Will California become a refuge for transgender health care? – CalMatters

In summary

Lawmakers are nearing final approval of a bill to protect those receiving or providing transgender health care in California from prosecution under a wave of legislation in other states. But the proposal has drawn intense opposition from the California Family Council.

When Kathie Moehlig’s 11-year-old son decided to transition in 2012, she says not one doctor in San Diego was willing to treat him. “When I called to make appointments, they kept telling me: ‘We don’t treat kids like that here,’” Moehlig said.

But she continued making calls, eventually breaking through at Rady Children’s Hospital. Her efforts drew attention from other families of transgender kids, many of whom began asking her for help. 

She decided she “couldn’t just be a family friend,” so eight years ago she started TransFamily Support Services, a nonprofit that offers a multitude of services to hundreds of families of transgender individuals across the country, including support groups, assistance navigating the medical system, and — most recently — political advocacy. 

Now, TransFamily Support Services is a co-sponsor of Senate Bill 107, which would protect from prosecution patients who travel to California for what supporters call gender-affirming care and doctors who provide that care.

On Monday, the Assembly gave its final approval to the bill in a 48-16 vote. If the Senate agrees in a concurrence vote expected today, the bill heads to Gov. Gavin Newsom. 

If signed, the bill would make California a refuge for minors seeking gender-affirming care, similar to how Assembly Bill 1666, which Newsom signed into law in June, made the state a refuge for those seeking abortions.

“It will send a very clear message that trans kids and their families, if they don’t feel safe in their state, they can come here and we’ll do everything in our power to protect them from prosecution,” state Sen. Scott Wiener, a San Francisco Democrat and the bill’s author, told CalMatters.

A national wave   

The bill, perhaps the highest profile of several LGBTQ-related proposals already on Newsom’s desk, responds to a recent wave of legislation: At least 40 bills in 20 states would restrict access to gender-affirming medical care for transgender youth. These proposals vary from an Idaho bill to criminalize gender-affirming medical procedures to a Florida law banning their insurance coverage. In Texas, state social workers are reportedly rebelling — or even threatening to quit — rather than carry out an order by Gov. Greg Abbott to investigate parents who allow transgender health care.

Proponents of the bill say it is California’s responsibility to intervene.

“There are efforts all across the country…to go after trans kids and their families. California has a role to play in providing a safe, welcoming environment for trans kids and their families to get the care they need,” said Samuel Garrett-Pate, managing director of external affairs for Equality California, which supports the bill and says it’s the nation’s largest LGBTQ civil rights group.  

SB 107 would: 

  • Prohibit law enforcement participation and the arrest or extradition of an individual for allowing a person to receive or provide gender-affirming care when that care is legal under California and federal law. 
  • Declare arrest warrants for individuals who allowed their child to receive gender affirming health care the lowest law enforcement priority.
  • Ban the enforcement of another state’s law authorizing a state agency to remove a child from their parent or guardian because they allowed their child to receive gender-affirming care.
  • Bar compliance with subpoenas seeking medical information related to gender-affirming care that interferes with a person’s right to allow a child to receive that care.

“As it stands, transgender youth and their parents in these states are under a constant threat of being reported by anyone around them, while foregoing life-saving treatment,” said Assemblymember Lori Wilson, a Suisun City Democrat and parent of a trans person, in presenting the bill on the Assembly floor on Monday. “In doing so, they are targeting our most vulnerable population — children — as well as their parents and doctors who support them.”

No one spoke against the bill on the Assembly floor. 

Learn more about legislators mentioned in this story

State Senate, District 11 (San Francisco)

How he voted 2019-2020

Liberal Conservative

District 11 Demographics


Latino 16%

White 37%

Asian 37%

Black 5%

Multi-race 4%

Voter Registration

Dem 62%

GOP 7%

No party 27%

Other 4%

Campaign Contributions

Sen. Scott Wiener has taken at least $863,000 from the Finance, Insurance & Real Estate sector since he was elected to the legislature. That represents 13% of his total campaign contributions.

State Assembly, District 11 (Fairfield)

District 11 Demographics


Latino 29%

White 40%

Asian 11%

Black 13%

Multi-race 6%

Voter Registration

Dem 47%

GOP 24%

No party 23%

Other 5%

Campaign Contributions

Asm. Lori Wilson has taken at least $41,550 from the Labor sector since she was elected to the legislature. That represents 24% of her total campaign contributions.

Foes raise concerns

By leaning into the national debate around transgender issues, the bill has generated intense opposition. 

Opponents say that children often misunderstand their gender identity and are likely to regret their decision to get irreversible treatments such as hormone replacement therapy and gender-affirming surgery.

“A lot of kids don’t quite comprehend the implications of taking puberty blockers, cross-sex hormones and even some of the surgeries; don’t comprehend the long-term nature and the damaging effect it would have on their on their bodies when they were minors,” said Greg Burt, a spokesperson for the California Family Council.

Burt cited testimony from Chloe Cole before the Assembly Public Safety Committee on June 28. 

“SB 107 is circumventing states’ laws and that have needed safeguards in place so my story’s not repeated. Children cannot consent,” said Cole, a 17-year-old from the Central Valley, who medically transitioned from age 13 to 15 with puberty blockers, male hormones and a mastectomy. 

Given this, Burt said the religious nonprofit “would be against any kind of drugs or surgeries to try and match a person’s body to their feelings below the age of 18,” regardless of parental consent.

“We don’t let parents sterilize their kids, even if parents consent to it, and we think this is in the same category,” Burt said. “You can’t harm your child permanently, even if you believe the harm is somehow justified.”

Opponents also highlight a clause in the bill that they say could take custody rights away from an out-of-state parent who disagrees with the other on their child’s gender-affirming care.

Erin Friday, a San Francisco attorney and parent of a child who once wanted to transition, said that the clause “pits parents against parents” by allowing an out-of-state parent to refile for full medical custody of their child in California and eclipse the consent of the non-affirming parent.

“It makes it easier for the one parent who wants to harm their child to harm their child, and it’s an enticement for kids to run away. There’s no two ways about it,” she said.

Wiener’s office disputes that this is the bill’s intent.

“The point of the bill is not to remove kids from their parents’ custody — not when parents come here with their kids to prevent states like Texas from removing them from their custody,” he said.

Helping families, one at a time

As the political debate rages on, Moehlig and her staff of 10 continue their work, helping families across America figure out the best doctor and how to get insurance coverage, and providing support groups for people from elementary school to age 30. She says her group has assisted 3,000 families in its lifetime.

Kathie Moehlig, whose nonprofit is a co-sponsor of Senate Bill 107, at her home in Rancho Bernardo in San Diego on Aug. 26, 2022. Photo by Ariana Drehsler for CalMatters

That work convinces her of the importance of the bill. She said it’s “ludicrous” for politicians to assert that they know better than the parents of transgender children and their doctors about what medical care and treatment is best.     

As of now, every law that criminalizes gender-affirming care in other states has been delayed by legal challenges. Moehlig, however, said it’s only a matter of time before one of these bills becomes law.

And she’s already seeing the impact: She said she has multiple clients who have moved to California because of the laws in other states. One of her clients in Texas said his doctor canceled his female-to-male top surgery because they were no longer comfortable treating transgender youth.

“I think that protecting the rights of these parents to make these medical choices and get this treatment for these kids without having to worry about any of the ramifications of prosecutions is super important,” Moehlig said.