The Massachusetts Commission on LGBTQ Youth recommends parents be held liable for child abuse if they do not allow their children to receive transgender medical procedures.

The independent commission “advises others in state government on effective policies, programs, and resources for LGBTQ youth,” according to its website.

The LGBT Commission’s recommendations for the fiscal year of 2024 include extensive coverage for sex changes in order to “incentivize care,” as well as anti-bias and racial “equity” trainings for public hospital staff.