The trans sanctuary states must begin issuing new birth certificates for residents who were born in the fascist states which prevent such changes. Kansas recently passed a law which resends previous gender changes on birth certificates and of course the fundamentalist hate mongers will soon copy Italy's new law removing same sex parents from the birth certificates of their children.

"By removing barriers to changing gender markers on birth certificates, we are taking a major step in our continued journey to foster an inclusive, safe, welcoming state. This is how we build the bridge to equity and justice for all, and I thank the state leaders and team at IDPH for taking us further."

Then please push the issue to a constitutional crisis similar to the Dred Scott case by treating fascist states similar to foreign countries and start actually issuing new birth certificates since the greatest barrier for interstate refugees will be the accident of one's birth location.