Nebraska
Transgender minors in Nebraska, their families and doctors brace for a new law limiting treatment
LINCOLN, Neb. (AP) — As Nebraska’s new law restricting gender-affirming care for minors goes into effect this weekend, families with transgender children and the doctors who treat them are steeling themselves for change. But exactly what and how much change is anyone’s guess.
A key aspect of the law is a set of treatment guidelines that has yet to be created. Affected families, doctors and even lawmakers say they have largely gotten no response from health officials on when they can expect the new rules, which should lay out how and when transgender minors can be treated with puberty blockers and hormones.
Many of them fear Republican officials and their appointees in charge of administering the rules are slow-walking the regulations as a way to block treatment for new transgender patients under 19, the age of adulthood under Nebraska law.
“There has been no communication,” said 42-year-old Lincoln resident Heather Rhea, who has a 17-year-old transgender daughter. “There’s been no press release. There’s nothing on the website about where they are in the process or a timeline for when we’ll know when kids can get gender-affirming care.”
“I know several, several people who’ve reached out for information and gotten zero response,” she said.
The new law, which goes into effect Sunday, bans gender-affirming surgery for anyone under 19 and restricts who in that age group can receive nonsurgical treatment. Minors who already receive puberty blockers or hormones are allowed to continue the treatment, but new patients who are minors are largely banned from starting.
The American Academy of Pediatrics recommends gender-affirming care for people under 18, citing an increased risk of suicide for transgender teens.
Only those minors who have shown “a long-lasting and intense pattern of gender nonconformity or gender dysphoria” would be allowed to start puberty blocking or hormone treatment, and only under a set of guidelines to be drafted by the state’s newly appointed chief medical officer, Dr. Timothy Tesmer.
Tesmer is an ear, nose and throat surgeon and political appointee of Republican Gov. Jim Pillen. The governor has leaned hard into a swell of anti-transgender legislation in Republican-led statehouses across the country.
During the signing ceremony for the new law, Pillen suggested children and their parents who seek gender-affirming treatment are being “duped,” adding, “that is absolutely Lucifer at its finest.”
Last month, Pillen issued an executive order strictly defining a person’s sex and ordering state agencies to define “female” and “male” as a person’s sex assigned at birth.
Omaha state Sen. John Cavanaugh is among those who said he is been unable to get answers from the Nebraska Department of Health and Human Services, even as his office fields multiple calls daily from the public seeking answers.
“There’s a huge amount of concern about what’s going to happen to trans folks,” Cavanaugh said. “They feel like the governor has put a target on their back for political gain. And they’re frightened about what happens next.”
Some are not waiting to find out.
Heather Rhea’s daughter, 17-year-old Nola Rhea, is a high school senior in Lincoln. Once she graduates in May, the National Merit Scholarship finalist plans to leave Nebraska for college in Minnesota, which enacted protections for gender-affirming care earlier this year. At the time, Nebraska lawmakers were locked in a contentious battle over the proposed transgender health care ban, which touched off an epic filibuster that slowed the session to a crawl.
The passage of the bill, which survived the filibuster attempt by a single vote, altered Rhea’s longtime assumption she would attend the University of Nebraska.
“It makes you feel like you’re not wanted here,” she said of the new law.
Rhea recounted she had contemplated suicide years earlier as her body began to change during puberty. When she came out to her family at age 14, their acceptance and the medical treatment she received, including puberty blockers and later hormones, “saved my life.”
She has since enjoyed the support of her school, teachers and peers. She entered high school thinking society had turned a corner on acceptance of the transgender community.
“And then this year happened,” she said.
She’s concerned for those teens in the future who won’t be able to get gender-affirming care.
“I worry especially because I don’t think it’s going to get better; I think things are going to get worse,” she said. As for the law’s supporters, “I think they’re going to push harder. I think they’re going to push to try to make it illegal to be trans. Period.”
Dr. Alex Dworak, an Omaha family physician who has treated transgender patients for more than 10 years at OneWorld Community Health Centers, said he has heard the same concerns Rhea has from dozens of people since debate on the Nebraska law began.
Five of his trans patients have already left the state, he said.
“They don’t feel safe here,” Dworak said. “Which, again, seems like that’s precisely the point, or at least that it lines up nicely with the stated goals of the people advocating for this legislation.”
Dworak said he has spoken about developing the regulations with Tesmer, whom he described as collegial and respected in his field. Tesmer was hopeful earlier this week about launching a set of emergency regulations by Oct. 1 until the permanent set could be adopted, Dworak said.
As of Friday, no such emergency rules had been announced.
Tesmer did not respond to several interview requests from The Associated Press about where he is in the process of drafting the regulations, for whom he has consulted, or when they are likely to be made public.
A Department of Health and Human Services spokesperson also declined to answer those questions, referring the AP to a document addressing frequently asked questions about the new law.
That document says the health agency hopes to hold a public hearing on the regulations before the end of the year. A public notice of such a hearing, which is required by law to be published at least 30 days before such a hearing, has not yet been published.
The department “will attempt to minimize” the time between the law taking affect and enactment of interim emergency regulations, according to the document.
At least 22 states have enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits. An Arkansas ban mirroring Nebraska’s was struck down by a federal judge in June as unconstitutional and will be appealed to the 8th U.S. Circuit Court, which also oversees Nebraska cases.
Nebraska
A chilly pattern of temperatures with a chance of snow showers on Wednesday coming up across Greater Nebraska
NORTH PLATTE, Neb. (KNOP) – We are in the middle of another dry weather pattern, as we have had only spotty rain chances through the last couple of weeks. It looks like that pattern will continue for at least another week. Expect some mild temperatures over the next few days, but it will really start to feel like late fall as cooler air works in as we approach the Thanksgiving holiday. We should have no major travel difficulties for the holiday, but we are watching a system that could give us some rain/snow showers for next Wednesday, but the moisture amounts should be light. Then for the following weekend, we will dry out even further, and really cool down with highs falling into the 30s with a brisk northerly wind.
It was partly cloudy and breezy for Sunday with highs near 42.
Monday sunny skies, and it will be cooler still with highs in the lower 40s. Tuesday partly cloudy skies and we will continue to be dry with highs in the upper 40s.
Then for Wednesday, we will have our moisture chance this week; under partly cloudy skies and there is a 20% chance of rain/snow showers, with highs near 39.
For Thanksgiving on Thursday, we are back to mostly sunny skies; much cooler with highs in the mid-upper 30s. Friday is mostly sunny and highs near 33. Saturday mostly sunny skies and highs near 32. Next Sunday mostly sunny skies and highs near 32.
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Nebraska is now a leader to land Aiden Manutai. Here is the latest.
The Nebraska Cornhuskers aren’t exactly done in the 2025 cycle as they have been searching for some flip targets. After actively searching, the Huskers may have found another one.
That guy is Aiden Manutai. Manutai is a Kahuku High School defensive back from Kahuku, Hawaii. He plays safety and is a listed four-star from ESPN. Manutai is committed to the California Golden Bears.
Manutai has been a target for the Cornhuskers for a bit of time and started to trend towards the Cornhuskers earlier this month. Manutai was originally interested in Nebraska along with five other schools before committing to the Bears.
Manutai did not make a trip to Lincoln this weekend, which is a good sign for the Golden Bears. However, the Cornhuskers are in a good spot despite this visit not happening. The Huskers made their first bowl game in years which is a positive sign for any recruit.
Manutai is also one of many recruits who were influenced by the addition of Dawson Merritt, who recently flipped from Alabama to Nebraska. Will Manutai be the next flip for the Big Red?
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It was an unseasonably nice afternoon in Memorial Stadium. And no, I’m not talking about temperatures in the high 50s for the final home game. In his second game as offensive coordinator, Dana Holgorsen’s offense exploded for arguably the Nebraska offense’s best game under Matt Rhule. Dylan Raiola played his best game, throwing for over 290 yards with no sacks and no turnovers. For the first time all season, I’d say the Huskers played well in all three phases of the game, and that was enough to send them bowling this December.
The story of this game was the Huskers offense. Emmett Johnson became Nebraska’s second 100-yard running back of the Matt Rhule era, joining Anthony Grant last season against Louisiana Tech. The Huskers had just two of their runs “stuffed” (a run for 0 or fewer yards) on their way to their second-best rushing output this season.
I was struck by the blocking effort in this game. Jahmal Banks held his block on the edge until Dante Dowdell crossed the goal line. Linemen were pulling and still blocking ten yards downfield, helping players fight for extra yards. That type of extra effort made this a special night for the offense.
The Husker’s offense also dominated the control of the ball. The Nebraska offense was built on methodical drives. Even if you remove Nebraska’s two explosive plays, the Huskers offense still managed an EPA of 3.88. This was the first game all season where Nebraska’s non-explosive plays went for a positive EPA.
Special teams was also a big positive for the Huskers in this game. Nebraska’s special teams performed 12.5 points better than Wisconsin’s this game. This was just the second time this season that Nebraska’s special teams unit was a net positive (Ohio State, 2.86 EPA). John Hohl’s 14 points were the most by a kicker in the Matt Rhule era.
The defense still had its concerning moments this game. Wisconsin performed in the 90th percentile or better in many offensive statistics, including its seven explosive plays. These big plays are a cause for concern against Iowa, as the Wisconsin offense is one of the worst teams in the country in generating explosive plays, at just 5.8%. The Nebraska defense was stout on crucial plays, allowing just a 30% 3rd-down success rate and a 33% red zone success rate.
Going into this game, Nebraska lost nine straight games after winning number five and ten consecutive games to Wisconsin. Many people on social media want to make fun of Nebraska fans for storming the field after getting to bowl eligibility. I’m happy these people can enjoy their laughs while they can. The Matt Rhule rebuild is running on schedule, and we all know what year three looks like for him.
Through 11 games, the Nebraska skill position group is the youngest in college football. The extra practice to build chemistry with each other and get more practice reps running Holgorsen’s offense is invaluable. The 2024 seniors won much less than most in Lincoln would’ve liked. But as they walked off the field for the final time, they put Nebraska football on a new trajectory.
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Jeanne Frances
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