sexually assaulted by healthcare professionals. An older study conducted by the DOJ in 2014 also found that it was not uncommon for psychiatric professionals to mandate that trans patients of theirs perform sexual favors for them in exchange for continued access to gender affirming healthcare. The Trafficking in Persons report by the State Department found that trans people are significantly overrepresented in sex trafficking victims, and a study by Loyola University Chicago found that trans people in the US are 5.6x more likely to engage in survival sex - where sex is traded for money, food, shelter, or other essential items such as phones or clothing - than their cis peers. According to the 2015 US Transgender survey, 13% of K-12 students who were out as or perceived as transgender were sexually assaulted specifically for being transgender. Displacement Anti-trans legislation in numerous conservative states has forced many trans people and their families to flee their homes, whether to another state or another country, including the families of those who actively advocated against anti-trans laws in their states. Sanctuary states A number of states have passed laws protecting trans people and their families, as well as their healthcare providers, fleeing anti-trans states, from extradition. In 2022, Connecticut became the first state to implement such a law, alongside similar protections for reproductive healthcare providers and recipients. Since then, Massachusetts, California, Illinois, and Washington DC have passed similar laws. Discrimination protections Employment In June 2020, the Court ruled for the first time on a case directly regarding Transgender rights. In the case R.G. & G.R. Harris Funeral Homes Inc. v. Equal Employment Opportunity Commission the Supreme Court held that Title VII of the Civil Rights Act 1964 extends protections to individuals who are transgender in Employment. This is based on discrimination on the grounds of transgender status is a form of discrimination based on sex. Prior to the rulings that Title VII protections covered transgender status, four states (Alaska, Arizona, Wisconsin, and Missouri) had not enacted specific protections based on transgender status in any employment, and 22 states had extended protections to public employment only. Laws Federal There is no federal law designating transgender as a protected class, or specifically requiring equal treatment for transgender people. Some versions of the Employment Non-Discrimination Act introduced in the U.S. Congress have included protections against discrimination for transgender people, but as of 2021 no version of