Iowa Republicans introduced a last-minute amendment to the Iowa Department of Human Services (DHS) budget bill on April 26 in an effort to carve a broad exemption into non-discrimination healthcare laws. The state governor Kim Reynolds has given her official approval to the amendment on May 3rd. The new amendment specifies that civil rights measures “shall not require any state or local government unit or tax-supported district to provide for sex reassignment surgery or any other cosmetic, reconstructive, or plastic surgery procedure related to transsexualism, hermaphroditism, gender identity disorder, or body dysmorphic disorder.” The law comes into effect the moment the governor signs it. LGBT+ campaigners expressed their deep sadness and disappointment as the governor decided to sign it. “It’s deeply disappointing that Gov. Kim Reynolds is caving to the pressure from some radical lawmakers in the Iowa Senate, instead of protecting the rights and dignity of transgender Iowans,” said JoDee Winterhof, senior vice president of policy and political affairs at the Human Rights Campaign.