Pediatric Group Ordered to Hand Over Documents on Youth Sex Change Guidelines

The American Academy of Pediatrics has been ordered by a U.S. District Court to surrender critical information regarding its advocacy of sex change operations for minors. The ruling upheld a subpoena by the state of Florida, which demanded the AAP turn over documentation on how it develops its guidelines, any policy positions on “gender-affirming” care, and any internal communications about its trans youth advocacy. The court has ordered the AAP to comply by Feb. 2.

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The AAP recently joined a lawsuit against the state of Florida over a new rule that bars the use of Medicaid funds for sex change surgeries and other transgender medical procedures. In response, the state of Florida moved to subpoena the AAP along with several other organizations.

Last June, the Florida surgeon general sent a letter to the state board of medicine, stating,

“While some professional organizations, such as the American Academy of Pediatrics… recommend these treatments for ‘gender-affirming’ care, the scientific evidence supporting these complex medical interventions is extraordinarily weak… The current standards set by numerous professional organizations appear to follow a preferred political ideology instead of the highest level of generally accepted medical science.”

That same day, another state health agency motioned to block Medicaid funding for trans surgeries,

“Florida Medicaid has determined that the research supporting sex reassignment treatment is insufficient to demonstrate efficacy and safety.”

The plaintiffs initially filed for an injunction against the new rule, arguing that it violated the equal protection clause of the 14th Amendment. A judge denied the request in October, saying that the case was a matter of Medicaid statutes and not constitutionality.

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The AAP has argued that the lawsuit is a matter of compassion. The group has repeatedly contended with Florida state law, saying that Florida’s protections endanger “the health and well-being of transgender youth.”

“The American Academy of Pediatrics recommends that youth who identify as transgender have access to comprehensive, gender-affirming, and developmentally appropriate health care that is provided in a safe and inclusive clinical space.”

Under the AAP’s guidelines, children as young as 13 have been mutilated and chemically castrated under the label of “gender-affirming healthcare.” Chloe Cole, an 18-year-old detransitioned woman, testified to the Florida board of medicine last October that she had been coerced into taking puberty blockers and undergoing a double mastectomy at age 15.

“I have bandages on my chest today, over two years post-op, because my nipples leak fluid and they stain my clothes… Thank you modern medicine.”

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The current lawsuit, filed on behalf of four plaintiffs, includes two 12-year-old children.

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“Evidence-based medical care for transgender and gender diverse children is a complex issue. Pediatricians are best able to determine what care is necessary and appropriate for these children, but these bills interfere,” the group wrote in a statement condemning Florida’s policy efforts. “Politics has no place here… We will fight state by state, in the courts, and on the national stage.”

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