Antitransgender Legislation and Needs of Transgender Floridians, 2018-2024

Objectives. To document transgender Floridians' service needs before and after antitransgender state legislation. Methods. We conducted descriptive and change point analyses of intake survey data collected by a transgender-led community-based organization in Florida from 701 clients who requested services between 2018 and 2024. Results. Findings show enrollment for services increased during the rise in antitransgender legislation, with pressing needs for legal and financial support for name changes and gender-affirming health care. The percentage of clients requesting sexual health resources increased, especially among Black clients. Conclusions. Findings underscore the urgency of (1) understanding the impact of antitransgender legislation on service needs, and (2) understanding the sequelae, including the ability for organizations to meet needs and the impact on psychosocial health outcomes. Findings emphasize the crucial role of community-based organizations in supporting transgender people in a discriminatory environment and generating data to inform policy. Public Health Implications. Antitransgender legislation constitutes a public health crisis by restricting life-saving care and exacerbating health disparities. Community-based organizations can resist these laws and act as a protective buffer for affected individuals. (Am J Public Health. 2025;115(10):1642-1651. https://doi.org/10.2105/AJPH.2025.308171).