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FGM and Gender-Affirming Care Are Not the Same—Why Clear Distinctions Matter in Connecticut’s Hearing 

Right now in Connecticut, testimony is underway on S.B. 1438, a bill to prohibit female genital mutilation (FGM). Unfortunately, the hearing has grouped this bill with one that seeks to protect  gender-affirming care (GAC)—two entirely distinct issues that, alarmingly, have a history of conflation by opponents of GAC. It is deeply concerning that Connecticut remains one of just nine states without an anti-FGM law, and even more so that this critical legislation is being co-opted by anti-trans rights agendas, reflecting a persistent and misleading comparison on human rights violations and access to healthcare which must be challenged. 

FGM is a recognized human rights violation and an extreme form of gender-based violence. Gender-affirming care is evidence-based healthcare. The distinction is critical, yet a speaker has already misrepresented these issues, underscoring the need for clarity in policymaking.

FGM affects millions globally. Our 2025 report highlights that FGM is practiced on every continent around the world, at far greater rates than in previous data. In the United States, as many as 500,000 women and girls are at risk, including an estimated 2,742 in Connecticut. The practice can result in severe physical and psychological consequences, including chronic infections, childbirth complications, and even death. It is a severe form of gender-based violence, recognized under international human rights law, including the International Covenant on Civil and Political Rights.

Despite this, Connecticut remains one of only nine states without laws criminalizing FGM. While the federal STOP FGM Act of 2020 provides a legal framework, state-level legislation is essential for enforcement, prevention, and survivor support.

It is imperative that discussions on FGM remain accurate and rooted in legal and human rights frameworks. Conflating a non-consensual, harmful practice with essential medical care risks undermining efforts to address both issues appropriately.

Connecticut has an opportunity to take meaningful action. Passing a comprehensive law against  FGM is a necessary step in protecting the rights and well-being of women and girls. Survivors deserve comprehensive legal protections and support services. The time to act is now. 

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