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House OKs debt ceiling bill to avoid default, sends Biden-McCarthy deal to Senate
By Farnoush Amiri, Kevin Freking, Stephen Groves, Lisa Mascaro
19 mins ago
WASHINGTON (AP) — Veering away from a default crisis, the House approved a debt ceiling and budget cuts package late Wednesday, as President Joe Biden and Speaker Kevin McCarthy assembled a bipartisan coalition of centrist Democrats and Republicans against fierce conservative blowback and progressive dissent.
The hard-fought deal pleased few, but lawmakers assessed it was better than the alternative — a devastating economic upheaval if Congress failed to act. Tensions ran high throughout the day as hard-right Republicans refused the deal, while Democrats said “extremist” GOP views were risking a debt default as soon as next week.
With the House vote of 314-117, the bill now heads to the Senate with passage expected by week's end.
McCarthy insisted his party was working to “give America hope” as he launched into a late evening speech extolling the bill's budget cuts, which he said were needed to curb Washington's “runaway spending.”
Earlier, Biden expressed optimism that the agreement he negotiated with McCarthy to lift the nation's borrowing limit would pass the chamber and avoid an economically disastrous default on America's debts.
The president departed Washington for Colorado, where he is scheduled to deliver the commencement address Thursday at the U.S. Air Force Academy.
“God willing by the time I land, Congress will have acted, the House will have acted, and we’ll be one step closer,” he said. That wasn't quite the case — the vote began about an hour and a half after Biden arrived in Colorado.
Biden sent top White House officials to the Capitol to shore up backing. McCarthy worked to sell skeptical fellow Republicans, even fending off challenges to his leadership, in the rush to avert a potentially disastrous U.S. default.
Biden and McCarthy were counting on support from the political center, a rarity in divided Washington, testing the leadership of the Democratic president and the Republican speaker.
Overall, the 99-page bill restricts spending for the next two years, suspends the debt ceiling into January 2025 and changes some policies, including imposing new work requirements for older Americans receiving food aid and greenlighting an Appalachian natural gas line that many Democrats oppose. It bolsters funds for defense and veterans.
Raising the nation's debt limit, now $31 trillion, ensures Treasury can borrow to pay already incurred U.S. debts.
Top GOP deal negotiator Rep. Garret Graves of Louisiana said Republicans were fighting for budget cuts after Democrats piled onto deficits with extra spending, first during the COVID-19 crisis and later with Biden's Inflation Reduction Act, with its historic investment to fight climate change.
But Republican Rep. Chip Roy, a member of the Freedom Caucus helping to lead the opposition, said, “My beef is that you cut a deal that shouldn’t have been cut.”
For weeks negotiators labored late into the night to strike the deal with the White House, and for days McCarthy has worked to build support among skeptics. At one point, aides wheeled in pizza at the Capitol the night before the vote as he walked Republicans through the details, fielded questions and encouraged them not to lose sight of the bill’s budget savings.
The speaker has faced a tough crowd. Cheered on by conservative senators and outside groups, the hard-right House Freedom Caucus lambasted the compromise as falling well short of the needed spending cuts, and they vowed to try to halt passage.
A much larger conservative faction, the Republican Study Committee, declined to take a position. Even rank-and-file centrist conservatives were unsure, leaving McCarthy searching for votes from his slim Republican majority.
Ominously, the conservatives warned of possibly trying to oust McCarthy over the compromise.
Biden spoke directly to lawmakers, making calls from the White House.
House Democratic leader Hakeem Jeffries said it was up to McCarthy to turn out at least 150 Republican votes, two-thirds of the majority, even as he assured reporters that Democrats would supply the rest to prevent a default. In the 435-member House, 218 votes are needed for approval.
As the tally faltered in the afternoon procedural vote, Jeffries stood silently and raised his green voting card, signaling that the Democrats would fill in the gap to ensure passage. They did, advancing the bill that 29 hard-right Republicans, many from the Freedom Caucus, refused to back.
“Once again, House Democrats to the rescue to avoid a dangerous default,” said Jeffries, D-N.Y.
“What does that say about this extreme MAGA Republican majority?” he said about the party aligned with Donald Trump’s ”Make America Great Again” political movement.
The nonpartisan Congressional Budget Office said the spending restrictions in the package would reduce deficits by $1.5 trillion over the decade, a top goal for the Republicans trying to curb the debt load.
In a surprise that complicated Republicans' support, however, the CBO said their drive to impose work requirements on older Americans receiving food stamps would end up boosting spending by $2.1 billion over the time period. That's because the final deal exempts veterans and homeless people, expanding the food stamp rolls by 78,000 people monthly, the CBO said.
Liberal discontent, though, ran strong as Democrats also broke away, decrying the new work requirements for older Americans, those 50-54, in the food aid program.
Some Democrats were also incensed that the White House negotiated into the deal changes to the landmark National Environmental Policy Act and approval of the controversial Mountain Valley Pipeline natural gas project. The energy development is important to Sen. Joe Manchin, D-W.Va., but many others oppose it as unhelpful in fighting climate change.
In the Senate, Democratic Majority Leader Chuck Schumer and Senate Republican leader Mitch McConnell are working for passage by week's end.
Schumer warned there is ”no room for error."
Senators, who have remained largely on the sidelines during much of the negotiations, are insisting on amendments to reshape the package. But making any changes at this stage seemed unlikely with so little time to spare before Monday's deadline.
___
Associated Press White House Correspondent Zeke Miller and writers Mary Clare Jalonick and Seung Min Kim contributed to this report.
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0
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mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
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0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
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0
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mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
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0
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mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
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0
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mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
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mickeyrat
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0
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mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Transgender adults in Florida `blindsided' that new law also limits their access to health care
By Brendan Farrington, Hannah Schoenbaum, Thalia Beaty
Today
TALLAHASSEE, Fla. (AP) — Debate surrounding Florida’s new restrictions on gender-affirming care focused largely on transgender children. But a new law that Republican presidential candidate and Gov. Ron DeSantis signed last month also made it difficult – even impossible – for many transgender adults to get treatment.
Eli and Lucas, trans men who are a couple, followed the discussions in the Legislature, where Democrats warned that trans children would be more prone to suicide under a ban on gender-affirming care for minors and Republicans responded with misplaced tales of mutilated kids. Eli said he and his partner felt “blindsided” when they discovered the bill contained language that would also disrupt their lives.
“There was no communication. … Nobody was really talking about it in our circles,” said Eli, 29.
Like many transgender adults in Florida, he and Lucas are now facing tough choices, including whether to uproot their lives so that they can continue to access gender-confirming care. Clinics are also trying to figure out how to operate under regulations that have made Florida a test case for restrictions on adults.
Lucas, 26, lost his access to treatment when the Orlando clinic that prescribed him hormone replacement therapy stopped providing gender-affirming care altogether. The couple also worries about staying in a state that this year enacted several other bills targeting the LGBTQ+ community.
“My entire life is here. All my friends, my family. I just got a promotion at my job, which I’m probably not to be able to keep,” Lucas, who works in a financial aid office at a college, said. “I’m losing everything except Eli and my pets moving out of here. So this was not a decision that I took lightly at all.”
The Associated Press is not using Eli’s and Lucas’ last names because they fear reprisal. While their friends and families know they are trans, most people who meet them do not.
The new law that bans gender-affirming care for minors also mandates that adult patients seeking trans health care sign an informed consent form. It also requires a physician to oversee any health care related to transitioning, and for people to see that doctor in person. Those rules have proven particularly onerous because many people received care from nurse practitioners and used telehealth. The law also made it a crime to violate the new requirements.
Another new law that allows doctors and pharmacists to refuse to treat transgender people further limits their options.
“For trans adults, it’s devastating,” said Kate Steinle, chief clinical officer at FOLX Health, which provides gender-affirming care to trans adults through telemedicine. Her company decided to open in-person clinics and hire more physicians licensed in Florida in order to continue to provide care to patients who have already enrolled, even though that represents a major change to the company's business model.
Eli has been seeing a physician for years and therefore still has access to care. But SPEKTRUM Health Inc., the Orlando clinic that prescribed Lucas hormone replacement therapy, has stopped providing gender-affirming care.
“There are a lot of people looking for care that we’re no longer legally able to provide,” said Lana Dunn, SPEKTRUM Health’s chief operating officer.
Florida has the second-largest population of transgender adults in the U.S., at an estimated 94,900 people, according to the Williams Institute at the University of California, Los Angeles School of Law. It used state-level, population-based surveys to determine its estimates. Not all transgender people seek medical interventions.
At least 19 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors. But restrictions on adults haven't been part of the conversation in most places. Missouri’s attorney general tried to impose a rule in that state, but it was pulled back.
Florida is “the proving ground of what they can get away with,” Dunn said.
Her organization treats about 4,000 people — most in Florida and some out-of-state telehealth patients, she said. While SPEKTRUM has bolstered its mental health services since the law passed, it and other organizations heavily rely on nurse practitioners to provide care.
Dunn estimates that 80% of trans adults in the state were getting their health care from a nurse practitioner and now have lost access.
"Right now what we’re seeing in the community is just chaos,” Dunn said.
The law also contains language that she said could scare off doctors who would be otherwise willing to treat trans patients, such as a 20-year statute of limitations to sue over care they provide.
As a trans woman herself, Dunn is grappling with losing her own access to hormones while trying to provide support to terrified patients. That's taken “a significant emotional toll,” she said.
“Not only am I faced with this lack of care for myself but a lot of people within the community are also facing the same thing, and they’re reaching out to me for guidance,” Dunn said. “So I’m doing my best to help guide people and console them, but nobody’s really reaching out to me saying, ’How are you doing? Are you OK?'”
Lucas, who transitioned eight years ago when he was 18, anticipates running out of hormone treatments in June. In the best case scenario he can foresee now, he will be able to get a new prescription in August. He fears he might start to get his period again.
“It’s just going to be extremely difficult mentally to have your body changing in a way that doesn’t align with your brain,” Lucas said.
Eli and Lucas have switched to a month-to-month lease and tentatively plan to relocate to Minnesota in November. They said they would leave sooner if they can afford it and started an online fundraiser to help. Moving with their dog and two cats increases the expense and difficulty of finding a new place.
“I just never thought it could happen this way, this fast and to us,” Eli said.
___
Beaty reported from New York City and Schoenbaum reported from Raleigh, North Carolina.
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
0
Options
mickeyrat
up my ass, like Chadwick was up his Posts: 35,773
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
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she is a very, very unserious person. her district deserves better. can't even be on time to the most important vote of this session. its not like she would have voted for it. it is just that she couldn't bother to be there for the debate and vote. then has the gall to say her not being there was a protest when clearly she was trying to make it into the building.
how can congresspeople be allowed to keep their jobs if they don't even show up FOR their jobs? there should be an oversight committee that "fires" them or docks their pay. "vote her out" you say? the trash doesn't know how to take out the trash.
how can congresspeople be allowed to keep their jobs if they don't even show up FOR their jobs? there should be an oversight committee that "fires" them or docks their pay. "vote her out" you say? the trash doesn't know how to take out the trash.
yeah her district is who keeps sending her back to dc. i hope they are proud of themselves. i guess it comes down to owning the libs, and she can't even do that right. a no vote would have owned the libs. a no show owned herself.
There is nothing noble in being superior to your fellow man; true nobility is being superior to your former self.- Hemingway
Comments
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
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jfc these people are so lazy. like this lazyass is going to vote for it anyway.
"Well, you tell him that I don't talk to suckas."
"Well, you tell him that I don't talk to suckas."
when is marco rubio going to jump in so we can have a repeat of 2016?
"Well, you tell him that I don't talk to suckas."
Or newsmaQs
WASHINGTON (AP) — Veering away from a default crisis, the House approved a debt ceiling and budget cuts package late Wednesday, as President Joe Biden and Speaker Kevin McCarthy assembled a bipartisan coalition of centrist Democrats and Republicans against fierce conservative blowback and progressive dissent.
The hard-fought deal pleased few, but lawmakers assessed it was better than the alternative — a devastating economic upheaval if Congress failed to act. Tensions ran high throughout the day as hard-right Republicans refused the deal, while Democrats said “extremist” GOP views were risking a debt default as soon as next week.
With the House vote of 314-117, the bill now heads to the Senate with passage expected by week's end.
McCarthy insisted his party was working to “give America hope” as he launched into a late evening speech extolling the bill's budget cuts, which he said were needed to curb Washington's “runaway spending.”
But amid discontent from Republicans who said the spending restrictions did not go far enough, McCarthy said it is only a “first step."
Earlier, Biden expressed optimism that the agreement he negotiated with McCarthy to lift the nation's borrowing limit would pass the chamber and avoid an economically disastrous default on America's debts.
The president departed Washington for Colorado, where he is scheduled to deliver the commencement address Thursday at the U.S. Air Force Academy.
“God willing by the time I land, Congress will have acted, the House will have acted, and we’ll be one step closer,” he said. That wasn't quite the case — the vote began about an hour and a half after Biden arrived in Colorado.
Biden sent top White House officials to the Capitol to shore up backing. McCarthy worked to sell skeptical fellow Republicans, even fending off challenges to his leadership, in the rush to avert a potentially disastrous U.S. default.
Swift later in the week by the Senate would ensure government checks will continue to go out to Social Security recipients, veterans and others and would prevent financial upheaval at home and abroad. Next Monday is when the Treasury has said the U.S. would run short of money to pay its debts.
POLITICS
DeSantis plays up his personal side and swipes at Trump in campaign blitz across Iowa
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Air Force picks Colorado for more Space Force missions as politics loom over headquarters decision
Ex-New Jersey Gov. Chris Christie planning to launch GOP presidential campaign next week
Biden and McCarthy were counting on support from the political center, a rarity in divided Washington, testing the leadership of the Democratic president and the Republican speaker.
Overall, the 99-page bill restricts spending for the next two years, suspends the debt ceiling into January 2025 and changes some policies, including imposing new work requirements for older Americans receiving food aid and greenlighting an Appalachian natural gas line that many Democrats oppose. It bolsters funds for defense and veterans.
Raising the nation's debt limit, now $31 trillion, ensures Treasury can borrow to pay already incurred U.S. debts.
Top GOP deal negotiator Rep. Garret Graves of Louisiana said Republicans were fighting for budget cuts after Democrats piled onto deficits with extra spending, first during the COVID-19 crisis and later with Biden's Inflation Reduction Act, with its historic investment to fight climate change.
But Republican Rep. Chip Roy, a member of the Freedom Caucus helping to lead the opposition, said, “My beef is that you cut a deal that shouldn’t have been cut.”
For weeks negotiators labored late into the night to strike the deal with the White House, and for days McCarthy has worked to build support among skeptics. At one point, aides wheeled in pizza at the Capitol the night before the vote as he walked Republicans through the details, fielded questions and encouraged them not to lose sight of the bill’s budget savings.
The speaker has faced a tough crowd. Cheered on by conservative senators and outside groups, the hard-right House Freedom Caucus lambasted the compromise as falling well short of the needed spending cuts, and they vowed to try to halt passage.
A much larger conservative faction, the Republican Study Committee, declined to take a position. Even rank-and-file centrist conservatives were unsure, leaving McCarthy searching for votes from his slim Republican majority.
Ominously, the conservatives warned of possibly trying to oust McCarthy over the compromise.
Biden spoke directly to lawmakers, making calls from the White House.
House Democratic leader Hakeem Jeffries said it was up to McCarthy to turn out at least 150 Republican votes, two-thirds of the majority, even as he assured reporters that Democrats would supply the rest to prevent a default. In the 435-member House, 218 votes are needed for approval.
As the tally faltered in the afternoon procedural vote, Jeffries stood silently and raised his green voting card, signaling that the Democrats would fill in the gap to ensure passage. They did, advancing the bill that 29 hard-right Republicans, many from the Freedom Caucus, refused to back.
“Once again, House Democrats to the rescue to avoid a dangerous default,” said Jeffries, D-N.Y.
“What does that say about this extreme MAGA Republican majority?” he said about the party aligned with Donald Trump’s ”Make America Great Again” political movement.
The nonpartisan Congressional Budget Office said the spending restrictions in the package would reduce deficits by $1.5 trillion over the decade, a top goal for the Republicans trying to curb the debt load.
In a surprise that complicated Republicans' support, however, the CBO said their drive to impose work requirements on older Americans receiving food stamps would end up boosting spending by $2.1 billion over the time period. That's because the final deal exempts veterans and homeless people, expanding the food stamp rolls by 78,000 people monthly, the CBO said.
Liberal discontent, though, ran strong as Democrats also broke away, decrying the new work requirements for older Americans, those 50-54, in the food aid program.
Some Democrats were also incensed that the White House negotiated into the deal changes to the landmark National Environmental Policy Act and approval of the controversial Mountain Valley Pipeline natural gas project. The energy development is important to Sen. Joe Manchin, D-W.Va., but many others oppose it as unhelpful in fighting climate change.
On Wall Street, stock prices were down.
In the Senate, Democratic Majority Leader Chuck Schumer and Senate Republican leader Mitch McConnell are working for passage by week's end.
Schumer warned there is ”no room for error."
Senators, who have remained largely on the sidelines during much of the negotiations, are insisting on amendments to reshape the package. But making any changes at this stage seemed unlikely with so little time to spare before Monday's deadline.
___
Associated Press White House Correspondent Zeke Miller and writers Mary Clare Jalonick and Seung Min Kim contributed to this report.
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
1998: Noblesville; 2003: Noblesville; 2009: EV Nashville, Chicago, Chicago
2010: St Louis, Columbus, Noblesville; 2011: EV Chicago, East Troy, East Troy
2013: London ON, Chicago; 2014: Cincy, St Louis, Moline (NO CODE)
2016: Lexington, Wrigley #1; 2018: Wrigley, Wrigley, Boston, Boston
2020: Oakland, Oakland: 2021: EV Ohana, Ohana, Ohana, Ohana
2022: Oakland, Oakland, Nashville, Louisville; 2023: Chicago, Chicago, Noblesville
2024: Noblesville, Wrigley, Wrigley, Ohana, Ohana
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
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another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
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"Well, you tell him that I don't talk to suckas."
its happened multiple times. many of the election lawsuits were before judges appointed in his term.and there were others.
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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"Well, you tell him that I don't talk to suckas."
still think its happened before.
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you're finally here and I'm a mess................................................... nationwide arena columbus '10
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Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
TALLAHASSEE, Fla. (AP) — Debate surrounding Florida’s new restrictions on gender-affirming care focused largely on transgender children. But a new law that Republican presidential candidate and Gov. Ron DeSantis signed last month also made it difficult – even impossible – for many transgender adults to get treatment.
Eli and Lucas, trans men who are a couple, followed the discussions in the Legislature, where Democrats warned that trans children would be more prone to suicide under a ban on gender-affirming care for minors and Republicans responded with misplaced tales of mutilated kids. Eli said he and his partner felt “blindsided” when they discovered the bill contained language that would also disrupt their lives.
“There was no communication. … Nobody was really talking about it in our circles,” said Eli, 29.
Like many transgender adults in Florida, he and Lucas are now facing tough choices, including whether to uproot their lives so that they can continue to access gender-confirming care. Clinics are also trying to figure out how to operate under regulations that have made Florida a test case for restrictions on adults.
Lucas, 26, lost his access to treatment when the Orlando clinic that prescribed him hormone replacement therapy stopped providing gender-affirming care altogether. The couple also worries about staying in a state that this year enacted several other bills targeting the LGBTQ+ community.
“My entire life is here. All my friends, my family. I just got a promotion at my job, which I’m probably not to be able to keep,” Lucas, who works in a financial aid office at a college, said. “I’m losing everything except Eli and my pets moving out of here. So this was not a decision that I took lightly at all.”
The Associated Press is not using Eli’s and Lucas’ last names because they fear reprisal. While their friends and families know they are trans, most people who meet them do not.
The new law that bans gender-affirming care for minors also mandates that adult patients seeking trans health care sign an informed consent form. It also requires a physician to oversee any health care related to transitioning, and for people to see that doctor in person. Those rules have proven particularly onerous because many people received care from nurse practitioners and used telehealth. The law also made it a crime to violate the new requirements.
Another new law that allows doctors and pharmacists to refuse to treat transgender people further limits their options.
“For trans adults, it’s devastating,” said Kate Steinle, chief clinical officer at FOLX Health, which provides gender-affirming care to trans adults through telemedicine. Her company decided to open in-person clinics and hire more physicians licensed in Florida in order to continue to provide care to patients who have already enrolled, even though that represents a major change to the company's business model.
Eli has been seeing a physician for years and therefore still has access to care. But SPEKTRUM Health Inc., the Orlando clinic that prescribed Lucas hormone replacement therapy, has stopped providing gender-affirming care.
“There are a lot of people looking for care that we’re no longer legally able to provide,” said Lana Dunn, SPEKTRUM Health’s chief operating officer.
Florida has the second-largest population of transgender adults in the U.S., at an estimated 94,900 people, according to the Williams Institute at the University of California, Los Angeles School of Law. It used state-level, population-based surveys to determine its estimates. Not all transgender people seek medical interventions.
At least 19 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors. But restrictions on adults haven't been part of the conversation in most places. Missouri’s attorney general tried to impose a rule in that state, but it was pulled back.
Florida is “the proving ground of what they can get away with,” Dunn said.
Her organization treats about 4,000 people — most in Florida and some out-of-state telehealth patients, she said. While SPEKTRUM has bolstered its mental health services since the law passed, it and other organizations heavily rely on nurse practitioners to provide care.
Dunn estimates that 80% of trans adults in the state were getting their health care from a nurse practitioner and now have lost access.
"Right now what we’re seeing in the community is just chaos,” Dunn said.
The law also contains language that she said could scare off doctors who would be otherwise willing to treat trans patients, such as a 20-year statute of limitations to sue over care they provide.
As a trans woman herself, Dunn is grappling with losing her own access to hormones while trying to provide support to terrified patients. That's taken “a significant emotional toll,” she said.
“Not only am I faced with this lack of care for myself but a lot of people within the community are also facing the same thing, and they’re reaching out to me for guidance,” Dunn said. “So I’m doing my best to help guide people and console them, but nobody’s really reaching out to me saying, ’How are you doing? Are you OK?'”
Lucas, who transitioned eight years ago when he was 18, anticipates running out of hormone treatments in June. In the best case scenario he can foresee now, he will be able to get a new prescription in August. He fears he might start to get his period again.
“It’s just going to be extremely difficult mentally to have your body changing in a way that doesn’t align with your brain,” Lucas said.
Eli and Lucas have switched to a month-to-month lease and tentatively plan to relocate to Minnesota in November. They said they would leave sooner if they can afford it and started an online fundraiser to help. Moving with their dog and two cats increases the expense and difficulty of finding a new place.
“I just never thought it could happen this way, this fast and to us,” Eli said.
___
Beaty reported from New York City and Schoenbaum reported from Raleigh, North Carolina.
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
you're finally here and I'm a mess................................................... nationwide arena columbus '10
memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
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