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Patients seeking reproductive and gender-affirming health care services in Massachusetts face increasing threats from actions taken in other states and changes at the federal level. Some jurisdictions have attempted to restrict access to this care and pursue legal action against patients, providers, and organizations involved in providing services that are legal in Massachusetts.

Several states have enacted laws restricting access to reproductive health care and gender-affirming care while attempting to investigate, penalize, or prosecute individuals who seek those services in states where they remain legal. These actions have raised concerns about patient privacy, access to care, and legal protections for health care providers.