The Washington statutory scheme challenged in this case is inconsistent with the constitutional recognition of parents’ responsibility to direct the upbringing of their children. It interferes with the parent-child relationship of children who are particularly vulnerable and in need of parental direction. It deprives some parents of the custody of their children and undermines the ability of those parents to fulfill their responsibility to protect their children’s health. It specifically extinguishes a prerequisite for parental responsibility, notice of critical information about their child. It does all of this without any finding of parental unfitness, but merely because the parents differ from the State’s preferred position on matters of gender and sexuality.

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