Tracking organized anti-trans submissions to the Florida Board of Medicine October 28 meeting, which passed a ban on medical transition for trans youth

The agenda submissions featured the state’s handpicked experts as well as public comments from conversion therapists, trans-hostile providers in major hospital systems, anti-trans parents promoting detransitioning, and leading members of the Catholic Medical Association and National Catholic Bioethics Center.

On October 28, the Florida Board of Medicine and Florida Board of Osteopathic Medicine held a joint meeting and voted to pass an effective ban on medical transition care for trans youth under 18, advancing this sham rulemaking process to another joint meeting this coming Friday, November 4. Unlike the Florida Medicaid coverage exclusion of all transition care (Rule 59G-1.050(7)) which has already taken effect and is currently in litigation in Dekker et al. v. Marstiller et al., these rules have not yet taken effect but will ultimately take the form of “practice standards” (proposed Rule 64B8-9.019 and Rule 64B15-14.014) that are binding on all medical providers in the state.

Background and involvement of the Catholic Medical Association and Alliance Defending Freedom

In a petition for rulemaking submitted to the earlier August 5 meeting of the Board of Medicine which advanced the process to yesterday’s meeting, the Florida Department of Health proposed a rule containing the text of a ban on providing any gender-affirming medical care to patients under 18 (pp. 870-877 of the Aug 5 public meeting book). In that previous submission, FLDOH also introduced a “Hormone Informed Consent Form” and “Surgery Informed Consent Form” that would require a waiting period of 24 hours for adults before receiving any medical transition treatment (pp. 1112-1113). These forms referred patients to the Florida Medicaid website, which contains five “expert reports” against gender-affirmative care commissioned by Florida as grounds for the Medicaid exclusion.

Three of the five reports were written by members of the Catholic Medical Association, a far-right religious group which swore in a 2021 court filing that its members will never support a standard of care allowing medical transition on the basis of their faith, and Florida’s selection of these religiously-committed experts guaranteed a predetermined outcome: a majority of the Medicaid report writers would not recommend transition as safe or effective. (The other two reports were written by a sexologist who supports including pedophiles in “LGBT” as an “LGBTP”, and two associates of the anti-trans group SEGM.) In that filing, the executive director of CMA, Mario Dickerson, explained the religious and policy positions of CMA members very clearly:

35 . The Catholic Church thus opposes invasive and drastic medical interventions promoted by modern gender ideology. “Except when performed for strictly therapeutic medical reasons, directly intended amputations, mutilations, and sterilizations performed on innocent persons are against the moral law.” Catechism § 2297.

36 . The Catholic Church also teaches this lived biological reality of two sexes creates various obligations for public authorities. Catechism § 1907. …

54 . CMA has adopted an official resolution stating, “the Catholic Medical Association does not support the use of any hormones, hormone blocking agents or surgery in all human persons for the treatment of Gender Dysphoria.” …

69 . The gender identity mandate requires CMA members to engage in various practices to which our members objection on medical and ethical grounds, including the following:  … m. Saying in their professional opinions that these gender intervention procedures are the standard of care, are safe, are beneficial, are not experimental, or should otherwise be recommended; …

70 . The objectionable practices violate the teachings of the Church, and our organization’s members cannot carry them out in good conscience.

This demonstrates that not only do CMA members as a group state an absolute and unwavering position against any gender-affirming care at any age, they also admit they will be unable to engage with any “practice standards” process in the intended good-faith manner. Finally, they declare that their members’ anti-trans commitments and activities are due to their faith-based belief in the doctrinal positions of a specific religion. This is why it is a sham rulemaking process. Instead of these findings being the organic outgrowth of an objective, provisional and open-ended process of evaluation of evidence, the appearance of a process is used as cover for an already fixed result, based on an absolute faith belief that is intentionally impervious to contrary evidence.

Additionally, CMA member and anti-trans expert witness Patrick Hunter was appointed by Gov. Ron DeSantis to the Board of Medicine this June and voted to advance the proposed ban at the August 5 and October 28 meetings, neglecting to recuse himself despite his preexisting personal commitment to disapprove of our standards of care in all cases. This has effectively generated a backdoor theocracy within Florida state health agencies through executive action to select a set of preferred “experts”: their individual religious views will guarantee a particular anti-trans faith-based policy, imposed on the rest of us as private citizens by the laws of a supposedly secular government.

Two of the three CMA-associated Medicaid report writers, Quentin L. Van Meter of the anti-LGBT American College of Pediatricians hate group and Deacon Patrick W. Lappert of the Catholic “ex-gay” group Courage, have previously worked with the Christian right-wing Alliance Defending Freedom in their effort to produce a lineup of anti-trans expert witnesses. The current leadership of Florida AHCA/Medicaid has remained in close contact with the ADF during these anti-trans rulemaking processes, boasting of Governor DeSantis’ executive actions against trans healthcare, while the ADF praised this approach as a demonstration for other states:

In August, Jason Weida, a former Donald Trump appointee who now works in the AHCA office, appeared at an event hosted by the Alliance Defending Freedom, one of the nation’s most influential anti-LGBT legal groups, to gloat about the report. “It’s thorough, it’s documented, it’s the exact quality evidence so often lacking from the Biden [Health and Human Services department],” ADF’s state legislative director gushed at Weida. “It ought to be something that ought to serve as, perhaps, a model for other states.”

“Thanks to the leadership of Gov. DeSantis, we have been able to take a parents’ rights approach to legislation over the last couple of years,” Weida responded. “Just stay tuned for more to come out of Florida.” Within three weeks, he was promoted to AHCA chief of staff.

The October 28 meeting and submitted materials

The FLDOH’s proposed informed consent forms for adults do not appear in the agenda and submissions for the October 28 meeting, and during the meeting itself, board members made clear without argument that their since-passed ban on medical transition care would not apply to trans people 18 or over. Instead, the boards have proposed the broad strokes of an “enhanced informed consent” process requiring trans youth under 18 to receive approval from at least four specialists including a pediatrician, pediatric endocrinologist, clinical psychologist or psychiatrist, and social worker; the specific text will likely be formalized at upcoming meetings including the November 4 meeting.

While this outcome is bad enough, the proceedings had many ugly and even alarming moments. Patrick Hunter explicitly raised the faulty argument that social transition causes “persistence” of otherwise transient gender dysphoria; he then reasoned that “consent” for social transition by 12-year-old trans youth, a nonmedical change in gender expression such as name, pronouns, hairstyle and attire, would require the same capacity for informed consent as agreeing to genital surgery as an adult. Michael Biggs, an anti-trans expert invited by the state, made the similarly unsupported argument that use of puberty blockers also causes a greater frequency of “persistence” – then tried to assert that use of puberty blockers therefore has a mortality rate greater than 1%, on the basis of one (1) fatal hospital-acquired infection following vaginoplasty. Most of the wildly flawed assertions made during the five-hour proceedings went completely unchallenged.

Chair of the Florida Board of Osteopathic Medicine Dr. Sandra Schwemmer raised the idea of creating a state registry of trans youth receiving medical care for the purpose of tracking them and reporting this data back to the boards, a disturbing proposal which was met with loud booing, although this did not stop her from later bringing up her state transgender registry suggestion again. The first nine speakers selected to offer public comment were anti-trans detransitioners, three of whom have provided declarations for the state of Florida’s defense of the Medicaid exclusion in Dekker et al. v. Marstiller et al.: Zoe Hawes, Chloe Cole, and Camille Kiefel. In addition to the nine detransitioners, six more anti-trans speakers were selected, including three with connections to the defense in Dekker: Yaacov Sheinfeld, an unaccepting parent who entered a declaration; Bob Framingham, husband of Julie Framingham, an unaccepting parent who entered a declaration; and Dr. Robert Roper, physician of C. G., a detransitioner who entered a declaration. Their involvement with the state of Florida in ongoing litigation was not disclosed, nor was it explained why nine anti-trans detransitioners would be placed first in line when detransition is consistently found to be a rare outcome.

Only six pro-trans speakers were selected in total, and public comment was cut off by board member Zachariah P. Zachariah with the offer of an email address to submit comments. State representative Anna V. Eskamani attempted to speak and deliver the concerns of constituents, including myself, and was denied; representative-elect Rita Harris was present and was also not allowed to speak. This meeting was appalling and filled with countless state-sanctioned moments of dehumanizing trans people and openly calling us a disease. What happened should be of grave concern to any citizen with an interest in being governed by rational and accountable processes, and everyone can re-experience the disgrace at their convenience with the full recording and our annotated livetweets.

For the purposes of continued study of these events, I’ve also created a non-exhaustive listing of anti-trans submissions to the public agenda materials in the leadup to the October 28 meeting. At least four versions of the agenda were published, without the boards keeping any known log of these changes, and these agenda files are removed from Florida’s servers following meetings due to their large size. I have mirrored and labeled these versions as follows:

• A 3336-page 610MB PDF (version A).
• A 3336-page 610MB PDF (version B), an edit of version A removing sexologist James Cantor from page 1 as a “Subject Matter Expert” at the October 28 meeting.
• A 3331-page 1GB PDF (version C) with five pages from version B now removed: a 3-page letter from veterinarian Susan Kraegel of California, and a 2-page letter from Isabel Teare promoting a recent editorial by “Subject Matter Expert” Michael Biggs.
• A 3887-page 1.16GB PDF (version D). This appears to be the final version, including additional public comments, CVs of the remaining invited subject matter experts, an October 20 service specification from NHS England that calls for youth social transition to be gatekept by medical necessity, and an October 20 commentary by Stephen Levine and pediatrician Julia Mason calling informed consent for youth transition “so problematic” (Levine, Abbruzzese, & Mason, 2022). Levine has a history of opposing social transition for youth, while Mason, director of SEGM, appeared to support the anti-trans group Genspect’s concealment of Patrick Hunter’s signature on an proposal to the American Academy of Pediatrics this March. (The contents of version D from page 4 onward appear to have been copied over to the current agenda file for the November 4 joint meeting of the boards.)

This index post will document the content of version D according to its page numbering except where noted, and will continue to be updated with new information as it becomes available.

The state of Florida’s invited subject matter experts

Page 1 outlines the question and answer session with six (formerly seven) “subject matter experts”, including pro-trans experts Dr. Kristin Dayton of UF Health, Dr. Aron Janssen of Lurie Children’s Hospital, and Dr. Meredithe McNamara of the Yale School of Medicine (lead author of a Yale report critical of Florida Medicaid’s anti-trans arguments). The following anti-trans experts were also present or apparently planned to be present.

Michael Biggs

Michael Biggs is a UK-based sociologist and Oxford associate professor of sociology. Biggs is not a doctor and therefore does not have experience providing transition treatment to trans youth or adults; he is an advisor to SEGM and has a history of transphobic tweets under a sockpuppet account. While tweeting under this account, Biggs misgendered trans athletes, referred to medical transition treatment as “eugenics”, claimed transitioning “makes you LESS attractive”, and endorsed an implausible conspiracy theory that many cis gay youth have inappropriately transitioned to become “straight”.

Biggs’ CV is on pages 4-11, and page 8 includes a post on 4thWaveNow asserting that George Soros’ Open Society Foundations “has funded the transgender movement”. Soros has been targeted by Hungarian autocrat Viktor Orbán’s campaign against gender studies and “gender ideology”, and staff in the DeSantis administration have quietly acknowledged that Orbán’s repression of the LGBT community was a model for Florida’s “Don’t Say Gay” bill.

Between version B and version C of the agendas, two pages were removed at pp. 1518-1519: a September 20, 2022 public comment email to the Board from “Isabel Teare” notifying them of a September 19 publication by Michael Biggs. “The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence” (Biggs, 2022) was published in the Journal of Sex & Marital Therapy, a preferred journal of Florida Medicaid report writer James Cantor (Cantor, 2020) and SEGM’s Stephen Levine, Ema Abbruzzese and Julia Mason (Levine et al., 2022; Levine et al., 2022a; Levine, 2018; Levine, 2017), with Levine himself serving as a consulting editor to the journal.

REMOVED: James M. Cantor

James Cantor is a psychologist and sexologist, and author of Attachment D, one of the five Florida Medicaid reports used as grounds to exclude coverage of transition care. Cantor was removed from the subject matter experts on page 1 between versions A and B for unknown reasons, but a copy of Attachment D remains in version D from pp. 2986-3047. The Yale report notes that Attachment D appears to be copied largely from Cantor’s work on behalf of the Alliance Defending Freedom in B.P.J. v. West Virginia State Board of Education, a case about trans youth in school sports:

James Cantor’s document, presented as Attachment D to the June 2 Report, also faces serious questions about bias and lack of expertise. In a 2022 case, a federal court took a skeptical view of Cantor’s purported expertise, noting that “the Court gave [Cantor’s] testimony little weight because he admitted, inter alia, to having no clinical experience in treating gender dysphoria in minors and no experience monitoring patients receiving drug treatments for gender dysphoria. Cantor’s document is nearly identical to what appears to be paid testimony in another case, where Cantor’s declaration was used to support legislation barring transgender athletes from sports teams. Troublingly, Cantor’s appearance in that case seems to have been funded by the Alliance Defending Freedom (“ADF”), a religious and political organization that opposes legal protections for transgender people and same-sex marriage and defends the criminalization of sexual activity between partners of the same sex. Because Cantor provides no conflicts of interest disclosure, readers cannot ascertain whether Florida AHCA also paid for Cantor’s report and whether Florida officials were aware that the Cantor report reused his work for (apparently) the ADF.

Cantor has previously worked with the Prostasia Foundation, a group which provided a “MAP Support Club” for pedophiles and child molesters (or “minor-attracted persons”). Asserting that “pedophilia is NOT inherently wrong”, Cantor has said that the LGBT acronym “should include the P” (pedophiles), a claim that originated as a vile and offensive hoax to attack our community but which he seems to take completely seriously. He recently promoted a group, Trans Against Groomers, that pointedly opposes “sexualizing … children under the guide of ‘LGBTQIA+’”; it is unknown how he reconciles this with his earlier advocacy for pedophiles, who sexualize children, to be included in “LGBT”.

Riittakerttu Kaltiala

Riittakerttu Kaltiala (previously Kaltiala-Heino) currently serves as chief psychiatrist of Tampere University Hospital’s Department of Adolescent Psychiatry in Finland. During the October 28 meeting, Kaltiala made unclear and possibly contradictory statements that gender-dysphoric youth either must have any co-occurring mental health issues treated first before medical transition, or that conditionally, “if the psychiatric problems seem more fundamental they have to be treated first”. Kaltiala has undisclosed ties to board member Patrick Hunter, who allowed her to go overtime during the meeting and previously worked with her in Finland (Declaration of Patrick Hunter, 1 May 2022, in Eknes-Tucker et al. v. Ivey et al.):

My research has given me the opportunity to work with experts in the field of gender medicine from all over the world, including Sweden, Finland, England, Australia, Canada, and the United States. I have lectured with Dr. Rittakerttu Kaltiala, a child and adolescent psychiatrist and a leading world expert in transgender care for youth. Dr. Kaltiala was instrumental in recently changing Finland’s national transgender practice guidelines, when they recognized the harms being done to youth.

During the meeting, Hunter also suggested state-authorized clinical trials of medical transition for youth should be held at major research universities in the state, inviting Kaltiala by name to participate in an international effort. Kaltiala, speaking to UK-based conversion therapist Robert Withers, previously claimed to provide an example of “online coaching” or social contagion among Finnish trans youth (Withers, 2020):

One of the contributors, Professor Kaltiala-Heino (2018), a psychiatrist from Finland, spoke about something she called ‘shared identity’. In the gender clinic where she works, she noticed numerous young people shared identical accounts of their childhood. Several of the biological females she assessed, for instance, claimed to have spent significant portions of their childhood wandering alone in the forest imagining they were male wolves. When I asked her about the significance of this, she said that she thought it was probably the result of online coaching. Helpful trans-allies were able to point out the kind of childhoods these self-diagnosed trans-adolescents required to qualify for the medical treatment they had already decided they needed.

In a ground-breaking paper, Lisa Littman (2018) described, via parent report, a potentially new gender dysphoria presentation, referred to as ‘rapid onset gender dysphoria (ROGD)’. Trans-activists seem to be threatened by the paper and attempted to discredit it (Wadman 2018). But I have certainly seen cases where gender dysphoria has occurred suddenly around puberty as well as other cases where its onset has appeared more gradually and was long-standing. Other clinicians, including Kaltiala-Heino, agree. For her, a biological female’s genuine childhood history of playing in the woods as a lone male wolf, would indicate a long-standing GD and therefore be more likely to qualify the patient for medical treatment than an adolescent rapid onset case.

Our associates in the Finnish transgender community have not been able to verify any such wolf phenomenon occurring among youth either as an authentic childhood experience or as a false narrative adopted to access care.

Michael K. Laidlaw

Michael Laidlaw is a pediatric endocrinologist whose experience with the transgender population consists of treating one adult detransitioner, a fact which he voluntarily disclosed at the board meeting. Laidlaw has shared authorships with Quentin Van Meter and G. Kevin Donovan, two CMA members and Florida Medicaid expert report writers (Laidlaw et al., 2019; Laidlaw et al., 2018), and habitually misrepresents “desistance” literature as justifying a requirement that trans people reach adulthood before transitioning.

He assembled a lengthy PowerPoint deck for the meeting (pp. 135-226 of version D) but was not able to complete his presentation within 10 minutes, leaving us to browse his slides on our own time. During his presentation, Laidlaw called attention to potential conflicts of interest between WPATH and the Endocrine Society (158-159), helpfully establishing that conflicts of interest are relevant to the Florida Medical Board in critiquing a transgender standards of care process. In a fit of pointless invective, Laidlaw previously referred to me as a “porn saturated trans psychopath” in 2018 for criticizing Lisa Littman’s misuse of my work to promote “ROGD” (a point which Littman herself later acknowledged), but did not engage substantially with my critique of her study.

Public comments and submissions

Notable anti-trans experts

• Paul W. Hruz (pp. 1643-1672), member of CMA and fellow of the National Catholic Bioethics Center. Hruz’s article in CMA journal Linacre Quarterly (Hruz, 2020) was incorrectly cited as a “systematic review” by the Florida Department of Health. Hruz has linked being transgender to “early heresies of the church” and compared trans people to alcoholics, and appears to hold an axiomatic belief that an accurate scientific observation of reality would never contradict the doctrinal teachings of the Catholic Church. Hruz shares coauthorships with Michael Laidlaw, CMA’s Quentin Van Meter, William J. Malone, and the Christian Medical & Dental Associations’ Andre Van Mol (Laidlaw et al., 2019), as well as SEGM director Julia W. Mason (471-472) (Malone et al., 2021); Van Mol also appeared at the July 8 Florida Medicaid hearing with Van Meter and Miriam Grossman.
• William J. Malone (450-455), cofounder of SEGM, including coauthorships with Patrick Hunter (460-462) (Jorgensen et al., 2022), Julia W. Mason (471-472, 477-478) (Malone et al., 2021), Alison Clayton and SEGM cofounder Robert D’Angelo (473-476) (Clayton et al., 2021)
• Stephen B. Levine (1301-1302), advisor to Genspect and associate of SEGM, frequent expert witness in cases litigated by the ADF, shares coauthorships with Julia W. Mason and Ema Abbruzzese (1797-1808)
• Julia W. Mason (1698-1704), director of SEGM and advisor to Genspect, hidden signatory to anti-trans AAP resolution #27 with Patrick Hunter in March 2022
• Miriam Grossman (1614-1624), appeared at a July 8 Florida Medicaid hearing with Van Meter and Van Mol, has participated in an ADF amicus brief with Laidlaw, Van Meter and Van Mol (Brief of amici curiae Drs. Miriam Grossman et al in Adams v. School Board of St. Johns County Florida, 27 Dec 2018)
• Susan Evans (1144-1149), Genspect advisor, conversion therapist, has worked with Michael Biggs (2847-2852) (Biggs, 2022), shares coauthorships with husband and SEGM cofounder Marcus Evans (Evans & Evans, 2021); Marcus Evans shares coauthorships with Malone, D’Angelo and Mason (477-478)
• James Esses (1710-1714), “gender critical” therapist, former lawyer, advocate of “exploratory therapy”, cofounder of anti-trans group Thoughtful Therapists
• Alison Clayton (1715-1716), University of Melbourne, affiliate of SEGM, with positive commentary on Levine (1721-1729) (Clayton, 2022), shared coauthorship with Malone, Mason and D’Angelo (Clayton et al., 2021)

Catholic Medical Association members and National Catholic Bioethics Center leaders

• Josef D. Zalot (pp. 1685-1687), ethicist and lecturer at the CMA-allied National Catholic Bioethics Center, citing CMA, Hruz, American College of Pediatricians, Van Meter, United States Conference of Catholic Bishops and catechism of the Catholic Church; he asserts that his religious belief means that other people shouldn’t be allowed to transition (“if the Florida Medical Board allows so-called gender-affirming care to continue (or upholds the latest HHS “guidance” on the issue), it constitutes a violation of my faith and my first Amendment rights”). Other NCBC staff have stated that even if “the data show adequate benefits to justify the risks and costs”, “this line of argumentation fails” because “transitioning is intrinsically immoral” (Di Camillo, 2017). NCBC providers a master’s degree in Catholic bioethics through the University of Mary, and Patrick Hunter received this degree (declaration of Patrick Hunter, 1 May 2022). Zalot has called transitioning “always morally evil” (Zalot in Furton, 2021, p. 86) and makes this argument based on “powers of the soul” (p. 88) and his belief that human consciousness is “not reducible to brain function” (p. 89). Zalot and the NCBC have written template policies (Zalot, 2021) dictating that staff of Catholic hospitals and facilities should misgender trans patients (p. 90) and routinely discontinue their established hormone therapy (p. 93), a practice that was found to be physically harmful to us following unethical experiments on incarcerated trans women in the 1980s. The NCBC works with local bishops to conduct audits of Catholic facilities, including analysis of diagnosis and treatment codes for compliance: “when the National Catholic Bioethics Center audited St. Joseph, it requested data on every single encounter with a patient for the purpose of treating a gender dysphoria diagnosis” (Memorandum of law in support in Hammons v. UMMS, 25 July 2022). (The National Catholic Bioethics Center will be the subject of an extended analysis.)
• Diane Gowski (604, 1352), president of the Florida Catholic Medical Association
• Sister Edith Mary Hart (1541-1543), Religious Sisters of Mercy, Health Policy Committee of national CMA, member of Phoenix CMA, Immaculate Heart of Mary Family Health Center in Chandler, Arizona; citing William J. Malone
• Jason Phillips (596-597), president of Jacksonville CMA
• Felipe E. Vizcarrondo (850-851, 1305-1307), president of Miami CMA
• Norman Ruiz Castaneda (850-851, 1305-1307), vice-president of Miami CMA, pediatrician at Nicklaus Children’s Hospital
• James O. Breen (1607), family physician in Florida, CMA member and contributor to CMA journal Linacre Quarterly (Breen, 2022)
• Mary M. Nave (595), pediatrician and child abuse forensic examiner, CMA member, American College of Pediatricians
• Michael DePietro (600), Delaware, CMA member
• Matthew Muller (537), Case Western Reserve University School of Medicine, CMA member
• Tyler Tominello (540), medical student, CMA member
• Federico di Miranda (687), pediatrician (retired), CMA member
• Peter J. Schwabe (931), Wisconsin, CMA member
• Diana M. L. Newman (1216), Massachusetts, CMA member
• Evangeline Dacanay (1278), CMA member
• Michael Leins (1299), CMA member

Christian Medical & Dental Associations members

• Tracey Rzepka (pp. 1160-1161), psychiatric APRN at Something Beautiful Wellness Care in Sarasota, attaching Christian Medical & Dental Associations’ 2021 “CMDA Ethics Statement: Transgender Identification” (1162-1200), which cites Biblical creationism as grounds to oppose medical transition at all ages and calls for gay people to remain celibate
• Robert E. Cranston (892), author for CMDA
• Heather Elizondo Vega (551-553), pediatrician with AdventHealth, Pediatric and Adolescent Medicine Winter Garden, member of CMDA
• John-Mark Unsworth (1626-1627), American University of Antigua College of Medicine

Other anti-trans organizations

• Genspect: author Mary Laval (pp. 437-438) calling to regulate care for trans people under the age of 25; resolution #27 hidden signatory Paula Brinkley of Stanford Medicine Children’s Health (650-652); attorney Candice Jackson (1532-1533); parent and speaker Judith (Jude) Hunter (1775-1776); detransitioners Sinéad Watson (Genspect advisor), Keira Bell, Rachel Marie Foster, Carol Freitas (820-825)
• American College of Pediatricians: Tom Benton (1674); Benton also appeared previously at an August 12 meeting of the Florida Board of Osteopathic Medicine to support advancing these restrictions
• Gender Dysphoria Alliance: Aaron Kimberly (395-404)
• Parents of ROGD Kids: Justine Mercedes, Indiana leader (555-556); Erin Friday (also of Our Duty) (613-616)
• Cardinal Support Network (622-625), Ohio
• Parents with Inconvenient Truths about Trans (PITT) (690-691)
• LGB Alliance USA (847-848)
• National Association of Practising Psychiatrists (Australia): president Philip Morris (932-935) and “Managing Gender Dysphoria in Young People” guide (936-940), coauthored with SEGM cofounder Roberto D’Angelo
• “Affirmation Generation” documentary (1629) dated September 28, submitted by Vera Lindner

Anti-trans medical providers

• Richard H. Sandler (pp. 393-394), pediatric gastroenterologist at Nemours Children’s Hospital in Orlando, Florida, professor of pediatrics at the University of Central Florida
• Peter Morrow (1600), Orlando Health Physician Associates (retired), assistant professor of internal medicine at UCF, citing CMA and Paul Hruz
• Brian Burkey (684), Cleveland Clinic Indian River Hospital, Scully-Welsh Cancer Center in Vero Beach, Florida
• Siegfried O. Schmidt (888), UF Health Family Medicine in Gainesville, Florida
• Angeli Maun Akey (1676), internal medicine and integrative medicine at Ageless Medical Solutions in Gainesville, Florida
• Stephen Guffanti (1201), general practitioner, Sarasota, Florida
• John R. Hamill (930), dermatologist in Hudson, Florida
• Kenneth A. Fisher (2217), nephrologist in Kalamazoo, Michigan
• Diane W. McCarthy (901), pediatric surgeon in Spokane, Washington, at University Health Center and Avera McKennan Hospital
• Jeffrey P. McGovern (925), director of the AHN Saint Vincent Hospital Sleep Center in Erie, Pennsylvania
• Mary C. McCrossan (927), Saint Francis Family Practice in Wilmington, Delaware
• Jessica L. Keller (1630-1631), Pediatric and Adolescent Care in Tulsa, Oklahoma
• Jon F. Bignault (2218), anesthesiologist in Athens, Alabama
• Lawrence J. Budner (2219), child and adolescent psychiatrist with Children’s Health of Orange County in Santa Ana, California
• Daniel Weiss (2220-2224), endocrinologist with Lake Health Physician Group Endocrinology in Mentor, Ohio
• Hillel S. Hammerman (2227-2228), gastroenterologist in New York City
• Jonathan L. Kates (2229), orthopedic surgeon in Dover, Delaware
• Joanne Sinai (1269-1272), clinical associate professor, University of British Columbia Department of Psychiatry, citing SEGM (Sinai, 2022)
• Shanna G. Lindstrom (956-957), LCSW and clinical director at Ascendant Behavioral Health in Utah
• Julie H. Hamilton (636-637), LMFT, conversion therapist in Palm Beach Gardens, Florida
• David Schechter (2225)
• Carol Rogala (2226)

Other religious organizations and individuals

• Father Juan R. Vélez (pp. 1305-1307), Opus Dei, Miami, Florida
• Father Glenn Kohrman (568) of Holy Family Parish in South Bend, Indiana
• Alfred Cioffi (573-574), priest, doctorate in bioethics from Catholic Pontifical Gregorian University in Rome
• Deacon Victor Lopez (1264), St. Peter Catholic Parish in Spokane, Washington
• Michael Egnor (1816-1819), neurosurgeon and intelligent design creationist with the anti-evolution Discovery Institute