FILE – Glenda Starke wears a transgender flag as a counter protest during a rally in favor of a ban on gender-affirming health care legislation, March 20, 2023, at the Missouri Statehouse in Jefferson City, Mo. The American Academy of Pediatrics on Thursday, Aug. 3, 2023, reaffirmed its support for gender-affirming medical care for transgender children as the treatments face a growing push for bans and restrictions from Republican lawmakers. (AP Photo/Charlie Riedel, File)
