The American Civil Liberties Union is suing the state of Alabama, saying the state discriminates against transgender people who try to get a drivers license or state-issued ID. Alabama requires proof of gender reassignment surgery in order for transgender residents to get a state-issued ID that matches their gender identity.

“The government has no business dictating what treatment transgender people get, especially as a prerequisite for a basic government service,” the ACLU said in a statement on Tuesday. “After all, it has nothing to do with how people drive.”

The lawsuit, which is similar to successful suits has filed by the ACLU in both Alaska (in 2011) and Michigan (in 2015), seeks no monetary remuneration but only that the Alabama Law Enforcement Agency drop the proof of surgery requirement.

It was filed on behalf of three transgender residents of Alabama: Darcy Corbitt, Destiny Clark, and an unnamed third plaintiff.

The ACLU states that, while some transgender individuals undergo gender-confirmation surgery, others either choose not to, or cannot due to the high cost of the procedure. According to Julie Ebenstein, a senior staff attorney for the ACLU’s Voting Rights Project, 80% of transgender individuals in Alabama do not have a state-issued I.D. that reflects their gender identity, AL.com reported.

“For transgender people with IDs that do not match their gender, everyday experiences can become fraught with fear,” the ACLU is arguing. “Each instance of showing ID could lead to inconvenience, embarrassment, discrimination, or violence.”

The American Association of Motor Vehicle Administrators (AAMVA) issued the “Resource Guide on Gender Designation on Driver’s Licenses and Identification Cards” in 2016. It has guides on “simplified gender designation change forms” and recommends having confirmation from a medical professional, rather than proof of surgery. According to the AAMVA, nine states, including Alabama, require proof of surgery.

Fortune contacted the Alabama Law Enforcement Agency for comment about this suit and will update as necessary.

Gov. Andrew Cuomo has signed an executive order that bans all New York state agencies and authorities from conducting business with companies that tolerate or promote discrimination.

"With this executive order, New York reaffirms our commitment to protecting the rights of everyone," Cuomo said in a statement. "We will enforce our robust protections against discrimination, and continue to build on our legacy of protecting all of us, not simply some of us."

The Democrat also said he's supporting legislation that will ban the use of a "gay panic" defense in which a person charged with attacking someone attempts to blame the victim's sexual orientation for a violent reaction.

The proposal would make New York the third state in the U.S. to bar the rare defense. Illinois did so in January, and California barred it in 2014.

Cuomo said his moves are in response to the Trump administration's actions, which Cuomo said have rolled back civil rights protections, including those for members of the LGBTQ community.

Cuomo initially announced the anti-discrimination initiatives Saturday night at the annual Human Rights Campaign gala in Manhattan.

"The Trump administration gave the attorney general a license to discriminate by interpreting 'religious liberty' protections in the federal law," he said in his HRC speech. "What that means is a business can refuse to serve LGBTQ individuals because it violates their religious beliefs. They did that. So, today I'm signing an executive order prohibiting New York state government from doing any business with any entity that discriminates against any New Yorker, period."

"New York will fight every action this federal administration takes that attempts to undo progress we have made," Cuomo said in a statement. "We believe America was founded on the premise of uniting people from different countries, religions, and colors, and we welcome diversity under the enlightened understanding that it is not a weakness but rather our greatest strength."

New York public high school students had the day off Monday, but a group of about 630 students and teachers still gathered at Stuyvesant High School. They were participating in city’s first Gender and Sexuality Alliance summit, sponsored by the local Department of Education.

In the school’s auditorium, student whispers echoed from wall to wall. On stage, openly gay former professional football player Wade Davis told how he spent years as a closeted athlete, before eventually coming to terms with his sexual identity.

“When did you learn you were enough for yourself?” a teenager timidly stood up to ask him.

“Honestly, I’m still learning if I’m being honest,” Davis responded. 

It’s been a bleak year for LBGTQ youth around the country. Hate crimes against LGBTQ people have creeped upwards. The Trump administration has worked to actively dismantle the rights of trans students

But in New York, the education department has been working to help LGBTQ students better advocate for themselves.

The summit was organized by the city school district’s first LGBTQ community liaison, Jared Fox. It featured dozens of workshops on topics such as interacting with police, body image, grassroots organizing, and consent in sexual encounters. Classrooms were labeled with names of LBGTQ icons, like author James Baldwin and tennis star Billie Jean King. A school hang out spot became a coffee shop named for feminist writer and civil rights activist Audre Lorde. 

In a workshop hosted by LGBT New York Police Department officers, teens asked officers about their experiences being gay in the force.

“There’s a stereotype of what are you doing here, this is not the place for you,” said officer Aaron Ayala, before telling the students about the department’s internal fraternal societies.

“Ours is an adult GSA” (Gay-Straight Alliance club), Ayala said.

The day’s participants included middle school students. They did not have the day off from classes, so they attended as a field trip.

The afternoon’s events topped off with a drag queen story hour, dance party, and appearance by New York’s first lady, Chirlane McCray. 

“The number of young people who felt inspired and adults who never could have imagined something like this happening in their lifetimes was amazing,” Fox said.

A transgender Cincinnati teenager wants hormone therapy and to remain living with his grandparents.

The teen's parents denied that he is transgender and refused to let his counseling at Cincinnati Children's Hospital continue.

Now, a Hamilton County judge will decide what’s best for the teen.

According to a complaint filed in juvenile court, the now-17-year-old's parents prefer Christian therapy over hormone therapy.

The teen has been diagnosed with anxiety, depression and gender dysphoria.

"My client deserves a loving and supportive home.My client deserves some hope in his life," attorney Tom Mellott said.

Documents reveal that the teen claims he feared for his safety while living at home with his mother and father.

"A reasonable parent, however, your honor, would never tell their own child to kill themselves because they were going to hell anyway. A reasonable parent would never instill terror into the mind of their child," said Donald Clancy, an attorney for the state.

The grandparents were in the courtroom Friday, advocating to have the teen remain in their custody.

"They are the only family members that have provided acceptance and support that most probably kept this child from taking his own life. Excuse the melodrama, your honor, but these people are heroes," Clancy said.

Court records reveal the parents pulled their child from counseling at Children's Hospital to seek a Christian therapist. They also forced him to listen to Bible Scriptures for six hours or more at a time.

"The child has stated, 'I don't want to go back home. When I was home, dad chased me around the house. When I was home, I lived in terror,'" said Jeff Cutcher, an attorney for the grandparents.

"Pretty much everything the parents say or don't say is taken out of context, twisted, exaggerated, blown out of proportion and then improperly used against them," said Karen Brinkman, an attorney for the teen's parents.

Attorneys for the teen said the child cried and screamed in the fetal position when he saw his birth name on documents, and that the best option is to hand custody to his grandparents.

"Your honor, what we want to do in the coming months is, around May, plan for a high school graduation; throughout the summer and fall, plan for entrance into college. We don't want to be planning a funeral," Cutcher said.

A judge plans to issue a decision on the case no later than Feb. 16.

"There are simply are not enough physicians comfortable with treating transgender patients," according to Joshua D. Safer, MD, FACP, associate professor of medicine at Boston University School of Medicine (BUSM). To begin to address this issue, BUSM has created a medical school elective that combines the standard approach of teaching about transgender medical topics with sensitivity and appropriate terminology with evidence-based hands-on patient care.

"We have seen that lack of knowledgeable medical providers remains the most reported barrier to good care for transgender patients. Direct care experiences with transgender patients not only increases the confidence of medical providers in providing care, but more importantly provides the patient with a better experience," added Safer, who also is medical director of the Center for Transgender Medicine and Surgery at Boston Medical Center.

Transgender individuals are medically underserved in the U.S. and face many documented disparities in care due to the providers' lack of education, training and comfort. When educating medical professionals regarding transgender medicine much attention has focused on terminology and on health care disparities suffered by transgender individuals. Specific transgender medicine content in a medical school curriculum has demonstrated that it increases a students' willingness to treat transgender patients. Still, those same students are less comfortable with transgender care relative to care for lesbian, gay, and bisexual (LGB) patients.

BUSM students who participated in the standard transgender care curriculum were offered the opportunity to participate in a subsequent clinical elective providing direct care to transgender individuals. Students were surveyed before and after their elective experience regarding knowledge and comfort with transgender medical care.After completing the elective, students who reported "high" comfort increased from 45 percent to 80 percent and students who reported "high" knowledge regarding management of transgender patients increased from 0 to 85 percent. Even motivated students who already were interested in transgender care and who already rated themselves well with transgender care saw large improvements in their scores after the direct patient care experience.

According to the researchers, it is insufficient to limit health care provider training to cultural sensitivity and to didactic teaching alone. Direct patient care experiences are necessary in transgender medicine.

"Previously, we have piloted and demonstrated the benefit of teaching transgender medicine in a format similar to how other medical topics are taught, that is, with the current science and evidence-based approaches. We have demonstrated that benefit above what is seen with students who only receive the standard teaching. The circumstance is improved further, when the students have direct care experiences," explained corresponding author Safer.

Safer believes the existing medical teaching model using evidence-based teaching along with direct patient care experiences works well for transgender medicine. "Opportunities to mandate such teaching should be sought for all medical schools."

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