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Advocates for Informed Choice, dba interACT or interACT Advocates for Intersex Youth, is a 501(c)(3)
nonprofit organization A nonprofit organization (NPO) or non-profit organisation, also known as a non-business entity, not-for-profit organization, or nonprofit institution, is a legal entity organized and operated for a collective, public or social benefit, in co ...
using innovative strategies to advocate for the legal and human rights of children with
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
traits. The organization was founded in 2006 and formally incorporated on April 12, 2010.C3290401 Advocates for Informed Choice
. ''Business Search''. Office of the Secretary of State of California. Retrieved March 20, 2018.


History and structure

interACT was founded in 2006 in
Cotati, California Cotati (; Miwok: ''Kota’ti'') is an incorporated city in Sonoma County, California, United States, located approximately north of San Francisco in the 101 corridor between Rohnert Park and Petaluma. Cotati's population as of the 2020 Censu ...
. The organization is now based in Sudbury, Massachusetts. The board of directors includes Arlene Baratz, MD,
Georgiann Davis Georgiann Davis is an associate professor of sociology at the University of New Mexico and author of the book ''Contesting Intersex: The Dubious Diagnosis''. Davis formerly held similar positions at University of Nevada, Las Vegas and Southern I ...
, Emily Doskow, JD, Julie Greenberg, JD, Eric Lohman, Lynnell Stephani Long,
Mani Mitchell Mani Bruce Mitchell (born 1953) is an intersex activist and counsellor from Wellington, New Zealand. In 2021, Mitchell was recognised as a Member of the New Zealand Order of Merit. Early life Mitchell was born and raised in the central North ...
, Karen Walsh, and Reid Williams. Staff members include
Kimberly Zieselman Kimberly Zieselman is an attorney, human rights advocate, author, and intersex woman, with androgen insensitivity syndrome. She currently serves as executive director of interACT (formerly Advocates for Informed Choice), and is a signatory of the ...
, JD,
Executive Director Executive director is commonly the title of the chief executive officer of a non-profit organization, government agency or international organization. The title is widely used in North American and European not-for-profit organizations, though ...
, and
Anne Tamar-Mattis Anne Tamar-Mattis is an American attorney, human rights advocate, and founder of interACT (formerly Advocates for Informed Choice). She currently serves as interACT's Legal Director. Career Anne Tamar-Mattis spent six years as the Director of ...
, JD, Legal Director. interACT is identified as the successor to the
Intersex Society of North America The Intersex Society of North America (ISNA) was a non-profit advocacy group founded in 1993 by Cheryl Chase to end shame, secrecy, and unwanted genital surgeries.Matthews, Karen (Oct 22, 2000). Debate Grows Over Using Surgery on Infants with Amb ...
(ISNA), charged with maintaining the ISNA website as a "historical archive"


Advocacy

interACT uses innovative strategies to advocate for the legal and human rights of children born with intersex traits, including media work and the development of youth leadership, in addition to strategic litigation. Issues of focus are informed consent,
insurance Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge ...
, identity documents, school accommodation, discrimination, medical records retrieval, adoption, military service,
medical privacy Medical privacy or health privacy is the practice of maintaining the security and confidentiality of patient records. It involves both the conversational discretion of health care providers and the security of medical records. The terms can also ...
, refugee asylum, and wider international human rights.


Physical integrity and bodily autonomy

In 2014, following testimony by then staff member
Pidgeon Pagonis Pidgeon Pagonis (born 1986) is an American intersex activist, writer, artist, and consultant. They are an advocate for intersex human rights and against nonconsensual intersex medical interventions. Early life and education Pagonis was born in ...
,
Anne Tamar-Mattis Anne Tamar-Mattis is an American attorney, human rights advocate, and founder of interACT (formerly Advocates for Informed Choice). She currently serves as interACT's Legal Director. Career Anne Tamar-Mattis spent six years as the Director of ...
was published on medical interventions as torture in healthcare settings, in a book by the
Center for Human Rights & Humanitarian Law The Center for Human Rights and Humanitarian Law at American University Washington College of Law (AUWCL) was founded in 1990 as a way to coordinate all the human rights and humanitarian law activities at AUWCL. The Center’s objective is “to wor ...
at American University
Washington College of Law The American University Washington College of Law (AUWCL or WCL) is the law school of American University, a private research university in Washington, D.C. It is located on the western side of Tenley Circle in the Tenleytown section of nort ...
. In 2016, the United Nations Committee Against Torture asked the United States government to comment on reports of
intersex medical interventions Intersex medical interventions, also known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes ...
on infants and children, following submission of a report by interACT. As part of its submission, interACT stated that it is "unaware of any jurisdiction in the U.S. that enforces its own FGM laws in cases where the girl undergoing clitoral cutting has an intersex trait". In July 2017,
Human Rights Watch Human Rights Watch (HRW) is an international non-governmental organization, headquartered in New York City, that conducts research and advocacy on human rights. The group pressures governments, policy makers, companies, and individual human r ...
and interACT published a major report on medically unnecessary surgeries on intersex children, "I Want to Be Like Nature Made Me", based on interviews with intersex persons, families and physicians. The report found that "Intersex people in the United States are subjected to medical practices that can inflict irreversible physical and psychological harm on them starting in infancy, harms that can last throughout their lives." The report calls for a ban on "surgical procedures that seek to alter the gonads, genitals, or internal sex organs of children with atypical sex characteristics too young to participate in the decision, when those procedures both carry a meaningful risk of harm and can be safely deferred."


Reparations


''M.C. v. Aaronson'' case

On May 14, 2013, interACT,
The Southern Poverty Law Center The Southern Poverty Law Center (SPLC) is an American 501(c)(3) nonprofit legal advocacy organization specializing in civil rights and public interest litigation. Based in Montgomery, Alabama, it is known for its legal cases against white sup ...
, and pro bono counsel for the private law firms of Janet, Jenner & Suggs and
Steptoe & Johnson LLP Steptoe & Johnson LLP is an international law firm headquartered in Washington, D.C. with offices in New York City, Los Angeles, Chicago, San Francisco, London, Brussels, Beijing, and Hong Kong. History Philip Steptoe and Louis A. Johnson, both ...
filed a lawsuit against South Carolina Department of Social Services (SCDSS), Greenville Health System,
Medical University of South Carolina The Medical University of South Carolina (MUSC) is a public medical school in South Carolina. It opened in 1824 in Charleston as a small private college aimed at training physicians and has since established hospitals and medical facilities ac ...
and individual employees for performing an irreversible and medically unnecessary surgery on an infant who was in the state's care at the time of the surgery. The defendants sought to dismiss the case and seek a defense of qualified
immunity Immunity may refer to: Medicine * Immunity (medical), resistance of an organism to infection or disease * ''Immunity'' (journal), a scientific journal published by Cell Press Biology * Immune system Engineering * Radiofrequence immunity desc ...
, but these were denied by the District Court for the District of South Carolina. In January 2015, the
Court of Appeals for the Fourth Circuit The United States Court of Appeals for the Fourth Circuit (in case citations, 4th Cir.) is a federal court located in Richmond, Virginia, with appellate jurisdiction over the district courts in the following districts: * District of Maryla ...
reversed this decision and dismissed the complaint, stating that, "it did not 'mean to diminish the severe harm that M.C. claims to have suffered' but that a reasonable official in 2006 did not have fair warning from then-existing precedent that performing sex assignment surgery on sixteen-month-old M.C. violated a clearly established constitutional right." The Court did not rule on whether or not the surgery violated M.C.'s constitutional rights. State suits were subsequently filed. In July 2017, it was reported that the case had been settled out of court by the
Medical University of South Carolina The Medical University of South Carolina (MUSC) is a public medical school in South Carolina. It opened in 1824 in Charleston as a small private college aimed at training physicians and has since established hospitals and medical facilities ac ...
for $440,000, without admission of liability.


Youth leadership development

interACT Youth is a program for intersex youth, run by intersex youth. All members between 14 and 25 years old, have intersex traits, and are in a place where they are ready to speak out about their experiences. interACT Youth works to provide tomorrow's scholars and activists a platform for their vital perspectives. A product of this work entitled "What We Wish Our Doctors Knew" was the first of its kind: Intersex youth talking back to medical providers and caregivers. InterACT Youth is funded in part by Ms. Foundation and Liberty Hill Foundation. In 2013, the then youth leadership coordinator,
Pidgeon Pagonis Pidgeon Pagonis (born 1986) is an American intersex activist, writer, artist, and consultant. They are an advocate for intersex human rights and against nonconsensual intersex medical interventions. Early life and education Pagonis was born in ...
, testified for interACT before the Inter-American Commission on Human Rights about the medical interventions they were subjected to as an intersex child, alongside Latin Americans Mauro Cabral, Natasha Jiménez and Paula Machado.


Media work

interACT has worked with MTV on the program '' Faking It'', notable for providing the first intersex main character in a television show, and television's first intersex character played by an intersex actor. In 2017, interACT began working with Belgian-born model Hanne Gaby Odiele to tackle social taboos and unnecessary surgeries. interACT published a media guide on covering intersex issues in January 2017.


Language

Having historically used the current clinical terminology of
disorders of sex development Disorders of sex development (DSDs), also known as differences in sex development, diverse sex development and variations in sex characteristics (VSC), are congenital conditions affecting the reproductive system, in which development of chromo ...
, interACT issued a strong statement favoring the term intersex in 2016, citing increasing acceptance and public awareness.


Involvement in Senate Bill 201

InterACT has been an advocate for a variety of legislative movements related to intersexuality and those affected. One example of their advocacy is the organizations support and co-sponsorship of the proposed legislation of California Senate Bill 201. Proposed by Senator Scott Wiener (D-San Francisco) on January 28, 2019, and amended on March 25, 2019, the proposal has yet to be voted on. The Senate Bill would "ensure intersex individuals can provide informed consent before any medical treatments or interventions that could irreversibly affect their fertility or sexual function, as stated on the interACT website. The bill would not prohibit intervention in the instance of a medical emergency. InterACT commented on the legislation, stating that "This long overdue measure will give individuals the opportunity to delay medically unnecessary, potentially harmful, irreparable procedures until they have the ability to make an informed decision for themselves."


Interface Project

The Interface Project is a tax-exempt 501(c)(3) nonprofit operating under the fiscal sponsorship of interACT. Founded in 2012, and currently curated by Jim Ambrose, The Interface Project features stories of people born with intersex traits – or variations of sex anatomy – under the banner: ''No Body Is Shameful''.


See also

*
Intersex human rights Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals, that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies." Intersex peo ...
*
Intersex rights in the United States Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions and violence, and protection from discrimination. Actions ...


References


External links

* {{official website, http://www.interactadvocates.org 501(c)(3) organizations Non-profit organizations based in the San Francisco Bay Area Intersex rights organizations Legal advocacy organizations in the United States Bioethics Civil rights organizations in the United States 2006 establishments in California Intersex medical and health organizations Intersex support groups Intersex rights in the United States