Puerto Rico's Act 63-2025, signed by Governor Jenniffer González Colón, is the most stringent anti-gender-affirming law in the U.S., criminalizing hormone treatments or surgeries for individuals under 21. It enforces severe penalties, including possible prison time and significant fines for medical providers. Concerns arise due to the law's vagueness, which could criminalize supportive parents. Additionally, it mandates educational campaigns about the supposed 'risks' of transgender healthcare. The law was rushed through with amendments intended to allow puberty blockers and continuation of hormone therapy for existing patients.
Act 63-2025, signed by Puerto Rico Governor Jenniffer González Colón, criminalizes gender-affirming care for those under 21, imposing prison time and hefty fines.
The law's vagueness raises concerns that both healthcare providers and supportive parents of trans individuals may face prosecution for facilitating gender-affirming care.
Act 63-2025 requires educational campaigns from the Department of Education and Department of Health, focusing on 'risks' associated with trans-affirming healthcare.
The law was expedited through legislative channels, with non-public hearings and amendments suggested by Health Secretary Víctor Ramos Otereo to allow some continued care.
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