I’m on the north east and calling home for Tylenol is still a thing. Since I don’t have direct knowledge of the area I skimmed the article and question exactly how far it goes. Specifically “Two health centers at the largest school district in Washington State are operated by a nonprofit which provides, among other things, gender transition medications and referrals for gender transition surgeries” - the health center is operated by another entity? So the school nurse is replaced and outsourced ? Or is this something entirely different where students can get a referral to an outside? Later in the article they say they don’t provide puberty blockers. I’m not sure but this sounds more like something where the reality is a bit different.