Conservative states are blocking trans medical care. Families are fleeing.

From Texas to Florida, families with kids who are medically transitioning say state policies limiting gender-affirming care are forcing them to flee.

Carrie Jackson and her family of three fondly remember their home in Denton, Texas. They had moved to the Dallas suburb from the tiny town of Malakoff, Texas, back in 2016. Jackson landed a job she liked as a lead counselor for the Aubrey Independent School District. Carrie said her 17-year-old high school junior, Cass, who is transgender, was thriving.

On the night of Feb. 22. Carrie was sitting in bed, scrolling through her Facebook feed, and spotted a news article posted by another mother. Texas Gov. Greg Abbott had issued a directive requiring the state’s Department of Family and Protective Services to investigate all parents with medically transitioning kids, enclosing an opinion from fellow Republican, Attorney General Ken Paxton, to back it up. These parents could be brought up on charges of child abuse — and people who worked with trans kids could be, too, if they didn’t report such families to state authorities.

Just weeks later, the Jacksons were en route to Cumberland, a small city near the Allegheny mountains in western Maryland, where Cass’ older sibling lived. Cass’ sibling, Bug, is also transgender and would provide a new home for Cass, their mother and their other sister. Unemployed and without a plan, the family felt their only option was to flee a state they had never intended to leave. They were leaving their home.

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