Drew Adams v. School Board of St. Johns County Florida

968 F.3d 1286
Court of Appeals for the Eleventh Circuit·Decided August 7, 2020·No. 18-13592·Published·Cited by 13 cases

Opinion

Case: 18-13592 Date Filed: 08/07/2020 Page: 1 of 74

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 18-13592 ________________________

D.C. Docket No. 3:17-cv-00739-TJC-JBT

DREW ADAMS, a minor, by and through his next friend and mother, Erica Adams Kasper,

Plaintiff - Appellee,

versus

SCHOOL BOARD OF ST. JOHNS COUNTY, FLORIDA,

Defendant - Appellant.

________________________

Appeal from the United States District Court for the Middle District of Florida ________________________

(August 7, 2020)

Before WILLIAM PRYOR, Chief Judge, MARTIN and JILL PRYOR, Circuit Judges.

MARTIN, Circuit Judge:

Drew Adams is a young man and recent graduate of Nease High School in

Florida’s St. Johns County School District. Mr. Adams is transgender, meaning Case: 18-13592 Date Filed: 08/07/2020 Page: 2 of 74

when he was born, doctors assessed his sex and wrote “female” on his birth

certificate, but today Mr. Adams knows “with every fiber of [his] being” that he is

a boy. While Mr. Adams attended Nease High School, school officials considered

him a boy in all respects but one: he was forbidden to use the boys’ restroom.

Instead, Mr. Adams had the option of using the multi-stall girls’ restrooms, which

he found profoundly “insult[ing].” Or he could use a single-stall gender-neutral

bathroom, which he found “isolati[ng],” “depress[ing],” “humiliating,” and

burdensome. After unsuccessful negotiations with the St. Johns County School

District over his bathroom use, Mr. Adams brought suit against the St. Johns

County School Board (the “School Board”) through his next friend and mother,

Ms. Erica Adams Kasper. He asserted violations of his rights under Title IX of the

Education Amendments Act of 1972 (“Title IX”), 20 U.S.C. § 1681 et seq., and the

Fourteenth Amendment to the U.S. Constitution. After a bench trial, the District

Court granted him relief on both claims.

This case calls upon us to decide whether the St. Johns County School

District’s policy barring Mr. Adams from the boys’ restroom squares with the

Constitution’s guarantee of equal protection and Title IX’s prohibition of sex

discrimination. We conclude it does not. We affirm the District Court’s decision

on both questions.

2 Case: 18-13592 Date Filed: 08/07/2020 Page: 3 of 74

I.

The District Court developed a thorough factual record after a three-day

bench trial of Mr. Adams’s claims. See Adams ex rel. Kasper v. Sch. Bd. of St.

Johns Cty., 318 F. Supp. 3d 1293, 1298–1310 (M.D. Fla. 2018). We recite those

facts here, as necessary.

Drew Adams was born in 2000. At birth, doctors examined Mr. Adams and

recorded his sex as female. That female designation has vexed Mr. Adams

throughout his young life. As Mr. Adams entered puberty, he suffered significant

anxiety and depression about his developing body, and he sought the help of a

therapist and a psychiatrist. In the eighth grade, after introspection and with the

help of therapy, Mr. Adams came to realize he was transgender. He revealed to his

parents that he was a boy, not a girl. Together, Mr. Adams and his family met with

mental health professionals, who confirmed Adams was transgender. In time, Mr.

Adams’s psychiatrist diagnosed him with gender dysphoria, a condition of

“debilitating distress and anxiety resulting from the incongruence between an

individual’s gender identity and birth-assigned sex.” Mr. Adams’s “gender

identity”—his consistent, internal sense of gender—is male, but the sex assigned to

him at birth was female.

To treat and alleviate Mr. Adams’s gender dysphoria, the psychiatrist

recommended Adams socially transition to living as a boy. This included cutting

3 Case: 18-13592 Date Filed: 08/07/2020 Page: 4 of 74

his long hair short, dressing in more masculine clothing, wearing a chest binder to

flatten breast tissue, adopting the personal pronouns “he” and “him,” and using the

men’s restroom in public. Mr. Adams embraced these changes. Socially

transitioning to using the men’s restroom, Mr. Adams explained at trial, is “a

statement to everyone around me that I am a boy. It’s confirming my identity and

confirming who I am, that I’m a boy. And it means a lot to me to be able to

express who I am with such a simple action because . . . I’m just like every other

boy.”

The psychiatrist also supported Mr. Adams’s request for medical treatment

for his gender dysphoria. Mr. Adams began a birth control regimen to end his

menstrual cycle and met with social workers and endocrinologists to obtain a

prescription for testosterone to masculinize his body. About a year after his

diagnosis with gender dysphoria, Mr. Adams underwent a bilateral mastectomy to

remove his breast tissue. At the time of trial, Mr. Adams contemplated further

surgeries to alter his internal reproductive organs and external genitalia, but he

could not take those steps before reaching the age of 18.

Alongside his social and medical transition, Mr. Adams amended his legal

documents to reflect his male sex. Following Florida agencies’ established

procedures for gender change, Mr. Adams updated the sex marker on his learner’s

driving permit (which became his driver’s license) and his original birth certificate.

4 Case: 18-13592 Date Filed: 08/07/2020 Page: 5 of 74

Both now read “male” or “M.” At the time of trial, Mr. Adams had not yet

changed the sex listed on his U.S. passport but testified he could “very easily go

get that changed” by presenting a letter from his physician stating he was being

clinically treated for gender transition. 1

The transition process, according to Mr. Adams, took “the better part of a

year.” At trial, he described steps in his medical and social transition as a

“rigorous process” through which “medical providers, me, and my parents [agreed]

that this was the right course of action.” Mr. Adams said transitioning led to “the

happiest moments of my life,” “finally figuring out who I was,” and being “able to

live with myself again.” 2 Mr. Adams’s course of treatment—gender transition—

also reflects the “accepted standard of care for transgender persons suffering from

gender dysphoria.” Modern medical consensus establishes that “forc[ing]

1 See Change of Sex Marker, U.S. DEP’T OF STATE, https://travel.state.gov/content/travel/en/passports/need-passport/change-of-sex-marker.html (last visited August 7, 2020). 2 The dissenting opinion’s central flaw is that it does not meaningfully reckon with what it means for Mr. Adams to be a transgender boy. The dissent describes Mr. Adams as “a female.” See Dissenting Op. at 47 (calling Mr. Adams “a female who identifies as a male”). The dissent fails to acknowledge Mr. Adams’s gender transition, his gender dysphoria and clinical treatment, or the unique significance of his restroom use to his wellbeing. The dissent also ignores the finding of the District Court that, in light of Mr. Adams’s social, medical, and legal gender transition, he is “like any other boy.” Adams, 318 F. Supp. 3d at 1296–97 (resolving the parties’ dispute “over whether Drew Adams is a boy”). Because the dissent does not consider Mr. Adams’s transgender status analytically relevant, it expresses the view that allowing Mr.

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Drew Adams v. School Board of St. Johns County Florida, 968 F.3d 1286 (11th Cir. 2020).

968 F.3d 1286 (Drew Adams v. School Board of St. Johns County Florida) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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