By Jenna Peterson

WHAT THE BILL WOULD DO

AB 2442, authored by Los Angeles Democrat Rick Chavez Zbur, would speed up the licensure process for gender-affirming healthcare providers. The bill does not change the requirements to get a license; rather it prioritizes applicants who intend to practice gender-affirming healthcare or gender-affirming mental health care. As part of a package of new laws on abortion access, the legislature passed a similar law in 2022 to expedite licenses for abortion service providers after the U.S. Supreme Court overturned Roe vs. Wade. AB 2442 has a sunset clause, so the legislature would reevaluate the need for the bill in four years. 

WHO SUPPORTS IT

Planned Parenthood Affiliates of California and Equality California are sponsors of the bill, which also has support from organizations that support LGBTQ+ rights, reproductive justice and healthcare access. 

WHO IS OPPOSED

The California Family Council, Our Duty Democrat, Protect Kids Initiative and Protection of the Educational Rights of Kids Advocacy are recorded opponents of AB 2442. The latter group says that other providers should also get expedited licensing, and that the bill could hurt other areas of medicine. Instead, they want to add more staff to the Department of Consumer Affairs so that all medical providers can get licensed more efficiently. The other organizations have concerns about the safety of children undergoing gender reassignment surgery or hormone therapy before their brains fully develop, saying it could harm mental health and lead to infertility. 

WHY IT MATTERS

Twenty-six states have passed laws that ban gender-affirming care. In a 2022 survey by the National Center for Transgender Equality, 47% of transgender respondents said they had considered moving to another state because of these laws. In California, patients seeking gender-affirming care at Stanford Medical Center often have to wait six to eight months to get an appointment. Supporters say AB 2442 would allow California to keep up with the demand from out-of-state patients while continuing to support in-state patients. In 2022, California passed a law protecting those receiving or providing such treatment from prosecution by other states. 

GOVERNOR’S CALL ❌

Newsom announced Sept. 27 he vetoed the bill. In his veto message, he said too many accelerated licenses could be unfair to other applicants and “the increase in staff needed to ensure expedited applications may lead to licensing fee increases.”