
This article was first shared on CaliforniaFamily.org
Eight years ago, when California lawmakers first considered SB 219, California Family Council warned that the bill would lead to the punishment of faithful caregivers who declined to use state-mandated pronouns. At the time, CFC’s Vice President Greg Burt testified before the legislature that “compelled speech is not free speech,” urging lawmakers not to criminalize caregivers for acknowledging biological reality. Those warnings were dismissed as alarmist.
Last month, the California Supreme Court proved them true.
In a sweeping decision, the Court reinstated the most coercive portion of SB 219, known as the “pronouns provision,” reversing the 2021 Third District Court of Appeal ruling that had struck it down as unconstitutional. The law now once again threatens fines and even jail time for long-term care staff who “willfully and repeatedly” decline to use a resident’s preferred pronouns. There is no exemption for faith-based nursing homes.
The ruling came in the case Taking Offense v. California, which challenged SB 219’s restrictions on speech within long-term care facilities. In 2021, the Court of Appeals held that the pronoun mandate violated the First Amendment because it regulated the content of speech, not conduct. But on November 6, 2025, the California Supreme Court reversed course, declaring that the law should be seen not as compelled speech but as a “regulation of discriminatory conduct that incidentally affects speech.”
Chief Justice Patricia Guerrero, writing for the majority, claimed the statute is “carefully calibrated and does not restrict long-term care facilities’ staff from expressing their views about gender… other than by misgendering a resident.” She concluded that “the prohibition is limited to willful, repeated, knowing acts” and therefore falls outside First Amendment protections.
Yet as attorney David Llewellyn, the lawyer for Taking Offense, told Courthouse News, the only “conduct” the statute regulates is speech itself. “Embarrassing,” he said of the ruling.
And he is right.
It is important to describe the law precisely and accurately.
SB 219 amended the state Health & Safety Code to prohibit a range of bias-related actions in skilled-nursing and residential-care facilities. Among these is the requirement that staff not persistently:
use a resident’s former name (“dead-naming”), or
use pronouns contrary to the resident’s stated preference.
Accidental or isolated mistakes are not punishable under SB 219.
The statute applies only to “willful and repeated” violations — meaning intentional, knowing, and continual refusal.
However, the law still carries misdemeanor penalties:
up to a $1,000 fine,
and up to six months in county jail.
And although prosecutors have never filed a case under this provision, the threat is very real. Every caregiver in the state is now subject to potential criminal investigation merely for speaking in accordance with their conscience, beliefs, or understanding of biological reality.
2017 — SB 219 introduced.
Senator Scott Wiener proposes penalties, including up to six months in jail, for caregivers who do not use a resident’s preferred pronouns. CFC, led by Greg Burt, testifies that the bill violates the First Amendment and criminalizes people of faith for speaking truthfully.
2017 — Governor Jerry Brown signs SB 219.
Religious-liberty advocates warn that the bill will harm caregivers, chill free expression, and open the door to government-enforced ideology.
2021 — SB 219 struck down.
The Third District Court of Appeal rules the pronoun mandate unconstitutional, a major free-speech victory celebrated by CFC.
2025 — SB 219 resurrected.
The California Supreme Court reverses, reinstating criminal penalties and asserting that compelled pronouns are not a First Amendment issue.
Scripture is clear: “Male and female He created them” (Genesis 1:27). For Christians serving in long-term care, many of whom are motivated by their faith to care for the elderly, SB 219 now demands they verbally affirm a gender ideology they believe to be false. Failure to comply can result in government punishment.
Chief Justice Guerrero’s insistence that the law regulates “conduct” ignores reality. There is no “conduct” at issue, only pronouns, only words. As CFC has long argued, forced pronoun use is forced ideological affirmation. The First Amendment does not permit the state to command the content of a citizen’s speech, no matter how “carefully calibrated” the state claims the mandate to be.
Faith-based facilities and Christian caregivers receive no protection. A devout nurse who lovingly refers to a biologically male resident as “sir” or “he” could be investigated, fined, or jailed.
If California can compel pronouns in medical facilities today, what is to stop the state from compelling other forms of ideological speech tomorrow with criminal penalties, perhaps in schools, workplaces, or other faith-based organizations? The Court’s logic lays the groundwork for expansive penalties on any speech the state deems “discriminatory.”
Greg Burt, CFC’s Director of Capitol Engagement, offered a sobering reminder of the warnings he voiced in 2017:
“Eight years ago, we warned legislators that SB 219 would jail Christians for speaking biological truth. Sadly, the California Supreme Court just proved us right. Compelled speech is not tolerance, it’s tyranny.”
CFC rejects the false notion that truth and compassion are incompatible. Christians are commanded to speak the truth in love, not to surrender the truth at the command of the state. And as the apostles declared when commanded to speak contrary to God’s truth: “We must obey God rather than men.” (Acts 5:29)
California’s seniors deserve compassionate care. Caregivers deserve constitutional protections. And people of faith deserve the freedom to speak without government coercion.
CFC is exploring every possible avenue to challenge the Court’s ruling and defend the First Amendment rights of caregivers across California. We will also work with allied legislators to advance repeal efforts and with national partners, such as Alliance Defending Freedom and Family Research Council, to pursue constitutional remedies.