A California judge has ruled that male castrations must be available to transgender and gender nonconforming people, and the state must pay for the drugs.
In his ruling Friday, Judge Kevin Hirschfeld said the state had failed to provide the services necessary for the transgender community to be fully protected.
He also said the California legislature and governor must act quickly to provide a solution.
“There is no other medical treatment that has as strong a public health impact on our communities as male castrating,” he wrote in his ruling.
The ruling comes a week after a federal judge blocked a similar lawsuit filed by a transgender woman seeking access to the drug, which treats symptoms of menopause and other physical conditions.
In the lawsuit, filed in June, the plaintiff said her life was devastated by the effects of the medication.
The judge rejected the lawsuit because he found that the plaintiff’s medical conditions were not sufficient to merit the lawsuit.
He said the plaintiffs had presented no evidence that the medications they were seeking would help transgender people.
Hirschfeld ruled that the state was required to provide services that are safe, effective and medically appropriate, and he said that was not done.
He wrote that the legislature had failed “to provide the appropriate level of protection” for transgender people and that they are “unable to make a case that male-to-female castration does not meet the standards of safety, efficacy, and medical necessity for medically appropriate treatment.”
In a written statement, a spokesperson for the California Department of Public Health said the department was reviewing the decision.