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A sign encouraging the protection of transgender children stands at Central Presbyterian Church near the Texas Capitol, Tuesday, Aug. 15, 2023, in Austin, Texas. Waiting lists for gender-affirming health care are growing in states that declared themselves refuges for transgender people as bans for such care for minors take effect around the country. Texas, one of the largest states, has a ban that's set to take effect Sept. 1. (AP Photo/Eric Gay)

A sign encouraging the protection of transgender children stands at Central Presbyterian Church near the Texas Capitol, Tuesday, Aug. 15, 2023, in Austin, Texas. Waiting lists for gender-affirming health care are growing in states that declared themselves refuges for transgender people as bans for such care for minors take effect around the country. Texas, one of the largest states, has a ban that's set to take effect Sept. 1. (AP Photo/Eric Gay)

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