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Young people are more than twice as likely to attempt suicide if they have been subject to conversion therapy, which LGBTQ+ rights advocates say is "proven to cause lasting psychological harm."
The US Supreme Court on Tuesday struck down Colorado’s ban on “conversion therapy,” drawing warnings from LGBTQ+ groups that the ruling could expose children in dozens of states to the harmful practice.
Colorado's law forbade licensed physicians and mental healthcare providers from attempting to "convert" or change a minor's sexuality, a practice that the American Psychological Association has found to be both ineffective and dangerous, raising rates of depression, anxiety, and suicide in LGBTQ+ youth.
The law defined "conversion therapy" as any treatment that “attempts or purports to change an individual’s sexual orientation or gender identity, including efforts to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attraction or feelings toward individuals of the same sex.”
It allowed exemptions for pastors and religious organizations. It also allowed health professionals to engage in wide-ranging discussions with children about their sexual and gender identities, so long as they did not try to change the child's orientation.
Nevertheless, on Tuesday, the high court sided 8-1 with Kaley Chiles, a Christian counselor who said she wished to offer talk therapy to children who want to reduce same-sex attraction and argued that the ban on this practice was in violation of her First Amendment rights.
Chiles was backed by the Trump administration, as well as the far-right Alliance Defending Freedom, a Christian nationalist legal group with a long history of seeking to outlaw same-sex conduct.
Most famously, the group argued in support of state laws criminalizing homosexuality in the 2003 Lawrence v. Texas case, and it has since gone on to back many other cases attacking birth control access, same-sex marriage, and transgender equality.
In the majority opinion, the conservative Justice Neil Gorsuch wrote that Colorado's law “censors speech based on viewpoint" and therefore must be subject to strict scrutiny—the highest form of judicial review, which the court determined it did not pass.
The lone dissenting justice, Ketanji Brown Jackson, argued that Chiles' treatment was not mere speech, but that it was acting in her capacity "as a licensed healthcare professional," which formed the crux of Colorado's defense of the ban.
She argued that the ruling "opens a dangerous can of worms" and "threatens to impair states’ ability to regulate the provision of medical care in any respect."
"Because the majority plays with fire in this case, I fear that the people of this country will get burned," Jackson said.
Two liberals, Justices Elena Kagan and Sonia Sotomayor, joined the conservatives in striking the law down. However, they argued in a concurring opinion that a full ban on therapy aimed at changing minors' sexuality might be more lawful than the one Colorado passed, which included carveouts for specific circumstances.
Kagan also argued that allowing Colorado to outlaw conversion therapy could backfire and give red states the legal framework to also ban counselors from providing affirmative care to LGBTQ+ minors.
LGBTQ+ rights organizations have roundly condemned the court's decision, which is expected to weaken bans on conversion therapy in the 23 states and the District of Columbia that currently have them.
"Today’s reckless decision means more American kids will suffer," said Kelley Robinson, the president of the Human Rights Campaign. "The Court has weaponized free speech in order to prioritize anti-LGBTQ+ bias over the safety, health, and well-being of children."
A 2024 mental health survey by the Trevor Project, an LGBTQ+ advocacy group, found that 13% of LGBTQ+ young people have been either threatened with or subject to conversion therapy—including about 1 in 6 transgender or nonbinary youth.
Previously, the group published peer-reviewed research in the American Journal of Public Health, showing that young people subject to conversion therapy were more than twice as likely to attempt suicide as their peers.
"These efforts, no matter what proponents call them, no matter what any court says, are still proven to cause lasting psychological harm," said Trevor Project CEO Jaymes Black. "That’s why protections have been enacted in more than 20 states, and are supported by every major medical and mental health association in the country."
Carl Charles, a senior attorney at Lambda Legal who joined more than a dozen survivors of the practice in a friend of the court brief in support of Colorado's law, said, "I know firsthand the long-lasting harms of conversion therapy, having been subjected to it when I was 15 years old."
"This practice did not change my sexual orientation or gender identity," said Charles, a transgender man. "Instead, it destroyed important relationships and created shame and fear that took time and effort to undo. For many survivors, it is a reverberating life-long harm."
"LGBTQ+ youth do not need to be changed," Charles said. "Rather, like all youth, they need to be supported and celebrated for the unique and important people they are becoming."
Colorado's Democratic Gov. Jared Polis has said he will seek to pass new legislation that complies with the Supreme Court's ruling.
"Conversion therapy doesn’t work, can seriously harm youth, and Coloradans should beware before turning over their hard-earned money to a scam," Polis said. "I am evaluating the US Supreme Court ruling and working to figure out how to better protect LGBTQ youth and free speech in Colorado."
In other states whose bans could be undermined by the ruling, efforts have already begun to ensure that providers who cause harm to children still face accountability.
In California, which has a similar ban on conversion therapy to Colorado’s, state Sen. Scott Weiner (D-11) introduced a bill proposing a longer statute of limitations and making it easier for LGBTQ+ individuals to bring malpractice claims against medical professionals who subject them to conversion therapy.
Weiner noted that the Supreme Court's ruling "explicitly states that malpractice claims for conversion therapy are different than bans," since they require a plaintiff to demonstrate injury caused by their treatment.
"You can’t 'convert' someone who’s LGBTQ—full stop—and people who think you can are peddling quackery," Weiner said. "California will always have the community’s back."
The 988 Suicide & Crisis Lifeline can be reached by calling or texting 988, or through chat at 988lifeline.org. The Trevor Project, which serves LGBTQ+ youth, can be reached at 1-866-488-7386, by texting "START" to 678-678, or through chat at TheTrevorProject.org. Both offer 24/7, free, and confidential support.
"These proposed actions would put Donald Trump and RFK Jr. in those doctor’s offices, ripping healthcare decisions from the hands of families," said one critic.
President Donald Trump and Health and Human Services Secretary Robert F. Kennedy Jr. on Thursday unveiled new policies aimed at cutting transgender minors off from gender-affirming care.
As reported by the New York Times, Kennedy announced new proposed rules that would bar Medicare and Medicaid from sending any funds to hospitals that carry out gender-affirming care on transgender minors, a move that would essentially force these facilities to shut down given that spending from those two programs account for nearly half of all spending on hospital care.
Dr. Mehmet Oz, the administrator of the Centers for Medicare and Medicaid Services, warned during a news conference announcing the proposed rules that hospitals are "going to pay a very steep price" if they continue providing gender-affirming care to minors.
Many hospitals throughout the US are already under financial strain while bracing for the impact of the Medicaid cuts in this year's Republican-passed budget law, which are projected to total $1 trillion over the next decade.
Dr. Susan Kressly, president of the American Academy of Pediatrics (AAP), slammed Trump administration health officials for their "unprecedented actions and harmful rhetoric" while announcing the new proposed rules, which she described as a vast overreach by the federal government.
"These rules are a baseless intrusion into the patient-physician relationship," said Kressly. "Patients, their families, and their physician—not politicians or government officials—should be the ones to make decisions together about what care is best for them. The government’s actions today make that task harder, if not impossible, for families of gender-diverse and transgender youth."
Kelley Robinson, president of the Human Rights Campaign, hammered the Trump administration for being "relentless in denying healthcare to this country, and especially the transgender community."
"Families deserve the freedom to go to the doctor and get the care that they need and to have agency over the health and well-being of their children," Robinson added. "But these proposed actions would put Donald Trump and RFK Jr. in those doctor’s offices, ripping healthcare decisions from the hands of families and putting it in the grips of the anti-LGBTQ+ fringe."
The ACLU wasted no time in announcing that it would sue the administration if it goes forward with enacting the proposed rules, which it described as an unconstitutional attack on healthcare practices that have been endorsed by both the the American Medical Association and the AAP.
Chase Strangio, co-director of the ACLU’s LGBTQ and HIV Rights Project, accused the administration of launching "cruel and unconstitutional attacks on the rights of transgender youth and their families."
"By attempting to strip away essential healthcare, the administration is not 'protecting' anyone," Strangio added. "It is weaponizing the federal government to target a vulnerable population for political gain. Healthcare decisions belong to families and their doctors, not politicians. The latest proposals from the administration would force doctors to choose between their ethical obligations to their patients and the threat of losing federal funding."
"The American people are fed up with Trump's pathetic attempt at wearing the crown," said one event organizer.
The coalition of progressive organizations that helped organize the nationwide "No Kings" protests this summer are ramping up for a potentially even bigger event in the fall.
The organizations pushed out new publicity on Monday about the "No Kings 2" demonstrations scheduled to take place across the country on October 18. The planned demonstrations come as the Trump administration is accelerating its plans to send the National Guard into US cities and continues to send masked Immigration and Customs Enforcement (ICE) agents into immigrant communities.
Sponsors of the No Kings 2 events include ACLU, American Federation of Teachers, Common Defense, 50501, Human Rights Campaign, Indivisible, League of Conservation Voters, MoveOn, National Nurses United, Public Citizen, SEIU, and United We Dream Action.
In an interview with Rolling Stone, Indivisible co-founder Ezra Levin said that he expected this fall's No Kings sequel to be even bigger than the first one, which drew an estimated 5 million people into the streets across more than 2,000 events. Levin also outlined the importance of hitting a critical threshold for anti-Trump demonstrations.
"Experts in authoritarianism tell us, based on research, that you need 3.5% of the population engaged, in a sustained way, to successfully push back against an authoritarian regime," he said. "In the American context, that's about 11 or 12 million people. For No Kings 1, we got about halfway there. And we have funneled a lot of those people into our trainings around strategic noncooperation. But we need to come together again."
Jacob Thomas, a United States Armed Forces veteran and communications director for "No Kings 2" sponsor Common Defense, said in a statement that a common theme that has united the organizations is the fight against US President Donald Trump's authoritarian ambitions.
"We must all do our part to fight back against his authoritarianism and military occupation of cities," he said. "We cannot allow a wannabe dictator to destroy our democracy, gut veteran healthcare, keep people from accessing the ballot box, and tank our economy. We must all join together in solidarity to fight back and secure our freedoms."
Human Rights Campaign president Kelley Robinson said the protests were necessary because Trump's actions were direct attacks on the American dream of "freedom afforded to all people."
"Since taking office, he has tried to erode our freedoms and amass power for himself, censoring history, undermining our voting rights, defying the rule of law, and stripping people of basic rights simply because of who they are or who they love," she said. "But this country does not and will never have a king. The power of the people is and will continue to be greater than the man obsessed with keeping power for himself."
Lisa Gilbert, co-president of Public Citizen, ticked off a list of grievances against the president to argue that mass protests against him are needed now more than ever.
"In less than 10 months of his presidency, Trump has ticked off every box of a king's playbook," she said. "He has plastered his face on banners across DC, weaponized National Guard troops against our communities, disappeared people or thrown them out of the country without due process, attempted to sabotage elections and erode our democracy, and trivialized the power of Congress and the courts. He has violated the Constitution over and over again. The American people are fed up with Trump's pathetic attempt at wearing the crown."
The first set of "No Kings" protests came on Trump's 79th birthday, on the same day he put on a massive military parade that cost $30 million to produce.