Tennessee lawmakers have passed House Bill 754, a sweeping and deeply controversial measure that would require healthcare providers to submit detailed data on patients receiving gender-affirming care, with much of that information to be published in a public state report. The bill, which cleared the Senate in a 24–7 vote on Monday (13 April), now returns to the House for final approval before heading to Governor Bill Lee’s desk, where it is widely expected to be signed into law, as reported by Transitics via Substack. While framed by Republican sponsors as a transparency and insurance measure, the legislation goes far beyond similar proposals in other states. It mandates the collection of highly specific information, including a patient’s age, “biological s*x,” treatment dates, diagnoses, and state of residence. Crucially, the law requires that this data not be aggregated when published, raising serious concerns among advocates and legal experts that individuals could be identifie...