From: Andre Van Mol <95andrev@gmail.com>

Sent: Sunday, August 18, 2019 8:14 PM

To: Fred Deutsch <Fred.Deutsch@sdlegislature.gov>

Cc: Cretella Michelle <drmcretella@gmail.com>; Shupe Jamie <jamie.shupe@yahoo.com>; Jon Uhler
<jkuvpc@yahoo.com>; VBroyles <vbroyles@childparentrights.org>; Lee Schoenbeck <lee@schoenbecklaw.com>;
Laidlaw Michael <mike@drlaidlaw.com>; Jon Hansen <hansen.jonathon@gmail.com>; William Malone
<malone.will@gmail.com>; Mary McAlister <mmcalister@childparentrights.org>; Mast Richard <RMast@lc.org>;
Heyer Walt <waltsbook@yahoo.com>; Sharp Matt <msharp@adflegal.org>; Chris Motz
<cmotz@sdcatholicconference.org>; Katherine Cave <kelseycoalition@gmail.com>;
michael.biggs@sociology.ox.ac.uk; pamosa27@comcast.net

Subject: Re: update

Understood, and I know exceptionally good attorneys have gone over and over this. It is very specific to
perception of sex, which is good. I also wondered about the need for such surgeries in trauma victims, but
you also specified non-diseased, so that would seem ok. It’s just that if we are a bit confused and have
misgivings, one wonders what the actual legislators will think. Perhaps part of the problem is we were
dealing with the longer version for so long that now seeing such a condensed bill seems a touch bewildering.

Andre

On Aug 18, 2019, at 5:28 PM, Fred Deutsch <Fred.Deutsch@sdlegislature.gov> wrote:

The key to the entire bill is the language “attempting to change or affirm the child’s perception of
their sex,” with sex defined as “the biological state of being female or male.”

We have to be able to explain the application.

So let’s say we have a teenage girl:
1. She perceives she is a boy.
a. Doctors cannot perform any of the restricted surgical procedures or give restricted meds (PB &
cross-sex hormones) thataffirm her perception of being a boy.
b. Doctors cannot perform any of the restricted surgical procedures or give restricted meds (PB &
cross-sex hormones) thatchange her perception of being a boy. (I’m not sure this is
applicable. Thoughts?)
2. She perceives she is a girl.
a. Doctors cannot perform any of the restricted surgical procedures or give restricted meds (PB &
cross-sex hormones) thataffirm her perception of being a girl. (This scenario would mean there
is congruity between body and mind. Bill is probably not applicable).
b. Doctors cannot perform any of the restricted surgical procedures or give restricted meds (PB &
cross-sex hormones) thatchange her perception of being a girl. (This scenario would mean there
is congruity between body and mind. Bill is probably not applicable).

Please let me know what you think - Fred