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Supreme Court will decide if states may prohibit hormones for transgender teens

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Supreme Court will decide if states may prohibit hormones for transgender teens

The Supreme Court said Monday it will hear a major case on transgender rights and decide whether states may prohibit the use of puberty blockers and other hormones for teens who suffer from gender distress.

The justices have not ruled on whether discrimination based on gender identity is unconstitutional.

In the past three years, however, many Republican-led states have enacted laws that forbid medical treatments intended to help youths under age 18 transition to what the measures describe as a “purported identity inconsistent with the minor’s sex.”

The Biden administration, the ACLU and Lambda Legal urged the court to hear cases from Tennessee and Kentucky and to rule discrimination against transgender youth violates the Constitution’s guarantee of equal protection of the laws.

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They argued that a law “targeting transgender individuals for disfavored treatment” is a form of sex discrimination and should be struck down as unconstitutional.

The court said it would hear arguments in the fall.

In her appeal, Solicitor Gen. Elizabeth Prelogar said the state laws impose “a categorical ban on evidence-based treatments supported by the overwhelming consensus of the medical community.” The high court’s “intervention is warranted now,” she said.

The ACLU and Lambda also said the state laws should be struck down because they “violate the fundamental right of parents to make decisions concerning the medical care of their children.”

In defense of his state’s law, Tennessee’s Atty. Gen. Jonathan Skrmetti described it as a measure “to protect children from unproven medical interventions.”

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He said the number of minors diagnosed with gender dysphoria has “exploded” in recent years, and states have “seen a corresponding surge in unproven and risky medical interventions for these underage patients.”

He said state lawmakers had “reasonably concluded that the well-documented risks of cross-sex hormones outweigh any purported benefits.”

But the American Academy of Pediatrics, joined by 21 other medical and mental health organizations, filed a friend-of-court brief at the Supreme Court to dispute Tennessee’s contention that the hormone treatments are experimental or ineffective.

They said about 1.4 million persons in the United States are transgender, and about about 10% of them are teenagers ages 13 to 17. They said “research shows that adolescents with gender dysphoria who receive puberty blockers or hormone therapy experience less depression, anxiety and suicidal ideation. … Banning such care can put patients’ lives at risk.”

In April, the Williams Institute at the UCLA Law School said 24 states have adopted laws restricting treatment for transgender youth, potentially affecting about 114,000 minors or more than a third of the transgender youth in the United States. But many of those state laws have been temporarily blocked by judges.

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The Supreme Court ruled four years ago that discrimination against transgender employees violates the Civil Rights Act of 1964 and its bar against sex discrimination in the workplace. But the justices have not ruled on whether the Constitution or federal education laws prohibit discrimination against transgender youth or adults.

Last month, however, the justices by a 6-3 vote issued an order that set aside a judge’s decision and allowed Idaho to enforce its law prohibiting medical treatments for transgender teens.

A federal judge also had initially blocked the Tennessee law from taking effect last year. But in July, the Ohio-based 6th Circuit Court in a 2-1 decision became the first appeals court to rule such a law may go into effect.

The state’s lawmakers had questioned the safety and effectiveness of hormone treatments for teens, and they “may reasonably exercise caution in these circumstances,” wrote Chief Judge Jeffrey Sutton for the 6th Circuit Court. He said there is genuine disagreement over hormone treatments for young people and “life-tenured federal judges should be wary of removing a vexing and novel topic of medical debate from the ebbs and flows of democracy.”

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Video: Pete Hegseth’s Confirmation Hearing

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Video: Pete Hegseth’s Confirmation Hearing

In a hearing that stretched more than four hours, Democrats pressed Pete Hegseth, President-elect Donald J. Trump’s pick for defense secretary, on numerous allegations of misconduct, his views about women in combat and his ability to lead the department. Eric Schmitt, national security correspondent for The New York Times, explains a moment that stood out in the hearing.

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Trump Energy Sec pick to share American 'energy dominance' vision at confirmation hearing: 'Agent for change'

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Trump Energy Sec pick to share American 'energy dominance' vision at confirmation hearing: 'Agent for change'

Chris Wright, President-elect Trump’s nominee to lead the U.S. Department of Energy, is planning to tell senators in charge of his confirmation that he will focus on restoring American “energy dominance” at home and abroad. 

Wright, a fossil fuel executive who in the past has been critical of the media blaming climate change for repeated wildfires, is expected to deliver his opening statement before the Senate Energy and Natural Resources Committee on Wednesday morning. Fox News Digital obtained a copy of the statement in advance ahead of the hearing scheduled to start at 10 a.m. ET.

“I am humbled by the great responsibility this position holds,” Wright is expected to say in his opening statement. “America has a historic opportunity to secure our energy systems, deliver leadership in scientific and technological innovation, steward our weapons stockpiles, and meet Cold War legacy waste commitments.” 

Describing himself as a “science geek, turned tech nerd, turned lifelong energy entrepreneur,” Wright will tell the committee how his “fascination with energy started at a young age in Denver, Colorado.” His opening statement discusses how he enrolled at MIT “specifically to work on fusion energy” and later started graduate school at the University of California at Berkeley where he worked “on solar energy as well as power electronics.”

TRUMP EYES AN END TO NEW WINDMILL PRODUCTION UNDER SECOND TERM, SAYS THEY ARE ‘DRIVING THE WHALES CRAZY’

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Liberty Oilfield Services Inc. CEO Chris Wright laughs as he celebrates the companies IPO on the floor of the New York Stock Exchange, January 12, 2018. (Reuters)

“Energy is the essential agent of change that enables everything that we do. A low energy society is poor. A highly energized society can bring health, wealth, and opportunity for all,” Wright will say. “The stated mission of the company that I founded – Liberty Energy – is to better human lives through energy. Liberty works directly in oil, natural gas, next generation geothermal and has partnerships in next-generation nuclear energy and new battery technology.” 

“Energy has been a lifelong passion of mine, and I have never been shy about that fact,” Wright plans to tell the committee. “Then again, I have never been shy about much. President Trump shares my passion for energy and, if confirmed, I will work tirelessly to implement his bold agenda as an unabashed steward for all sources of affordable, reliable and secure American energy.”

On Tuesday, committee Democrats led by Sen. Martin Heinrich of New Mexico called for Wright’s confirmation hearing to be delayed by at least a week, citing how they had not yet received “the standard financial disclosure report, ethics agreement, or the opinions from the designated agency ethics officer and the Office of Government Ethics stating that the nominee is in compliance with the ethics laws.” 

Chairman Mike Lee, R-Utah, has already pushed back the confirmation hearing for Doug Burgum, Trump’s pick for interior secretary, by two days until Thursday due to an OGE paperwork delay, but Wright’s remained on the schedule Wednesday. 

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Wright CEO headshot

Liberty Oilfield Services CEO Chris Wright at Liberty January 17, 2018.  (Andy Cross/The Denver Post via Getty Images)

If approved as secretary, Wright would manage energy policy and production in the United States, as well as the nation’s nuclear weapon stockpile. He would also work with Burgum on the National Energy Council, where they would develop Trump’s energy dominance policy involving increased production of U.S. oil and gas.

Wright has indicated that he plans to resign as CEO and chairman of his fracking company, Liberty Energy, if approved.

DEMS BLAME LA FIRE ON ‘CLIMATE CHANGE’ DESPITE CITY CUTTING FIRE DEPARTMENT BUDGET

Burgum on Capitol Hill

Trump’s nominee to be Secretary of the Interior Doug Burgum rides an elevator in the Dirksen Senate Office Building on Dec. 10, 2024 in Washington, DC.  (Anna Moneymaker/Getty Images)

In his opening statement, Wright identifies three “immediate” tasks that he would focus his attention on if confirmed.

“The first is to unleash American energy at home and abroad to restore energy dominance,” Wright will say. “The security of our nation begins with energy. Previous administrations have viewed energy as a liability instead of the immense national asset that it is. To compete globally, we must expand energy production, including commercial nuclear and liquified natural gas, and cut the cost of energy.” 

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“Second, we must lead the world in innovation and technology breakthroughs,” the statement continues. “Throughout my lifetime, technology and innovation have immeasurably enhanced the human condition. We must protect and accelerate the work of the Department’s national laboratory network to secure America’s competitive edge and its security. I commit to working with Congress on the important missions of the national laboratories.” 

“Third, we must build things in America again and remove barriers to progress,” Wright will say. “Federal policies today make it too easy to stop projects and very hard to start and complete projects. This makes energy more expensive and less reliable. President Trump is committed to lowering energy costs and to do so, we must prioritize cutting red tape, enabling private sector investments, and building the infrastructure we need to make energy more affordable for families and businesses.” 

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Column: He lost everything in a wildfire. Here's one city councilman's practical advice

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Column: He lost everything in a wildfire. Here's one city councilman's practical advice

Jeff Okrepkie wants to make one thing perfectly clear.

Yes, his home burned to the ground after he fled a galloping wall of flames with his wife, their toddler, two dogs and the few items they managed to cram into their cars. But no, Okrepkie insisted, he is not a fire victim.

“I’m a survivor,” he said. “It seems kind of ticky-tacky, but it helps with my mental state to think of myself that way … I survived something that many people haven’t.”

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Okrepkie and his wife lost their home and virtually everything they owned in the 2017 Tubbs fire, which turned a wide swath of the Wine Country — including Santa Rosa’s middle-class Coffey Park neighborhood — into a heap of cinder and ash. At the time, it was the most destructive wildfire in California history. Soon, it may rank a mere third, with the still-blazing Los Angeles County inferno topping the list.

Okrepkie, 45, a commercial real estate agent, was displaced through ill fortune. He was elected years later to the Santa Rosa City Council by popular vote. He became an advocate for wildfire survivors, their champion and a clearinghouse of recovery tips by choice and his lived experience.

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“How can you have all this information and not share it?” he said during a conversation this week a few blocks from City Hall and a short drive from the subdivision where he returned nearly 2½ years after fire chased him out. “It’s almost seems selfish not to.”

The October weekend that forever changed Okrepkie’s life began in what now seems like blessed normalcy.

He and his wife, Stephanie, attended a wedding on Saturday, a welcome bit of alone time in adult company. Their son was nearly 2 years old and had lately “started scaling the walls,” so Sunday was spent converting his crib into “a big-boy bed.” After it was made up, Okrelie took a picture because they were all so excited.

The rest transpired in a flash.

Reports of a fire breaking out in Napa, 40 miles away. His wife nodding off in front of the TV news. Okrepkie falling asleep. His sister calling and waking him with word of another fire, in Calistoga, 16 miles distant and spreading on powerful winds.

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Not much later, the flames leapt Highway 101 and its six lanes and bore down on Coffey Park. Stephanie Okrepkie drove away with her son, the family’s black Lab mix and their Cavalier King Charles Spaniel. Jeff stayed behind, grabbing what he could, until a giant ember landed at his feet, spitting sparks. He took off.

City Councilman Jeff Okrepkie stands in front of Santa Rosa City Hall

Santa Rosa City Councilman Jeff Okrepkie

(Mark Z. Barabak)

He dispenses his wildfire wisdom in two parts, before and after disaster strikes.

Okrepkie suggested starting with a list of things to grab before you’re forced to go. Figure out what you can get your hands on in five minutes or less and start there, beginning with “the things that are crucial to your life” — passports, birth certificates, marriage certificates, insurance policies, wills, trusts. Expand the list to items you can conceivably gather in 10, 15 and 30 minutes.

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Focus, Okrepkie said, on things that are irreplaceable — “an urn with your parents remains, wedding rings” — or that have sentimental value. Clothes, shoes, underwear, pet food; those types of things can be purchased later.

Okrepkie particularly regrets leaving behind a photo of his grandparents, which his late grandmother carried with her everywhere. His wife lost the military fatigues her father wore when he was killed in Iraq, though the couple recovered his dog tags and “challenge coin.”

If you lose your home, Okrepkie went on, don’t wait to find temporary housing. “As soon as you get stabilized somewhere,” he advised, “start calling apartments.” And if it’s unfurnished, make do with used or donated items. “When you get back into your house,” Okrepke said, “that’s when you start spending on the dining room table … that looks nice in your home.”

Beyond that, he counseled patience.

Take as much time as you need to catalog your losses for insurance purposes. If you can collect, say, up to $700,000 and devote 10 hours to compiling a thorough list, that works out to $70,000-an-hour. “That’s a pretty well-paying job,” Okrepkie said. “Think of it that way.”

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Also, he said, carefully document every interaction with your insurance company. You’re likely to deal with a number of adjusters, some of whom will move on before your claim is settled. It’s important to have written proof of what was said or promised, so you don’t have to start each time with someone new.

When it comes to rebuilding — if that’s your plan — don’t hurry. Yes, Okrepkie said, there’s an understandable urge to return home as quickly as possible. But he warned against making decisions in haste — in part because rules and regulations can change, affecting what and how you’re able to rebuild. “If you’re rushing, you could be doing something to fit into a box that all of a sudden just became bigger three weeks later.”

He was glad he purchased his new home from a “mass builder” — a developer that goes through the permitting and legal process, then offers buyers a range of floor plans and options — rather than going it alone with an individual architect and builder.

“Most people have never built a house,” Okrepkie said. “They just bought a house that already exists. And so they don’t know what goes together” — carpets, countertops, cabinets, tiles and on. “Whereas these guys were like, ‘Yep, we have this and this and this and this and this.’ It’s a lot easier to comprehend when you have limited choices.”

Through it all, Okrepkie said, building and nurturing a sense of community was vital.

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“I can sit here and tell you my entire fire story,” he said over lunch at a cantina in downtown Santa Rosa, “and you’ll empathize with it.” But even the most caring and compassionate person can’t relate “in the same way as someone who’s going through what you’re going though.”

A friend started a gathering that jokingly came to be called “Whine Wednesdays,” where survivors got together — at first on camping chairs set amid the ruins — to drink beer and wine “and just talk to each other,” Okrepkie said. “Not bitching and complaining. Just having conversations.”

His activism on behalf of the burned-out neighborhood led to a seat on the city Planning Commission, which in turn led to Okrepkie’s election in 2022 to the Santa Rosa City Council.

As someone with experience on both sides of disaster — as a wildfire survivor as well as a government official dealing with its aftermath — he offered several suggestions for those in public office.

“Be careful with your messaging, because people can take things very personally,” Okrepkie said. “Don’t call people homeless … We have a home. It burnt.”

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Be patient. Very patient. Even as months and years pass and the initial trauma has faded, you’re facing people still grappling with perhaps the worst experience of their life. “Be careful about being too dismissive,” Okrepie said, or coming across as unfeeling.

Don’t be afraid to act boldly if your action can hasten the recovery, he continued. “With electeds there’s always a fear of, ‘Am I going to piss off too many people?’ I don’t think there’s a more altruistic thing you can do than put your neck on the line for people that lost everything.”

Not least, don’t treat survivors as though they’re seeking anything more than they had before.

“We’re not asking to build mansions,” Okrepkie said over his taco salad. “If you have a car you really like and someone hits it, you’re not going to be like, ‘I want a Maserati.’ Just give me what I had … I’m not trying to game the system. There always bad apples that will try to. But most are good people in a crap situation.”

It’s pretty straightforward, he suggested. Be caring. Be kind.

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