Many bills to prevent transgender female athletes from playing the sport they love are being introduced in the United States.

It took Bianca Bell, a social worker who chairs the North Dakota Board of Social Work Examiners, more than a year to craft a bill banning social workers from performing “conversion therapy” on LGBTQ people or anyone else who questions their sexual orientation or gender identity.

And despite a very close vote, 8 for and 7 against, members of the North Dakota Administrative Rules Committee, which licenses social workers in the state, approved the bill.