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The first U.S. state to enact legislation requiring transgender minors to detransition, South Dakota is also the second this year to outlaw care that is gender affirming for anyone under the age of 18.

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In only the last two years, South Dakota has joined five other states in limiting transition-related treatment for transgender kids.

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The "Help Not Harm" measure, which prohibits medical personnel from treating minors for gender dysphoria—the discomfort brought on by a sense of conflict between the assigned sex at birth and the person's gender identity—was signed into law on Monday by Republican governor Kristi Noem.

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Providers who currently administer hormone therapy or puberty blockers, which temporarily delay puberty, to transgender kids must gradually wean the patients off of the drugs by December 31.

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The law allows an exception for the treatment of disorders unrelated to gender dysphoria and intersex newborns.

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Children in South Dakota are our future, according to a statement from Noem. "By passing this legislation, we are defending children against risky, long-lasting medical operations. I'll always speak up in favour of South Dakota's youth.

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Those who break the law providing healthcare risk having their medical licences revoked. Minors who receive care that is against the law can also sue the providers up until the age of 25.

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The decision has "seriously damaged my future," according to Elliot Morehead, a trans adolescent who uses they/them pronouns and had intended to receive gender-affirming care within the next 12 months.

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Morehead, 16, explained to a House hearing last month that starting hormone therapy required six months of counselling and a letter from their therapist.

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According to them, "people believe you can just like go in and then get like testosterone or oestrogen or puberty blocking - it doesn't work like that."