on the California Department of Corrections and Rehabilitation's failure to provide her with what she argued was medically necessary sex reassignment surgery (SRS). In April 2015, a federal judge ordered the state to provide Norsworthy with SRS, finding that prison officials had been "deliberately indifferent to her serious medical need". Harris, representing CDCR, appealed the order to the Ninth Circuit Court of Appeals, arguing that psychotherapy, as well as the hormone therapy Norsworthy had been receiving for her gender dysphoria over the preceding fourteen years, were sufficient medical treatment, and there was "no evidence that Norsworthy is in serious, immediate physical or emotional danger". While Harris defended the state's position in court, she said she ultimately pushed the California Department of Corrections and Rehabilitation to change their policy. In August 2015, while the state's appeal was pending, Norsworthy was released on parole, obviating the state's duty to provide her with inmate medical care and rendering the case moot. In 2019, Harris stated that she took "full responsibility" for briefs her office filed in Norsworthy's case and others involving access to gender-affirming surgery for trans inmates. Public safety Anti-truancy efforts In 2011, Harris urged criminal penalties for parents of truant children as she did as District Attorney of San Francisco, allowing the court to defer judgment if the parent agreed to a mediation period to get their child back in school. Critics charged that local prosecutors implementing her directives were overzealous in their enforcement and Harris's policy adversely affected families. In 2013, Harris issued a report titled "In School + On Track", which found that more than 250,000 elementary school students in the state were "chronically absent" and the statewide truancy rate for elementary students in the 2012–2013 school year was nearly thirty percent, at a cost of nearly $1.4billion to school districts, since funding is based on attendance rates. Environmental protection Harris prioritized environmental protection as attorney general, first securing a $44million settlement to resolve all damages and costs associated with the Cosco Busan oil spill, in which a container ship collided with San Francisco–Oakland Bay Bridge and spilled 50,000gallons of bunker fuel into the San Francisco Bay. In the aftermath of the 2015 Refugio oil spill, which deposited about 140,000gallons of crude oil off the coast of Santa Barbara, California, Harris toured the coastline and directed her office's resources and attorneys to investigate possible criminal violations. Thereafter, operator Plains