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This includes sending Gov. Lee a bill to ban spending state money on hormone therapy or sex reassignment procedures for inmates — though it would not apply to state inmates currently receiving hormone therapy — and requiring public school employees to out transgender students to their parents.

For example, House lawmakers cast a final vote Thursday to send Gov. Bill Lee a bill to ban spending state money on hormone therapy or sex reassignment procedures for inmates — though it would not apply to state inmates currently receiving hormone therapy.

It also allowed sex identity change by simple declaration without mandating psychiatric evaluation and sex reassignment surgery in October 2017.

Artificial penises had been in use for centuries, either as replacements for detached members, as treatment for erectile dysfunction or for use in sex reassignment surgery.

Over the past year, the city’s courts have ruled that full sex reassignment surgery should not be a prerequisite for transgender people to have their gender changed on their official identity cards and backed the granting of equal housing and inheritance rights for same-sex couples married overseas.