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After a ban on trans health care, this Harvard-bound class president can't wait to leave Texas

Topher Malone鈥檚 mother helps her get ready for graduation day in her bedroom in Round Rock in May. Malone recently began using the name Safara, which she feels more accurately represents her identity.
Leila Saidane
/
The Texas Tribune
Topher Malone鈥檚 mother helps her get ready for graduation day in her bedroom in Round Rock in May. Malone recently began using the name Safara, which she feels more accurately represents her identity.

ROUND ROCK 鈥 Topher Malone was sprinting through her final days of high school: On Friday, she led a Gender-Sexuality Alliance club meeting, then stood before a rapt audience of National Honors Society juniors eager to hear how Malone got in to Harvard.

Malone explained that her application鈥檚 strength came from sticking to a common theme throughout. Her essays told her story of queer activism and school leadership.

By every standard, Malone is a model of a successful young woman: She鈥檚 a straight-A student and class president at Round Rock Independent School District鈥檚 Early College High School, she attends national youth leadership conferences and she鈥檚 raised money to support the school group she leads.

Malone is also trans. Malone says having access to gender-affirming treatments before she turned 18 in May allowed her to embrace her true self and channel her energy into her advocacy for LGBTQ youth.

鈥淚 think she鈥檚 put so much effort into finding her identity but also using that to reach out to the community to actually make a difference,鈥 said Julian Jones, one of Malone鈥檚 teachers who has known her for almost four years.

But young trans people like Malone who have blossomed with support from teachers, family members and medical professionals will soon be a relic of a bygone era in Texas. , which bans transgender youth from accessing and to address mental health issues associated with , will go into effect in September unless Gov. reverses his commitment to sign the legislation.

Malone wears her Rise Up 2022 T-shirt from her LGBTQ leadership conferences.
Leila Saidane
/
The Texas Tribune
Malone wears her Rise Up 2022 T-shirt from her LGBTQ leadership conferences.
Malone gives a presentation on college applications to fellow Early College High School students at the Austin Community College Round Rock campus.
Leila Saidane
/
The Texas Tribune
Malone gives a presentation on college applications to fellow Early College High School students at the Austin Community College Round Rock campus.

When SB 14 becomes law, Texas will join across the country that have restrictions to transition-related care.

The bill鈥檚 passage marks the culmination of a yearslong political effort by and state leaders that has painted gender-affirming care as 鈥済enital mutilation鈥 of children and sought to limit access to such care.

Republicans pushing the legislation say that children have been rushed into gender-affirming treatments as part of a larger 鈥渟ocial contagion鈥 that has accompanied greater public visibility of transgender people.

Similar legislation failed to become law two years ago. Since then, Abbott has directed the Department of Family and Protective Services to investigate parents of trans youth, and some . When Attorney General Ken Paxton announced in early May that he was in Austin for providing gender-affirming care, patients of the clinic that provided that care .

Now the Legislature will prohibit physicians from administering the treatments to trans youth younger than 18, even though the state鈥檚 medical associations have said the available medical studies have shown such treatments are effective at treating mental health problems caused by gender dysphoria, a medical term for the distress someone experiences when their gender identity doesn鈥檛 match their body.

Under the new law, physicians who provide puberty blockers or hormone therapies to trans youth would lose their medical license.

鈥淚t鈥檚 not a one-size-fits-all approach,鈥 Texas Pediatric Society president Louis Appel . 鈥淭hese are complicated issues that really are best dealt with in the context of the physician-patient-family relationship.鈥

For Malone, it鈥檚 not a political topic 鈥 it鈥檚 deeply personal. She said the animosity in her home state is driving her out.

鈥淚鈥檓 absolutely ecstatic to leave and go to a state where everyone actually cares about me and cares about my identity as a trans person,鈥 she said. 鈥淎 lot of the queer people I know, they want to escape as quickly as possible.鈥

She plans to continue organizing and doing nonprofit work related to the LGBTQ population in Massachusetts, which is regarded as a refuge state for the trans community.

Malone said leaving the state is bittersweet because she believes Texans need to hear the voices of young Black trans people like herself.

鈥淚t does feel just a little bit like I鈥檓 kind of having to abandon everyone for my own good,鈥 she said.

鈥淚 can鈥檛 stand it anymore鈥

In late March, after waiting more than 15 hours at the state Capitol with her mom, Malone got her turn to testify to a House committee against , SB 14鈥檚 companion bill.

Malone told the lawmakers that she鈥檇 applied to colleges in Texas. But as soon as she received an offer from a college outside of Texas 鈥 Columbia University in New York, which came before her acceptance to Harvard 鈥 she had decided to leave the state.

鈥淚 don鈥檛 want to stay here for college anymore because of what this state government is doing to trans people like me, and I can鈥檛 stand it anymore,鈥 .

鈥淚鈥檝e never had to go out and testify about why I deserve to live to legislators,鈥 she said later.

State Rep. Tom Oliverson, R-Cypress, answers questions from Rep. Ann Johnson, D-Houston, on Senate Bill 14. Malone testified against the legislation before a committee during the legislative session.
Evan L'Roy
/
The Texas Tribune
State Rep. Tom Oliverson, R-Cypress, answers questions from Rep. Ann Johnson, D-Houston, on Senate Bill 14. Malone testified against the legislation before a committee during the legislative session.

The last major debate over SB 14 took place in the Texas House, where Democrats proposed 17 amendments to soften the bill鈥檚 impacts on LGBTQ youth. One proposed creating a state-run commission to study the suicide rate of children impacted by bill. Another would have required families to get two different physicians and two mental health professionals to diagnose their child with severe gender dysphoria before starting gender-affirming treatments.

All of those efforts failed.

鈥淚 hate that we didn鈥檛 have a legitimate public policy debate,鈥 said state Rep. , D-Houston, who proposed the amendment requiring multiple doctors to sign off on care. Johnson said she鈥檇 talked to families of trans youth, who agreed that creating significant barriers to getting care was better than eliminating it altogether.

State Rep. , the Cypress Republican who co-authored the legislation, to support the use of puberty blockers or hormone therapies for trans youth and insisted there was not a consensus in the medical community on this type of treatment.

鈥淎t the end of the day, the science is so inconsistent and of such low quality that I do not have confidence in these doctors鈥 ability to accurately diagnose serious gender dysphoria,鈥 Oliverson said in opposing one of Johnson鈥檚 amendments.

Listening to the debate, Malone observed that the lawmakers seemed to pay a lot of attention to testimony from adults who 鈥渄etransitioned鈥 鈥 those who transitioned away from their sex assigned at birth and then reversed that decision 鈥 and that most of them were from outside Texas.

One of them, Prisha Mosley, shared her experience about the lack of support from medical professionals after she detransitioned. She has testified in at least five other states as they considered similar legislation.

鈥淭hey immediately decide that they鈥檙e going to negate the entirety of the 99% of people who transition,鈥 Malone said of those who detransitioned and testified against the type of treatments she鈥檚 taking. 鈥淚t goes back to that erasure, you鈥檙e erasing the experiences of people who have happily transitioned.鈥

The debate over the legislation alone could negatively affect the mental health of LGBTQ youth, according a , a national LGBTQ youth suicide prevention organization. The report found that 86% of transgender youth reported mental health repercussions from the public debate and passage of bills like SB 14.

鈥淚t will definitely result in a growing and more concerning mental health crisis among trans and queer youth in the state,鈥 said Landon Richie, a trans man and policy associate with the Transgender Education Network of Texas. 鈥淚t鈥檚 robbing these young trans people the ability and opportunity to exist fully as themselves.鈥

Michael Stefanowicz, an Austin family doctor who has provided gender-affirming care to children and adults, said the bill鈥檚 passage will have life-altering consequences for trans youth.

Gender dysphoria that goes untreated, Stefanowicz said, can lead to suicide contemplation and suicide attempts, higher levels of substance abuse, high-risk sexual activities and homelessness.

鈥淭hat鈥檚 where the bottom line is: After this legislation, more people will die,鈥 Stefanowicz said.

Malone shops for prom dresses with her friends at a thrift store in Round Rock.
Leila Saidane
/
The Texas Tribune
Malone shops for prom dresses with her friends at a thrift store in Round Rock.
Malone sifts through clothing at the thrift store and holds the book 鈥淭eenage Beauty鈥 from the used book section.
Leila Saidane
/
The Texas Tribune
Malone sifts through clothing at the thrift store and holds the book 鈥淭eenage Beauty鈥 from the used book section.

Transitioning in high school

A few weeks after Malone testified to the House committee, she and some friends went shopping at Savers, a thrift store chain. She wore a shirt that read 鈥淩ise Up 2022,鈥 a memento from her LGBTQ leadership conferences. She and her friends hunted for a perfect prom dress among rickety thrift store shopping carts and flickering fluorescents.

Malone said it was a relief to do something as simple as thrifting, something that made her feel affirmed in her gender, surrounded by supportive friends.

鈥淲e鈥檙e having fun,鈥 she said. 鈥淲e鈥檙e looking at different clothes. We鈥檙e finding things that just make us feel pretty.鈥

Malone was raised as a boy until the beginning of her junior year of high school, when she came out to her parents. Malone said it took her family some time to get accustomed to her new identity. When she began wearing womenAfter more than a year of socially transitioning beginning when she was 16, Malone eventually graduated from girls鈥 pants and shirts to skirts and dresses. It wasn鈥檛 a seamless process at school, but Malone said she never encountered outright bullying from her peers.

鈥淚t took a while, I guess, for everyone at my school to get used to the fact that I was trans now,鈥 Malone said, using air quotes around 鈥渢rans now.鈥

Malone and her family came to the decision to start hormone treatments in January, when she was 17.

The physical changes associated with feminizing hormone therapy, such as reduced facial and body hair and breast tissue development, take months to begin and years to complete, according to the .
鈥檚 clothing, she said it immediately made her feel more confident and beautiful instead of unattractive and out of place.

Malone said she picked January to start the treatments because she wanted to begin her next chapter feeling comfortable in her body by the time school started in August, 鈥渟o I can be all of what I want to be when I step on campus.鈥

At the same time, she began to feel that Topher didn鈥檛 feel representative of how she felt inside 鈥 feminine and Black 鈥 so she recently started using the name Safara, the word for 鈥渇ire鈥 in the Wolof language of western Africa. Malone used Topher for identification when sharing her experiences with the Tribune and agreed to use the name in this story, though she now goes by Safara.

Malone applies makeup, takes her hormones and puts on her robe and cords 鈥 each color honoring a unique school organization 鈥 the morning of graduation.
Leila Saidane
/
The Texas Tribune
Malone applies makeup, takes her hormones and puts on her robe and cords 鈥 each color honoring a unique school organization 鈥 the morning of graduation.
 Malone throws her graduation cap in the air on her graduation day. Credit: Leila Saidane/The Texas Tribune
Leila Saidane
/
The Texas Tribune
Malone throws her graduation cap in the air on her graduation day.

From quiet freshman to class president

Jones, Malone鈥檚 teacher, said he met Malone when she was a student in his world geography class roughly four years ago. He said she seemed like another quiet freshman.

Since then, Malone has transformed into a vocal student leader who has earned the respect of her classmates at Early College High School, Jones said.

Malone said her high school experience shifted dramatically before and after she transitioned.

鈥淏eing closeted, I didn鈥檛 really have a lot of friends, I kinda was like a shell of a person, I didn鈥檛 really have a personality,鈥 she said. 鈥淎nd that was sort of for the first year and a half of my high school.鈥

But when she began her junior year as a fully out trans teen, she developed new friendships. 鈥淭hat was amazing, because it means that they knew me as [girl] Topher,鈥 she said.

Jones said students at the school are determined young people who forgo extracurricular activities like athletics or theater so they can earn college credits by attending classes at Austin Community College.

And Malone has become one of the leaders at school, serving as the president of the Gender-Sexuality Alliance and vice president of the Black student union. Students see her as a role model and someone who will advocate on their behalf, Jones said, which has shifted the entire school culture as it relates to LGBTQ people.

鈥淭he community just comes together at our school and we were so supportive of each other,鈥 Jones said. The students in the GSA 鈥渆nd up being some of the happiest kids on campus,鈥 he added.

Malone said goodbye to high school last Friday at graduation, when she received both a diploma and an associate degree from Austin Community College. The class of 2023 gathered in the auditorium, fussing with the tassels on their hats, each holding their diploma in hand.

All that was left was closing remarks from Malone, the class president.

She approached the podium in her graduate鈥檚 robe, with a rainbow of colored cords on her shoulders, one for each of her half-dozen extracurricular activities.

She told her classmates that each of them have the power to make revolutions by marching to the Capitol, meeting with politicians and taking leadership roles in their communities.

鈥淲e have the power to change our living history,鈥 Malone told her classmates. 鈥淭he question is, how?鈥

She ended her speech to a standing ovation.