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Utah Republicans ignore study supporting gender-affirming care for trans youth. It's research they demanded

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Utah Republicans ignore study supporting gender-affirming care for trans youth. It's research they demanded


Utah’s Republican leaders, who banned access to medically recommended care for trans minors, spent more than two years demanding proof that gender-affirming hormone therapy benefits transgender youth. Now they have it — and they’re still refusing to budge.

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A comprehensive, state-commissioned report released last week shows that gender-affirming care leads to better mental health and lower suicide risk among transgender minors. But instead of lifting the state’s ban, GOP lawmakers are doubling down on a policy that doctors, advocates, and families have long warned is putting lives at risk.

Department of Health and Human Services deletes mental health report on Utah’s transgender children
What is gender-affirming care, who uses it, and do they regret it?

What’s in the report

The more than 1,000-page report, conducted by the University of Utah’s Drug Regimen Review Center and quietly posted online Monday by the Utah Department of Health and Human Services, was required by S.B. 16 — the 2023 law that banned most gender-affirming medical care for minors. At the time, Republican Gov. Spencer Cox called the law a “nuanced” approach and insisted the state needed more data. Now that the data is in, his office has gone silent.

The report eviscerates the claims Republicans used to pass the ban in the first place.

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“The conventional wisdom among non-experts has long been that there are limited data on the use of [gender-affirming hormone therapy] in pediatric patients,” the researchers wrote. “However, results from our exhaustive literature searches have led us to the opposite conclusion.” The study found over 230 primary studies involving 28,056 trans youth — “far exceeding” the evidence that typically supports FDA approval for high-risk pediatric treatments, including gene therapy.

“The body of evidence we have uncovered exceeds the amount of evidence that often serves as the basis of FDA approval for many high-risk, new drugs approved in pediatric populations in the U.S.,” the authors added.

The report emphasized that such treatments are not given to prepubertal children, that puberty blockers and hormones are typically initiated only in early or mid-adolescence, and that surgeries — especially bottom surgeries — are not recommended for minors. The review also found no significant long-term safety concerns, and that “regret” associated with treatment is extremely rare. In fact, among the 32 studies examining regret, researchers found it was “virtually nonexistent” — and when present, it was “only a very minor proportion” of treatment discontinuation.

Utah Republicans reject their own commissioned review

The report’s release was met with no public response from Cox or legislative leaders, The Salt Lake Tribune reports.

Republican state Reps. Katy Hall and Bridger Bolinder, who helped pass the law, dismissed the findings outright in a joint statement. “The science isn’t there,” they claimed. “The risks are real, and the public is with us.”

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Trump administration announces end to gender-affirming care for transgender veterans

State Senate President Stuart Adams echoed their skepticism. “Utah enacted a law to safeguard the long-term health and well-being of minors while providing time to carefully examine the evolving medical landscape surrounding novel and irreversible procedures for minors,” he said, according to the Tribune.

State Rep. Mike Kennedy, the bill’s lead sponsor and a physician, declined to comment to the paper.

LGBTQ+ rights advocates say the report dismantles GOP’s justification for care bans

Chris Erchull, senior attorney at GLAD Law, told The Advocate that the report’s conclusion is straightforward.“This is the most comprehensive and the most recent review of all of the studies on care that’s been provided to transgender young people over many decades,” Erchull said. “It confirms what many providers and families already knew — that the standards of care for young transgender people provide benefits to their overall health and well-being. All of these attempts to block access to care for transgender young people have been causing harm. And any future attempts will also cause harm.”

But the science is there. The review found that youth who received care before age 18 had better outcomes, especially around depression, anxiety, and suicidality. Hormonal treatments were associated with positive mental health and psychosocial functioning outcomes. “When left untreated, individuals with gender dysphoria may experience psychological and social harms,” the report notes.

Shannon Minter, legal director of the National Center for Lesbian Rights, called the Utah report “by far the most detailed, thorough, and comprehensive review of the medical evidence relating to transgender healthcare.”

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“This review shows that when the evidence is viewed objectively, there is no serious question that this care is safe, effective, and medically necessary for some youth,” Minter told The Advocate. “The report also makes clear that if legislators are concerned about this care, they can implement guardrails to ensure that it is being prescribed consistently with the standards of care.”

Minter added that while the report came too late to be submitted in the U.S. Supreme Court’s review of United States v. Skrmetti, it offers “an incredibly helpful counterpoint to the incomplete and distorted coverage of this care that has dominated the mainstream press.”

“The data show overwhelmingly that the people who need this care benefit significantly from it”

Erchull said the report also rebuts widespread misinformation.

“One of the biggest misconceptions is that this care is easy to access and handed out without oversight,” he said. “But the study tells us something very important: regret rates are exceedingly low. People may hear powerful anecdotes from individuals who felt they were over-prescribed or misdiagnosed, and those are heartbreaking stories. But they don’t represent the whole picture. The data show overwhelmingly that the people who need this care benefit significantly from it — and that medical providers are doing a good job of ensuring the right people are receiving the right medical care.”

Every major medical association in the United States, including the Endocrine Society, the American Medical Association, and the American Academy of Pediatrics, supports gender-affirming care as proven and effective treatment.

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Republicans pass ‘Big Beautiful Bill’ banning federally funded gender-affirming care for trans people

“The findings of this report support the existing expert standard of care and do not support the bans enacted thus far in 27 states,” Whitman-Walker Institute executive director Kellan Baker told The Advocate. “I think it says that they’re not actually interested in science or evidence because when they can’t predetermine the outcome of a scientific evidence review based on their political agenda, it finds that the existing standard of care is beneficial. These findings also contradict efforts to smuggle anti-trans provisions into Medicaid for transgender people of all ages via the House reconciliation bill when it was jammed through under cover of darkness last week.”

On Thursday, Republicans in Congress passed a measure forbidding federal funding for gender-affirming care under the Children’s Health Insurance Program and Medicaid. The bill also eliminates coverage for gender-affirming care under essential health benefits, even for adults with private insurance regulated under the Affordable Care Act.

If lawmakers in Utah lift the moratorium, the report recommends that the health department outline strict guardrails: a certified treatment board, licensed experts, interdisciplinary care teams, and an enhanced informed consent process. According to The Salt Lake Tribune, those recommendations are in place, but the political will is not.

Like all medical treatments, gender-affirming care is already overseen by expert physicians and follows best practices established by the World Professional Association for Transgender Health. They note that receiving this kind of care is not fast.

Now, with Utah’s own evidence confirming what trans communities and medical experts have said all along, the question is no longer whether gender-affirming care is safe. It’s whether lawmakers will admit it matters and that transgender youth deserve to live.

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The state’s justification that the medications used aren’t FDA-approved specifically for gender dysphoria also doesn’t hold. The report emphasizes that off-label prescribing is both legal and common in pediatric medicine, especially when drugs are already approved for adults but lack industry incentives for further trials in youth.

The law’s impact has been immediate. After the ban was enacted in early 2023, the University of Utah closed its pediatric gender clinic. The Tribune notes that the same year, a state-run survey found that more than 60 percent of trans students in the state had considered suicide, with one-quarter of students having attempted it.

Utah Gov. Signs Bill Banning Most Gender-Affirming Care for Youth

Advocates warned this would happen when the law was enacted. “This is a devastating and dangerous violation of the rights and privacy of transgender Utahns,” said Chase Strangio, deputy director of the American Civil Liberties Union LGBTQ & HIV Project, at the time. “We won’t stop defending your autonomy and freedom until each and every one of you can access the care you need.”



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Commentary: Recalling the Christmas of Catholic nuns and slave cabin singers

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Commentary: Recalling the Christmas of Catholic nuns and slave cabin singers


It’s not easy to pick the most memorable Christmas in Salt Lake City history.

There was, of course, that first Dec. 25 in Utah for the Mormon pioneers. They worked on Christmas Day 1847 but paused briefly for a simple feast.

The original Catholic church in Utah — the old St. Mary Magdalene on 200 East between South Temple and 100 South — hosted the city’s first Christmas midnight mass in December 1871.

The Salt Lake Tribune helped launch the tradition of downtown holiday decorating in 1945 and the old ZCMI store (where Macy’s now sits) on Main Street started decorating its windows with Christmas candy in the early 1970s. Temple Square’s Christmas light displays began in 1965.

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The Tabernacle Choir at Temple Square did not perform annual Christmas concerts until 2000. Willam Christensen choreographed “The Nutcracker” in California in 1944 but first brought it to Utah a decade later.

And memorable for all the wrong reasons, just after noon on Dec. 25, 1859, Salt Lakers had to dodge dozens of bullets from a Christmas Day gunfight that raged up and down Main Street.

Although all these holidays were unique, December 1875 stands out for me. It was the Christmas of Catholic nuns and slave cabin singers.

The Holy Cross sisters arrive

The Holy Cross Sisters had first arrived here from their convent in Notre Dame, Indiana, six months earlier. Sister Raymond (Mary) Sullivan and Sister Augusta (Amanda) Anderson traveled to Salt Lake City via train and stagecoach at the invitation of Father Lawrence Scanlan (soon to be Utah’s bishop), and more followed.

Scanlan hoped the nuns would help his fledgling Catholic community build schools and meet other human and spiritual needs. They did just that.

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A few years earlier, Sister Augusta had started her Holy Cross work as a Civil War nurse. She managed two Union army hospitals so well in the 1860s that Gen. Ulysses S. Grant exclaimed, “What a wonderful woman she is. She can control the men better than I can.”

Utah bard Gerald (Gary) McDonough’s aunt was a Holy Cross Sister, too, but a few years later. In his poem “Porch Nuns,” McDonough colorfully described the long black Holy Cross robes, also donned by pioneers like Sister Augusta.

Calling their veils “corrugated halos that circled their heads, Like broad white-walled tires,” he explained that whenever they visited his family, intrigued Latter-day Saint neighbors would emerge to watch “the giant emperor penguins, milling about the McDonoughs’ front porch.”

One can only imagine how unusual it was for the Salt Lake City Latter-day Saints to see those “giant emperor penguins” milling about downtown for the first time during the Christmas season of 1875.

That December, the women of St. Mary Magdalene church organized a fair to raise money for the new Holy Cross Hospital. A large crowd — including Catholics and Latter-day Saints — attended.

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The Tribune called it the “greatest attraction of the season,” one with music, plays, shooting galleries, “richly furnished refreshment tables,” and a “magnificent display of skillfully and delicately wrought fancy articles” for sale.

‘The Tennesseans’ perform

(Wikimedia Commons) Tennesseans concert poster shows Donavin’s original Tennessean slave cabin singers.

During the same week the grand fair was open, a popular singing group called “the Tennesseans” was in town as part of a national tour.

Contemporary newspaper articles and advertisements described the Tennesseans as “slave cabin singers” who performed “old plantation melodies and camp meeting hymns” from the South. These college students who once were slaves earned rave reviews wherever they sang.

After watching them perform, The Tribune said the widespread praise for the Tennesseans was well deserved. The Utah Evening Mail proclaimed them better than “any singers that have visited Salt Lake,” and the Deseret News called them the “most superb colored company in America.”

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(The Salt Lake Tribune) December 1875 Tribune ad for the Tennesseans’ December 1875 concerts in Salt Lake City.

One evening just before Christmas, right after the Tennesseans had finished a concert at the old Salt Lake Theatre, they stopped by the fair. To the crowd’s delight, they sang a couple of songs.

And then they did something that made the Christmas of 1875 one of the most memorable in Utah history. The former slaves serenaded the Holy Cross Sisters.

The Tribune reported that the Tennesseans sang some of “their finest melodies” to honor “Mother Augusta for her services in checking the Negro massacre at Fort Pillow during the war.” The Utah Evening Mail called the impromptu concert “an expression of gratitude” to the Holy Cross Sisters whose “humane services in aiding to suppress the Fort Pillow massacre” and whose “uniform devotion to the relief of the soldiers” would never be forgotten.

About the massacre

(Wikimedia Commons) A hand-colored 1892 print of the Battle of Fort Pillow by Kurz and Allison, a well-known Chicago firm specializing in colorful and dramatic chromolithograph prints of American historical events. The original is in the Library of Congress.

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In April 1864, Confederates massacred hundreds of Black Union soldiers stationed at a fortress the rebels had conquered in Tennessee. Sister Augusta cared for the surviving Fort Pillow victims at a nearby hospital she supervised.

It was difficult work.

Sister Augusta’s journal describes the appalling conditions of that hospital when she arrived: “Although we were tired and sick for want of sleep, there was no rest for us. We pinned up our habits, got brooms and buckets of water, and washed the bloodstained walls and scrubbed the floors. … The hospital was full of sick and wounded, but after some days, we succeeded in getting it comparatively clean.”

Notre Dame President Father William Corby — the chaplain of the Irish Brigade that famously fought at the Battle of Gettysburg — noted the full measure of Sister Augusta’s devotion: “The labors and self-sacrifices of the [Holy Cross] Sisters during the war need no praise here. Their praise is on the lips of every surviving soldier who experienced their kind and careful administrations.”

The grateful Tennesseans also remembered and thanked the Holy Cross Sisters with the gift of music. I cannot say for certain just what they sang 150 years ago in Salt Lake City during that most unusual Christmas of 1875. But I like to think that as the stars and the moon bathed the Wasatch foothills with a soft white light, the lovely lyrics of one song in particular — an old spiritual also born on a Southern plantation — rose gently into the crisp winter air and echoed off the snow-covered Oquirrh slopes, perhaps for the first time:

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When I was a seeker,

I sought both night and day.

I asked the Lord to help me,

And he showed me the way.

Go tell it on the mountain,

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Over the hills and everywhere,

Go tell it on the mountain,

That Jesus Christ is born!

(Courtesy photo)
Writer and attorney Michael Patrick O’Brien.

Note to readers Michael Patrick O’Brien is a writer and attorney living in Salt Lake City who frequently represents The Salt Lake Tribune in legal matters. His book “Monastery Mornings: My Unusual Boyhood Among the Saints and Monks,” was chosen by the League of Utah Writers as the best nonfiction book in 2022. His new holiday novel, tentatively titled “The Merry Matchmaker Monks of Shamrock Valley,” will be published in time for Christmas 2026. He blogs at theboymonk.com.

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Utah repeals ban on collective bargaining for teachers, firefighters, police unions

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Utah repeals ban on collective bargaining for teachers, firefighters, police unions


SALT LAKE CITY — Utah has repealed a collective bargaining ban passed earlier this year that prevented labor unions serving teachers, firefighters, police and other public employees from negotiating on behalf of their workers.

Republican Gov. Spencer Cox on Thursday approved the repeal of a policy that experts had called one of the most restrictive labor laws in the country.

The state’s Republican-controlled Legislature originally approved the policy in February, saying it was needed to allow employers to engage directly with all employees, instead of communicating through a union representative. Thousands of union members from the public and private sector rallied outside Cox’s office for a week, urging him to veto the bill, which he decided to sign.

Pushback continued in the months after it became law, with the Legislature ultimately deciding on a reversal during a special session this month.

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Republican state Rep. Jordan Teuscher, the original House sponsor, said the repeal “allows us to step back, to lower the temperature and to create space for a clearer and more constructive conversation.”

He maintained that it was a “good policy” that has been “overshadowed by misinformation and unnecessary division.”

The decision comes as Utah Republicans are preparing to defend their four U.S. House seats in the 2026 midterm elections under a new congressional map that creates a heavily Democratic-leaning district in the Salt Lake City area.

A repeal helps Republicans appease the many police officers and firefighters — groups that often lean conservative — who were frustrated by the ban.

State employees were still allowed to join unions under the law, but the unions could not formally negotiate on their behalf for better wages and working conditions.

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Many public educators, the state’s most frequent users of collective bargaining, viewed the policy as way for Republicans to weaken teachers unions and clear a path for their own education agenda.

Teachers unions have been outspoken opponents of Republican policies in Utah and other states where lawmakers have sought to eliminate diversity, equity and inclusion programs, expand school choice vouchers and restrict transgender bathroom use and sports participation in schools.

Union leaders celebrated the repeal and the work of their members who rallied opposition to the law.

Randi Weingarten, president of the American Federation of Teachers, and Brad Asay, the Utah chapter leader, called the repeal “a historic step in the right direction to return respect and dignity to the workers of Utah.”



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Utah hit with largest measles outbreak in over 30 years

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Utah hit with largest measles outbreak in over 30 years


Utah has been hit with the largest measles outbreak in more than 30 years.

The Utah State Epidemiologist stated that it’s the most contagious disease scientists know of.

As of this month, the Utah Department of Health and Human Services reported 115 confirmed cases.

MORE | Measles

“It’s a little surprising to see an uptick in measles, but it’s not surprising to hear that Utah County is one of the places where we have seen more of those cases,” said Elsie, a Utah County resident with several children in local schools. “I think because there’s kind of been a movement towards anti-vaccination.”

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Samantha Marberger, who also lives in Utah County and has a young child, said measles wasn’t something she thought was here.

“I’ve heard of big outbreaks like that in Texas and a few other places, but it wasn’t something that I thought was as local,” she said.

Utah State Epidemiologist Leisha Nolen called the outbreak “extreme” and “really concerning.”

“Why does the health department believe this is happening now? Is this like a delayed reaction of previous low vaccination rates?” 2News asked her.

“Yeah, I think unfortunately our vaccine rates have gone down over time, and we do now have a number of people who are vulnerable to this infection, and they haven’t been protected,” Nolen said. “There also has been cases in neighboring states, and so it was easy to introduce here in Utah.”

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The DHHS stated that roughly 90% of the population is vaccinated, but those rates vary from area to area and aren’t enough to reach herd immunity for measles.

“Measles is highly contagious. It’s the most contagious infection we know of,” Nolen said. “The data historically says that if you have 20 people in a room and somebody with measles comes in, 18 of those people are going to get measles.”

She said that since the outbreak started, the health department has given 30% more vaccines than they did last year at this time. She said most infections can be traced back to southwestern Utah and appear to be from in-state travel.

“It’s likely in Utah, many hundreds of Utahns who are vaccinated have been exposed to this virus, and they did not know it, and their bodies fought it off as it should,” Nolen said.

The second largest outbreak in Utah is in Utah County, with 10 confirmed cases.

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The state is asking people to cooperate with the health department’s contact tracers if they call.

If you suspect measles in yourself or a loved one, they urge you not to go to a clinic waiting room but call ahead for the next steps to stop the spread.

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