Over 100 anti-LGBTQ+ bills have already been filed in state legislatures in 2023.

NBC News reported that the bills are concentrated in 22 states, with Texas leading the charge, followed by Missouri, North Dakota, and Oklahoma.

Most of the bills target trans youth, but this year, some of them are also looking to restrict health care for trans adults.

In Oklahoma, for example, a new bill called the “Millstone Act of 2023” has been proposed to ban all forms of gender-affirming care for anyone under 26 years old. The bill targets healthcare providers and says anyone who violates the rule could face felony charges and have their medical license revoked.

In a statement to The Oklahoman, Bullard said gender-affirming surgery is “a permanent solution to a temporary problem” and called it a violation of doctors’ Hippocratic Oath to do no harm.

In reality, minors rarely undergo gender-affirming surgery, and the gender-affirming care they receive is reversible.

Additionally, a North Dakota Republican has introduced a bill that would fine people $1500 for using the correct pronouns for trans people.

S.B. 2199 seeks to legally change the definition of gender, stating that “Words used to reference an individual’s sex, gender, gender identity, or gender expression, mean the individual’s determined sex at birth, male or female.”

Another Republican lawmaker, state Sen. Larry Luick, has also introduced a bill against using someone’s proper pronouns.

North Dakota lawmakers are also pushing several anti-trans bills to restrict gender-affirming care, limit transgender student-athletes from participating on sports teams, ban minors from seeing drag shows, and expressly legalize conversion therapy.

In Texas, Republicans have introduced two bills that would ban instruction of sexual orientation and gender identity in the state’s public schools. The bills closely mirror Florida’s “Parental Rights in Education” law, popularly known as “Don’t Say Gay.”

Another legislative trend this year targets drag queens, who have been continuously demonized by the far-right and repeatedly accused of being a threat to children.

In at least six states, bills have been introduced that would prevent minors from seeing drag shows and would label all places that host drag shows as a “sexually oriented business.”

“The rightward shift in state legislatures is really scary,” Chase Strangio, deputy director of the LGBT and HIV Project at the American Civil Liberties Union, told NBC News. “We’re seeing continued erosion and efforts to restrain and constrict and limit bodily autonomy across the board.”

“There’s just a lot that I think people are taking for granted, particularly people who live in states like New York and California and aren’t paying attention to what’s going on in states like Arkansas, Oklahoma and Texas.”