Ohio Gov. Mike DeWine announced proposals this month that transgender advocates say could block access to gender-affirming care provided by independent clinics and general practitioners, leaving thousands of adults scrambling for treatment and facing health risks.

Ashton Colby, 31, fears the clinic where he gets the testosterone he has taken since age 19 would no longer offer it. The transgender Columbus man believes he could eventually be treated by another provider that would meet the new requirements. But even a few months’ wait could leave Colby experiencing a menstrual cycle for the first time in many years.

“My mental health has been stressed,” Colby said. “These are feelings related to being transgender that I have not felt in years, but now I’m thrown into feeling devastated about my experience as a transgender person.”