Dear [Your Elected Official],

<p>I urge you to vote NO on HB754 in the House floor on March 26 because of its data privacy and fiscal implications.</p> <p><strong>Data privacy</strong>:  Under the appearance of helping people de-transition, this bill is actually a massive data grab about which the Finance Subcommittee heard testimony. It requires that providers submit to the state a huge amount of information on patients, procedures, and the providers themselves.  This bill then directs that much of it be reported publicly. </p> <p>This bill endangers the data privacy of patients.  Even though providers do not submit patient names, they submit so much specific information that others might use it to determine who they are. This data gathering and reporting puts a target on providers that could endanger their lives or those who share facilities with them because of how much vitriol has been generated about the issue.</p> <p>Could the data collection process be so onerous and intrusive that it causes providers not to offer detransition or transition health care, which defeats the purpose of the bill?</p> <p><strong>Fiscal implications</strong>: The most recent amendment directs the state to apply for a federal waiver so that de-transition care is considered an essential health benefit. That returns the bill to much of its original position in terms of cost. So the original fiscal note of over $200,000 should apply again.  The bill's fiscal note should be corrected and the bill should go behind the budget. </p> <p>Thank you for considering my views.</p>