The emergency rule requires transgender patients β of any age β to undergo at least 15 hour-long sessions of therapy over the course of at least 18 months before seeking gender-affirming care. It also requires physicians to track βall adverse effectsβ of gender-affirming care for at least 15 years, and to not allow treatment if the patient has autism or depression.
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A higher incidence of transgenderism occurs in persons with autism than in neurotypical persons. Denying gender affirming care in this case is especially discriminatory.