California’s intersex civil rights legislation killed after fails to advance

California capitol building. (Blade file photo)

SACRAMENTO, Calif. | State Senator Scott Wiener (D-San Francisco) announced Jan. 4 that he will not be moving forward with Senate Bill 225: the Intersex Bodily Autonomy, Dignity and Choice Act. This civil rights legislation would ban medically unnecessary, irreversible genital surgeries on intersex infants and other young children.

Wiener has pursued this civil rights legislation that would provide children and their families with a chance to make informed decisions about major, life-altering genital reconstruction surgeries for three consecutive years.

He has been unable to pass the bill out of its first policy committee, the Senate Business & Professions Committee, due to lack of sufficient votes in the committee. SB 225 was co-sponsored by Equality California, interACT: Advocates for Intersex Youth, the National Center for Lesbian Rights and the ACLU of California.

“SB 225 was a basic civil rights law, standing for the important principle that people should be able to make decisions about their own lives, as opposed to having other people make those decisions for them. These irreversible genital reconstruction surgeries – usually performed when a child with variations in their genitalia are infants – have lifelong consequences. These consequences can include chronic pain, scarring, loss of sexual sensation, and more,” the Senator said in a media statement.

“SB 225 is vitally important civil rights legislation for intersex people and the larger LGBTQ community, and I’m disappointed and saddened that it does not appear to have a viable path forward at this time. For three years, we’ve worked to advance the legislation, and it’s become apparent that we continue to lack the votes to pass a meaningful bill — one that actually protects intersex people — through committee, he added.

“Pausing medically unnecessary genital surgeries until a child is old enough to participate in the decision isn’t a radical idea. Rather, it’s about basic human dignity. In countries like Germany, Colombia, and Malta, these infant surgeries are banned. The United Nations and three former U.S. Surgeons General have called for these surgeries on babies to be banned. I’m fully committed to protecting the rights of everyone with variations in their genitialia, including intersex people. I’m not giving up, and I stand in solidarity with the intersex community in its fight for bodily autonomy, dignity and, choice,” Wiener said.

The California Medical Association, the politically influential professional organization representing nearly 50,000 physicians in the state of California, was opposed to the legislation and actively lobbied against it.

“We’re proud to stand with Senator Wiener and the intersex community in this important fight to safeguard the human rights of all Californians and are immensely grateful for his leadership on SB 225,” said Equality California Legislative Director Tami Martin. “We’re disappointed that there is not enough support to pass this bill out of committee this year, but our fight will continue until the work is done.”

One to two percent of people are born with variations in their genitalia and sex anatomy, some of whom identify as intersex. Parents of children with these variations are often offered medically unnecessary surgical interventions – such as major surgeries to cut a clitoris, create a vagina for penetrative sex, remove hormone-making organs, or move a working urinary opening – which are typically performed on children under two years old and often without a complete discussion of the various risks.

These surgeries may result in extreme scarring, chronic pain, chronic incontinence, loss of sexual sensation, post-traumatic stress disorder, incorrect gender assignment, and the need for additional surgeries to treat complications from the original surgery. SB 225 would allow parents to make a decision, in consultation with their child and medical professionals, once a person is old enough to participate in decision-making about whether or not a surgery to change sex anatomy is right for them.

“While this particular bill did not become law, we are deeply grateful to our allies and proud of getting one step closer to protecting intersex bodily autonomy in California,” Alesdair Ittelson, Director of Law & Policy and Interim Executive Director of interACT said. “interACT will continue to demand self-determination instead of pathologization for intersex people and we are not deterred by the paternalistic approach of a rapidly shrinking number of individuals who stand in the way of protecting intersex human rights. Intersex people will prevail in their fight for control over their own bodies and we applaud all of those who supported SB 225.”

Becca Cramer-Mowder, Legislative Coordinator and Advocate with ACLU California Action, noted: “We are disappointed that California is not yet ready to lead on this important civil rights issue, and we will continue to work with intersex individuals and advocates to move the state forward towards recognizing the bodily autonomy of intersex Californians.”

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