More California prisoners are requesting gender-affirming health care, including surgeries

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More California prisoners are requesting gender-affirming health care, including surgeries
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The population of transgender inmates in California prisoners surged by 234% in the years since the state adopted a first-in-the nation policy allowing gender-affirming health care.

The number of California prisoners requesting gender-affirming health care more than doubled last year, and the state’s corrections agency expects the trend to continue even as the overall state inmate population is projected to decline.

Since the changes took effect, the California Department of Corrections and Rehabilitation found that the number of transgender, intersex and nonbinary inmates consistently grew each year, rising to 1,617 last year. That’s a 234% increase over 2017, according to the documents. Wallis at the hearing said the program was originally meant to “address equitable access” to safe and optimal gender-affirming care, but she acknowledged that staff shortages led to treatment backlogs.As of December, 20 inmates since 2017 had received gender-affirming surgery. Another 150 surgeries had been approved, but not completed, according to the budget documents.

The agency also has received over 364 housing transfer requests since 2021. Only 35 of those were approved and sent to the Central California Women’s Facility in Chowchilla. “It’s ridiculous. $2 million for stuff they should already be doing?” said Alex Binsfield, a policy analyst with TGI Justice Project, a San Francisco nonprofit that. “I don’t think pumping any more money into CDCR is going to fix health care there.”

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