Gov. Trans people ‘heath care is no longer governed by Mike DeWine, but children are still impacted.

Ohio won’t limit medical care for adults who are transgender, but a plan from Gov. Mike DeWine’s administration would still determine the care that children receive.

On Wednesday, state health officials made modifications to the rules that DeWine proposed after vetoing House Bill 68. The proposals may govern how children with gender dysphoria are treated and forbid Ohio hospitals and medical facilities from performing sex reassignment surgery on minors. Providers would also be required to report information on transgender health care that does not include full names, addresses, or other identifying details.

The USA TODAY Network Ohio Bureau obtained the updated information through an open records request after hundreds of Ohioans criticized the rules in written responses. While medical experts questioned the intelligence of DeWine’s suggestion, transgender Ohioans described how transitioning improved their lives.

One man wrote, “I am now, now happier now that I have access to gender-affirming treatment in the form of hormone replacement therapy.” “By making people like me experience the pain of gender dysphoria after more—a pain that has motivated many of us to attempt or complete suicide—restricting gender-affirming healthcare for transgender people will cause enormous, preventable harm.”

Ohio’s transgender medical treatment may be regulated in what ways?

Providers will no longer be required to have treatment plans reviewed by a skilled ethicist under the new regulations, which some have criticized as being in short supply. Worries about the limited availability of some medical specialties were addressed by the measure, which likewise expanded who qualifies as a mental health provider, according to health officials. However, the biggest shift was by far limiting the rules to children and teenagers.

An oncologist or other mental health professional must be on staff or available for referrals in hospitals and clinics that offer transition care. Before receiving additional therapy, people who are 18 years of age or younger must go through counseling for at least six months.

Although therapy, according to providers, does play a significant role in someone’s transition, mandating it may provide another obstacle to care. DeWine claims that therapy is a crucial component of the solution and wants to stop “fly-by-night” hospitals from prescribing hormones without also offering mental health care.

DeWine originally said to the USA TODAY Network Ohio Bureau, “Obviously, the best practice is to have that counseling before anyone makes any determination about what to do, whether an adult or a child.” “All we were attempting with that was to ensure that people received quality care.”

The Joint Committee on Agency Rule Review, a group of politicians, will eventually hear the proposed rules, and public input will once more be permitted. The program also hinders medical professionals and hurts Ohioans who require gender transition care, despite critics’ claims that the changes are an improvement.

The ACLU of Ohio posted on X, previously known as Twitter, saying, “We are glad that state and professional opinions were integrated.” The best way to guarantee the wellbeing, health, and well-being of transgender Ohioans, yet, would be to completely repeal the rules.

Additionally, the ACLU has announced that it will sue Ohio for House Bill 68, which would limit transgender minors’ access to medical care and forbid them from participating in girls’ sports teams. After the House and Senate voted to supersede DeWine’s veto, the bill is expected to be rules in April.

The USA TODAY Network Ohio Bureau, which includes the Columbus Dispatch, Cincinnati Enquirer, Akron Beacon Journal, and 18 other affiliated media companies in Ohio, employs Haley BeMiller as a writer.