The Alabama Senate passed the controversial anti-trans SB10 Bill on Tuesday, effectively prohibiting the performance of gender affirming medical treatment on minors. The Bill, which shall be called the Alabama Vulnerable Child Compassion and Protection Act, was introduced by Senator Shay Shelnutt and passed with a vote of 23-4.

Section 3 of the Bill prohibits any person from engaging in, counseling or making a referral for performance of various treatments such as through hormone therapy, puberty blockers, or surgical intervention, when performed with the intent of affirming the minor’s perception of his or her gender or sex. It also makes any performance of gender affirming medical procedure on a minor a Class C Felony as per Alabama’s Criminal Code.

In a bid to protect minors, the Bill additionally requires schools, public or private, to disclose to a minor’s parent or legal guardian, all information relating to the perception of such student that their gender or sex is inconsistent with their biological sex. The move has been opposed by transgender and human rights activists, with the American Civil Liberties Union of Alabama stating that the bill “runs counter to medical science, prevailing standards of treatment for transgender youth, and basic human dignity.”

The bill is now pending approval from the House of Representatives.