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California Politics

Trans Inclusive Health Care Act passes California State Senate

This first-in-the-nation legislation will help create a more inclusive and culturally competent healthcare system for TGI people

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Sen. Scott Wiener (Far right) & members of the California Legislative LGBTQ+ Caucus (Photo credit/Wiener)

SACRAMENTO – Senator Scott Wiener’s (D-San Francisco) Senate Bill 923, the TGI Inclusive Care Act passed the Senate by a vote of 28-6. It now heads to the Assembly for policy committee hearings.

This first-in-the-nation legislation will help create a more inclusive and culturally competent healthcare system for TGI (transgender, gender non-conforming, and intersex) people in California by requiring:

●     That physician Continuing Medical Education (CME) include evidence-based cultural competent studies to help physicians provide inclusive care for TGI people

●     That the Health and Human Services Agency issue enforceable quality standards for treating TGI patients

●     That health insurance companies provide TGI cultural competency training for their employees

●      That health insurance companies, in their network directories, include a list of providers who offer gender-affirming services, so that TGI people know where to go for specialized care

●     That the relevant oversight agencies track and monitor complaints relating to TGI-inclusive care and publicly post findings in their annual reports or website

SB 923 comes at a time when LGBTQ people — and particularly transgender children — are under attack across the country by right-wing state leaders. Many of those attacks seek to criminalize gender-affirming care.

In February, Texas Governor Greg Abbott issued an executive order making it illegal for parents to allow their trans kids to receive gender-affirming care. These parents could have their children taken away and be sent to prison simply for allowing their children to be who they are and receive this necessary care.

Abbott called gender-affirming care “child abuse.”

Alabama just enacted a law imposing ten-year state prison sentences on parents and physicians who allow or provide gender-affirming care to their children.

In Florida, Governor Ron DeSantis signed the “Don’t Say Gay” law, banning discussions about gender identity and sexual orientation from public school classrooms.

“As more and more red states ban gender-affirming care and try to erase LGBTQ people, California must step up to ensure strong access to health care,” said Wiener. “That includes ensuring that trans people are treated with respect and dignity by health care providers. While many health care professionals provide excellent care to trans people, more work remains. Improved training, clear standards, and improved network directories will result in better care for TGI people.”

While LGBTQ kids are under attack in Texas, Alabama, Florida, and other states, SB 923 shows a different path forward — one in which quality gender-affirming care is provided for anyone who needs it, with providers going above and beyond to treat TGI patients with the respect and care they deserve.

Healthcare discrimination and a lack of access to culturally competent care is a major problem that many TGI people regularly face. The National Center for Transgender Equality reports that one-third of all transgender individuals who saw a healthcare professional in 2014 had at least one negative experience related to being transgender, with even higher rates for people of color and people with disabilities. These negative experiences include being refused treatment, verbally harassed, physically or sexually assaulted, or having to teach the provider about transgender people in order to receive appropriate care.[1]

This is especially problematic given that TGI people, compared with the general population, suffer from more chronic health conditions. TGI people experience higher rates of health problems related to HIV/AIDS, substance use, mental illness, and sexual and physical violence, as well as a higher prevalence and earlier onset of disabilities that can also lead to longterm health issues. Sadly, 23% of transgender individuals reported that fear of discrimination caused them to postpone or not receive necessary medical care.[2]

Moreover, while all health plans are required to cover gender-affirming care, it can be difficult for TGI patients to actually find providers who routinely offer this care. This is a major impediment to TGI people accessing the care they need.

Every person deserves to receive quality, compassionate health care from understanding, informed, and respectful providers – providers who don’t make assumptions about their gender or sexuality, and who honor their bodily autonomy. TGI people already face so many obstacles outside of the healthcare system, including higher rates of violence, workplace discrimination, ostracization from families and religious communities, and housing discrimination. Going to the doctor should not mean facing additional discrimination or unecessary hardship.

TGI people should have access to positive healthcare experiences. This includes seeing providers who are able to give them the care they need in a non-judgmental and supportive environment, and being able to search for providers who provide gender-affirming services (gender-affirming services include but are not limited to: chest reconstruction, mastectomy, facial feminization surgery, hysterectomy, voice masculinization or feminization, hormone therapy related to gender dysphoria or intersex conditions, gender-affirming gynecological care, or voice therapy related to gender dysphoria or intersex conditions). Gender-affirming care is critically important health care, and anyone who needs it should be able to find and access it.

The TGI-Inclusive Care Act will help create a healthcare system that meets the needs of TGI people, and provide a more positive patient experience.

SB 923 is sponsored by the California LGBTQ Health and Human Services Network,  Equality California, National Health Law Program Trans Community Project, TransFamily Support Services, and Western Center on Law & Poverty. It is co-authored by Assemblymembers Sabrina Cervantes (D-Corona), Evan Low (D-San Jose), Alex Lee (D-Fremont), and Cristina Garcia (D-Bell Gardens).

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California Politics

Abortion rights: California Constitutional Amendment heads to ballot

The state is expanding efforts to protect women seeking abortions or reproductive care as well as anyone assisting those women

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Capitol building in Sacramento (Office of the Governor)

SACRAMENTO – In November, California voters will have an opportunity to amend the state’s constitution to include the right to an abortion and today, Governor Gavin Newsom signed an executive order to further protect women coming to California from other states.

“California will not back down from the fight to protect abortion rights as more than half the states in this country, enabled by the Supreme Court, ban or severely restrict access,” said Newsom. “We are ensuring Californians will have the opportunity this November to enshrine the right to choose in our state constitution. And we’re not waiting until November to take action, today’s executive order ensures that the state will not hand over patients who come here to receive care and will not extradite doctors who provide care to out-of-state patients here. In California, women will remain protected.”  

The order signed today prevents any information, including medical records and patient data, from being shared by state agencies or departments in response to inquiries or investigations brought by other states or individuals within those states looking to restrict access. The state is expanding efforts to protect women seeking abortions or reproductive care as well as anyone assisting those women.

SCA 10 was passed by the California State Assembly today and now heads to the November ballot.  

Within hours of the U.S. Supreme Court’s decision to overturn Roe v. Wade last Friday, Governor Newsom signed legislation to help protect patients and providers in California from civil liability for providing, aiding, or receiving abortion care in the state. In addition, Governor Newsom and the governors of Oregon and Washington launched a new Multi-State Commitment to defend access to reproductive health care and protect patients and providers.  

The budget agreement announced yesterday includes more than $200 million in additional funding for reproductive health care services. Governor Newsom recently signed legislation eliminating copays for abortion care services and has signed into law a legislative package to further strengthen access and protect patients and providers.  

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California Politics

Newsom, Senate & Assembly leaders announce budget agreement

23 million Californians will benefit from direct payments of up to $1,050 & additional funds to help people pay rent & utility bills

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Governor Newsom with some of the state's leadership Friday (Office of the Governor)

SACRAMENTO – California Governor Gavin Newsom, Senate President pro Tempore Toni G. Atkins (D-San Diego) and Assembly Speaker Anthony Rendon (D-Lakewood) announced they had were able to reach an agreement on the framework for the 2022-23 state budget.

In a statement released Sunday evening, the state’s leadership said:

“California’s budget addresses the state’s most pressing needs, and prioritizes getting dollars back into the pockets of millions of Californians who are grappling with global inflation and rising prices of everything from gas to groceries.

“The centerpiece of the agreement, a $17 billion inflation relief package, will offer tax refunds to millions of working Californians. Twenty-three million Californians will benefit from direct payments of up to $1,050. The package will also include a suspension of the state sales tax on diesel, and additional funds to help people pay their rent and utility bills.

“In addition, California is doubling down in our response to the climate crisis – securing additional power-generating capacity for the summer, accelerating our clean energy future, expanding our ability to prepare for and respond to severe wildfires, extreme heat, and the continuing drought conditions that lie ahead.

“This budget builds on our unprecedented commitment to transform the resources available in our state, from a $47 billion multi-year infrastructure and transportation package to education and health care, showing the nation what a true pro-life agenda looks like. With these new investments, California will become the first state to achieve universal access to health care coverage.

Newsom and his legislative counterparts also highlighted that in the wake of Friday’s stunning U.S. Supreme Court decision, California is reaffirming its commitment to defending reproductive rights, providing more than $200 million in additional funding for reproductive health care services. The state will also be investing in key programs that help California families, from funding for homeownership programs and billions of dollars in additional ongoing funding for education, to universal preschool, children’s mental health, and free school meals.

“In the face of growing economic uncertainty, this budget invests in California’s values while further filling the state’s budget reserves and building in triggers for future state spending to ensure budget stability for years to come,” the statement read.

Yesterday the governor and the leadership agreed to the framework to offset the high cost of gas prices and the hit inflation has created on the wallets of taxpayers, particularly those who least able to bear the added cost burden. Under the budget compromise most California taxpayers would get hundreds of dollars in cash to help offset the high price of fuel and other goods.

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California Politics

Delayed repeal of loitering law targeting sex workers sent to Newsom

SB 357 repeals “loitering with intent to engage in prostitution” law, which results in harassment of transwomen & women of color sex workers

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Sex workers under arrest by the LASD (Photo Credit: County of Los Angeles)

SACRAMENTO – Senator Scott Wiener (D-San Francisco) sent Senate Bill 357, the Safer Streets for All Act, to Governor Gavin Newsom’s desk for his action Monday. The Legislature passed SB 357 last year, but Senator Wiener held the bill at the Senate desk, delaying its transmittal to the Governor.

Governor Newsom will have 12 days to sign the bill after it is processed by the Senate. SB 357 repeals a provision of California law criminalizing “loitering with the intent to engage in prostitution.” This criminal provision — arrests for which are based on an officer’s subjective perception of whether a person is “acting like” or “looks like” they intend to engage in sex work — results in the disproportionate criminalization of trans, Black and Brown women, and perpetuates violence toward sex workers.

SB 357 is sponsored by a large coalition made up of former and current sex workers, LGTBQ groups like Equality California and Transgender Gender-variant and Intersex Justice Project (TGIJP), and civil rights groups like the ACLU. The Coalition to Abolish Slavery and Trafficking (CAST LA) is supporting the legislation.

SB 357 does not decriminalize soliciting or engaging in sex work. Rather, it simply eliminates an loitering offense that leads to harmful treatment of people for simply “appearing” to be a sex worker.

This crime is so subjective and inherently profiling that it allows a police officer to arrest someone purely based on how they are dressed, whether they’re wearing high heels and certain kinds of make-up, how they’re wearing their hair, and the like. This criminal provision is inherently discriminatory and targets people not for any action but simply based on how they look. People who engage in sex work deserve to be treated with dignity and respect.

Criminalizing sex work does not make sex workers or communities safer. Most criminal penalties for sex workers, loitering laws included, do nothing to stop sex crimes against sex workers and human trafficking. In fact, loitering laws make it harder to identify trafficking victims; trafficking victims are often afraid to come forward in fear of being arrested or incarcerated. 

In February of 2021, a similar piece of legislation to repeal this type of loitering ban became law in New York. SB 357 is part of the movement to end discrimination against and violence toward sex workers, especially the most targeted communities — trans, Black, and Brown people. SB 357 is co-sponsored by Positive Women’s Network – USA, St. James Infirmary, SWOP LA, Trans [email protected] Coalition, Asian Pacific Islander Legal Outreach, Equality California and ACLU California Action. 

Under current law, it is a crime to loiter in a public place with the “intent” to commit a sex work-related offense. But this law can be broadly interpreted, and thus allows for discriminatory application against the LGBTQ community and people of color. Law enforcement can use a non-exhaustive list of circumstances to subjectively determine if someone “intends” to engage in sex work, including factors such as speaking with other pedestrians, being in an area where sex work has occurred before, wearing revealing clothing, or moving in a certain way.

Because current law regarding loitering is highly subjective and vague, law enforcement officers disproportionately profile and target Black and Brown transgender women by stopping and arresting people for discriminatory and inappropriate reasons. This is how Black and Brown transgender women get arrested and cited for simply walking on the street. It also gives law enforcement the ability to more easily target and arrest sex workers.

People in the LGBTQ, Black, and Brown communities report high rates of police misconduct throughout the United States and are disproportionately affected by police violence. Transgender people who have done street-based sex work are more than twice as likely to report physical assault by police officers and four times as likely to report sexual assault by police.

A Black person is 3.5 times more likely to be shot by police than a white person. These statistics are a daily reality that transgender, Black and Brown people face and lead to mistrust of law enforcement.

SB 357 will repeal a discriminatory law that makes it a crime to loiter with the intent to engage in sex work, given that it fails to prevent street-based sex work and disproportionately results in the criminalization of transgender people and communities of color.

“This Pride Month, as we see a surge in violence against and harassment of the LGTBQ community, it is more important than ever to get rid of a law that targets our community,” said Wiener. “Current law essentially allows law enforcement to target and arrest people if they are wearing tight clothes or a lot of make-up. Many of those impacted by this law are Black and Brown trans women. Pride isn’t just about rainbow flags and parades. It’s about protecting the most marginalized in our community. I urge Governor Newsom to sign SB 357.”

“SB 357 repeals a Jim Crow law that criminalized Black and trans people in public spaces,” said Fatima Shabazz of the DecrimSexWorkCA Coalition.

“We hope that the Safer Streets for All Act will help people understand how policing does not create public safety, and will immediately deprive police of one tool they use to harass and oppress folks based on race and gender,” said Ashley Madness of SWOP LA and the DecrimSexWorkCA Coalition.

“Ahora nosotros nos sentimos libre de caminar en la calle sin miedo que la policia nos vaya a arrestar,” (Now we can walk free on the streets without fear of the police arresting us,”) said Lisseth Sánchez of St. James Infirmary and the DecrimSexWorkCA

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