WASHINGTON, D.C.: A simmering debate is under way in the United States over the health of transgender youth, who now face the prospect of being barred from receiving hormonal or surgical treatment in a number of states, to the dismay of their families and the medical community.

South Dakota led the way late last month when the lower house of the state legislature approved a bill that set prison terms of up to a year for any doctor who provided such treatments to youths under the age of 16.

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