La Crosse, Wisconsin, has passed an ordinance that imposes fines on medical and mental health professionals who “seek to change a person’s sexual orientation or gender identity, including efforts to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender.”

A licensed counselor has filed suit, arguing that the ordinance would “require professional counselors to either affirm the decision of any minor patient to transition to a new gender identity—despite ongoing, good-faith disagreements among professionals on whether and under what circumstances such transitions should take place—or remain silent.”