anti-trans animus, impeding access to care and stirring up transphobic vitriol and harassment.
“From 2015 to 2022, state-level policy environments became more protective in some ways for trans people; however, in 2022 alone, when the USTS was administered, 315 anti-LGBTQ bills were introduced across the country, many of which harm trans and nonbinary people’s access to healthcare, participation in sports, access to public facilities, or other facets of public life,” the report says.
“This political landscape has only worsened since the administration of the 2022 USTS, with the introduction of 571 anti-LGBTQ nationwide in 2023 and 489 in 2024,” it continues. “At the time of writing, data on trans and nonbinary people has been erased from federal health surveys. As funding for LGBTQ research is stripped away, the USTS has become an ever more critical resource on the lived experiences of trans and nonbinary people.”
Nonetheless, trans life and trans joy has persisted, as testimonies featured in the U.S. Trans Survey demonstrate.
“I have thrived in the past 12 months in transition, I have a genuine smile on my face most days & laugh with genuine joy,” wrote Charlotte, a trans woman, in her survey response. “I have grown into the woman I was meant to be.”
And as Roo, a nonbinary person, wrote: “Once I learned what it meant to be trans, I never looked back. I traded in my Regina George-esque life for a future with a balding head and a predisposition for a beer gut. I’ve never been more happy to be alive—every single day. ”
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With DEI initiatives firmly in the crosshairs of the Trump administration, many large corporations that were once so quick to celebrate June as Pride month have quietly ditched their public support for LGBTQI+ rights even faster.
It used to be common for companies to emblazon their social media accounts with rainbow-themed versions of their logo, but in 2025, the same big businesses that were so vocal about supporting Pride initiatives have fallen silent.
The controversial post that sparked a social media backlash.
That’s certainly true for big international airlines in the United States, which were falling over themselves to show their support for Pride until very recently (critics might argue they were just chasing the so-called ‘Pink Dollar’).
In 2025, the social media accounts of American Airlines, Delta, and United make no mention or reference to Pride, even if these airlines do still support LGBTQ+ initiatives (Alaska and United are still sponsors of San Francisco’s Pride parade even as other big name corporations drop their support).
German flag carrier Lufthansa doesn’t seem too concerned that supporting LGBTQ+ rights is no longer fashionable… at least not in Trump’s America.
On June 2, the airline posted a photo of a pilot waving a Pride rainbow flag out the window of a cockpit, captioned with the words: “Carried with pride, waved with passion. We will always spread the love, across borders, screens, and the skies.”
Lufthansa has been quick to respond to critics.
It seemed like a pretty inoffensive and inspiring message that didn’t directly reference LGBTQ+ rights, but it didn’t take long for Lufthansa’s Facebook page to be deluged with homophobic comments.
But it looks like Lufthansa knew exactly what it was getting itself into, and its social media team quickly fired back at critics with sassy replies that shut down the hateful comments without censoring them or turning off the comment feature altogether.
“Thank you for you for giving me a reason not to be a Lufthansa passenger,” one person wrote underneath the post. Lufthansa clapped back with: “You’re welcome to join us on board whenever rainbows are not scary to you anymore!”
While one person inferred that inclusivity was a safety issue, saying: “That could actually affect the flight of the plane. I’ll take the bus.”
Lufthansa was not having any of it, though, relying: “It is a disappointment that we are losing you as a customer for this reason, but we stand by our values.”
Another referenced DEI, saying: “Never flying on a plane with one of them pilots. You know they are a DEI hire. I’m not testing fate for their delusional world.”
Again, Lufthansa stood firm: “Sorry to see you go but we stand by our values and will continue to implement DEI.”
Many responses to the post have, however, been positive, and some fans have pointed out that the response has proved exactly why, even in 2025, Pride is still needed.
June has traditionally been recognized as Pride Month to mark the Stonewall riots that occurred in late June 1969. Since then, several US presidents have issued proclamations, declaring June as the month of Pride, but White House press secretary Karoline Leavitt said earlier this week that President Trump has no plans to issue a similar proclamation this year.
Trump was, however, the first Republican President to acknowledge LGBT Pride Month back in 2019 when he Tweeted a message in support of the commemoration.
Mayor Muriel Bowser addressed the closure for the first time in a public radio appearance Friday afternoon. She called the closing an “unfortunate error” and said she would “continue to try to lean on” the National Park Service “for a different decision.” At the same time she appeared to defend the decision, saying police had “a lot of events to be responsible for” and that “unfortunately, the public safety issue rose to the top over the public celebration.”
A cyclist draped in a rainbow Equality flag chanted “shame” as she rode loops around the park. Passersby, turned away by police from entering the circle, shouted expletives. A man, driving top-down in a convertible through the snarled traffic around Dupont Circle, shouted, sarcastically: “Oh no! I’m a heterosexual man, and I must be protected from Pride!
The park has been a historic gathering place that has hosted celebrations following the first Pride events in the 1970s, AIDS protests in the ’80s and ’90s and vigils after violent attacks on the LGBTQ community, including a vigil for the victims of the 2016 Pulse nightclub shooting and a Black Trans Lives Matter rally.
Earlier this week, D.C. Council members Brooke Pinto and Zachary Parker announced that the Metropolitan Police Department had withdrawn its request to close the park following backlash from community members. But federal officials proceeded with the shutdown anyway and have not responded to requests for comment.
“I am extremely disappointed and frustrated that Dupont Circle Park will be closed this weekend despite MPD’s commitment to keep folks safe there,” Pinto said in a statement to The Advocate.
“This closure is disheartening to me and so many in our community who wanted to celebrate World Pride at this iconic symbol of our city’s historic LGBTQ+ community. I wish I had better news to share.”
Underscoring their desire to implement the closure, USPP highlighted criminal incidents that were initially pointed out in Smith’s April 22 letter. Those incidents, which took place during the District’s Pride celebration, included damages to the park’s historic fountain in 2023 that amounted to approximately $175,000.
In 2019, panic erupted at the park after loud popping sounds were perceived as gunshots being fired. However, it was later determined no firearm had been discharged. Seven people were transported to the hospital for non-life-threatening injuries prompted by the chaos that had initially broken out.
Police responded to recent incidents of vandalism to Pride decorations in D.C. The suspects tore down rainbow wraps from poles in the area, according to two incident reports from the Metropolitan Police Department (MPD). One incident is listed as a suspected hate crime. The suspects got away in both cases, according to MPD.
Chris De Anda said he wrapped himself around one of the poles to block the suspect from ripping off the rainbow wrap, thinking that would stop him. It didn’t.
“He starts to rip down the flag, rips my arms off trying to get into them to pull down the paper a little bit more, but the entire time I basically hold on to it,” de Anda described, saying the man scratched his arms a bit to get to the flag.
The lawless, corrupt occupation regime in DC is doing this on purpose as a way to inconvenience, snub and insult the lgbt community. Their long term goal is to silence, cancel and eradicate lgbt Americans, so expect increasing instances of these kinds of things, and worse.
So…a bunch of bigots have been vandalizing things in Dupont Circle, so they close it all off so the people who AREN’T the bigoted vandals can’t go there? Kinda sounds like they’re letting the bigots win here…
Childish petty thin skinned MAGA cultists in the White House just can’t let anyone celebrate anything that isn’t specifically a “Christian” event. I wonder what would happen in Thousands just show up to DuPont Circle enmass, what are they going to do, arrest them all???
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
With DEI initiatives firmly in the crosshairs of the Trump administration, many large corporations that were once so quick to celebrate June as Pride month have quietly ditched their public support for LGBTQI+ rights even faster.
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