evidence: First, know what it is—and isn’t "Gender-affirmative care," also called gender-affirming care, "is a model of care and an approach to the patients and families that we work with," said Jason Rafferty, MD, MPH, a child psychiatrist and pediatrician at Hasbro Children’s Hospital, in Providence, Rhode Island. "It’s not necessarily a protocol. It's not guided steps." [...] Access to gender-affirming care is endangered by legislative efforts to interfere with the delivery of that care, Dr. Janssen said, adding that "almost half the states in this country are in the process of enacting legislation that will bar care for transgender youth." The AMA recently urged governors to oppose state legislation that would prohibit medically necessary gender transition-related care for minor patients.