Here's another piece of the puzzle:
From the Mumsnet thread discussing the article linked above, about Planned Parenthood in the states.
I called the other day to our local PP office. I asked if they had a practitioner who would treat gender dyphoria. Yes, they did. Did I need to have a referral from a psychiatrist or therapist or other physician? No, I did not. She said they "practice affirmative care." Then I asked about teens and children, at which point I believe she realized she had said too much and told me I'd have to make an appointment or leave my contact information.
In case this doesn't sufficiently scare you, let me recap where my state is in terms of the implications here for teens: a conversion therapy bill was passed that mandates the only approach for gender dysphoria is for providers and therapists to affirm stated gender identity. No watchful waiting. And, adolescents over the age of 14 are legally allowed to make their own decisions (with complete confidentiality from their parents) regarding mental health, sexuality, or substance use/abuse.
I'm 99% certain PP will prescribe to teens with no parental authorization. They can bill the child's insurance or will work on a sliding scale fee system. (What's a little expenditure in the red for a few years when you'll have a lifelong patient?)
Also, any more, most "providers" in the US who work for PP are what we call "mid-level practitioners," not physicians. They have much less schooling and experience, but typically have full prescribing privileges. It's scary.
Planned Parenthood, incidentally, are one of the orgs heavily investing in the trans agenda. This poster also share a FB ad from PP advertising their services (it's on the thread linked above but MN won't let me add any more pics today!)