The guidance drew backlash from LGBTQ advocates and medical experts.Despite that support, Florida’s Agency for Health Care Administration issued a report in June that “found that several services for the treatment of gender dysphoria — i.e., sex reassignment surgery, cross-sex hormones and puberty blockers — are not consistent with widely accepted professional medical standards and are experimental and investigational with the potential for harmful long-term affects.” Just hours after the report’s release, Ladapo sent a letter to the Board of Medicine and asked it to establish a standard of care “for these complex and irreversible procedures.” The board held its first meeting on the issue in August, and on Friday it officially voted to draft a ban on certain gender-affirming therapies for minors.Jude Spiegel, the only transgender person to testify at Friday’s meeting, read the names of 17 trans teens who died by suicide “over living in a world that refused to acknowledge or accept them.” With about 45 minutes left in the public comment period, board member Dr. Zachariah P. Zachariah said only one more person would be allowed to testify.At one point, an audience member yelled that trans youths would suffer if the board voted to bar care: “The blood is on your hands!” To which Zachariah responded, “That’s OK.” Emile Fox, a trans nonbinary person from Orlando who uses “they” and “he” pronouns, said they signed up to testify and weren’t able to, which frustrated them after the first eight people who testified were all in favor of restricting care, but none of them were from Florida.“What was so appalling to me is how obviously staged this all was,” Fox said, adding that the board members didn’t appear to know that much about gender-affirming therapies."