In this handout photo released by The State Duma, lawmakers attend a session at the State Duma, the Lower House of the Russian Parliament in Moscow, Russia, Friday, July 14, 2023. Russian lawmakers passed a toughened version of a bill on Friday that outlaws gender-affirming procedures, annuls marriages in which one person has "changed gender" and bars transgender people from becoming foster or adoptive parents. (The State Duma, the Lower House of the Russian Parliament via AP)
