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The bill would still need approval from the Senate and governor before it could become law.
LGBTQ+ advocates and health care providers denounced the bill’s passage.
“Representatives today chose to double down on discrimination and block life-saving healthcare that has been studied and proven effective for 40 years,” said Linds Jakows, founder of 603 Equality, an LGBTQ+ advocacy group, in a statement.
“All Granite Staters should be outraged that loving parents will be charged with felonies for accessing healthcare, a dangerous authoritarian precedent,” Jakows said.
Puberty blockers can pause the onset of puberty and have been used as a part of gender-affirming care for young people experiencing gender dysphoria. The medication stops the body from making sex hormones and its effects are reversible. A young person can still go through normal puberty if they stop taking the blocker.
Hormone therapy typically includes the use of testosterone and estrogen to more closely align someone’s outer appearance with their gender identity.
Republicans who supported the ban argued the treatments are dangerous, and do not have proven long-term benefits. They said people can still access treatment when they turn 18, and they pointed to some individuals whose gender dysphoria is resolved without medical intervention after they undergo puberty.
Speaking in favor of the bill, Representative Erica Layon, a Derry Republican, said gender-affirming care is “turning some of these children into lifelong medical patients, which enriches Big Pharma.”
And she argued that current counseling around gender is inadequate because it is required to affirm the changed gender identity, without sufficiently questioning that change.
Endocrinologists in New Hampshire who provide transgender care said puberty blockers have been used in pediatric endocrinology for decades to treat early puberty, and there is a lot of data demonstrating safety and efficacy. Providers and transgender people said there are many mental health benefits for children who receive gender-affirming care.
Democrats called the ban cruel and discriminatory, since it targets transgender youth accessing the treatment, and includes exceptions for people with ambiguous genitalia.
“If denied this care, trans children will not be able to escape developing secondary sexual characteristics that they’re hoping to avoid,” said Representative Jessica F. LaMontagne, a Dover Democrat. Even if they decide to transition as an adult, she said, they will have to live with those characteristics for the rest of their lives.
“Puberty blockers are temporary and reversible,” she said. “But puberty is not.”
For people assigned male at birth, the medication can slow the growth of facial and body hair, prevent the voice from deepening, and limit the growth of male sexual organs. For people assigned female at birth, it limits or stops breast development, and stops menstruation, according to the Mayo Clinic.
Republicans in New Hampshire remain wary about the risks of such treatments and insist they should be off the table, at least for children.
“Minors deserve protection from experimental medical interventions that could cause lasting harm,” wrote Representative Lisa Mazur, a Goffstown Republican, in the committee’s recommendation to pass the bill.
But civil liberties advocates argued that the government shouldn’t dictate what kind of health care people can access.
“Every Granite Stater deserves the freedom to control their bodies and seek the health care they need free from government intrusion — including LGBTQ+ and transgender young people,” said Courtney Reed, a policy advocate at the ACLU of New Hampshire.
Transgender issues and rights have been among the most contentious issues debated by the Legislature this year, as President Trump has taken executive action limiting passports for transgender people, seeking to exclude them from the military, and to keep transgender girls off girls’ sports teams.
Last week, the New Hampshire House passed a bill rolling back some anti-discrimination protections for transgender people, enabling their exclusion from bathrooms, sports teams, locker rooms, and detention facilities that match their gender identity. On Thursday, the Senate passed its version of a similar proposal, Senate Bill 268.
A similar proposal was vetoed last year by then Governor Chris Sununu. Asked about House Bill 148 on Wednesday, Republican Governor Kelly A. Ayotte said she needs to see the final provisions of the bill before determining her position on it. She did say, however, that she’s made up her mind on women’s sports.
“An issue I’ve felt strongly about is making sure that biological males are not competing in female sports,” she said. “That issue is important to me.”
Proponents of sex-segregated sports team argue it is an issue of fairness and safety.
Last year, New Hampshire passed a bill banning transgender girls from the girls’ sports team in middle and high school. The Senate on Thursday passed Senate Bill 211, a broader sports and locker room ban that would also include college sports.
The new law is facing a lawsuit arguing it unfairly targets transgender girls and violates Title IX and the equal protection clause of the 14th Amendment. The transgender girls who are plaintiffs in the lawsuit against the state are also challenging Trump’s sports ban in federal court.
Amanda Gokee can be reached at amanda.gokee@globe.com. Follow her @amanda_gokee.
Local News
After nearly four decades, a man whose skull was discovered in the New Hampshire woods has been identified.
Warren Kuchinsky was born in 1952 and was last known to be alive in the mid-1970s, New Hampshire Attorney General John Formella and New Hampshire State Police Colonel Mark Hall said in a statement. In 1986, his skull was found in a wooded area in the town of Bristol.
At the time, investigators weren’t able to identify whose skull it was, according to officials. Last year, however, the Office of the Chief Medical Examiner partnered with the DNA Doe Project, a nonprofit organization, to solve the case using forensic genetic genealogy techniques.
Kuchinsky’s identity was confirmed through DNA testing of a surviving family member, according to officials. There is no evidence that his death was caused by foul play, according to the statement.
Founded in 2017, the DNA Doe Project partners with law enforcement, medical examiners, and volunteer genealogists to apply investigative genealogy to John and Jane Doe cases. By analyzing DNA profiles and building family trees from publicly available genetic databases and historical records, the organization has helped solve more than 250 cases nationwide.
“We are honored to have partnered with the State of New Hampshire on this case,” DNA Doe Project Team Leader Lisa Ivany said in the statement. “Through the power of investigative genetic genealogy and the dedication of our volunteer genealogists, we were able to develop a critical lead in less than 24 hours. We truly hope that this identification brings long-awaited answers to Mr. Kuchinsky’s family.”
Initial DNA testing turned up only distant matches, so the DNA Doe Project selected the case to be worked on at a virtual retreat in May 2025, according to the organization’s case profile. Over the course of a weekend, more than 40 genealogists from the U.S., Canada, England, and Scotland collaborated virtually to work on the case.
Within hours, the team discovered that the unidentified man had roots in New Hampshire and Quebec, according to the profile. They later zeroed in on Kuchinsky, who had attended school in Plymouth, N.H., but had no official proof of life past 1970.
“This identification reflects the power of partnership and scientific advancement,” Formella said in the statement. “The dedication of the Office of the Chief Medical Examiner, the investigative support of the New Hampshire State Police, and the extraordinary work of the DNA Doe Project have restored a name to an individual who had been unidentified for nearly 40 years. We are grateful for their professionalism and commitment.”
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The proposal would fine transgender people up to $5,000 for using bathrooms aligned with their gender identity.
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Bathroom bans targeting transgender people have been spreading rapidly across the United States. In previous years, adult bathroom bans in public buildings were limited to a handful of states with extreme laws. This year, they have become one of the primary vehicles for anti-trans legislation nationwide. Kansas was the first to act, passing a bathroom bounty hunter system and invalidating transgender people’s IDs. Idaho and Missouri began advancing their own bills. Now, the New Hampshire House of Representatives has passed its own version — one of the most extreme in the United States, which states that a trans person using the bathroom of their gender identity is a crime under the state civil rights act, violations of which carries hefty penalties. The bill passed 181-164 on Wednesday night, just weeks after Governor Kelly Ayotte vetoed a separate bathroom ban. Republicans are now sending her something far more aggressive — raising the question of whether they are trying to move the goalposts or simply daring her to veto again.
“Notwithstanding any other provision of law, with the exception of RSA 21:3, RSA 21:54, and paragraph II below, all multi-user facilities, including bathrooms, restrooms, and locker rooms located in buildings owned, leased, or operated by any municipality shall be used based on the individual’s biological sex,” reads the new bill. This prohibition is expansive: it applies to parks, rest stops, airports, civic buildings, and more, and could leave transgender people struggling to find a public place to use the restroom across the state.
The bill contains a novel enforcement mechanism not seen in any other state. It declares that a transgender person “asserting” that their gender identity allows them to use the bathroom is against the law under the state civil rights act, turning civil rights protections that were meant to be protective of transgender people into a weapon against them. “It shall be unlawful for any person to assert that their gender identity is a sex other than that defined in RSA 21:3 for the purposes of accessing places or services restricted on the basis of sex,” reads the bill. Such violations could result in fines of up to $5,000 per incident and even jail time if a person violates a resulting court injunction by continuing to use the restroom.
The bill also contains provisions for private businesses. It permits any owner or operator of a “place of public accommodation” — a category that under New Hampshire law includes hotels, restaurants, theaters, retail stores, bars, and concert venues — to restrict bathrooms by assigned sex at birth. The bill then immunizes those businesses from discrimination claims: “Adoption or enforcement of a policy pursuant to this section shall not be deemed discrimination under RSA 354-A or any other state law,” it reads.
A separate bill, HB 1217, also passed on Wednesday. That bill permits governmental buildings and businesses to classify bathrooms and locker rooms by assigned sex at birth — similar to the bathroom bans Ayotte has already vetoed. It passed by an even wider margin, 187-163. It contains no enforcement mechanism, but rather, states that bathroom bans and sports bans are not discriminatory towards transgender people under New Hampshire law.
The bills are part of a larger movement towards bathroom bans for transgender people. Just last month, Kansas passed a bathroom ban that allows every citizen in the state to become a bounty hunter, where reporting transgender people in bathrooms can net them $1,000 per trans person caught. This law also invalidated trans people’s drivers licenses in the state. Meanwhile, Idaho and Missouri are both advancing extreme anti-trans bathroom bans of their own, with Idaho’s ban even applying to private businesses, making it against the law for a private business to allow a trans person to use the bathroom that matches their gender identity.
The bills are substantially more extreme than the one vetoed by Governor Ayotte just weeks ago. In a veto statement of a bathroom ban last month, Ayotte stated, “I believe there are important and legitimate privacy and safety concerns raised by biological males using places such as female locker rooms and being placed in female correctional facilities… At the same time, I see that House Bill 148 is overly broad and impractical to enforce, potentially creating an exclusionary environment for some of our citizens.”
It remains unclear why Republicans are pushing an even more extreme version of a bill their own governor has already vetoed three times. The bill still needs to pass the New Hampshire Senate and be signed by Ayotte to become law. One possibility is that the more extreme HB 1442 is designed as cover for HB 1217 — making that bill appear moderate by comparison and improving its chances of earning a signature. Another is that Republicans believe they can pressure Ayotte into signing, or are simply laying the groundwork for an override attempt down the line. Regardless, HB 1442 is one of the most extreme bathroom bans moving through any state legislature in the country, and transgender people across New England will be watching closely as it advances to the Senate.
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