LINCOLN-LB574, a bill that prohibits minors from receiving gender-affirming care, officially took effect along with a 90-day guidance that allows certain forms of care to continue. The approval of these regulations came after four months of unknowns, and little indication of when they would be approved and what they would entail for transgender youth in the state.

The regulations, released by DHHS, require a minimum number of therapeutic hours prior to care, define gender dysphoria and gender nonconformity, set guidelines to receive informed patient consent, and mandate a waiting period between consent and prescription of hormone blockers. Gov. Pillen praised the state’s chief medical officer, Dr. Timothy Tesmer, for ensuring children are protected.

This prompted a letter from Sen. Megan Hunt to DHHS requesting additional information. Though the law included a clause to “grandfather in” patients, Hunt said, some of those patients have been denied prescriptions. “Any disruption or delay in a prescribed regimen is inconsistent with the plain letter of LB 574 and is inconsistent with the medical standard of care for these patients,” Hunt told Tesmer.

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