In late March, the Arkansas State House and Senate voted to prohibit health care workers in the state from providing gender-affirming health care to transgender and other gender-diverse young people. Meanwhile the Alabama State Senate approved a law in March to make it a felony for doctors to provide gender-affirming health care to transgender youth. I’m a researcher who has been studying and working with transgender youth and their families for most of the past decade. In 1981 studies reporting the use of blockers in children appeared in the medical literature, but their use was unrelated to transgender health care. Therefore, even without laws specifically aimed at restricting access to transgender health care, barriers already exist for many trans youth.