A Texas law banning abortions after the six-week mark – before many people know they are pregnant – without any exemptions for rape or incest, mobilized abortion rights supporters at the end of August and early September, who decried the law's effects on women. Advocates said the exclusion of trans men and nonbinary people from news coverage on abortion obscured how much the law hurts those groups. “I think what we're seeing with the impact of this law is that it's hurting the most vulnerable people. And so certainly trans and nonbinary people fall into that category,” said Amna Dermish, regional medical director at Planned Parenthood of Greater Texas. Even before SB 8 was enacted, trans men and nonbinary people faced systemic barriers to reproductive health care. A report published in 2016 by the National Institutes of Health said the biggest barrier to medical care for transgender patients is the lack of access.