HB2007 SFAHFA TakuboHouseholder #23-11 3-10Dellinger#1CR  7965Senator3338 Delegate TakuboHouseholder moved to amend the billamendment on page 3,1, section 20, after line 43,14, by addingstriking theretothe aword, new“alteration” subdivision, designated subdivision (5), to read as follows:(5 ) Pubertal modulating and hormonalinserting therapythe forword, severe“transition”;And,On genderpage dysphoria2,  if:(A)line The33, minor has been diagnosed as suffering from severe gender dysphoria by nostriking fewer than two medical or mental health providers with at least one being a mental health provider or adolescent medicine specialist, and both having relevant training in the diagnosisword, and“alteration” treatment of severe gender dysphoria in adolescents;(B) The diagnosing medical professionals express in written opinions that treatment with pubertal modulating and hormonalinserting therapy is medically necessary to treat the minor’sword, psychiatric“transition”.And, symptomsTo andamend limit self-harm, or the possibilitybill, of self-harm, by thestriking minor;(C)out The minor, the minor’stitle parents, legal guardians, or person or other persons charged with medical decision-making for the minor, and thesubstituting minor’stherefor primarya physiciannew agreetitle, in writing with the treatment with pubertal modulating and hormonal therapy for the minor;(D) Any use of gender altering medication is for purposes of pubertal modulating and hormonal therapy limited to theread lowestas titratablefollows: dosage necessary to treat the psychiatric condition and not for purposes of gender alteration;

and(E)Eng. Notwithstanding the provisions of paragraphs (A) through (D) of this subdivision where the minor is prepubescent, hormonal treatment may not be provided;And, On page 4, section 14, after line 43, by adding thereto a new subdivision, designated (5), to read as follows:(5) Pubertal modulating and hormonal therapy for severe gender dysphoria if:(A) The minor has been diagnosed as suffering from severe gender dysphoria by no fewer than two medical or mental health providers with at least one being a mental health provider or adolescent medicine specialist and both having relevant training in the diagnosis and treatment of severe gender dysphoria in adolescents;(B) The diagnosing medical professionals express in written opinions that treatment with pubertal modulating and hormonal therapy is medically necessary to treat the minor’s psychiatric symptoms and limit self-harm, or the possibility of self-harm, by the minor;(C) The minor, the minor’s parents, legal guardians, or person or persons charged with medical decision-making for the minor and the minor’s primary physician agree in writing with the treatment with gender altering medication for the minor;(D) Any use of gender altering medication is for purposes of pubertal modulating and hormonal therapy and is limited to the lowest titratable dosage necessary to treat the psychiatric condition and not for purposes of gender alteration;

and(E)Com. Notwithstanding the provisions of paragraphs (A) through (D) of this subdivision where the minor is prepubescent, hormonal treatment may not be provided.  AdoptedRejected

Sub.

for House Bill 2007— A Bill to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §30-3-20;

and to amend said code by adding thereto a new section, designated §30-14-17, all relating to prohibiting certain medical practices;

defining terms;

prohibiting irreversible gender reassignment surgery to a minor;

prohibiting the providing of gender altering medication to a minor;

providing exceptions;

 establishing an internal effective date.  AdoptedRejected