The Nova Wellness Center and the Meany Health Center are 'health centers' inside of schools that offer 'gender reaffirming care,' including hormone-blocking medications and referrals for sex change surgeries to middle and high school students in Seattle Public Schools. A group called Parents Defending Education first brought attention to the fact that kids as young as 11 will have access to the gender-altering chemicals. Last year, the district saw an 853% increase in students that identify as non-binary in only three years.

Snohomish School District officials told The Post Millennial in 2022, "In Washington state, the age of medical consent is 13. That means that a person 13-17 years old can independently seek medical treatment, without the consent or knowledge of parents/guardians."