01/01/2026
An Important Message to Our Patients and Families:
We want to speak directly to our patients and the parents and guardians who trust us with their care.
For the past ten months, our care team has been having thoughtful, transparent conversations with affected patients and families about the changing legal landscape in Kansas and what it could mean for access to gender-affirming care. We know this uncertainty has been stressful, and we are honored and grateful for your continued trust and for the openness, patience, and receptiveness you have shown during this time.
As of January 1, 2026, new Kansas state law will prohibit clinics like ours from continuing to provide gender-affirming care to patients under the age of 18. To comply with these regulations and to protect our clinicians’ licensure, we must make the painful decision to stop providing gender-affirming care for minors in our clinic as of that date.
This decision is not one we agree with, and it is not one we are making lightly.
From a health care provider’s perspective, we firmly believe that decisions about gender-affirming care should be made between a patient, their parents or guardians, and their qualified health care providers — not dictated by legislation. Gender-affirming care is evidence-based, individualized, and rooted in careful assessment, informed consent, and ongoing support. The ban disregards both medical expertise and the lived realities of the patients and families we serve.
We are acutely aware that this change may bring fear, grief, anger, or uncertainty. Please know: this does notreflect a lack of commitment to our patients. Rather, it reflects the impossible position placed on clinics like ours — where continuing this care would jeopardize our clinicians’ licenses and threaten our ability to provide any care at all, including primary care for minors and gender-affirming care for adult patients and community members.
Our focus remains continuity in care for our patients, and always prioritizing their safety, and dignity. Between now and January 1, 2026, we will continue to:
• Provide care within the scope of what remains legally permitted
• Support patients and families with a shift in planning and resources for their care
• Offer mental health support through our therapy team
• Help connect families to information and options as they plan next steps
We want to be clear: our support for transgender and gender-diverse patients does not end because of this law. Our clinic remains a safe, affirming space. We will continue advocating for our patients, standing with families, and providing compassionate, inclusive care to the fullest extent the law allows.
We recognize the harm this legislation causes. We see its impact every day — in the anxiety of parents, the fear of young people, and the heartbreak of families being forced to navigate care decisions under political pressure rather than medical guidance.
To our patients and families: you are not alone. You are seen, respected, and valued here. We are committed to walking alongside you through this shift with honesty, care, and unwavering respect for who you are.
If you have questions or need support, please reach out to our team at M-Care. We are here to listen and help navigate these uncertain times.
With love, care, and solidarity,
Amanda & the M-Care Team
