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OKLAHOMA CITY (AP) — Oklahoma on Monday became the latest state to ban gender-affirming medical care for minors as Republican Gov. Kevin Stitt signed a bill that makes it a felony for health care workers to provide children with treatments that can include puberty-blocking drugs and hormones.

Oklahoma joins at least 15 other states with laws banning such care, as conservatives across the country have targeted transgender rights.

Stitt, who was reelected in November, made the ban a priority of this year’s legislative session, saying he wanted to protect children. Transgender advocates and parents of transgender children say such care is essential.

Stitt signed bills last year that prohibit transgender girls and women from playing on female sports teams and prevent transgender children from using school bathrooms that correspond to their gender identity.

“Last year, I called for a statewide ban on all irreversible gender transition surgeries and hormone therapies on minors so I am thrilled to sign this into law today and protect our kids,” Stitt said in a statement released after the signing. “We cannot turn a blind eye to what’s happening across our nation, and as governor I am proud to stand up for what’s right and ban life-altering transition surgeries on children in the state of Oklahoma.”

Stitt signs SB 613 into law

The bill Stitt signed on Monday makes it illegal to provide gender-transition medical care for anyone under the age of 18. Such treatment can include surgery as well as hormones and drugs that suppress or delay normal puberty.

Transgender advocates and parents of transgender children say such care is essential.

Several civil liberty organizations, including the American Civil Liberties Union of Oklahoma, has promised to “take any necessary legal action” to prevent the law from taking effect.

“Gender-affirming care is a critical part of helping transgender adolescents succeed, establish healthy relationships with their friends and family, live authentically as themselves, and dream about their futures,” Lambda Legal, the ACLU and the ACLU of Oklahoma said in a joint statement.

Over a dozen states target gender affirming care for transgender families

At least 16 states have now enacted laws restricting or banning gender-affirming care for minors: Alabama, Arkansas, Arizona, Georgia, Idaho, Indiana, Iowa, Kentucky, Mississippi, Montana, North Dakota, Oklahoma, Tennessee, Utah, South Dakota and West Virginia. Federal judges have blocked enforcement of laws in Alabama and Arkansas, and nearly two dozen states are considering bills this year to restrict or ban care.

Three states — Florida, Missouri and Texas — have banned or restricted the care via regulations or administrative orders and Missouri’s is the only one that also limits the treatments for adults. A judge has blocked Missouri’s restrictions. Texas’ governor has ordered child welfare officials to investigate reports of children receiving such care as child abuse, though a judge has blocked those investigations.