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Puerto Rico Extends Gender-Affirming Care Ban to Under-21s with Criminal Sanctions

Gov. González-Colón’s July 17 signing of Senate Bill 350 prohibits gender-affirming treatments for people under 21, prompting advocates to file constitutional challenges.

Puerto Rico governor, Jenniffer González-Colón. (Getty)
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Overview

  • Senate Bill 350 outlaws puberty blockers, hormone therapies and gender-affirming surgeries for anyone under 21 and imposes penalties of up to 15 years in prison, $50,000 fines and the loss of medical licenses.
  • The law bars the use of any public funds for gender-affirming care in Puerto Rico.
  • Puerto Rico joins roughly two dozen U.S. states in restricting transgender healthcare and becomes the first territory to extend a ban to young adults up to age 21.
  • Professional bodies such as the College of Physicians and Surgeons of Puerto Rico and the Psychological Association had urged Gov. González-Colón to veto the measure on medical and ethical grounds.
  • The Puerto Rico LGBTQ+ Federation and allied groups have vowed to challenge the ban’s constitutionality in court.