A United Nations committee says it is “deeply concerned” about numerous U.S. human and civil rights abuses in a new report, including the ongoing rise in state-level discrimination against LGBTQ+ people. On November 3, the U.N. Human Rights Committee (HRC) concluded its review of the state of human rights in the U.S., the first such review held in nine years due to a pause during the COVID-19 pandemic. The committee’s report highlighted 29 different “matters of concern” in which the U.S. continues to violate the U.N.’s International Covenant on Civil and Political Rights, despite signing on to the document in 1992. In particular, the committee expressed concern over worsening “discriminatory treatment that persons continue to face based on their sexual orientation or gender identity.” Although the report lauded some recent federal reforms, like the 2022 Respect for Marriage Act, committee members expressed repeated concern over unchecked anti-LGBTQ+ discrimination by state governments, which has proliferated across the country in recent years. The report specifically called out laws that “ban and, in some instances, criminalize gender-affirming health care for transgender persons” and those that “limit discussions on sexual orientation and gender identity issues in school,” like Florida’s now-infamous “Don’t Say Gay” law.