Anti-Care Cops: State Surveillance of Gender-Affirming Care

By Eleni Manis, Mahima Arya, Conan Lu, and David Siffert

Summary

Prosecutors and law enforcement are increasingly weaponizing medical and municipal records to shut down gender-affirming care. Transgender and nonbinary Americans are rapidly losing access to evidence-based and medically necessary care, with escalating attacks by the Trump administration. Given the hostility of the president and federal government toward gender-affirming care, the report asserts that state legislators, hospitals, tech companies, schools, and other decision makers must act now to block anti-care prosecutors.

Key Findings Include:

• In a rapidly growing number of cases, prosecutors are weaponizing medical records to sue doctors and block access to gender-affirming care.

• Law enforcement is also expanding anti-care surveillance into non-medical records, including driver’s license, occupational license, and voting databases.

• With no short-term hope for federal trans civil rights protections, state legislators, healthcare providers, and tech companies must act to protect gender-affirming care