The Pittsburgh City Council is considering a measure that would make Pittsburgh a "sanctuary city" for gender-transition procedures. In the event that so-called "gender-affirming care" were restricted or outlawed even by the PA legislature, the city would require law enforcement to essentially look the other way.
One can see how this could quickly become a slippery slope if gender-confused minors began running away from their parents to PA in order to receive these life-altering procedures without parental consent.