In 2021, the country had one state with a ban on gender-affirming care for youth on the books — Arkansas. In March of the same year, Dr. Rachel Levine won confirmation by the Senate to lead the U.S.

Dr. Rachel Levine focused on her job at HHS. Still, anti-trans politics followed her In 2021, the country had one state with a ban on gender-affirming care for youth on the books — Arkansas.