text:  Dawson says it's not clear what sparked so many states to ban this kind of care, but in the last few years, the policies seem to spread like wildfire, she says. The details of the state bans vary, but these laws generally bar transgender young people from accessing hormones, puberty blockers and surgery, which is very rare for young people. Nearly all the bans include penalties for medical providers. Several target parents, teachers and counselors.