Court Opinion

ID: 4554154
Source: CourtListenerOpinion
Date Created: 2020-08-07 22:00:28.499982+00
Date Added: 2024-06-11T09:26:04.262644
License: Public Domain

Case: 18-13592    Date Filed: 08/07/2020   Page: 1 of 74

                                                                    [PUBLISH]

               IN THE UNITED STATES COURT OF APPEALS

                       FOR THE ELEVENTH CIRCUIT
                         ________________________

                               No. 18-13592
                         ________________________

                   D.C. Docket No. 3:17-cv-00739-TJC-JBT

DREW ADAMS,
a minor, by and through his next friend and mother, Erica Adams Kasper,

                                                              Plaintiff - Appellee,

                                     versus

SCHOOL BOARD OF ST. JOHNS COUNTY, FLORIDA,

                                                           Defendant - Appellant.

                         ________________________

                  Appeal from the United States District Court
                      for the Middle District of Florida
                        ________________________

                                (August 7, 2020)

Before WILLIAM PRYOR, Chief Judge, MARTIN and JILL PRYOR, Circuit
Judges.

MARTIN, Circuit Judge:

      Drew Adams is a young man and recent graduate of Nease High School in

Florida’s St. Johns County School District. Mr. Adams is transgender, meaning
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when he was born, doctors assessed his sex and wrote “female” on his birth

certificate, but today Mr. Adams knows “with every fiber of [his] being” that he is

a boy. While Mr. Adams attended Nease High School, school officials considered

him a boy in all respects but one: he was forbidden to use the boys’ restroom.

Instead, Mr. Adams had the option of using the multi-stall girls’ restrooms, which

he found profoundly “insult[ing].” Or he could use a single-stall gender-neutral

bathroom, which he found “isolati[ng],” “depress[ing],” “humiliating,” and

burdensome. After unsuccessful negotiations with the St. Johns County School

District over his bathroom use, Mr. Adams brought suit against the St. Johns

County School Board (the “School Board”) through his next friend and mother,

Ms. Erica Adams Kasper. He asserted violations of his rights under Title IX of the

Education Amendments Act of 1972 (“Title IX”), 20 U.S.C. § 1681 et seq., and the

Fourteenth Amendment to the U.S. Constitution. After a bench trial, the District

Court granted him relief on both claims.

      This case calls upon us to decide whether the St. Johns County School

District’s policy barring Mr. Adams from the boys’ restroom squares with the

Constitution’s guarantee of equal protection and Title IX’s prohibition of sex

discrimination. We conclude it does not. We affirm the District Court’s decision

on both questions.

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                                          I.

      The District Court developed a thorough factual record after a three-day

bench trial of Mr. Adams’s claims. See Adams ex rel. Kasper v. Sch. Bd. of St.

Johns Cty., 318 F. Supp. 3d 1293, 1298–1310 (M.D. Fla. 2018). We recite those

facts here, as necessary.

      Drew Adams was born in 2000. At birth, doctors examined Mr. Adams and

recorded his sex as female. That female designation has vexed Mr. Adams

throughout his young life. As Mr. Adams entered puberty, he suffered significant

anxiety and depression about his developing body, and he sought the help of a

therapist and a psychiatrist. In the eighth grade, after introspection and with the

help of therapy, Mr. Adams came to realize he was transgender. He revealed to his

parents that he was a boy, not a girl. Together, Mr. Adams and his family met with

mental health professionals, who confirmed Adams was transgender. In time, Mr.

Adams’s psychiatrist diagnosed him with gender dysphoria, a condition of

“debilitating distress and anxiety resulting from the incongruence between an

individual’s gender identity and birth-assigned sex.” Mr. Adams’s “gender

identity”—his consistent, internal sense of gender—is male, but the sex assigned to

him at birth was female.

      To treat and alleviate Mr. Adams’s gender dysphoria, the psychiatrist

recommended Adams socially transition to living as a boy. This included cutting

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his long hair short, dressing in more masculine clothing, wearing a chest binder to

flatten breast tissue, adopting the personal pronouns “he” and “him,” and using the

men’s restroom in public. Mr. Adams embraced these changes. Socially

transitioning to using the men’s restroom, Mr. Adams explained at trial, is “a

statement to everyone around me that I am a boy. It’s confirming my identity and

confirming who I am, that I’m a boy. And it means a lot to me to be able to

express who I am with such a simple action because . . . I’m just like every other

boy.”

        The psychiatrist also supported Mr. Adams’s request for medical treatment

for his gender dysphoria. Mr. Adams began a birth control regimen to end his

menstrual cycle and met with social workers and endocrinologists to obtain a

prescription for testosterone to masculinize his body. About a year after his

diagnosis with gender dysphoria, Mr. Adams underwent a bilateral mastectomy to

remove his breast tissue. At the time of trial, Mr. Adams contemplated further

surgeries to alter his internal reproductive organs and external genitalia, but he

could not take those steps before reaching the age of 18.

        Alongside his social and medical transition, Mr. Adams amended his legal

documents to reflect his male sex. Following Florida agencies’ established

procedures for gender change, Mr. Adams updated the sex marker on his learner’s

driving permit (which became his driver’s license) and his original birth certificate.

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Both now read “male” or “M.” At the time of trial, Mr. Adams had not yet

changed the sex listed on his U.S. passport but testified he could “very easily go

get that changed” by presenting a letter from his physician stating he was being

clinically treated for gender transition. 1

       The transition process, according to Mr. Adams, took “the better part of a

year.” At trial, he described steps in his medical and social transition as a

“rigorous process” through which “medical providers, me, and my parents [agreed]

that this was the right course of action.” Mr. Adams said transitioning led to “the

happiest moments of my life,” “finally figuring out who I was,” and being “able to

live with myself again.” 2 Mr. Adams’s course of treatment—gender transition—

also reflects the “accepted standard of care for transgender persons suffering from

gender dysphoria.” Modern medical consensus establishes that “forc[ing]

       1
          See Change of Sex Marker, U.S. DEP’T OF STATE,
https://travel.state.gov/content/travel/en/passports/need-passport/change-of-sex-marker.html (last
visited August 7, 2020).
       2
          The dissenting opinion’s central flaw is that it does not meaningfully reckon with what
it means for Mr. Adams to be a transgender boy. The dissent describes Mr. Adams as “a
female.” See Dissenting Op. at 47 (calling Mr. Adams “a female who identifies as a male”).
The dissent fails to acknowledge Mr. Adams’s gender transition, his gender dysphoria and
clinical treatment, or the unique significance of his restroom use to his wellbeing. The dissent
also ignores the finding of the District Court that, in light of Mr. Adams’s social, medical, and
legal gender transition, he is “like any other boy.” Adams, 318 F. Supp. 3d at 1296–97
(resolving the parties’ dispute “over whether Drew Adams is a boy”).
        Because the dissent does not consider Mr. Adams’s transgender status analytically
relevant, it expresses the view that allowing Mr. Adams to use the boys’ restroom erodes
restroom divisions for all. This argument cannot stand together with the fact, found by the
District Court, that Mr. Adams is “like any other boy.”
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transgender people to live in accordance with the sex assigned to them at birth” is

ineffective and “cause[s] significant harm.” In particular, the Pediatric Endocrine

Society maintains that “not allowing [transgender] students to use the restroom

matching their gender identity promotes further discrimination and segregation of a

group that already faces discrimination and safety concerns.”

       Mr. Adams entered Nease High School in ninth grade, after he began

transitioning and presenting as a boy. Mr. Adams’s mother informed the school

that Adams was transgender, currently transitioning, and should be considered a

boy student, but did not discuss Adams’s bathroom use with the school. For his

first six weeks as a ninth grader, Mr. Adams used the boys’ restroom. One day,

however, the school pulled Mr. Adams from class and told him he could no longer

use the boys’ restroom because students had complained. These complaints came

from two unidentified girl students who saw Mr. Adams entering the boys’

restroom. There were no complaints from boy students who shared bathroom

facilities with Adams. Regardless, school officials gave Mr. Adams two choices:

use a single-stall, gender-neutral bathroom in the school office, or use the girls’

facilities.

       In issuing this warning to Mr. Adams, Nease High administrators were

acting to enforce the St. Johns County School District’s (the “School District”)

unwritten bathroom policy. For “as long as anybody can remember,” the School

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District has maintained a policy that, for restroom use, “boys go to boys’ rooms,

[and] girls go to girls’ rooms.” The School District defines “boy” and “girl” based

on “biological sex,” separating “biological boys” from “biological girls.” It

administers this policy based on the sex indicated on a student’s enrollment

documents. Because Mr. Adams enrolled in St. Johns County schools in the fourth

grade as “female,” the School District’s policy considered him a “biological girl”

who could not use the boys’ restroom, regardless of Mr. Adams’s updated legal

documents or verified course of medical treatment. Students who fail to abide by

the School District’s bathroom policy can be disciplined for violating the student

code of conduct.

      School administrators were not wholly unprepared for Mr. Adams’s plea to

use the boys’ restroom as a transgender boy. In 2012, the School District began to

consider how to best accommodate its lesbian, gay, bisexual, transgender, and

queer (collectively, “LGBTQ”) students. Through research and consultation, the

School District developed guidelines it considered to be “best practices” for faculty

and staff encountering emerging LGBTQ issues raised by students. The School

District implemented this LGBTQ best-practices policy in September 2015, at the

same time Mr. Adams was directed to avoid the boys’ bathroom.

      Among other provisions, the best-practices policy instructed educators to use

LGBTQ students’ preferred names and pronouns; prohibit discriminatory bullying

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or harassment; protect students’ private information; allow students to be “open

about their sexual orientation or transgender identity”; and permit students to

“wear clothing in accordance with their consistently asserted gender identity.” For

bathroom use, the best-practices policy clarified: “Transgender students will be

given access to a gender-neutral restroom and will not be required to use the

restroom corresponding to their biological sex.” 3 The policy also stated the School

District’s belief that no law required schools to “allow a transgender student access

to the restroom corresponding to their consistently asserted transgender identity.”

       Through researching the LGBTQ best-practices policy, the School District

learned that other school districts—in Florida and in other states—permitted

transgender students to use the restroom according to their gender identity. But the

School District declined to adopt such a policy, in part because it feared any

student might be able to gain access to any bathroom facility by identifying or

pretending to identify as “gender-fluid.”4 The School District, however, had never

       3
          Through the LGBTQ best-practices policy, the School District also set policy for
transgender students’ use of school locker rooms. That policy provided: “Schools will provide a
transgender student with available accommodations that best meet[] the needs and privacy
concerns of all students. Transgender students will not be forced to use the locker room
corresponding to their biological sex.”
        Mr. Adams did not bring a claim for access to the boys’ locker rooms at Nease High
School. This opinion therefore does not address whether the Fourteenth Amendment requires
schools to allow transgender students access to locker rooms consistent with their gender
identity.
       4
         “Gender-fluid” describes a person who “typically reject[s] notions of static categories of
gender and embrace[s] a fluidity of gender identity.” In other words, a person identifying as
gender-fluid “may feel they are a girl some days and a boy on others, or a combination, or
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encountered or even heard of any gender-fluid students or pretenders seeking

access to all bathroom facilities. The School Board also believed allowing

transgender students to use single-stall restrooms appropriately reconciled

accommodations for transgender students with the privacy rights of non-

transgender students.

       Mr. Adams disagreed. He felt “alienated and humiliated” every time he

“walk[ed] past the boys’ restroom on his way to a gender-neutral bathroom,

knowing every other boy is permitted to use it but him.” Mr. Adams believed the

bathroom policy sent “a message to other students who [saw Adams] use a ‘special

bathroom’ that he is different.” Throughout his freshman and sophomore years, he

and his mother protested the School District’s birth-sex-based bathroom policy,

writing letters, meeting with school officials, and filing a complaint with the U.S.

Department of Education’s Office of Civil Rights.

       Unsuccessful, Mr. Adams—through his mother, Ms. Kasper—sued the

School Board in federal court in June 2017. He alleged the School Board violated

possibly feel that neither term describes them accurately.” As the District Court observed, no
“scientific or medical definition” of “gender-fluid” exists in the record, and other courts have
accepted expert testimony that gender-fluid, unlike gender dysphoria, “is not a clinical term.”
See Doe ex rel. Doe v. Boyertown Area Sch. Dist., 276 F. Supp. 3d 324, 365 (E.D. Pa. 2017),
aff’d, 890 F.3d 1124 (3d Cir. 2018), cert. denied, 138 S. Ct. 2636 (2019). The School District
offered no evidence of gender-fluid students or students pretending to be gender-fluid in St.
Johns County schools. See id. at 376 n.44 (observing a school district had “no evidence that any
student” who requested special restroom access had “other gender identities” beyond boy or girl,
such as “gender-fluid”).
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his right to equal protection under the Fourteenth Amendment and his rights under

Title IX by barring him from the boys’ bathrooms at school. He asked for

injunctive, declarative, and monetary relief. Mr. Adams then moved for a

preliminary injunction to enjoin the School Board from enforcing its bathroom

policy. The Honorable Timothy J. Corrigan denied his motion for a preliminary

injunction on August 10, 2017, but set the case for a bench trial in December 2017,

on an expedited schedule. Before trial, Judge Corrigan toured Nease High School

with both sides’ counsel to view the bathroom facilities.

      After a three-day trial, Judge Corrigan issued findings of fact and

conclusions of law, holding that Mr. Adams was entitled to declaratory, injunctive,

and monetary relief on his constitutional and Title IX claims. The School Board

timely appealed.

                                         II.

      After a bench trial, we review de novo the District Court’s conclusions of

law. Tartell v. S. Fla. Sinus & Allergy Ctr., Inc., 790 F.3d 1253, 1257 (11th Cir.

2015). We accept the District Court’s findings of fact, absent clear error. See id.

“We will not find clear error unless our review of the record leaves us with the

definite and firm conviction that a mistake has been committed.” U.S. Commodity

Futures Trading Comm’n v. S. Tr. Metals, Inc., 894 F.3d 1313, 1322 (11th Cir.

2018) (quotation marks omitted).

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                                           III.

      We turn first to Mr. Adams’s constitutional claim.

      The Fourteenth Amendment promises “the equal protection of the laws.”

U.S. Const. amend. XIV, § 1. When state actors draw distinctions using sex or

gender, this constitutional mandate “call[s] for a heightened standard of review.”

See City of Cleburne v. Cleburne Living Ctr., 473 U.S. 432, 440, 105 S. Ct. 3249,

3254 (1985). Because sex or gender “generally provide[] no sensible ground for

differential treatment,” id., the Equal Protection Clause tolerates only “exceedingly

persuasive” classifications based on sex or gender, United States v. Virginia

(“VMI”), 518 U.S. 515, 534, 555, 116 S. Ct. 2264, 2276, 2286 (1996). “A gender

classification fails unless it is substantially related to a sufficiently important

governmental interest.” Cleburne, 473 U.S. at 441, 105 S. Ct. at 3255. “Ever since

the Supreme Court began to apply heightened scrutiny to sex-based classifications,

its consistent purpose has been to eliminate discrimination on the basis of gender

stereotypes.” Glenn v. Brumby, 663 F.3d 1312, 1319 (11th Cir. 2011).

                                           A.

      Mr. Adams and the School Board are in agreement that our Court is required

to review the School District’s bathroom policy with heightened scrutiny.

Although this standard of review is not in dispute, we first review why heightened

scrutiny is warranted in order to chart a course for our analysis.

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      The School Board concedes its policy broadly “discriminates on the basis of

sex” by requiring “biological females to use girls’ bathrooms and biological males

to use boys’ bathrooms.” But Mr. Adams describes the discrimination more

narrowly. He believes the bathroom policy discriminates against him because, by

being transgender, he defies gender norms and stereotypes. He explains that by

defining “boy” and “girl” based on “biological sex,” or sex assigned at birth, the

School Board divides restrooms based on a characteristic that “punishes

transgender students and favors non-transgender students.” He further points out

that the policy forces transgender students (and only transgender students) to

choose between using a single-stall restroom in isolation from their peers or using

a restroom that does not match their gender identity and causes them humiliation

and insult. Mr. Adams says this choice is no choice at all, so the bathroom policy

has the effect of excluding him from all communal restrooms.

      It is Mr. Adams who properly tees up the constitutional issue in this case.

The School Board’s bathroom policy singles out transgender students for

differential treatment because they are transgender: “Transgender students will be

given access to a gender-neutral restroom and will not be required to use the

restroom corresponding to their biological sex.” The policy emphasized the

School Board’s position that no law required it to “allow a transgender student

access to the restroom corresponding to their consistently asserted []gender

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identity.” In this way, the policy places a special burden on transgender students

because their gender identity does not match their sex assigned at birth. And, as

this Court announced in Glenn, “discrimination against a transgender individual

because of [his or] her gender-nonconformity is sex discrimination, whether it’s

described as being on the basis of sex or gender.” 5 663 F.3d at 1317; cf. Bostock

v. Clayton County, 590 U.S. ___, 140 S. Ct. 1731, 1741 (2020) (confirming that “it

is impossible to discriminate against a person for being . . . transgender without

discriminating against that individual based on sex”). We therefore apply

heightened scrutiny to the School Board bathroom policy. See Glenn, 663 F.3d at

1320.

                                                B.

        Next, we recognize an important government interest behind the School

Board’s bathroom policy. Out of concern for students’ privacy, the School Board

adopted a policy prohibiting Mr. Adams and other transgender students from using

the restrooms matching their gender identity. We believe the School Board’s goal

is a worthy one. Protecting the bodily privacy of young students is undoubtedly an

important government interest. See Whitaker ex rel. Whitaker v. Kenosha Unified

Sch. Dist. No. 1 Bd. of Educ., 858 F.3d 1034, 1052 (7th Cir. 2017) (holding a

        5
         In its analysis of the equal protection claim, the dissenting opinion barely mentions this
Court’s decision in Glenn. See Dissenting Op. at 57. This is remarkable, because Glenn
established the equal protection rights of transgender people in this circuit.
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school district had “a legitimate interest in ensuring bathroom privacy rights are

protected”); cf. New Jersey v. T.L.O., 469 U.S. 325, 338–39, 105 S. Ct. 733, 740–

41 (1985) (observing, in the Fourth Amendment context, that a “search of a child’s

person” at school “is undoubtedly a severe violation of subjective expectations of

privacy”); Beard v. Whitmore Lake Sch. Dist., 402 F.3d 598, 604 (6th Cir. 2005)

(noting that “[s]tudents of course have a significant privacy interest in their

unclothed bodies” against strip searches at school).

                                          C.

      Beyond this, we assume the government may promote its interest in

protecting privacy by maintaining separate bathrooms for boys and girls or men

and women. Mr. Adams, for his part, does not question the ubiquitous societal

practice of separate bathrooms for men and women. Instead, Mr. Adams argues

the School Board’s bathroom policy singles him out for differential treatment on

the basis of his gender nonconformity and without furthering student privacy

whatsoever. The record before us has persuaded us to his view.

      The School Board has demonstrated no substantial relationship between

excluding Mr. Adams from the communal boys’ restrooms and protecting student

privacy. We see three constitutional infirmities with the School District’s

bathroom policy. First, the policy is administered arbitrarily. The policy relies

upon a student’s enrollment documents to determine sex assigned at birth. This

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targets some transgender students for bathroom restrictions but not others. Second,

the School Board’s privacy concerns about Mr. Adams’s use of the boys’ bathroom

are merely “hypothesized,” with no support in the factual record. See VMI, 518

U.S. at 533, 116 S. Ct. at 2275. Third, the School District’s bathroom policy

subjects Mr. Adams to unfavorable treatment simply because he defies gender

stereotypes as a transgender person.

                                          1.

      The record demonstrates that the School District’s bathroom policy is

administered arbitrarily. This poses a constitutional problem. To pass muster

under the Fourteenth Amendment, a governmental gender classification must “be

reasonable, not arbitrary.” Reed v. Reed, 404 U.S. 71, 76, 92 S. Ct. 251, 254

(1971) (quotation marks omitted).

      By way of example, the Supreme Court struck down an arbitrary gender-

based policy in Craig v. Boren, 429 U.S. 190, 97 S. Ct. 451 (1976). See id. at 204,

97 S. Ct. at 460. Craig addressed an Oklahoma statute that outlawed the sale of

3.2% beer to young men under the age of 21 and to young women under the age of

18, purportedly as a means to promote traffic safety. Id. at 191–92, 199, 97 S. Ct.

at 454, 458. Considering the constitutionality of the statute, the Court first cast

doubt on the statistical evidence that young men drink and drive more frequently

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than young women. 6 See id. at 200, 97 S. Ct. at 458. The Court concluded that the

statistical evidence did not demonstrate that gender was a “legitimate accurate

proxy for the regulation of drinking and driving.” Id. at 202, 204, 97 S. Ct. at 459,

460. Then, even setting aside the problematic correlation of gender and drinking

behavior, the Court observed that the statute as written did not even prevent young

men from driving under the influence. This was because the law “prohibits only

the selling of 3.2% beer to young males and not their drinking the beverage once

acquired (even after purchase by their 18-20-year-old female companions).” Id. at

204, 97 S. Ct. at 460. Thus, the Court decided that the statute violated the

Fourteenth Amendment because its terms did not achieve its statutory objective.

Id. Concurring separately, Justice Stewart observed that the statute’s terms

“amount[ed] to total irrationality.” Id. at 215, 97 S. Ct. at 466.

       The School District’s bathroom policy suffers from this type of defect. We

set aside for now that the policy treats transgender students differently than non-

transgender students. The policy still runs afoul of the Fourteenth Amendment

       6
          The Craig Court cautioned that “proving broad sociological propositions by statistics is
a dubious business, and one that inevitably is in tension with the normative philosophy that
underlies the Equal Protection Clause.” 429 U.S. at 204, 97 S. Ct. at 460. The dissent throws
this caution to the wind. It would condone the School District’s bathroom policy because
transgender students in the School District are few and the policy is “99.96 percent accurate in
separating bathrooms.” Dissenting Op. at 50, 59. The dissent considers this result “near-
perfect.” Id. at 50. But this case has come before our Court because Mr. Adams considers the
bathroom policy to be nowhere near perfect. Once again, the dissent does not grapple with Mr.
Adams’s status as a transgender boy.
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because it does not even succeed in treating all transgender students alike. Just as

the statute in Craig did not prevent young men from driving after drinking 3.2%

beer, the bathroom policy does not succeed in excluding every transgender student

from the restroom matching his or her gender identity. This arbitrary result

demonstrates the unconstitutionality of the bathroom policy.

      As the District Court found, the School District determines a student’s sex

assigned at birth for purposes of restroom use by looking to the forms the student

presented at the time he enrolled in the District. Even if a student later provides

the District with a birth certificate or driver’s license indicating a different sex, the

original enrollment documents control. The enrollment forms, however, say

nothing about a student’s assigned sex at birth or transgender status. They ask only

whether a student is male or female. At trial, the School District admitted that if a

transgender student enrolled with documents matching his gender identity, he

would be permitted to use the restroom matching his gender identity. At present,

the School Board acknowledges that this loophole in the policy means some of the

District’s transgender students may be using school restrooms that match their

gender identity. See Oral Arg. Recording at 12:05–12:43 (Dec. 5, 2019). But a

transgender student like Mr. Adams, who transitions after enrolling in the School

District, would not be able to use the restroom matching his gender identity. In

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this way, the bathroom policy does not even apply to all transgender students

equally.

      Thus, the School District’s criteria for determining a student’s bathroom use

do not achieve the School Board’s stated goal of restricting transgender students to

the restroom of their assigned sex at birth. The designation of a student’s sex on

his school enrollment documents is not a “legitimate, accurate proxy” for his sex

assigned at birth. See Craig, 429 U.S. at 204, 97 S. Ct. at 460. It is arbitrary that

some transgender students—like Mr. Adams—are restricted by the bathroom

policy, while others are beyond its reach. Again, the Fourteenth Amendment

requires a substantial, accurate relationship between a gender-based policy and its

stated purpose. See Cleburne, 473 U.S. at 441, 105 S. Ct. at 3255; Craig, 429 U.S.

at 198, 97 S. Ct. at 457. Because the bathroom policy does not do what it was

designed to do, the School Board cannot show the requisite substantial

relationship. See Frontiero v. Richardson, 411 U.S. 677, 690–91, 93 S. Ct. 1764,

1772 (1973) (plurality opinion) (rejecting a gender-based policy as arbitrary

because the government did not show that the policy promoted “administrative

convenience” by actually saving any money or time (quotation marks omitted)).

                                          2.

      And there are broader constitutional concerns. The School Board’s concerns

about transgender students endangering restroom privacy are not borne out by the

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record. To satisfy the Fourteenth Amendment, the government’s justification for a

gender classification “must be genuine, not hypothesized.” VMI, 518 U.S. at 533,

116 S. Ct. at 2275. While a rational basis standard of review “permits a court to

hypothesize interests that might support [governmental gender] distinctions, . . .

heightened scrutiny limits the realm of justification to demonstrable reality.” Tuan

Anh Nguyen v. INS, 533 U.S. 53, 77, 121 S. Ct. 2053, 2068 (2001) (O’Connor, J.,

dissenting).

      We must examine the trial record to see whether the government showed a

non-hypothesized justification for its gender classification. For instance, in Glenn,

an employer claimed he fired a transgender woman because “other women might

object to [her] restroom use.” 663 F.3d at 1321. But the record showed that the

office building had “only single-occupancy restrooms,” and the employer testified

he believed lawsuits over restroom use were “unlikely.” Id. Because the record

showed that concerns about restroom use were unfounded, our Court held there

was not sufficient evidence that the employer “was actually motivated” by

restroom-related concerns. Id. As a result, the Glenn opinion said the employer’s

defense was a “hypothetical justification” that was “wholly irrelevant to the

heightened scrutiny analysis.” Id.

      Here, the School Board’s concerns about privacy in the boys’ bathrooms are

as hypothetical as those raised in Glenn. After extensive evidence was presented at

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trial, the District Court found that Mr. Adams’s presence in the boys’ bathroom

does not jeopardize the privacy of his peers in any concrete sense. When Mr.

Adams uses the restroom, he “enters a stall, closes the door, relieves himself,

comes out of the stall, washes his hands, and leaves.” The School Board received

no reports of privacy breaches during the six weeks Mr. Adams actually used the

boys’ restroom at Nease. Indeed, the School Board could not produce any

“complaints of untoward behavior involving a transgender student” in the

restroom. Nor could the School Board point to any incidents across the country in

which allowing transgender students to use the restroom according to their gender

identity compromised other students’ privacy. The District Court found that “any

student engaging in voyeurism in the bathroom would be engaging in misconduct

which is [already] subject to discipline through the School District’s code of

conduct,” such that the bathroom policy was not necessary to protect any new

privacy concerns. The court also accepted expert evidence that transgender

students like Mr. Adams “typically seek privacy and discr[eet]ness in restroom use

and try to avoid exposing any parts of their genitalia that would reveal sex

characteristics inconsistent with their gender identity.” In fact, the School Board

conceded at oral argument it was “fair” that some transgender students in the

School District may already be using the bathroom consistent with their gender

identity, without anyone’s knowledge. Oral Arg. Recording at 12:05–12:43. From

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the sum of these facts, we cannot say the School Board has met its burden to show

a genuine, non-hypothetical privacy justification for excluding Mr. Adams from

the boys’ bathroom. See Whitaker, 858 F.3d at 1052–53.

      Accepting, as it must, the District Court’s finding that Mr. Adams has not

harassed or peeped at other boys while using the boys’ restroom, the School Board

argues Mr. Adams’s mere presence in the boys’ room constitutes a privacy

violation. It asserts that “when Adams enters a boys’ bathroom and there is a

biological boy using the urinal, that biological boy’s privacy rights have been

violated.” Again, this record simply does not support this assertion. Absent such

evidence, we “decline to recognize such an expansive [formulation of] privacy . . .

that would be violated by the presence of students who do not share the same birth

sex.” See Doe ex rel. Doe v. Boyertown Area Sch. Dist., 897 F.3d 518, 531 (3d

Cir. 2018) (holding that transgender students’ access to bathrooms matching

gender identity did not violate non-transgender students’ constitutional privacy

rights), cert. denied, 139 S. Ct. 2636 (2019); see also Parents for Privacy v. Barr,

949 F.3d 1210, 1222 (9th Cir. 2020) (holding that there is no Fourteenth

Amendment privacy right not to share school restrooms with transgender students

who were assigned a different sex at birth); Whitaker, 858 F.3d at 1052 (holding a

school could not show the “mere presence of a transgender student in the

bathroom” infringed on other students’ privacy rights, without facts supporting

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tangible breaches of privacy). Simply put, the School Board singled out Mr.

Adams’s use of the restroom as problematic, without showing that Adams did, in

fact, flout or compromise the privacy of other boys when he was in the boys’

restroom.

      The School Board next argues its bathroom policy survives heightened

scrutiny because excluding transgender students from the restroom matching their

gender identity keeps private the “different physiological characteristics between

the two sexes.” The Board likens the bathroom policy to the government policies

upheld in Michael M. v. Superior Court of Sonoma County, 450 U.S. 464, 101 S.

Ct. 1200 (1981), and Tuan Anh Nguyen v. INS, 533 U.S. 53, 121 S. Ct. 2053. We

reject these comparisons as inapt.

      Michael M. held that a statutory rape law criminalizing sex with underage

girls, but not boys, passed constitutional muster because its goal was to “prevent

illegitimate teenage pregnancies.” 450 U.S. at 470, 101 S. Ct. at 1205 (plurality

opinion). The idea was that “young men and young women are not similarly

situated with respect to the problems and the risks of sexual intercourse,” so the

law bore a substantial relationship to the government’s important interest in

reducing teenage pregnancies. Id. at 471–72, 101 S. Ct. at 1205. Nguyen likewise

addressed pregnancy and childbirth. The Nguyen Court upheld a statute allowing

unmarried U.S. citizen mothers who gave birth abroad to establish citizenship for

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the child automatically, while unmarried citizen fathers of foreign-born children

had to offer proof of paternity. See 533 U.S. at 60, 73, 121 S. Ct. at 2059, 2066.

Because “[f]athers and mothers are not similarly situated with regard to the proof

of biological parenthood,” the law withstood heightened scrutiny. Id. at 63, 121 S.

Ct. at 2060.

      The use of the restrooms by boys and girls in closed, locked bathroom stalls

is legally distinct from the reproductive differences between sexes, as related to

pregnancy and childbirth. The District Court here expressly found that the School

District’s bathroom policy did not turn on “something innately different” between

how boys and girls use the bathroom. The District Court also made the finding

that no anatomical differences between the sexes were required to be on display in

the school restrooms. And, “if the School District’s concern is that a child will be

in the bathroom with another child who does not look anatomically the same,”

other possible anatomical differences between students, such as the differences

between pre-pubescent and post-pubescent students, might be just as concerning

from a privacy standpoint. See Whitaker, 858 F.3d at 1052–53. But the School

District’s bathroom policy did not account for these factors. According to the facts

found at trial, Mr. Adams’s anatomical differences from his non-transgender male

peers are irrelevant to his use of the boys’ restroom.

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      And again here, the School Board’s invocation of privacy for anatomical

differences is internally inconsistent. The School Board ignores that, in many

ways, Mr. Adams has changed the physiological manifestation of his gender. Like

many transgender boys and men, Mr. Adams surgically eliminated his breast tissue

and embarked on hormonal treatment that would “alter the appearance of the

genitals, suppress menstruation, and produce secondary sex characteristics such as

increased muscle mass, increased body hair on the face, chest, and abdomen, and a

deepening of the voice.” Were Mr. Adams to use the school’s restroom for girls,

as the School Board maintains he could, his masculine physiology would present

many of the same anatomical differences the School Board fears if non-transgender

boys used the girls’ restroom. The District Court observed the School Board’s

position that Mr. Adams was free to use the girls’ bathroom “seem[ed]

disingenuous” for these reasons. And of course, because the School Board

identifies a student’s gender based on the paperwork he submitted when he first

enrolled in the school district, Mr. Adams would have been considered a boy under

the policy if he had happened to enroll with his updated legal documents. On this

record, the School Board failed to raise genuine, non-hypothetical justifications for

excluding Mr. Adams from the boys’ restroom.

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                                          3.

       The School Board’s bathroom policy also treats transgender students like

Mr. Adams differently because they fail to conform to gender stereotypes. To

survive heightened scrutiny, a sex classification “must not rely on overbroad

generalizations about the different talents, capacities, or preferences of males and

females.” VMI, 518 U.S. at 533, 116 S. Ct. at 2275. And “sex-based stereotypes

are also insufficient to sustain a classification.” Whitaker, 858 F.3d at 1051; see

J.E.B. v. Alabama ex rel. T.B., 511 U.S. 127, 138–40, 114 S. Ct. 1419, 1426–27

(1994) (holding the Equal Protection Clause prohibits peremptory challenges to

jurors based on gender stereotypes); Glenn, 663 F.3d at 1320 & n.9

(“[G]overnmental reliance on gender-based stereotypes is dispositive in . . . equal

protection analysis. . . .”).

       Gender stereotypes “presume that men and women’s appearance and

behavior will be determined by their sex.” Glenn, 663 F.3d at 1320. Mr. Adams is

considered transgender “precisely because of the perception that his . . . behavior

transgresses gender stereotypes.” See id. at 1316. Because Mr. Adams was

assigned a female sex at birth but identifies consistently and persistently as a boy

and presents as masculine, he defies the stereotype that one’s gender identity and

expression should align with one’s birth sex. See id. (noting that transgender

persons’ “appearance, behavior, or other personal characteristics differ from

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traditional norms” (quoting Taylor Flynn, Transforming the Debate: Why We

Need to Include Transgender Rights in the Struggles for Sex and Sexual

Orientation Equality, 101 Colum. L. Rev. 392, 392 (2001))).

      The School Board’s bathroom policy sought to enforce this gender

stereotype. The School District administered the policy using students’ enrollment

documents as a proxy for their sex at birth. The School Board says this was the

best way to protect all students’ privacy in school restrooms. But this policy

presumes every person deemed “male” at birth would act and identify as a “boy”

and every person deemed “female” would act and identify as a “girl.” Based on

these stereotypes, the School Board labeled Mr. Adams as a “girl” for purposes of

his bathroom use, based solely on his sex assigned at birth. This label gives no

regard to the fact that that Mr. Adams lives and presents as a boy and has been

declared a boy by his family, the State of Florida, the federal government, and his

medical providers. As far as the record shows, Mr. Adams was the only student in

the School District with a “male” birth certificate and driver’s license who was not

allowed to use the boys’ restroom. Nevertheless, the School Board’s bathroom

policy relegated Mr. Adams to single-stall, gender-neutral bathrooms and exposed

him to school discipline for using the restroom matching his gender identity.

These hardships were imposed on Mr. Adams because he is transgender and did

not act or present as female, the sex he was assigned at birth.

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      The gender stereotypes the School Board imposed on Mr. Adams track the

stereotypes this Court ruled unconstitutional in Glenn. Vandiver Elizabeth Glenn,

a transgender woman, was fired because her employer perceived her as “a man

dressed as a woman and made up as a woman.” 663 F.3d at 1314, 1320–21

(quotation marks omitted). Ms. Glenn’s employer was “unsettl[ed] to think of

[Glenn] dressed in women’s clothing with male sexual organs inside that clothing.”

Id. at 1314 (quotation marks omitted). This Court held the employer’s discomfort

with Ms. Glenn’s femininity combined with her private anatomy were proof of

unconstitutional gender stereotyping. See id. at 1320–21. Based on the

employer’s comments, this Court concluded Ms. Glenn was fired because she was

transgender and thereby defied gender stereotypes. See id.

      As in Glenn, the School District’s bathroom policy labels Mr. Adams as a

“girl” solely because of the gender assigned to him at birth based on his sexual

organs. The policy advances gender stereotypes by deeming Mr. Adams “truly”

female, even though he produced legal and medical documentation showing he

was male. See Grimm v. Gloucester Cty. Sch. Bd., 400 F. Supp. 3d 444, 457 (E.D.

Va. 2019) (“In determining the physical characteristics that define male and female

and the characteristics that are disregarded, the [School] Board has crafted a policy

that is based on stereotypes about gender.” (citing, inter alia, Glenn, 663 F.3d at

1316)), appeal docketed, No. 19-1952 (4th Cir. Sept. 3, 2019). And like Glenn, the

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bathroom policy singles out Mr. Adams for different treatment because he is

transgender. It excludes him from the restroom matching his gender identity and

gives him little choice but to use the restroom in isolation from his peers. See

Whitaker, 858 F.3d at 1045 (affirming a preliminary injunction because a school

district caused irreparable harm to a student “when it dismissed him to a separate

[gender-neutral] bathroom” and “stigmatized [him], indicating that he was

‘different’ because he was a transgender boy”). Of course the School Board here

treated Mr. Adams with more respect than the employer in Glenn. School officials

used Adams’s male pronouns, permitted him to wear boys’ clothes to school, and

did not interfere with his decision to identify openly as transgender. Nevertheless,

the Constitution does not tolerate any form of gender stereotyping on the basis of

one’s birth sex and sexual organs. See Glenn, 663 F.3d at 1316–17.

      The School Board repeats its concern that allowing Mr. Adams to use the

boys’ restroom could allow “a non-transgender student to pose as a gender-fluid

student to access the bathroom.” But again, the Board offers no evidence that any

students claiming to be gender-fluid have asked for access to all bathroom

facilities. We remain unpersuaded that this concern is anything more than

hypothetical.

      The School Board also believes allowing Mr. Adams access to the boys’

restroom threatens the time-honored convention of separate bathrooms for men and

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women, because any person could “claim discrimination” and use a different

bathroom for “no reason at all.” Neither are we convinced by this argument. Mr.

Adams succeeds on his constitutional claim because, first, there is a dearth of

evidence in this record that transgender students are a threat to other students’

privacy. Second, the record demonstrates that the School Board subjected Mr.

Adams to gender stereotyping. We emphasize that the constitutionality of gender-

separated bathrooms is not before us. Although the dissenting opinion seems

anxious to weigh in on this broader issue, no one has argued here that separating

men and women’s restrooms treats men and women unequally, lacks any factual

basis, or perpetuates “invidious, archaic, and overbroad stereotypes” about gender.

See J.E.B., 511 U.S. at 130–31, 115 S. Ct. at 1422.

                                          4.

      Because this record reveals no substantial relationship between privacy in St.

Johns County School District restrooms and excluding Mr. Adams from the boys’

restroom, the School District’s bathroom policy violates the Equal Protection

Clause. In so holding, we join the Seventh Circuit, the only other circuit to

encounter this issue, along with the majority of district courts who have taken up

this topic. See Whitaker, 858 F.3d at 1054 (holding a transgender boy

demonstrated likelihood of success on the merits of his equal protection claim to

use the boys’ restroom); see also A.H. ex rel. Handling v. Minersville Area Sch.

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Dist., 408 F. Supp. 3d 536, 578 (M.D. Pa. 2019) (granting summary judgment to

transgender girl on equal protection claim for access to girls’ restroom because

school district failed to demonstrate an exceedingly persuasive justification);

Grimm, 400 F. Supp. 3d at 461 (same, for transgender boy); Evancho v. Pine-

Richland Sch. Dist., 237 F. Supp. 3d 267, 293 (W.D. Pa. 2017) (holding

transgender students showed likelihood of success on equal protection claim to

access restrooms matching gender identity); Bd. of Educ. of the Highland Local

Sch. Dist. v. U.S. Dep’t of Educ., 208 F. Supp. 3d 850, 877 (S.D. Ohio 2016)

(same, with transgender girl).

      Although this issue is not before us here, we are aware that the Third and

Ninth Circuits have rejected claims from non-transgender students that their school

violated their fundamental right to privacy by separating boys’ and girls’

bathrooms based on gender identity. See Parents for Privacy, 949 F.3d at 1221–26

(affirming dismissal of non-transgender students’ constitutional privacy claim);

Doe, 897 F.3d at 530–31 (holding that non-transgender students could not establish

likelihood of success on constitutional privacy claim). And we subscribe to the

thinking of the Third Circuit when it said that requiring “transgender student[s] to

use single-user facilities” under an assigned-sex-at-birth-based bathroom policy

“would very publicly brand all transgender students with a scarlet ‘T,’ and they

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should not have to endure that as the price of attending their public school.” Doe,

897 F.3d at 530.

       This record does not demonstrate that the School Board has met its

“demanding” constitutional burden by showing a substantial relationship between

excluding transgender students from communal restrooms and student privacy.

See VMI, 518 U.S. at 533, 116 S. Ct. at 2275. We therefore affirm the District

Court’s grant of relief to Mr. Adams under the Fourteenth Amendment.

                                              IV.

       Mr. Adams also prevails on his Title IX claim. Title IX mandates that no

person “shall, on the basis of sex, be excluded from participation in, be denied the

benefits of, or be subjected to discrimination under any education program or

activity receiving Federal financial assistance.” 20 U.S.C. § 1681(a).

       There is only one dispute about Mr. Adams’s Title IX claim: whether

excluding Mr. Adams from the boys’ bathroom amounts to sex discrimination in

violation of the statute. 7 We conclude that this policy of exclusion constitutes

discrimination. First, Title IX protects students from discrimination based on their

transgender status. And second, the School District treated Mr. Adams differently

because he was transgender, and this different treatment caused him harm. Finally,

       7
         The parties agree that the St. Johns County School District receives federal financial
assistance and is thus bound by Title IX. They agree as well that the use of the school restrooms
is an “education program or activity” within the meaning of Title IX.
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nothing in Title IX’s regulations or any administrative guidance on Title IX

excuses the School Board’s discriminatory policy.

                                           A.

        Our analysis of Mr. Adams’s Title IX claim benefits from the Supreme

Court’s recent decision in Bostock v. Clayton County, 590 U.S. ___, 140 S. Ct.

1731 (2020). Bostock announced that Title VII’s prohibition on sex discrimination

also forbids discrimination based on transgender status. Id. at 1737. The Court

instructed that “it is impossible to discriminate against a person for being . . .

transgender without discriminating against that individual based on sex.” Id. at

1741.

        Bostock has great import for Mr. Adams’s Title IX claim. Although Title

VII and Title IX are separate substantive provisions of the Civil Rights Act of

1964, both titles prohibit discrimination against individuals on the basis of sex. 42

U.S.C. § 2000e-2(a)(1) (Title VII); 20 U.S.C. § 1681(a) (Title IX). Both titles also

employ a “but-for causation standard,” which Bostock found critical to its

expansive interpretation of sex discrimination. See Bostock, 140 S. Ct. at 1739

(citing Univ. of Tex. Sw. Med. Ctr. v. Nassar, 570 U.S. 338, 350, 133 S. Ct. 2517,

2527 (2013)); Comcast Corp. v. Nat’l Ass’n of African Am.-Owned Media, 589

U.S. ___, 140 S. Ct. 1009, 1014 (2020) (explaining that but-for causation is the

“default” rule for federal antidiscrimination laws). Given these similarities, it

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comes as no surprise that the Supreme Court has “looked to its Title VII

interpretations of discrimination in illuminating Title IX” and its anti-

discrimination provisions. Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581, 616

n.1, 119 S. Ct. 2176, 2195 n.1 (1999) (Thomas, J., dissenting); see, e.g., Franklin v.

Gwinnett Cty. Pub. Schs., 503 U.S. 60, 75, 112 S. Ct. 1028, 1037 (1992) (applying,

in the context of a Title IX claim, Title VII’s conception of sexual harassment as

sex discrimination).

      The School Board argues that Title IX does not proscribe discrimination

against transgender people, because the statute was only “intended to address

discrimination plaguing biological women.” Appellant’s Br. at 39. However,

Bostock teaches that, even if Congress never contemplated that Title VII could

forbid discrimination against transgender people, the “starkly broad terms” of the

statute require nothing less. 140 S. Ct. at 1753. This reasoning applies with the

same force to Title IX’s equally broad prohibition on sex discrimination.

      Still, the School Board argues that Title IX’s ban on sex discrimination is

somehow different from Title VII’s because “schools are a wildly different

environment than the workplace” and education “is the province of local

governmental officials.” Appellant’s Br. at 43–44. We are not persuaded.

Congress saw fit to outlaw sex discrimination in federally funded schools, just as it

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did in covered workplaces. And, as we have explained, the Supreme Court’s

interpretation of discrimination based on sex applies in both settings.

      With Bostock’s guidance, we conclude that Title IX, like Title VII, prohibits

discrimination against a person because he is transgender, because this constitutes

discrimination based on sex.

                                          B.

      Of course, Mr. Adams still bears the burden of showing that the School

District discriminated against him by barring him from the boys’ restroom because

he is transgender. With the benefit of the District Court’s careful factfinding, we

are satisfied that Mr. Adams succeeds on his claim of sex discrimination under

Title IX, and we affirm the District Court’s judgment in his favor.

      Again, Title IX provides that no person shall, “on the basis of sex . . . be

subjected to discrimination” at school. 20 U.S.C. § 1681(a). Discrimination

“refers to distinctions or differences in treatment that injure protected individuals.”

Burlington N. & Santa Fe Ry. Co. v. White, 548 U.S. 53, 59, 126 S. Ct. 2405, 2410

(2006); see also Jackson v. Birmingham Bd. of Ed., 544 U.S. 167, 174, 125 S. Ct.

1497, 1504 (2005) (describing sex discrimination under Title IX as “differential”

and “less favorable” treatment (quotation marks omitted)). Title IX’s

implementing regulations explain that a school cannot “[s]ubject any person to

separate or different rules of behavior, sanctions, or other treatment” on the basis

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of sex. 34 C.F.R. § 106.31(b)(4). Neither can a school “[p]rovide different aid,

benefits, or services or provide aid, benefits or services in a different manner”

because of sex. Id. § 106.31(b)(2).

      As with his equal protection claim, Mr. Adams’s claim of sex discrimination

is stated narrowly. He argues the School District excluded him from the boys’

restroom because he is transgender. He says this policy constitutes discrimination

on the basis of sex in violation of Title IX. Although one would never know it

from reading the dissenting opinion, Mr. Adams does not argue that providing

separate restrooms for boys and girls violates Title IX. Nor do we think he could.

The statute’s implementing regulations specifically authorize “separate toilet,

locker room, and shower facilities on the basis of sex,” as long as all facilities are

“comparable.” 34 C.F.R. § 106.33.

      The School Board argues Mr. Adams did not suffer any discrimination. The

Board reads Bostock to hold that “a woman who identifies as a man—a

transgender man—is a woman.” Appellant’s Suppl. Br. at 3. This being the

Board’s view, it argues that Mr. Adams was treated just the same as all girl

students at Nease High School. But the School Board, like the dissenting opinion,

misapprehends Bostock. Bostock explained that if an employer fires a transgender

female employee but retains a non-transgender female employee, this differential

treatment is discrimination because of sex. 140 S. Ct. at 1741–42. In the same

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way, Mr. Adams can show discrimination by comparing the School Board’s

treatment of him, as a transgender boy, to its treatment of non-transgender boys.

      The Board’s treatment of Mr. Adams is like that deemed discriminatory in

Bostock. If Mr. Adams were a non-transgender boy, the School Board would

permit him to use the boys’ restroom. The School Board allowed all non-

transgender boys to use the boys’ restroom. It allowed all non-transgender

students with male driver’s licenses and birth certificates to use the boys’ restroom.

But because Mr. Adams is a transgender boy, the School Board singled him out for

different treatment. By the very terms of the bathroom policy, the Board refused to

allow Adams, “a transgender student[,] access to the restroom corresponding to

[his] consistently asserted transgender identity.”

      Mr. Adams was also treated differently than non-transgender students

generally. If Mr. Adams entered the restroom matching the sex on his legal

documents and his gender identity, he faced school discipline. But non-

transgender students did not face discipline for restroom use corresponding to their

gender identity and their legal documents. Through the bathroom policy, the

School District ousted Mr. Adams from communal restrooms and gave him no

choice but to use the single-stall facilities. In these respects, the Board subjected

Mr. Adams, “as a transgender student, to different rules, sanctions, and treatment

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than non-transgender students, in violation of Title IX.” Whitaker, 858 F.3d at

1049–50; see 34 C.F.R. § 106.31(b)(4).

      The record leaves no doubt that Mr. Adams suffered harm from this

differential treatment. Mr. Adams introduced expert testimony that many

transgender people experience the “debilitating distress and anxiety” of gender

dysphoria, which is alleviated by using restrooms consistent with their gender

identity, among other measures. 318 F. Supp. 3d. at 1299 (quotation marks

omitted). Experts also testified that “forc[ing] transgender people to live in

accordance with the sex assigned to them at birth . . . cause[s] significant harm.”

Id. at 1300. Mr. Adams described that he personally suffered “anxiety and

depression” from “walk[ing] past the boys’ restroom on his way to a gender-

neutral bathroom, knowing every other boy is permitted to use it but him.” Id. at

1308. The bathroom policy caused him to feel sorely “alienated” and “different”

from other students because he is transgender. Id. Mr. Adams testified that,

because of the policy, “I know that the school sees me as less of a person, less of a

boy, certainly, than my peers.” R. Doc. 160-1 at 204.

      Mr. Adams also suffered harm because he was separated from his peers in

single-stall restroom facilities. Mr. Adams explained it felt like a “walk of shame”

when he had to walk past the communal restrooms for a single-stall, gender-neutral

restroom. It heightened the stigma he felt for being transgender. Mr. Adams had

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little choice in this matter. The evidence at trial established that using the girls’

restroom at school hindered Mr. Adams’s clinical treatment for gender dysphoria.

Because of the bathroom policy, Mr. Adams had to use single-stall restrooms at

school.8 This marked him as different from his peers because he is transgender.

       On the basis of this evidence, the District Court found that Mr. Adams

“suffered emotional damage, stigmatization and shame from not being permitted to

use the boys’ restroom at school.” Adams, 318 F. Supp. 3d at 1327. These

consequences are well-recognized as injurious. See Whitaker, 858 F.3d at 1045–

47 (affirming a finding of irreparable harm because excluding a transgender

student from the boys’ restroom “stigmatized” the student and caused him

“significant psychological distress” including “depression and anxiety” (quotation

marks omitted)); Dodds v. U.S. Dep’t of Educ., 845 F.3d 217, 221–22 (6th Cir.

2016) (per curiam) (affirming a finding of irreparable harm because excluding a

young transgender student “from the girls’ restrooms has already had substantial

and immediate adverse effects on [her] daily life[,] . . . health[,] and well-being”);

see also Obergefell v. Hodges, 576 U.S. ___, 135 S. Ct. 2584, 2602 (2015)

       8
         The evidence at trial also showed that the School District expected this outcome. The
School District official who developed the bathroom policy testified that she would prefer a
transgender student to use the gender-neutral single-stall facilities instead of the restroom of his
sex assigned at birth. This employee also acknowledged that a transgender student like Mr.
Adams could face “safety, security, and privacy concerns” while using the restroom of his sex
assigned at birth.
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(recognizing that “laws excluding same-sex couples from the marriage right

impose stigma and injury”).

       Every court of appeals to consider bathroom policies like the School

District’s agrees that such policies violate Title IX. The Seventh Circuit has held

that “[a] policy that requires an individual to use a bathroom that does not conform

with his or her gender identity punishes that individual for his or her gender non-

conformance, which in turn violates Title IX.” Whitaker, 858 F.3d at 1049. The

Sixth Circuit, affirming a preliminary injunction order, stated that, under Title IX,

“transgender students are entitled to access restrooms for their identified gender

rather than their biological gender at birth.” Dodds, 845 F.3d at 221. We agree

with our sister circuits.

                                          C.

       The School Board believes 34 C.F.R. § 106.33 of the Title IX implementing

regulations forecloses Mr. Adams’s discrimination claim. Section 106.33 reads:

              A recipient may provide separate toilet, locker room, and
              shower facilities on the basis of sex, but such facilities
              provided for students of one sex shall be comparable to
              such facilities provided for students of the other sex.

The School Board argues that the use of the term “sex” in this regulation clearly

means “biological sex,” or sex assigned at birth. Thus, it asserts that dividing

restrooms by sex assigned at birth—requiring transgender boys to use the girls’

restroom and transgender girls to use the boys’ restroom—cannot be
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discriminatory under Title IX. The Board considers Mr. Adams a “biological

female,” and it seeks to exclude him from the boys’ restroom on this basis.

      But Mr. Adams’s discrimination claim does not contradict the implementing

regulations for two reasons. First, Mr. Adams is not challenging § 106.33’s

provision of separate restrooms for girls and boys. He is simply seeking access to

the boys’ restroom as a transgender boy. And second, the regulation does not

mandate how to determine a transgender student’s “sex.” Thus, we perceive no

conflict between the text of § 106.33 and Mr. Adams’s successful claim of

discrimination.

      Title IX says nothing about Mr. Adams’s “sex.” To start, Title IX and its

accompanying regulations contain no definition of the term “sex.” “Also absent

from the statute is the term ‘biological.’” Whitaker, 858 F.3d at 1047. It seems

fair to say that § 106.33 tells us that restrooms may be divided by male and female.

But the plain language of the regulation sheds no light on whether Mr. Adams’s

“sex” is female as assigned at his birth or whether his “sex” is male as it reads on

his driver’s license and his birth certificate. While the School Board maintains that

Mr. Adams’s sex is female, the State of Florida recognizes his sex as male. The

federal government is also prepared to recognize Mr. Adams’s sex as male, if he

seeks an updated passport. As the Supreme Court observed in Bostock,

transgender individuals have “one sex identified at birth and another today.” 140

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S. Ct. at 1746. Title IX and its regulations do not declare which sex should

determine a transgender student’s restroom use. Thus, the language of § 106.33

does not insulate the School Board from Mr. Adams’s discrimination claim based

on his transgender status.

       The School Board argues that Bostock endorses its reading of the term “sex”

as strictly “biological sex.” According to the Board, Bostock laid out “a

conception of sex founded in biology and not gender identity.” Appellant’s Suppl.

Br. at 4.

       Bostock lends no support to the Board’s interpretation of “sex.” The

Bostock Court expressly declined to decide whether Title VII’s reference to “sex”

means only “reproductive biology” or incorporates “some norms concerning

gender identity.” See 140 S. Ct. at 1739 (quotation marks omitted). The Court felt

it unnecessary to answer this open interpretive question in order to hold

discrimination against transgender people unlawful. Id. Thus, its analysis

proceeded “on the assumption that ‘sex’ signified what the employers suggest,

referring only to biological distinctions between male and female.” Id.

       The District Court in this case studied the statute and the case law and held

that “the meaning of ‘sex’ in Title IX includes ‘gender identity.’” Adams, 318 F.

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Supp. 3d at 1325. If we thought it necessary, we would affirm this holding.9 But

Bostock counsels otherwise. Our dissenting colleague accuses us of shirking our

duty because we do not delve into the meaning of “sex” in Title IX. To the

contrary, we follow the lead of the Supreme Court in Bostock, which found it

unnecessary to perform that analysis as to Title VII. We need not interpret the

term “sex” to recognize that Mr. Adams suffered discrimination at school because

he was transgender. See Bostock, 140 S. Ct. at 1746. And nothing in Bostock or

the language of § 106.33 justifies the School Board’s discrimination against Mr.

Adams. Specifically, § 106.33 does not dictate how schools should approach

transgender students’ restroom use or define a transgender student’s “sex.” Indeed,

no court of appeals has accepted the School Board’s arguments that § 106.33

requires transgender students to use the restroom of their sex assigned at birth. See

Parents for Privacy, 949 F.3d at 1227 (rejecting a strict “biological sex” reading of

§ 106.33 as it applies to transgender students); Whitaker, 858 F.3d at 1047

(observing that the term “biological” does not appear in Title IX); G.G. ex rel.

       9
         Our dissenting colleague believes that the term “sex” cannot encompass any conception
of gender identity. See Dissenting Op. at 67–68. Important to the dissent’s position is that, at
the time Title IX was passed, “a common belief among psychiatrists was that trans[gender]
people were severely mentally disturbed.” Id. at 68 (alteration adopted and quotation marks
omitted). The Supreme Court has recently reminded us, however, that we must “apply[]
protective laws to groups that were politically unpopular at the time of the law’s passage.”
Bostock, 140 S. Ct. at 1751. To hinge our statutory analysis on the historical prejudice and
misunderstanding the dissent describes “would tilt the scales of justice in favor of the strong or
popular.” Id.
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Grimm v. Gloucester County School Board, 822 F.3d 709, 720–21 (4th Cir. 2016)

(observing that § 106.33 does not explain how to determine an individual’s

maleness or femaleness for purposes of restroom use), vacated and remanded, 580

U.S. ___, 137 S. Ct. 1239 (2017).

      The School Board then argues that the Department of Education (“DOE”)

and the Department of Justice (“DOJ”) endorse its reading of “sex” as “biological

sex.” In 2016, the DOE’s Office for Civil Rights and the DOJ’s Civil Rights

Division jointly issued a “Dear Colleague” letter instructing that discrimination

based on sex encompassed “discrimination based on a student’s gender identity,

including discrimination based on a student’s transgender status.” Then, in 2017,

the DOE and DOJ withdrew this guidance in a second “Dear Colleague” letter.

The withdrawal letter reasoned that the 2016 guidance did not “contain extensive

legal analysis or explain how the position is consistent with the express language

of Title IX, nor did [it] undergo any formal public process.”

      The School Board believes the withdrawal of the 2016 guidance signifies the

DOE’s new position that sex discrimination does not include discrimination

because of gender identity. We are unpersuaded. The 2017 letter contained no

substantive interpretation of the meaning of “sex discrimination” in Title IX. It

merely withdrew the 2016 guidance for lack of sufficient legal explanation and

formal process. Since the 2017 letter contains no substantive interpretation of Title

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IX or its regulations, we owe it no deference. Cf. Kisor v. Wilkie, 588 U.S. ___,

139 S. Ct. 2400, 2414 (2019) (explaining that deference is not warranted to an

agency’s interpretation of its own regulation when that “interpretation does not

reflect [the] agency’s authoritative, expertise-based, fair, or considered judgment”

(alteration adopted) (quotation marks omitted)); Chevron, USA, Inc. v. Nat’l Res.

Def. Council, Inc., 467 U.S. 837, 842–44, 104 S. Ct. 2778, 2781–82 (1984)

(describing deference to an agency’s interpretation of the statute which it

administers).

      Even if we were to accept the School Board’s argument that sex is “founded

in biology” or refers “only to biological distinctions between male and female,” see

Bostock, 140 S. Ct. at 1739, this interpretation does not establish that Mr. Adams is

biologically female and belongs in the girls’ restroom. As the District Court found,

Mr. Adams—like some other transgender people—has confirmed his male sex not

just legally and socially, but medically. See 318 F. Supp. 3d at 1300–01. We will

not rehash the details of Mr. Adams’s medical transition. But suffice it to say that

the School Board’s preferred definition of “biological sex” reduces Mr. Adams “to

nothing more than the sum of [his] external genitalia at birth,” to the exclusion of

all other characteristics. See Appellee’s Suppl. Br. at 11. This understanding of

“sex”—or, for that matter, “biological sex”—is as narrow as it is unworkable.

                                    *     *      *

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       Bostock confirmed that workplace discrimination against transgender people

is contrary to law. Neither should this discrimination be tolerated in schools. The

School Board’s bathroom policy, as applied to Mr. Adams, singled him out for

different treatment because of his transgender status. It caused him psychological

and dignitary harm. We affirm the District Court’s ruling that maintaining this

policy violated Title IX. 10

                                              V.

       A public school may not punish its students for gender nonconformity.

Neither may a public school harm transgender students by establishing arbitrary,

separate rules for their restroom use. The evidence at trial confirms that Mr.

Adams suffered both these indignities. The record developed in the District Court

shows that the School Board failed to honor Mr. Adams’s rights under the

Fourteenth Amendment and Title IX. The judgment of the District Court is

therefore AFFIRMED.

       10
          The School Board presents one last argument. The Board points out that Title IX was
enacted through Congress’s spending power, which permits recovery of damages only where
recipients of federal funding have notice of their liability. See Davis ex rel. LaShonda D. v.
Monroe Cty. Bd. of Educ., 526 U.S. 629, 640, 119 S. Ct. 1661, 1669–70 (1999). The Board says
it had no notice that Title IX forbids discrimination against transgender students. Without such
notice, the Board contends, it cannot be said to have harbored discriminatory intent against Mr.
Adams and it cannot be held liable.
        We need not pass upon the Board’s arguments, because the Board never raised the
Spending Clause issue in the District Court. “Arguments raised for the first time on appeal are
not properly before this Court.” Hurley v. Moore, 233 F.3d 1295, 1297 (11th Cir. 2000) (per
curiam).
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WILLIAM PRYOR, Chief Judge, dissenting:

      Not long ago, a suit challenging the lawfulness of separating bathrooms on

the basis of sex would have been unthinkable. This practice has long been the

common-sense example of an acceptable classification on the basis of sex. And for

good reason: it protects well-established privacy interests in using the bathroom

away from the opposite sex. Although the Supreme Court recently considered the

relationship between transgender status and sex in the context of claims of

employment discrimination under Title VII, it declined to consider the

permissibility of sex-separated bathrooms. See Bostock v. Clayton Cty., 140 S. Ct.

1731, 1753 (2020); see also id. at 1739 (assuming that “sex” refers “only to

biological distinctions between male and female”). After all, context matters. As

the late Justice Thurgood Marshall once put it, “A sign that says ‘men only’ looks

very different on a bathroom door than a courthouse door.” City of Cleburne v.

Cleburne Living Ctr., Inc., 473 U.S. 432, 468–69 (1985) (Marshall, J., concurring

in the judgment in part and dissenting in part).

      Against this backdrop, the St. John’s County School Board has long

enforced a policy that separates the bathrooms in its elementary and secondary

schools by sex. And yet the majority rules this policy illegal—indeed

unconstitutional—in an opinion that distorts the policy, misunderstands the legal

claims asserted, and rewrites well-established precedent. By failing to address

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head-on the lawfulness of sex-separated bathrooms in schools, the majority recasts

the school policy as classifying students on the basis of transgender status. And

based on this recasting, it reaches the remarkable conclusion that schoolchildren

have no sex-specific privacy interests when using the bathroom. The majority

opinion purports to allow only plaintiff Drew Adams, a female who identifies as a

male, to use the boys’ bathroom, but the logic of this decision would require all

schoolchildren to use sex-neutral bathrooms. I dissent.

      A. The Bathroom Policy Does Not Violate the Equal Protection Clause.

       Because the Equal Protection Clause “does not make sex a proscribed

classification,” a policy that classifies on the basis of sex is constitutional if it

survives the two requirements of intermediate scrutiny. United States v. Virginia,

518 U.S. 515, 533 (1996). The government first must prove that the “classification

serves important governmental objectives.” Id. (internal quotation marks omitted).

For an objective to be “important,” it cannot stem from “overbroad generalizations

about the different talents, capacities, or preferences of males and females.” Id.

The objective must also be “genuine, not hypothesized or invented post hoc in

response to litigation.” Id. In addition to proving that its policy serves important

objectives, the government must prove that “the discriminatory means employed

are substantially related to the achievement of those objectives.” Id. (internal

quotation marks omitted).

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      Under this well-established standard, this appeal is not complicated.

Although the school policy classifies on the basis of sex, it serves the important

objectives of protecting the interests of children in using the bathroom away from

the opposite sex and in shielding their bodies from exposure to the opposite sex.

The policy also fits tightly with both interests in privacy. By requiring students to

use the bathroom away from the opposite sex, the policy directly protects the first

interest and eliminates one of the most likely opportunities for a violation of the

second interest. In short, it easily satisfies intermediate scrutiny, and even if

questions remained, the Supreme Court has long required that we defer to the

judgment of public-school officials in this context.

      The schools’ first objective—to protect students’ interest in using the

bathroom away from the opposite sex—is important. As then-Professor Ruth Bader

Ginsburg explained, “Separate places to disrobe, sleep, [and] perform personal

bodily functions are permitted, in some situations required, by regard for individual

privacy.” Ruth Bader Ginsburg, The Fear of the Equal Rights Amendment, Wash.

Post, Apr. 7, 1975, at A21. Indeed, “[a]cross societies and throughout history, it

has been commonplace and universally accepted to separate public restrooms,

locker rooms, and shower facilities on the basis of biological sex in order to

address privacy and safety concerns arising from the biological differences

between males and females.” G.G. ex rel. Grimm v. Gloucester Cty. Sch. Bd., 822

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F.3d 709, 734 (4th Cir. 2016) (Niemeyer, J., concurring in part and dissenting in

part), vacated, 137 S. Ct. 1239 (2017). Separating bathrooms based on sex “dates

back as far as written history will take us.” W. Burlette Carter, Sexism in the

“Bathroom Debates,” 37 Yale L. & Pol’y Rev. 227, 287–88 (2018); see also id. at

258–61 (documenting sex-separated bathrooms in feudal Japan and in ancient

Egypt, Greece, and Rome).

      Unsurprisingly, the Supreme Court and our sister circuits have long

acknowledged a privacy interest in using the bathroom away from the opposite sex.

Even as it ordered the Virginia Military Institute to enroll women, the Supreme

Court acknowledged that “[a]dmitting women to VMI would undoubtedly require

alterations necessary to afford members of each sex privacy from the other sex in

living arrangements.” Virginia, 518 U.S. at 550 n.19 (citing Brief for Petitioner at

27–29 (arguing that integrating the institute would not require the sexes to be

together “when sleeping, dressing and using the bathroom”)). Our sister circuits

have likewise accepted that “the law tolerates same-sex restrooms . . . to

accommodate privacy needs.” Chaney v. Plainfield Healthcare Ctr., 612 F.3d 908,

913 (7th Cir. 2010); accord Faulkner v. Jones, 10 F.3d 226, 232 (4th Cir. 1993);

Cumbey v. Meachum, 684 F.2d 712, 714 (10th Cir. 1982); see also, e.g., Women

Prisoners of the D.C. Dep’t of Corr. v. District of Columbia, 93 F.3d 910, 926

(D.C. Cir. 1996) (“[S]egregation of inmates by sex is unquestionably

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constitutional.”). This privacy interest has long been “appropriately harmonized”

with the principle of equality. Ginsburg, Equal Rights Amendment, supra.

       The schools’ policy is also “substantially related to the achievement” of its

objective to protect this privacy interest. Virginia, 518 U.S. at 533 (internal

quotation marks omitted). Indeed, the policy is a mirror image of its objective—it

protects students from using the bathroom with the opposite sex by separating

bathrooms on the basis of sex. The policy “is not a means to some greater end, but

an end in itself.” Barnes v. Glen Theatre, Inc., 501 U.S. 560, 572 (1991) (plurality

opinion). Intermediate scrutiny is satisfied when a policy directly achieves the

objective itself. See id.

       This conclusion does not turn on Adams’s sex. The district court found that

the St. John’s County School District educates about 40,000 children, and of all

those students, the Board is aware of only 16 transgender students. Even if the

district court were correct that gender identity, not biology, determines a person’s

sex—that is, the school policy should have assigned these 16 students to the

bathroom that aligned with their gender identity—the policy would still be 99.96

percent accurate in separating bathrooms by sex. This near-perfect result is

certainly enough to satisfy intermediate scrutiny, which does not “require[] that the

[policy] under consideration must be capable of achieving its ultimate objective in

every instance.” Nguyen v. Immigration & Naturalization Serv., 533 U.S. 53, 70

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(2001); see also Michael M. v. Super. Ct. of Sonoma Cty., 450 U.S. 464, 473

(1981) (plurality opinion) (“The relevant inquiry . . . is not whether the statute is

drawn as precisely as it might have been . . . .”).

       Nor does it matter that Adams brings an as-applied challenge to the

bathroom policy. “[C]lassifying a lawsuit as facial or as-applied . . . does not speak

at all to the substantive rule of law necessary to establish a constitutional

violation.” Bucklew v. Precythe, 139 S. Ct. 1112, 1127 (2019). And, to reiterate,

intermediate scrutiny does not “require[] that the [policy] under consideration must

be capable of achieving its ultimate objective in every instance.” Nguyen, 533 U.S.

at 70. Demanding that the policy satisfy its privacy interests as to each plaintiff

who brings an as-applied challenge would disregard intermediate scrutiny by

demanding a perfect fit between the sex-based classification and the government

interest at issue.

       The school policy also substantially advances its objective to protect

children from exposing their unclothed bodies to the opposite sex. Courts have

long understood that the “special sense of privacy” that individuals hold in

avoiding bodily exposure is heightened “in the presence of people of the other

sex.” Fortner v. Thomas, 983 F.2d 1024, 1030 (11th Cir. 1993) (internal quotation

marks omitted); accord, e.g., Cookish v. Powell, 945 F.2d 441, 446 (1st Cir. 1991);

Harris v. Miller, 818 F.3d 49, 59 (2d Cir. 2016); Doe v. Luzerne Cty., 660 F.3d

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169, 177 (3d Cir. 2011); Strickler v. Waters, 641 F.2d 1375, 1387 (4th Cir. 1993);

Moore v. Carwell, 168 F.3d 234, 236–37 (5th Cir. 1999); Brannum v. Overton Cty.

Sch. Bd., 516 F.3d 489, 494 (6th Cir. 2008); Canedy v. Boardman, 16 F.3d 183,

185 (7th Cir. 1994); Byrd v. Maricopa Cty. Sheriff’s Dep’t, 629 F.3d 1135, 1141

(9th Cir. 2011) (en banc); Hayes v. Marriott, 70 F.3d 1144, 1146 (10th Cir. 1995).

And separating bathrooms by sex eliminates one of the most common

opportunities for exposure to the opposite sex. The district court acknowledged the

undisputed testimony that students at Adams’s school change clothing outside

bathroom stalls and that bathrooms are ordinarily unsupervised. By separating

bathrooms by sex, the policy eliminates the risk of bodily exposure where it is

most likely to occur, which satisfies intermediate scrutiny. See Nguyen, 533 U.S. at

70 (holding that a policy that “seeks to foster the opportunity” for a government

objective “has a close and substantial bearing on” that objective).

      Even if any doubt remained about whether the bathroom policy survives

scrutiny, we must resolve that doubt in favor of the Board because the policy

governs student conduct in public schools. The Supreme Court has long held that

the constitutional rights of students, including “Fourteenth Amendment rights, are

different in public schools than elsewhere.” Vernonia Sch. Dist. 47J v. Acton, 515

U.S. 646, 656 (1995). Schools have a “custodial and tutelary” power over minor

students, “permitting a degree of supervision and control that could not be

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exercised over free adults.” Id. at 655. For that reason, the Supreme Court has long

deferred to the decisions of school districts in a variety of constitutional contexts,

including when determining whether a suspicionless drug search was reasonable

under the Fourth Amendment, id. at 665, whether the censorship of certain speech

was acceptable under the First Amendment, Morse v. Frederick, 551 U.S. 393,

403–06, 409–410 (2007) (collecting decisions), and whether corporal punishment

was cruel and unusual under the Eighth Amendment, Ingraham v. Wright, 430 U.S.

651, 681–82 (1977).

      The bathroom policy falls squarely within the Board’s authority to

“prescribe and control conduct” in its schools. Id. at 682 (internal quotation marks

omitted). “[I]n a public school environment . . . the State is responsible for

maintaining discipline, health, and safety.” Bd. of Educ. of Indep. Sch. Dist. No. 92

of Pottawatomie Cty. v. Earls, 536 U.S. 822, 830 (2002); see also Fla. Stat.

§ 1001.42(8)(a) (making school boards responsible for the “control of students at

school, and for proper attention to health, safety, and other matters relating to the

welfare of students”). This responsibility is so weighty that school districts can be

liable for sexual assault and harassment between students. See Miami-Dade Cty.

Sch. Bd. v. A.N., 905 So. 2d 203, 203–04, 206 (Fla. Dist. Ct. App. 2005)

(upholding a jury verdict against a school for failing to protect a student who was

sexually assaulted in a bathroom by another student); see also Williams v. Bd. of

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Regents of Univ. Sys. of Ga., 477 F.3d 1282, 1299 (11th Cir. 2007). And

bathrooms, one of the few areas in a school that are unsupervised, plainly pose

risks to student “discipline, health, and safety.” Earls, 536 U.S. at 830; see also

A.N., 905 So. 2d at 203–04, 206. The Board’s assessment of the privacy risks its

students face and the effectiveness of its policy in mitigating those risks deserves

deference.

      The majority opinion elides this entire analysis by misunderstanding both

the classification and privacy interests at issue. It contends that the policy triggers

heightened scrutiny not because it separates bathrooms by sex but because it

purportedly imposes “differential treatment” on transgender students. Majority Op.

at 12. In doing so, the majority misstates the school policy, conflates sex-based

classifications with transgender-based classifications, and contravenes Supreme

Court precedent. Compounding its errors, the majority then ignores fundamental

understandings of why bathrooms are separated on the basis of sex by rejecting

long-standing privacy rationales for sex-separated bathrooms. This conclusion

leads it to fault the objective underlying the school policy as both hypothetical and

based on impermissible stereotypes. After misconstruing both the classification

and the privacy interests at issue—the only two ingredients of intermediate

scrutiny—the majority opinion then concludes that the schools’ classification does

not substantially advance a valid objective. I take each of these errors in turn.

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      The majority’s conclusion that the school policy classifies on the basis of

sex because it “singles out transgender students” is both central to its analysis and

wrong. Id. The majority opinion reaches this incorrect conclusion by pointing to a

provision of the school policy that does not have that effect. The majority opinion

says the school policy targets transgender students because of the following

provision: “Transgender students will be given access to a gender-neutral restroom

and will not be required to use the restroom corresponding to their biological sex.”

Id. But this provision only offers the option of using gender-neural bathrooms as

an alternative to the bathroom that matches a child’s sex. It is an accommodation

for transgender students, not a special burden. What Adams actually challenges is

the requirement that students cannot use the bathrooms of the opposite sex, which

long predates the provision that accommodates transgender students. It is this

policy that “prohibit[s] . . . transgender students from using the restrooms matching

their gender identity.” Id. at 14. Because this policy divides bathrooms by sex, not

transgender status, it does not facially classify on the basis of transgender status.

      The decision of the Supreme Court in Geduldig v. Aiello, 417 U.S. 484

(1974), is instructive. There, the Court held that a state insurance policy that

excluded coverage for pregnancies did not classify on the basis of sex. Id. at 495–

97. It explained that the classification at issue created two groups—pregnant and

nonpregnant people. Id. at 496 n.20. Although “the first group is exclusively

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female,” the Court explained, “the second includes members of both sexes,” which

revealed a “lack of identity” between pregnancy and sex. Id.; see also Bray v.

Alexandria Women’s Health Clinic, 506 U.S. 263, 271 (1993) (reaffirming this

reasoning). This analysis applies with equal force here. The bathroom policy

creates two groups—students who can use the boys’ bathroom and students who

can use the girls’ bathroom. Both groups contain transgender students and non-

transgender students, so a “lack of identity” exists between the policy and

transgender status. Geduldig, 417 U.S. at 496 n.20.

      At most, the policy has a disparate impact on transgender students, which is

not enough to create a sex-based classification. Facially neutral policies trigger

intermediate scrutiny only if “invidious gender-based discrimination” motivated

them. Pers. Adm’r of Mass. v. Feeney, 442 U.S. 256, 274 (1979); see also Vill. of

Arlington Heights v. Metro. Hous. Dev. Corp., 429 U.S. 252, 265 (1977) (“Proof of

. . . discriminatory intent or purpose is required to show a violation of the Equal

Protection Clause.”). Adams cannot argue that a discriminatory purpose against

transgender students motivated the policy. Although the district court found that

the Board acted with discriminatory intent because it failed to update its policies

when it became “aware of the need to treat transgender students the same as other

students,” the Supreme Court has repeatedly held that “[d]iscriminatory purpose

. . . implies more than . . . awareness of consequences.” E.g., Bray, 506 U.S. at 760

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(internal quotation marks omitted); Feeney, 442 U.S. at 279 (internal quotation

marks omitted). It instead requires the Board to act “at least in part ‘because of,’

not merely ‘in spite of,’ . . . adverse effects upon an identifiable group.” Feeney,

442 U.S. at 279. The district court found that the “School Board did not have

transgender students in mind when it originally established separate multi-stall

restrooms for boys and girls,” which precludes a finding of discriminatory intent.

      The decision of the Supreme Court in Bostock v. Clayton County, 140 S. Ct.

1731, is not to the contrary. To be sure, Bostock clarified that “discrimination

based on homosexuality or transgender status necessarily entails discrimination

based on sex” in the context of employment discrimination under Title VII. Id. at

1747; see also Glenn v. Brumby, 663 F.3d 1312, 1318 (11th Cir. 2011) (holding

that discrimination based on gender nonconformity constitutes sex discrimination

regardless of whether the victim is transgender or not). But this appeal concerns

the converse question: whether discrimination on the basis of sex necessarily

entails discrimination based on transgender status. Of course, a policy can classify

on the basis of sex without also classifying on the basis of transgender status. See,

e.g., Nguyen, 533 U.S. at 60. Indeed, Bostock expressly disclaimed reaching any

conclusion on the permissibility of sex-separated bathrooms and locker rooms. See

140 S. Ct. at 1753.

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      The majority’s misunderstanding of the classification at issue infects its

constitutional inquiry. Intermediate scrutiny turns on the relationship between the

classification at issue and the government’s objectives—that is, whether a sex-

based classification is substantially related to the government’s objectives. See

Nguyen, 533 U.S. at 60. So the relevant question is whether excluding students of

one sex from the bathroom of the other sex substantially advances the schools’

privacy objectives. The question is not, as the majority frames it, whether

excluding transgender students from the bathroom of their choice furthers

important privacy objectives. The majority’s misunderstanding of the classification

as based on transgender status gerrymanders its analysis to the second question.

      Consider the majority’s assertion that the bathroom policy cannot satisfy

intermediate scrutiny because it is arbitrary. See, e.g., Craig v. Boren, 429 U.S.

190, 201–04 (1976) (holding that a statute failed intermediate scrutiny when the

relationship between the sex-based classification and government interest was

“unduly tenuous”). The district court found that the school district determines each

child’s sex by looking to the enrollment forms that the student provides when the

student enrolls, which includes the student’s birth certificate. The majority explains

that a transgender student who changed the sex on his birth certificate before

enrolling could use the bathroom matching his gender identity and not his sex. See

generally Fla. Admin. Code Ann. r. 64V-1.003(2)(c), (4)(b) (allowing amendments

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to birth certificates with medical documentation). According to the majority, this

process for determining sex fails to achieve the “stated goal of restricting

transgender students to the restroom of their assigned sex at birth” because the

enrollment documents are not “legitimate, accurate prox[ies]” for determining a

transgender student’s “sex assigned at birth.” Majority Op. at 18 (quoting Craig,

429 U.S. at 204).

      This argument fails when we remember that the goal of the policy is to

restrict all students, not only transgender students, from the bathroom of the

opposite sex. Birth certificates are an almost perfect proxy for determining a

student’s sex. Even if all transgender students in the school district used bathrooms

that did not align with their sex, the policy would still be 99.96 percent accurate in

separating bathrooms by sex, which satisfies intermediate scrutiny. See Nguyen,

533 U.S. at 70. To close the supposed loophole that the majority identifies, schools

in the district would need to target transgender students. Of course, intermediate

scrutiny does not require that approach. See id. at 63 (“The Constitution . . . does

not require that Congress elect one particular mechanism . . . even if that

mechanism arguably might be the most scientifically advanced method.”).

      In addition to misunderstanding the classification at issue, the majority

erroneously redefines the privacy interests at stake. Although the majority

concedes that protecting bathroom privacy, in some abstract sense, is an important

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objective, it rejects both of the privacy interests that the school policy protects. For

the first interest, the majority asserts that the Board incorrectly decided that its

students had any privacy interest in using the bathroom away from “students who

do not share the same birth sex.” Majority Op. at 21 (internal quotation marks

omitted). And although the majority appears to acknowledge that students have a

privacy interest in not exposing their bodies, it does not accept that this interest can

be sex-specific—that the interest is heightened when exposure is to the opposite

sex. Instead, it asserts not only that Adams’s “anatomical differences” from boys

are “irrelevant” to bathroom privacy, id. at 24, but also that thinking otherwise is

an unconstitutional stereotype, id. at 25–28.

      The majority’s understanding of each interest contravenes precedent. Its

decision to limit students’ privacy interest to bodily exposure ignores that children

also have a distinct privacy interest in using the bathroom away from the opposite

sex. See, e.g., Virginia, 518 U.S. at 550 n.19; Chaney, 612 F.3d at 913; Faulkner,

10 F.3d at 232; Cumbey, 684 F.2d at 714; see also Skinner v. Ry. Labor Execs.’

Ass’n, 489 U.S. 602, 626 (1989) (concluding that urination is “an excretory

function traditionally shielded by great privacy”). Similarly, the majority’s failure

to acknowledge that the privacy interest in avoiding bodily exposure is heightened

when children of the opposite sex are present ignores longstanding precedent, not

to mention common sense. See, e.g., Fortner, 983 F.2d at 1030; Harris, 818 F.3d at

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59; Luzerne Cty., 660 F.3d at 177; Overton Cty., 516 F.3d at 494; Canedy, 16 F.3d

at 185.

      Finally, the majority’s alternative contention that the privacy interests at

issue are invalid because they rest on impermissible sex stereotypes is incorrect.

According to the majority, the school policy “presumed every person deemed

‘male’ at birth would act and identify as a ‘boy’ and every person deemed ‘female’

would act and identify as a ‘girl.’” Majority Op. at 26. The majority also faults the

policy for indulging in the purportedly unconstitutional stereotype that “one’s

gender identity and expression should align with one’s birth sex.” Id. Neither of

these arguments has merit.

      The majority never explains how the school policy “presume[d] every

person deemed ‘male’ at birth would act and identify as a ‘boy’ and every person

deemed ‘female’ would act and identify as a ‘girl.’” Nor can it. The policy does not

turn on how students “act and identify.” It assigns bathrooms by sex, which is not a

stereotype. See Nguyen, 533 U.S. at 73 (“Mechanistic classification of all our

differences as stereotypes would operate to obscure those misconceptions and

prejudices that are real.”); Etsitty v. Utah Transit Auth., 502 F.3d 1215, 1224 (10th

Cir. 2007) (“Use of a restroom designated for the opposite sex does not constitute a

mere failure to conform to sex stereotypes.”).

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      The majority’s other contention—that believing “one’s gender identity and

expression should align with one’s birth sex” is an unconstitutional stereotype—

fares no better. The Supreme Court has long grounded its sex-discrimination

jurisprudence in reproductive biology. See, e.g., Nguyen, 533 U.S. at 73 (“The

difference between men and women in relation to the birth process is a real one

. . . .”); Geduldig, 417 U.S. at 496 n.20 (“[I]t is true that only women can become

pregnant . . . .”); see also Virginia, 518 U.S. at 533 (“Physical differences between

men and women, however, are enduring: [T]he two sexes are not fungible . . . .”

(internal quotation marks omitted)). Indeed, the Court’s justification for giving

heightened scrutiny to sex-based classifications makes sense only with reference to

physiology.

      In one of its foundational sex-discrimination decisions, the Court justified

heightened scrutiny this way: “since sex . . . is an immutable characteristic

determined solely by the accident of birth, the imposition of special disabilities

upon the members of a particular sex because of their sex would seem to violate

the basic concept of our system that legal burdens should bear some relationship to

individual responsibility.” Frontiero v. Richardson, 411 U.S. 677, 686 (1973)

(plurality opinion) (internal quotation marks omitted). In other words, the Court

endorsed heightened scrutiny because laws “distributing benefits and burdens

between the sexes in different ways very likely reflect outmoded notions of the

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relative capabilities of men and women.” Cleburne, 473 U.S. at 441. To say that it

is an unconstitutional stereotype to believe that “one’s gender identity and

expression should align with one’s birth sex,” the majority must not only rewrite

the Supreme Court’s physiological rationale for heightened scrutiny of sex-based

classifications, but also hold that many of the Court’s sex-discrimination decisions

turned on an impermissible stereotype. See Nguyen, 533 U.S. at 73; Virginia, 518

U.S. at 533; Geduldig, 417 U.S. at 496 n.20; Frontiero, 411 U.S. at 686. We, of

course, cannot take either of those actions.

      The majority’s narrow construction of bathroom privacy skews the

intermediate-scrutiny analysis in favor of Adams. Policies that separate bathrooms

on the basis of sex arise from the understanding that privacy interests are

sometimes sex specific. By failing to acknowledge any sex-specific privacy

interest, the majority demands the impossible: a justification for sex-separated

bathrooms that does not involve sex. To be sure, the majority suggests that a

different trial record—one that contained evidence that Adams or other transgender

students “harass[ed] or peep[ed] at” other students in the bathroom—might support

the bathroom policy. Majority Op. at 21. But that evidence would not justify a sex-

based classification. If voyeurism is equally problematic whether it occurs between

children of the same or opposite sex, then separating bathrooms by sex would not

advance any interest in combatting voyeurism. Only single-stall bathrooms could

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address that concern. Further, under intermediate scrutiny, an invidious stereotype

about members of a suspect class cannot justify a discriminatory policy “even

when some statistical support can be conjured up for the generalization.” J.E.B. v.

Ala. ex rel. T.B., 511 U.S. 127, 139 n.11 (1994). So evidence that children of a

particular sex—or transgender students under the majority’s perspective—are

likely to “harass or peep at” members of the opposite sex could not justify sex-

separated bathrooms.

      Only after it replaces both of the inquiries relevant to intermediate

scrutiny—the “discriminatory means employed” by the policy and the privacy

interests at issue, Virginia, 518 U.S. at 533 (internal quotation marks omitted)—

does the majority conclude that the school policy does not substantially advance its

objective to protect privacy. The end result is an opinion on sex discrimination that

looks nothing like an intermediate-scrutiny inquiry into whether a sex-based

classification satisfies the Equal Protection Clause.

      The majority’s redefinition of intermediate scrutiny will have consequences

far beyond the confines of this appeal. The logic of its opinion would invalidate all

government policies that separate bathrooms—or locker rooms and showers, for

that matter—by sex. To be sure, the majority “assume[s]” that the government can

promote privacy interests by separating bathrooms by sex, and it insists that the

lawfulness of sex-separated locker rooms is not before it. Majority Op. at 8 n.3, 14.

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But anyone can take advantage of the majority’s demolition of sex-specific

bathroom privacy.

      That the majority purports to invalidate the school policy only as it applies to

Adams changes nothing. See Bucklew, 139 S. Ct. at 1127. The majority does not

offer a meaningful way to distinguish this appeal from one that challenges sex-

separated bathrooms and locker rooms. It only insists that the issue is not before it.

But do not be fooled: future plaintiffs can still leverage the majority’s narrow view

of privacy. Ultimately, if the privacy interest at stake is untethered from using the

bathroom away from the opposite sex or from biological differences between the

sexes, then no justification exists for separating bathrooms—or any related

facility—by sex.

      When shorn of the majority’s misunderstandings of the school policy and the

legal standards that govern sex-based classifications, this appeal is straightforward.

The school policy protects longstanding privacy interests inherent in using the

bathroom, and it does so in an ancient and unremarkable way—by separating

bathrooms on the basis of sex. That policy is not unconstitutional.

                B. The Bathroom Policy Does Not Violate Title IX.

      Title IX mandates that no person “shall, on the basis of sex, be excluded

from participation in, be denied the benefits of, or be subjected to discrimination

under any education program or activity receiving Federal financial assistance.” 20

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U.S.C. § 1681(a). But an important qualification tempers this mandate: “nothing

contained herein shall be construed to prohibit any educational institution receiving

funds under this Act, from maintaining separate living facilities for the different

sexes.” Id. § 1686. The implementing regulations clarify that institutions “may

provide separate toilet, locker room, and shower facilities on the basis of sex, but

such facilities provided for students of one sex shall be comparable to such

facilities provided for students of the other sex.” 34 C.F.R. § 106.33.

      Whether the Board violated Title IX turns on the answer to one question:

what does “sex” mean in Title IX? Regardless of whether separating bathrooms by

sex would otherwise constitute discrimination “on the basis of sex,” 20 U.S.C.

§ 1681(a), the bathroom policy does not violate Title IX if it falls within the safe

harbor for “separate toilet . . . facilities on the basis of sex.” 34 C.F.R § 106.33.

And if the school policy is valid under Title IX, then Title IX also permits the

schools to require all students, including Adams, to follow that policy. Cf. Antonin

Scalia & Bryan A. Garner, Reading Law: The Interpretation of Legal Texts § 30, at

192–93 (2012) (“[W]henever a power is given by a statute, everything necessary to

making it effectual or requisite to attaining the end is implied.” (quoting 1 James

Kent, Commentaries on American Law *464)).

      Contrary to the majority’s and Adams’s arguments otherwise, the Supreme

Court did not resolve this question in Bostock. Far from it. Not only did the Court

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“proceed on the assumption that ‘sex’ . . . refer[s] only to biological distinctions

between male and female,” it disclaimed deciding whether Title VII allows for sex-

separated bathrooms. Bostock, 140 S. Ct. at 1739, 1753. And any guidance Bostock

might otherwise provide about whether Title VII allows for sex-separated

bathrooms does not extend to Title IX, which permits schools to act on the basis of

sex through sex-separated bathrooms. See 20 U.S.C. § 1686; 34 C.F.R. § 106.33.

      Turning to the provisions at issue, this question is not close. As used in Title

IX and its implementing regulations, “sex” unambiguously is a classification on

the basis of reproductive function. We must, of course, give words in statutes the

ordinary meaning they conveyed when Congress enacted them. See New Prime

Inc. v. Oliveira, 139 S. Ct. 532, 539 (2019); Scalia & Garner, Reading Law §§ 6–7,

at 69–71, 78–79. And “sex” has never meant gender identity. See, e.g., Sex, The

American Heritage Dictionary of the English Language (1979) (“The property or

quality by which organisms are classified according to their reproductive

functions.”); Sex, The Random House College Dictionary (1980) (“either the male

or female division of a species, esp. as differentiated with reference to the

reproductive functions”); see also Am. Psychiatric Ass’n, Diagnostic and

Statistical Manual of Mental Disorders 451 (5th ed. 2013) (“This chapter employs

constructs and terms as they are widely used by clinicians from various disciplines

with specialization in this area. In this chapter, sex and sexual refer to the

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biological indicators of male and female (understood in the context of reproductive

capacity) . . . .”).

       That “sex” did not mean gender identity is unsurprising. When Congress

enacted Title IX in 1972, psychiatric literature conflated sexual orientation with

gender identity. See Jack Drescher, Transsexualism, Gender Identity Disorder and

the DSM, 14 J. Gay & Lesbian Mental Health 109, 111 (2010). And as with

homosexuality, a common belief among psychiatrists was that “trans people [were]

severely mentally disturbed.” See id. at 114, 116–17. Indeed, the American

Psychiatric Association first classified “Gender Identity Disorders” as

psychosexual disorders in which a person’s internal sense of gender did not align

with his or her anatomy. See Am. Psychiatric Ass’n, Diagnostic and Statistical

Manual of Mental Disorders 261 (3d ed. 1980). Consistent with this view,

“[m]ainstream medical thinking” when Title IX became law was firmly opposed to

sex-reassignment surgery. Drescher, supra, at 111–12. Even among its proponents,

“[s]ex reassignment was . . . considered not a cure, but a palliative treatment.”

Dallas Denny, A Selective Bibliography of Transsexualism, 6 J. Gay & Lesbian

Psychotherapy 35, 38 (2002). It is untenable to construe transgender status, which

even the medical community saw as a departure from the norm, as altering the

norm itself among the general public.

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      In deciding otherwise, the majority erroneously concludes that the safe

harbor for bathrooms does not apply because Title IX and its regulations do not

“declare” whether “sex” as applied to Adams is the “sex identified at birth”—

female—or the sex listed on Adams’s amended birth certificate and driver’s

license—male. Majority Op. at 40–41 (quoting Bostock, 140 S. Ct. at 1746). But

the ordinary meaning of “sex” in the safe-harbor provision does not change when a

plaintiff is transgender. See Cochise Consultancy, Inc. v. U.S. ex rel. Hunt, 139 S.

Ct. 1507, 1512 (2019) (“In all but the most unusual situations, a single use of a

statutory phrase must have a fixed meaning.”). And as explained above, the

ordinary meaning of “sex” when Congress enacted Title IX turned on reproductive

function. That Congress did not define “sex” does not change this conclusion. See

United States v. Sepulveda, 115 F.3d 882, 886 n.9 (11th Cir. 1997) (“[A] statute is

not ambiguous merely because it contains a term without a statutory definition.”).

And under the unambiguous meaning of “sex” in the safe-harbor provision, the

Board did not violate Title IX when it prohibited Adams from using the boys’

bathroom.

      Instead of grappling with the meaning of “sex,” the majority abdicates its

duty to interpret the law. According to the majority, it is unnecessary to delve into

the meaning of “sex” in Title IX because the safe harbor “does not dictate how

schools should approach transgender students’ restroom use.” Majority Op. at 42.

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But courts regularly apply general standards of law to particular facts, and the

Board asks this Court to apply the safe-harbor provision to the facts in this appeal.

By declaring it not “necessary” to interpret the safe-harbor provision, the majority

abandons statutory interpretation in favor of legislating a transgender exception to

the safe-harbor provision. This approach offends basic principles of statutory

interpretation. See Scalia & Garner, Reading Law § 8, at 93 (“The principle that a

matter not covered is not covered is so obvious that it seems absurd to recite it. The

judge should not presume that every statute answers every question . . . . Nor

should the judge elaborate unprovided-for exceptions to a text . . . .”); EEOC v.

Abercrombie & Fitch Stores, Inc., 135 S. Ct. 2028, 2033 (2015) (“We construe [a

statute’s] silence as exactly that: silence.”).

       Indeed, the majority turns Title IX on its head by requiring a clear statement

from Congress that the safe harbor protects the Board. Because Congress enacted

Title IX under its Spending Clause power, U.S. Const. art. I, § 8, cl. 1, the Board’s

violation must be unambiguous to trigger liability. Although the Spending Clause

allows Congress to “attach conditions on the receipt of federal funds,” South

Dakota v. Dole, 483 U.S. 203, 206 (1987), “[t]he legitimacy of Congress’ power to

legislate under the spending power . . . rests on whether the State voluntarily and

knowingly accepts the terms of the ‘contract.’” Pennhurst State Sch. & Hosp. v.

Halderman, 451 U.S. 1, 17 (1981). In other words, “if Congress intends to impose

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a condition on the grant of federal moneys, it must do so unambiguously.” Id. This

requirement unquestionably applies when courts interpret Title IX. See Davis ex

rel. D. v. Monroe Cty. Bd. of Educ., 526 U.S. 629, 649–50 (1999). It also applies

when the appellant fails to press the issue in the district court. See Jefferson v.

Sewon Am., Inc., 891 F.3d 911, 923 (11th Cir. 2018) (“[P]arties cannot waive the

application of the correct law.”). So even if the majority were correct that “sex”

was ambiguous, Title IX still would not prohibit the Board’s actions. Instead, the

Board would lose the protection of the bathroom safe harbor only if the meaning of

“sex” unambiguously did not turn on reproductive function.

      For its part, the district court ruled that the Board violated Title IX for

different but equally flawed reasons. It first ruled that the meaning of “sex” in Title

IX was ambiguous because the statute did not define the term and dictionary

definitions of “sex” were not “so universally clear” at the time. It then held that our

decision in Glenn v. Brumby, 663 F.3d 1312, and the Supreme Court’s decision in

Price Waterhouse v. Hopkins, 490 U.S. 228 (1989) (plurality opinion), supported

its conclusion that “sex” in Title IX “includes ‘gender identity’ for purposes of its

application to transgender students.”

      A statutory term is not ambiguous solely because a statute does not define it

or because an isolated dictionary suggests a divergent meaning. See Brown v.

Gardner, 513 U.S. 115, 118 (1994) (“Ambiguity is a creature not of definitional

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possibilities but of statutory context . . . .”). Further, the only purportedly

competing definition the district court found—that “sex” means “the character of

being either male or female,” Sex, American College Dictionary (1970)—supports

a biological meaning of sex. That dictionary defined “female” and “male” in

physiological, reproductive terms. See Female, id. (“a human being of the sex

which conceives and brings forth young; a woman or girl”); Male, id. (“belonging

to the sex which begets young, or any division or group corresponding to it”). The

district court had no reason to conclude that the term was ambiguous.

      The decision to resolve the purported ambiguity as applied to transgender

students with Price Waterhouse and Glenn fares no better. Like the majority, the

district court erred by assuming that “sex” could have different meanings as

applied to transgender and non-transgender persons. See Cochise Consultancy, 139

S. Ct. at 1512. Further, neither Price Waterhouse nor Glenn redefined the meaning

of “sex.” They held only that when an employer acts against a member of one sex

for failing to conform to stereotypes associated with that sex—for example,

dressing like the opposite sex—that employer has acted because of sex. See Price

Waterhouse, 490 U.S. at 250 (holding that an employer discriminated on the basis

of sex when he “act[ed] on the basis of a belief that a woman cannot be aggressive,

or that she must not be”); Glenn, 663 F.3d at 1318–19 (“All persons, whether

transgender or not, are protected from discrimination on the basis of gender

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stereotype. . . . Because these protections are afforded to everyone, they cannot be

denied to a transgender individual.”). Whether or not the Board based its policy on

sex stereotypes does not matter for this claim because that question would

determine only whether the Board acted “on the basis of sex.” 20 U.S.C. § 1681(a).

Title IX and its regulations expressly allow the Board to do so to provide separate

bathrooms. See id. § 1686; 34 C.F.R. § 106.33.

      Like the majority, the district court also failed to grapple with the fact that

Congress enacted Title IX under its Spending Clause power. As explained above,

the district court could impose liability only if it concluded that the meaning of

“sex” in Title IX unambiguously did not turn on reproductive function. In other

words, even if the district court were correct that “sex” was ambiguous and that the

best interpretation of “sex” when Congress enacted Title IX was gender identity—

and, to reiterate, it was not on either count—Title IX still would not prohibit a

school from separating bathrooms on the basis of sex.

                                    *      *     *

      The majority transforms an appeal that it should have resolved with

straightforward applications of intermediate scrutiny and statutory interpretation

into something unrecognizable. Almost no aspect of its analysis emerges

unscathed. The majority misunderstands the policy at issue, ignores decades of

precedent, dismisses any sex-specific interest in bathroom privacy, and flouts

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foundational principles of statutory interpretation. In the process, it issues a

holding with radical consequences for sex-separated bathrooms. But for all of its

errors, the majority opinion cannot obscure what should have been the bottom line

of this appeal: there is nothing unlawful, under either the Constitution or federal

law, about a policy that separates bathrooms for schoolchildren on the basis of sex.

      I dissent.

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