The president’s veto of the anti-transgender act is overridden by the Ohio Senate.

Republican Gov. Mike DeWine has been overridden by Republicans in the Ohio State Senate. A broad anti-transgender act that prohibits gender-affirming care for minors was vetoed by DeWine. Trans athletes are also prohibited from competing as their true selves.

Sen. Nathan Manning (R-North Ridgeville) sided with Democrats to vote against the ban as the upper chamber voted 24 to 8, mostly along party lines. Earlier this month, the Ohio House of Representatives decided to override DeWine’s veto.

On April 23, the legislation is anticipated to take effect.

According to The Associated Press, it could be challenged in court, which would prevent the legislation from being enacted and prevent state leaders from carrying out its rules.

According to the act, juveniles are not allowed to use transition-related medications like hormones, puberty blockers, and medical treatments. The kind of mental health care that minors receive is further constrained, and therapists are expected to not validate a child’s gender dysphoria feelings.

Healthcare providers who break the provisions risk having their license to practice suspended by their local registration board.

Trans athletes must only play on sports teams that match their assigned sex at birth because of the sports restrictions at the K–12 and collegiate levels. According to the law, competitors who believe they missed out on opportunities because a transgender student participated in the competition can file lawsuits against the class, school district, interscholastic body, or any other organization that allowed them to compete.

Sen. Kristina Roegner (R-Hudson) dismissed gender-affirming treatment as a “fool’s errand” during debate, infuriating LGBTQ activists and receiving jeers from some members of the room watching the vote.

However, LGBTQ community member Senate Minority Leader Nickie Antonio (D-Lakewood) referred to the measure as “bullying” and questioned whether lawmakers should be focusing on culture-war-related issues. She claimed that the legislation would exclude transgender youth and violate parents’ rights to affirm their children’s gender identity.

She stated, “I hope that this is the last day, during this legislative session, that we are working to deny people in the LGBTQ community their rights.”

With the override, Ohio joins the 24th state in enacting a ban on trans athletes and the 23rd state to forbid gender-affirming care for minors.

DeWine vetoed the bill, but he also acknowledged some of the concerns of those who support it, arguing that too many doctors are under pressure to write gender-affirming prescriptions without giving individuals the chance to thoroughly consider all of their options.

In order to slow down the transition process, he issued an executive order forbidding transgender minors from undergoing surgical interventions, which are uncommon in the United States. He also imposed administrative rules mandating that all patients, including adults, consult a team of doctors and create an “comprehensive treatment plan” to guide their transition.

Before beginning health interventions, transgender individuals must also go through a “lengthy” period of mental health counseling.

Advocates have cautioned that these administrative rules, along with the restrictions on trans youngsters, may cause transgender adults or families to look for gender-affirming care outside of state, and may even cause some people to emigrate permanently.

The trans advocacy group TransOhio’s director of the board, Dara Adkison, told NBC News that they have spoken to 68 trans families and seven transgender adults who have asked for financial aid to help them move out of Ohio.

Adkison claimed that “our state is forcing them to uproot their life.” They are closing all of their accounts, selling their homes, and changing careers and jobs. They are shutting down their companies and leaving their physician offices. It is so cruel that the government is currently subjecting these families, who genuinely love their children, to such severe personal and social upheaval.

Even though her 14-year-old daughter Amity would be permitted to continue receiving treatment under a “grandfather clause,” Kat Scaglione of Chagrin Falls—a mother of three children, two of whom are transgender—told the AP that she wouldn’t be able to pursue further medical interventions unless she sought them out of state. Meanwhile, Lexi, her 10-year-old daughter, won’t be able to begin any medical treatments until she is an adult.

Scaglione and her partner are thinking about relocating the entire family to a place where there is less hostility toward trans people.

Scaglione remarked, “We’re constantly looking behind us, waiting for something to shift to the point where we have to leave now.” “While you’re continually feeling like you might have to flee at any time, it’s been difficult to settle there and try to make it home.”