1. United States
2. Tenn.
3. Letter

I'm asking you to vote no on House Bill 754. This bill would force healthcare providers to submit detailed patient information about gender-affirming care that would then be published in a state report. The data requirements are so specific that they could identify individual patients, effectively creating a public registry of transgender people in Tennessee. The bill mandates collection of treatment timelines, prescription and surgery details, patient location, age, and biological sex. When combined, these data points make true anonymity nearly impossible to guarantee, despite claims otherwise. This likely violates HIPAA protections that exist precisely to prevent this kind of exposure of sensitive medical information. No other medical treatment requires this level of public reporting. Transgender Tennesseans deserve the same privacy protections as every other patient. Publishing this information puts vulnerable people at risk and drives a wedge between patients and their doctors. Healthcare providers would face license suspensions and heavy fines for noncompliance, forcing them to choose between their patients' safety and their livelihoods. Vote no on HB 754.