Dunne: And so this law passed, and so I imagine it was there was some enforcement that that that that was a penalty if insurance companies didn't do this, but so it passed. But what's going on now? Talk about the bulk of your story because it isn't necessarily being enforced like the law said it would.

Thomas: The law split up enforcement responsibilities between the Oregon Health Authority, which is in charge of the Oregon Health Plan, which is the state's version of Medicaid, and then it gave commercial insurance to the Department of Consumer and Business Services. And to be really clear, the law is being enforced, so that the Department of Consumer Business Services is enforcing the law. So, if an insurance plan that's subject to the law is not covering gender affirming care as specified by the law. There will be enforcement. That's what the department told me. But the big thing that's not happening right now is the is the Department of Consumer Business Services. They were supposed to do an examination of all commercial carriers that were subject to HB 2002 to make sure that they're actually following the law that they're they were in fact offering this care without throwing up the bureaucratic hurdles that that's happened in the past and they were also supposed to deliver a report to legislators by about the end of the year about the implementation of HB 2002, that's not happening. Meanwhile, the Oregon Health Authority, which is in charge of Medicaid again, they are they were supposed to do an analysis of Medicaid insurers to see how many of their members needed gender affirming care and to see if there was enough providers.