Washington, The Gulf Observer: After a midterm election and record flow of anti transgender legislation last year, Republican state lawmakers this year are zeroing in on questions of bodily autonomy with new proposals to limit gender-affirming health care and abortion access.

More than two dozen bills seeking to restrict transgender health care access have been introduced across 11 states — Kansas, Kentucky, Missouri, Montana, New Hampshire, Oklahoma, South Carolina, Tennessee, Texas, Utah and Virginia — for the legislative sessions beginning in early 2023.Bills targeting other facets of trans livelihood have been filed in many of the same states and are expected in several others with GOP majorities.

Gender-affirming health care providers and parents of trans youths are the primary targets of these bills, many of which seek to criminalize helping a trans child obtain what doctors and psychologists widely consider “medically necessary care.”

Erin Reed, a researcher who tracks transgender legislation, said statehouses where Republicans expanded their margins in the midterms will likely double down on anti-trans legislation this year and reintroduce some of the more drastic measures that didn’t pass in previous sessions.

A similar bill pre-filed in South Carolina, where Republicans control both chambers, also requires that trans adults older than 21 obtain referrals from their doctor and a licensed psychiatrist before they can begin treatment.

The World Professional Association for Transgender Health said last year that teens experiencing gender dysphoria can start taking hormones at age 14 and can have certain surgeries at ages 15 or 17. The group acknowledged potential risks but said it was unethical to withhold early treatments, which can improve psychological well-being and reduce suicide risk.

Meanwhile, Democrats in some states are taking a more aggressive approach to transgender health protections.A new California law, effective as of Jan. 1, shields families of transgender youth from criminal prosecution if they travel to California for gender-affirming health procedures, such as surgeries or hormone therapy, from states that ban such treatments for minors.

Making California a refuge for trans youth and their parents, the law blocks out-of-state subpoenas and prohibits medical providers from sharing information on gender-affirming care with out-of-state entities.

Another California bill, filed in December, would expand those protections by prohibiting a magistrate from issuing an arrest warrant for violating another state’s law that criminalizes helping someone obtain an abortion or gender-affirming care.