FactCheck

Talarico’s Campaign-Trail Absence Sparks False Rumor

Q: Claims about James Talarico being hospitalized in a mental health facility. Is this true?

A: No. An Ohio mental health center rebutted false online rumors that Talarico, the Democratic candidate for U.S. Senate in Texas, had been there as a patient. Talarico said he was off the campaign trail for several days in early October while recovering from the flu at his Texas home.

FULL ANSWER

The conspiracy theory that James Talarico, the Democratic candidate for a U.S. Senate seat in Texas, recently went to Ohio to receive treatment for mental health issues began after he stopped making campaign appearances at the beginning of October. Several readers asked us about these claims, which they saw on social media.

Talarico and a campaign spokesperson have said that he was at his Austin, Texas, home, recuperating from the flu at the time. And the New York Times said it verified that Talarico was at his house by reviewing time-stamped camera images from Talarico’s home security system that was provided by his campaign.

“The images showed Mr. Talarico around the exterior of the home and at its entrances between Oct. 1 and Oct. 8,” the Times reported on Oct. 12.

Talarico at the 2026 Austin City Limits Music Festival on Oct. 9. Photo by Gary Miller/Getty Images.

The Texas state representative had mentioned his flu diagnosis in a Sept. 30 Hispanic Business Council forum that he attended virtually.

However, on Oct. 11, conservative influencers Nick Sortor and Rhein Amacher said in separate posts on X that they had called the Lindner Center of Hope, a mental health center and hospital in Mason, Ohio, and were told that Talarico had just been there as a patient.

“During my recorded call, an individual identifying themselves as a female facility employee reportedly stated that Talarico was no longer a patient and had been discharged within the previous 24–48 hours,” Amacher wrote in his post. He also posted audio from the conversations that he said took place on Oct. 10.

Amacher’s and Sortor’s claims were then amplified in posts by other conservatives, as well as X owner Elon Musk, who has spent millions of dollars supporting Texas Attorney General Ken Paxton, Talarico’s Republican opponent in the Senate race.

But in its own post later the same day, the facility at the center of the rumor denied that Talarico had been there as a patient. “Representative James Talarico has never received treatment from Lindner Center of Hope,” the center said in an Oct. 11 X post.

Talarico then shared the center’s statement in an X post that included a laughing emoji and said, “I’ve never even been to Ohio.” And in a response to a post by Sortor, Talarico campaign spokesperson JT Ennis called the claims a “lie designed to promote a pathetic conspiracy theory.”

Talarico was back in public on Oct. 9, when he attended the Austin City Limits music festival. He also went to a Kacey Musgraves concert in Dallas on Oct. 10.

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Trump Officials Mislead About Electrical Grid Reliability

In partially repealing a Biden-era regulation that limited carbon emissions from power plants, Trump administration officials have misleadingly cast the prior administration’s policy as a threat to grid reliability. Experts say that’s unfounded.

The administration has also emphasized that repealing much of the rule, along with other Trump policies, will save Americans money. There will likely be a small reduction in electricity prices as a result of the rollback, but other Trump energy policies are expected to increase prices.

“The overbearing and often-unlawful rules that were sought by prior administrations to destroy reliable baseload power made energy prices skyrocket and threatened many communities and states throughout our country,” Environmental Protection Agency Administrator Lee Zeldin said at a Sept. 14 event in Houston announcing the revocation of the power plant regulations.

“American families must always have the ability to heat their homes in the winter, and cool them in the summer,” Zeldin posted on X two days later. “Under the Obama and Biden Admins, their suffocating power plant regulations purposefully targeted for extinction reliable, durable, and affordable baseload power.”

Secretary of Energy Chris Wright similarly stated in a press release for the power plant rule repeal that the action “will help ensure reliable electricity generation regardless of whether the wind is blowing or the sun is shining by allowing coal and natural gas plants to keep generating power when Americans need it most.”

The 2024 power plant rule might have led some coal plants to retire earlier than they would have otherwise. But coal plants, many of which are old and have become increasingly costly to operate, were already facing unfavorable economic headwinds. Rescinding the regulations is “not going to tip the general trajectory of coal plants,” Nikhil Kumar, a program director at the nonprofit GridLab, told us.

Nor do experts think that the power plant regulations posed a threat to the reliability of the electrical grid.

“Obviously, a gas plant can, on occasion, run at times when a solar cell is not running,” Martin Ross, a senior research economist at the Nicholas Institute for Energy, Environment and Sustainability at Duke University, told us. “However, the system reliability has not had a problem adapting to renewables in the past, and there’s really no particular reason to think it will in the future.”

Increasingly, batteries can store energy so the grid can use it later, complementing intermittent resources like wind or solar. And experts emphasized that a mixture of different energy sources contribute to a reliable grid.

What was repealed?

The 2024 power plant rule finalized under the Biden administration called for reducing greenhouse gas emissions from existing coal-fired plants and new natural gas plants. At the time, the EPA estimated that the rule offered up to $370 billion in long-term net climate and health benefits, with a “negligible (0-1%)” impact on electricity prices.

For coal plants, the requirements varied based on how long they intended to operate. Coal plants retiring before 2032 did not have any new requirements, but those intending to operate long-term would need to prevent 90% of their carbon emissions starting in 2032, requiring carbon capture and storage. This same standard was set for the most heavily used new gas plants. Coal plants retiring by 2039 were required to cut emissions by partially running on natural gas starting in 2030.

The Trump administration is now undoing that, while also proposing that the entire rule — which included some efficiency standards for new gas-fired plants — should be scrapped. The EPA’s legal argument for the full repeal is that greenhouse gas emissions do not count as pollution under the Clean Air Act and that the EPA therefore does not have the authority to regulate them.

Similar arguments have been used to justify rescinding regulations on greenhouse gas emissions from vehicles and the EPA’s underlying 2009 endangerment finding, which concluded that greenhouse gas emissions “threaten the public health and welfare of current and future generations.”

The EPA has also argued that power plants do not contribute enough to global climate change to justify regulating their carbon emissions, claiming in its Sept. 14 press release that the emissions “have no material impact on global climate change.”

Any single country’s power plant emissions might appear small, but emissions from generating electricity and heat across the world make up around one-third of global greenhouse gas emissions. The U.S. is the second-largest emitter of greenhouse gases in the world, and 30% of its emissions were from power plants as of 2023.

Did the power plant regulations threaten the reliability of the grid?

Often referring to “reliable baseload” power, Zeldin has repeatedly implied that his agency needed to relax greenhouse gas emissions rules for Americans to have dependable access to electricity. 

Experts, however, disputed this notion.

Deregulation of power plants “is not something that the grid operators are asking for because they’ve been planning for the energy transition,” Jennifer Danis, federal energy policy director at New York University School of Law’s Institute for Policy Integrity, told us.

The greenhouse gas regulations did not require “an abrupt transition in how the grid operates,” Ross said. “So there’s no reason to think that we would be in a position where reliability would be impacted by these changes on the margins in how many fossil plants are around because … none of the policies have them going away in a quick, near-term fashion that would cause those issues.”

Officials often refer to “baseload” power – seemingly as a shorthand for fossil fuels or nuclear – but some experts object to the use of the word to imply that it is inherently reliable or cost-effective. 

In the past, grid operators did tend to rely on continuously running so-called “baseload” resources, a 2025 report co-authored by Danis explains. But today, grid operators have more options.

“Reducing the complex idea of grid reliability down to the term ‘baseload’ resources, while a convenient shortcut in nomenclature, does not reflect current planning or operational realities,” the researchers wrote.

What about grid reliability during storms?

Johannes Pfeifenberger, an economist and principal at the consulting firm the Brattle Group, told us that the main factor governing the reliability of consumers’ access to electricity is not a lack of power generation. “The customer outages are mostly driven by distribution wires, particularly in the suburbs where those wires are overhead and exposed to storms,” he said.

A grid is considered to have met reliability goals if there is insufficient generation once in 10 years, Pfeifenberger said. He noted that the two grid operators in much of the Northeast and mid-Atlantic — ISO New England and PJM — have never had an outage due to insufficient electricity generation.

Still, the grid is often most stressed during extreme weather events. When asked about Wright’s comments, the Department of Energy directed us to an agency fact sheet about blackouts during winter storms and said that by rescinding the power plant rule, “more reliable power would become available to use as needed.”

“As has been demonstrated during numerous peak power demand incidents in the past where wind and solar underperformed due to weather, reliable power generation from sources such as coal and natural gas-powered plants can prevent blackouts and save lives,” DOE spokesperson Ben Dietderich told us.

It’s true that in certain storms, renewables have not always fared well. But coal and natural gas don’t have perfect track records, either.

During a 2021 winter storm in Texas, for example, some coal and natural gas plants stopped working when sensors, valves or other equipment froze or failed. Natural gas production dropped and there were issues transporting and supplying gas to plants.

In that storm, known as Winter Storm Uri, wind turbines also failed when the blades iced over. But it was not exclusively or even primarily a wind failure, contrary to the DOE fact sheet’s suggestion that the outages were solely due to “renewable generation.” By far the largest contributor to outages during that storm was natural gas, followed by wind then coal.

“The extent to which the Event was caused by the failure of all types of generating units to prepare for extreme cold weather or associated freezing precipitation, cannot be overstated,” a report jointly produced by the North American Electric Reliability Corporation and the Federal Energy Regulatory Commission found.

“I think folks are fond of saying, ‘Well, solar doesn’t work if the sun’s not shining,’” Danis said. “Well, coal doesn’t work when the coal pile’s freezing.”

For all types of energy, many of these problems can be avoided by winterizing the physical infrastructure.

The J.H. Campbell coal plant in Michigan has been kept open by emergency orders from the Department of Energy. Photo by Jim West/UCG/Universal Images Group via Getty Images.

The fact sheet also argues, as Wright frequently has, that 2025 emergency orders to force some coal plants to remain open saved lives during last year’s big winter storm, unofficially called Winter Storm Fern.

The administration claims in the fact sheet that three such plants “provided essential power during the storm” and notes that during Fern, electricity generation from coal and natural gas increased.

Kumar, however, said that the fact that a particular coal plant open under emergency orders was used does not mean “that unit was absolutely required for reliability.”

The coal plants – the youngest of which dates to the 1980s – had previously decided to close on their own. When the coal plants were slated to close, “grid operators had already analyzed what the risks were and had done enough analysis to basically give the go ahead and had already taken into account the loss of that generation for these winter storms,” Kumar said.

For one of the plants in Indiana, the utility said in a February letter to DOE that the plant’s “performance” during Fern “underscores a pattern of unreliability.” Although the plant was dispatched for two days during the storm, it ran at less than half its capacity, the letter noted, and a day later, “systemic equipment failures forced another outage, further demonstrating the unit’s ongoing inability to provide dependable service.”

In the letter, the utility asked the agency not to issue another emergency order to keep the plant open, saying that the coal unit “accounts for less than 1% of the total installed capacity” for that part of the grid and that maintaining it “will require substantial investment to support an inefficient and increasingly unreliable asset, rather than advancing affordable and reliable service for customers in southwestern Indiana.”

How can the grid meet growing demand?

Electricity demand is forecast to significantly increase in the coming years, due to the growth of data centers, the rise of electric vehicles and other electrification efforts. This will require the addition of new electricity generation capacity, including some natural gas.

“There are regions in the U.S. where we are energy short, which is to say that we don’t have enough energy” in the next five years, according to forecasts from utilities and regulators, Kumar said. “In those places, having some kind of new capacity — whether that be gas or … solar, wind and batteries — is needed.” 

The current administration has leaned into the narrative that renewable energy such as wind or solar power is unreliable because it is intermittent, producing energy only when it is windy or there is sunlight.

“Traditionally, it is true that we’ve relied on fossil fuel resources for some of our key reliability services on the grid because they’re dispatchable and they can be turned on at any time,” McKenna Peplinski, a senior research associate at the nonprofit Resources for the Future, told us. “But that isn’t the only answer anymore.”

An increasingly important factor in grid reliability is battery storage. U.S. capacity to store energy using batteries has grown by 70% each year from 2023 through 2025, according to the Energy Information Agency, with continued growth in 2026. 

Peplinski said that renewables combined with storage “become a key answer here in meeting the demands on the grid.” Pfeifenberger called solar plus storage “very reliable.”

Long term, other power sources could help ensure a robust grid while further lowering carbon emissions. Nuclear power is firm, meaning it is theoretically available at any time, although Pfeifenberger pointed out that it can take five to 10 years to build a new nuclear plant. Geothermal, which relies on heat from the Earth, can be built more quickly, he said, but only in certain locations. Hydropower is also a form of clean energy that can be firm.

Researchers also noted that Zeldin’s claims about the importance of deregulation for reliability come amid some other policies that have slowed clean energy projects.

“If we really do need every megawatt” in the face of growing demand, Danis said, it makes sense to let projects move forward that are “about to serve the grid,” such as offshore wind — a class of renewable energy the Trump administration has blocked in federal waters, including by paying companies to terminate their leases.

Pfeifenberger also said offshore wind can be an attractive component of a reliable grid in the Northeast because “offshore wind generation is very high during the winter, particularly during more stormy conditions.”

“Making the permitting of renewables more difficult is not helping reliability, and it’s not helping affordability either,” Pfeifenberger said. The administration has also slowed permits for onshore renewable energy projects.

Apart from assembling a diverse array of power sources, the experts said that there are other changes that could improve reliability, including linking different regional grids together to share power during extreme weather events and incentivizing people or businesses to use less electricity at peak times.

An important factor in the grid going forward is also how data centers are planned and regulated, Peplinski said. For example, they can be built in locations that have unused capacity, and they can be asked to be flexible in when they are pulling electricity from the grid.

How will policies affect future electricity prices?

Administration officials have frequently promoted the cost savings of repealing Biden’s power plant rule, while also implying that Trump’s energy policies overall are lowering costs for Americans.

“For over 15 years, the Obama and Biden administrations implemented a war on coal to destroy reliable and affordable energy. The Trump Administration has come in to protect American energy and to make sure you can afford to keep the lights on,” Zeldin said in a press release for the power plant rule repeal. “Americans will see a decrease in electricity prices.”

“The Trump administration is saving Americans hundreds of millions of dollars through common sense energy solutions,” Department of the Interior Secretary Doug Burgum said in the same press release.

The deregulation of power plant emissions would lead to a small rise in retail electricity prices in the very short term, followed by a slightly larger drop over the long term, according to the EPA’s estimates.

The EPA’s latest regulatory impact analysis of the changes found that retail electricity prices would be 0.7% higher nationally by 2030 as a result of the deregulation, but that they would be 5.8% lower in 2035, with the savings declining in the following decade. Overall, between 2030 and 2045, the agency found the walkback would lower retail rates by a total of 2.2%.

“Reducing environmental compliance costs will reduce some costs,” Pfeifenberger said.

Peplinski’s organization, Resources for the Future, estimated in an Oct. 13 blog post that the rollback would lower U.S. average wholesale electricity prices by around 3% to 7%, depending on whether modeling prices in the years 2032, 2040 or 2050.

Peplinski said that the “effect on a household’s bill would be smaller than the percentage drop in wholesale prices,” since wholesale prices are only one component of a bill. She called the projected price drop “relatively modest” in the context of other changes affecting the grid. It’s “much smaller” than the impact of Trump’s One Big Beautiful Bill Act of 2025 and the projected impact of data center growth, she said, acknowledging that there is still a lot of uncertainty.

Peplinksi added that OBBBA “increases prices more significantly” than the power plant rule repeal reduces prices, consistent with a prior analysis that found the two policies together would lead to a net increase in average retail electricity prices between 2025 and 2050.

As we’ve explained before, multiple groups have projected that OBBBA will increase electricity prices, since without incentives for clean energy projects, less electricity capacity is built, lowering supply and raising prices.

“By scaling back federal support for certain types of energy, less supply may enter the market when capacity is already tight,” a November 2025 post by the energy company NRG explains. “Consumers will feel the shift as power costs increasingly reflect true market conditions not softened by federal incentives.”

An August report by the Natural Resources Defense Council, a nonprofit environmental group, estimated that the Trump administration’s energy policies overall — such as OBBBA, the power plant regulation repeal, tariffs, emergency orders to keep coal plants open, and slowdowns or blockages of renewable energy project permitting — would lead to an increase of 4.2% to 5.5% in the price U.S. households pay for each kilowatt-hour of electricity by 2035, with much greater increases in certain regions. On top of that, because the OBBBA prematurely ends energy efficiency tax credits for homeowners, household electricity bills are expected to be higher because homes will use more electricity.

In its larger calculations on savings to Americans and the power sector, the EPA found repealing the power plant regulations would save $310 billion, a figure an EPA spokesperson highlighted in the agency’s response to our questions. “The power sector will save billions of dollars in compliance costs, and society will save billions of dollars more in lower electricity bills and by not having to fund tax credits for CO2 sequestration,” a spokesperson said.

However, Peplinski said the EPA “really departed from best practices” in not also calculating economic harms from emissions. Allowing coal plants to stay open longer will lead to billions of tons of extra CO2 emissions, she said. Her group’s new analysis estimated $1.7 trillion in damages from the increased greenhouse gas emissions. She also noted that resulting coal plant emissions would lead to other air pollution as well, leading to more immediate health effects to those nearby.

“Painting the cost savings as the whole picture is really misrepresenting what the outcome of this rollback will be,” Peplinski said.

Danis noted that climate change could make it more expensive to build and maintain a reliable electric grid. “Greenhouse gas emissions are increasing the severity, strength, unpredictability and frequency of large-scale weather events, and it is precisely large-scale weather events that make our grid more costly to have to plan around and plan for,” she said.

If in the future the government does try again to reduce carbon emissions, a Sept. 15 analysis from Ross and colleagues at Duke found that system cost savings from rolling back regulations will be more than canceled out by increased costs of reaching emissions goals on a tighter timeframe. 

“Basically, any time you have a sudden transition, it’s going to be more expensive than a gradual transition,” Ross said.

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Republican Ads Distort the Facts in Claiming Democratic Support for ‘Sex Changes’ for Kids

In several congressional races, Republican ads are claiming that Democratic candidates support “sex changes” for children or support taxpayer money being used for such surgeries. But the allegations of support for those claims are flawed.

Some of the ads cite politicians’ votes against measures that went beyond prohibiting surgeries. Also, it’s worth noting that gender-affirming surgeries typically take place after age 18, according to experts and studies on the prevalence of gender-affirming care, as we’ve reported before.

Republican politicians and outside groups are spending millions on TV, streaming and digital ads pushing these claims. Our search of AdImpact’s ad-tracking database identified more than $100 million in spending on more than 200 ads since Aug. 1 that contain the words “sex change.” In federal Senate races alone, the spending totaled more than $77 million.

We’ll look at ads in three toss-up Senate races:

  • In Ohio, ads from the Senate Leadership Fund, a super PAC connected to the Republican Senate majority leader, say that Democrat Sherrod Brown “supports sex changes for minors,” citing a 2023 TV interview in which Brown said that “a child’s health care decisions are between them, their parents, their families, their doctors — not politicians.” One ad, featuring a woman who is suing her medical providers in Texas, leaves the false impression that she had surgery as a minor without her parents’ consent.
  • In Texas, ads from an SLF-associated group, Texas PAC, say that Democrat James Talarico “supported using taxpayer dollars for sex change surgeries on young children.” The ads cite his vote against state legislation that went beyond that, broadly prohibiting gender-affirming care for kids. Talarico, a state representative, voted for an amendment that would have restricted the bill to banning surgeries.
  • In Alaska, ads from No Going Back PAC Inc., which is linked to the MAGA Inc. super PAC, claims that Democrat Mary Peltola “voted against prohibiting taxpayer funded sex changes for minors,” citing her votes on amendments that pertained to gender-affirming medications or surgeries. In another vote cited by the PAC, Peltola, a former U.S. representative, voted against a defense spending bill because of an amendment that would have limited abortion access for military personnel.

These ads are a continuation of Republican messaging during the 2024 presidential campaign and reflect President Donald Trump’s repeated claims that Democrats want “transgender for everybody.” Some of the messages being pushed in the midterms suggest that surgeries are performed on children, even young children, without parental consent. “The law generally requires the consent of a parent before medical care can be provided to a minor,” according to the National Center for Youth Law. There are exceptions, such as state laws allowing minors to consent to emergency care and care for certain services, including abortion, contraception and substance use care.

People who are transgender — meaning they identify with a gender that doesn’t match the sex they were assigned at birth — make up a small percentage of the U.S. population. A 2025 report by the University of California, Los Angeles School of Law’s Williams Institute estimated that more than 2.8 million people in the U.S. age 13 and older identify as transgender. That’s 0.8% of adults and 3.3% of youth ages 13 to 17.

We’ll look at ads in three Senate races in which the Democrats are hoping to flip the Republican seats.

Ohio Ads

Several ads attacking Brown in the Senate race in Ohio claim that he supported “taxpayer-funded sex changes” on children, citing an interview he did with WSYX-TV in Columbus on July 19, 2023.

Brown didn’t say he supported that. Rather, he was asked about a broader federal bill, introduced by then Sen. JD Vance, that aimed to “prohibit gender-affirming care on minors,” defined as both surgeries and medication, including hormones and puberty-blocking drugs. The bill called for fines and/or prison time for anyone prescribing or administering such care. It also aimed to prohibit federal funding being used for any gender-affirming care.

In a 21-second clip of that interview, posted online by the Senate Leadership Fund, Brown says: “A child’s health care decisions are between them, their parents, their families, their doctors — not politicians. I will never agree with anybody that wants to bring politics into the family situation with health care, period.”

Vance’s bill never received a vote.

In 2024, SLF PAC made similar claims about Brown and also pointed PolitiFact to a March 2023 letter nine Democratic senators, including Brown, sent to then President Joe Biden. But that doesn’t show Brown necessarily supporting “sex-change surgeries for minors” either. Instead, the senators expressed concern about discrimination against LGBTQ+ individuals and state laws blocking gender-affirming care for youth and adults. As we’ve explained, gender-affirming care encompasses counseling, social transitioning and medication — in addition to surgery.

Two SLF PAC ads feature Soren Aldaco, who is suing her medical providers over the “top surgery,” or double mastectomy, she had at age 19 in Texas. One ad leaves the false impression that Aldaco had surgery as a minor without her parents’ consent. She was an adult at the time.

Aldaco, who has said she was “gaslit” into receiving gender-affirming care, says in the ad: “Sherrod Brown supports sex changes for minors, irreversible surgery on kids. Like me. At 11, I was groomed by strangers online. At 15, a doctor told my family I was transgender. Hormone injections, then surgery without my parents’ consent. I was a kid. I was confused.”

We asked SLF PAC about the ad’s suggestion that Aldaco wasn’t an adult when she had surgery. Communications Director Chris Gustafson pointed us to information about when Aldaco received medication, not surgery. He pointed to Aldaco’s February commentary piece in the Wall Street Journal, in which Aldaco said a nurse practitioner prescribed testosterone and estrogen blockers when she was 17. Also, in an interview with Fox News, Aldaco said her stepmother took her to that appointment, but the nurse practitioner should’ve gotten consent from her biological mother.

In the ad, Aldaco says, “Ohio’s kids deserve better.” But gender-affirming care, defined as both medication and surgery, for minors is illegal in the state. The law, with exceptions for children with sex development disorders, was enacted in 2024, after the Ohio Legislature overrode Republican Gov. Mike DeWine’s veto. The state Supreme Court is considering a lawsuit challenging the legislation.

In vetoing the bill, DeWine said, “These are gut-wrenching decisions that should be made by parents and should be informed by teams of doctors who are advising them,” while noting that he was against surgeries before age 18. Among the families he spoke to before deciding to veto the bill, “none of them … talked about surgeries,” DeWine said. “I think that’s frankly a fallacy that’s out there that it goes right to surgery. It just doesn’t. All of the children’s hospitals say, we don’t do surgeries.” (See the 17:45 mark of the video.)

One response ad from the Brown campaign makes the point that these surgeries are illegal in Ohio for kids. A second response ad shows an image from the Aldaco ads and says they’re “a complete lie. Records show not only is this woman actually from Texas, she didn’t have any surgery as a minor.”

(The ad goes on to misleadingly say that Brown’s opponent in the Senate race, Republican Sen. Jon Husted, voted to block the released of the Epstein files, a claim we’ve written about before.)

Texas Ads

In the Senate race in Texas, an ad from Texas PAC, which is affiliated with SLF PAC, says, “Talarico supported using taxpayer dollars for sex change surgeries on young children.” It, as well as other ads making such a claim, cites Talarico’s vote against a 2023 state law that, like the law in Ohio, prohibits gender-affirming medications and surgeries for minors and using state money for it. In Texas’ version, doctors could lose their medical licenses if they violate the law. The state Supreme Court upheld it in 2024.

The ad above includes “puberty blockers” on screen, but the narrator only says that Talarico supported “sex change surgeries.” Another ad by the same group says he “supported using taxpayer dollars for sex change surgeries on kids.”

JT Ennis, press secretary for Talarico’s campaign, told us: “These ads are lies. As James has said, he opposes gender reassignment surgery for minors.”

Talarico said that in June in a podcast interview.

In September, Talarico told Fox News that he opposed the 2023 Texas legislation because it was “overly broad” and that at the time he “voted for a major amendment to limit the bill to banning surgeries for minors.” He did vote in favor of such an amendment, which failed. He also told Fox News that he would “absolutely” support a national prohibition on gender-affirming surgery for minors.

In 2023, Talarico said the state law “would deny, many times, life-saving healthcare from our trans youth” and that “the reason that I opposed that bill is because I trust parents and doctors to make decisions for kids and not politicians in Austin.”

The Texas law included exceptions for administering treatment for certain medical conditions, such as premature puberty or sex development disorders, but, according to the Texas Tribune, at least one family had trouble accessing such care after their physician was sued by state Attorney General Ken Paxton, Talarico’s opponent in the Senate race.

Alaska Ads

In Alaska, Peltola, a former U.S. representative for the state, is being attacked over several votes. But as in the other races, the ads misrepresent her votes. Pelota is running against incumbent Republican Sen. Dan Sullivan.

Two ads from No Going Back PAC, a super PAC linked to Trump, claim that Peltola “voted against prohibiting taxpayer funded sex changes for minors.” One ad says she did this “time and again,” citing three votes.

Two of those votes were against amendments in 2024 to prohibit gender-affirming surgeries or medication for minors under two military healthcare programs. One of those programs — TRICARE — was already “explicitly prohibited from covering gender-affirming surgical care for beneficiaries,” according to a 2023 report from the Congressional Research Service. Both amendments, which were attached to the fiscal year 2025 National Defense Authorization Act, a defense spending bill, passed.

Peltola’s campaign pointed us to statements by an advocacy group for LGBTQ+ service members, which said the amendments would hurt military readiness and retention. The campaign also noted that Peltola was one of six Democrats who ultimately voted for the final House version of the NDAA that year.

The third vote cited in the ad was in July 2023 against passage of a version of the NDAA that year. But as we explained previously, Peltola specifically criticized Republican amendments, including one that would have limited abortion access for military personnel.

“We shouldn’t be pitting pay raises that they [military members] deserve against the reproductive freedoms that they also deserve,” Peltola said in a prepared statement at the time. “That is a false choice, created for purely political reasons, and I look forward to negotiations with the Senate’s version of the bill where this issue will be discussed further. I will advocate strongly to return to the bipartisan, policy-focused bill that came out of committee, and will gladly vote for a bill that fully protects our troops and their families.”

Democrats had objected to the limitation on abortion and several other amendments that they called “poison pill riders,” including one prohibiting gender-affirming surgeries or hormones under TRICARE. Peltola didn’t mention the latter amendment in her statement.

The Senate didn’t pass the House version of the bill. Instead lawmakers negotiated a compromise defense bill that stripped out many of the Republican amendments. Peltola voted in favor of that.

In a statement, a spokesperson for Alaskans for Mary — her campaign committee — told us: “Let’s be clear: Mary does not support gender re-assignment surgeries for children, and she believes those decisions should be in the hands of parents and doctors, not DC politicians. Mary thinks both parties have spent far too long obsessing over this issue, and that’s why she’s focused on cracking down on corruption in both parties and lowering costs for Alaskans.”

In a response ad, Peltola also says: “I’m a mom, and I know that parents know what’s best for their kids. These attacks are lies. No, I don’t want kids getting surgeries to change genders.”

More Context on Gender-Affirming Care

As we’ve explained before, gender-affirming surgeries for children are rare. Before puberty, there are no medications or surgeries offered to children. Instead, families are offered counseling. Children may change their name, pronouns, or hair and dress as part of a social transition.

The American Academy of Pediatrics, the Endocrine Society and the World Professional Association for Transgender Health have published guidance recommending care at different ages. In terms of medication, puberty blockers, which delay the beginning of puberty, can be offered between ages 8 to 13 for girls and 9 to 14 for boys. Gender-affirming hormone therapy typically wouldn’t be given until around age 16.

In terms of surgery, one expert previously told us that older adolescents sometimes may be able to get surgery to remove their breasts, also known as top surgery, and may want to do this before college. But genital surgeries wouldn’t typically happen until age 18 or older. The Endocrine Society’s guidance for care specifies that surgeries involving removing the testicles, ovaries or uterus shouldn’t occur before age 18. In February, the American Society of Plastic Surgeons issued a position statement recommending that all gender-affirming surgeries be done at age 19 or later, while saying that “physicians should also use their personal and professional judgment.”

Studies have found that neither surgery nor medication is common for minors. “The politicization of gender-affirming care for transgender youth has been driven by a narrative that millions of children are using hormones and that this type of care is too freely given. Our findings reveal that is not the case,” said Landon Hughes, a fellow at the Harvard T.H. Chan School of Public Health and a co-author of studies published in JAMA journals in 2024 and 2025, on the utilization of care among transgender and gender diverse adolescents in the U.S.

In a study examining insurance claims in 2019 for tens of millions of U.S. adults and minors, Harvard researchers and colleagues found no gender-affirming surgical procedures in transgender and gender diverse minors under 12 years of age. Surgeries among older minors “were rare and almost entirely chest-related,” the study said. The rate of having a gender-affirming surgery among minors with a diagnosis of being transgender or gender diverse was 2.1 per 100,000 for ages 15 to 17 years and 0.1 per 100,000 for ages 13 to 14 years.

Another study of private insurance claims data by some of the same Harvard researchers found that, between 2018 and 2022, less than 0.1% of minors ages 8 to 17 with private insurance were transgender or gender diverse and received puberty blockers or hormones. No minor under age 12 received a hormone prescription.

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