ArticleSocial science & medicine (1982)2026
"At the mercy of the State": Transgender and nonbinary young adults' experiences navigating restrictive healthcare legislation.
Article in Social science & medicine (1982), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- The Impact of Politicization on Adolescent Medicine Care: A Rapid Review.Current pediatrics reports · 2026Review
- Mental health within ESG frameworks: a narrative and descriptive cross-national analysis.Frontiers in public health · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundFlorida Senate Bill (SB) 254 is among legislation restricting gender-affirming medical treatment (GAMT) for transgender and nonbinary (TNB) people, which has surged in the U.S. Restrictive healthcare legislation is a political determinant of health, associated with poor health outcomes for TNB people. It remains uncertain how legislation operates in healthcare experiences, especially among diverse TNB young adults.
methodsThis study involved a thematic analysis of qualitative in-depth interviews regarding healthcare access and utilization conducted with 105 TNB young adults (aged 18-26) of diverse racial, ethnic, and socioeconomic backgrounds recruited from across the state of Florida during the 19 months following implementation of SB 254.
resultsParticipants described multiple ways SB 254 impacted their access to GAMT, especially gender-affirming hormone therapies (GAHT), including gaps in access, near-gaps or no impact on access, and delaying desired treatment. Aspects of SB 254 that impacted participants' experiences were clinical restrictions for administering GAMT, mandatory consent forms, and confusion, chaos, and misinformation created by the legislation. Strategies participants used to access GAMT in the context of SB 254 included navigating the Florida healthcare system, traveling to obtain GAMT outside of Florida, modifying prescribed GAHT, and using unprescribed GAHT.
conclusionThis study provides salient data regarding experiences of TNB young adults navigating Florida's healthcare system couched in a hostile legislative climate, revealing the impact of social positions on their experiences. These findings highlight the implications of restrictive GAMT policies for patients, and have implications for clinicians, researchers, and policy makers as legislative restrictions continue.
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