California prohibits doctors from treating homosexuality as a mental illness, even if the "treatment" consists of speech. There are accredited therapists in California who cannot address patients' homosexuality as they think appropriate, because the state deems it ideology and not medicine.
So the state saw a problem with doctors imposing ideological values in the name of medicine, and limited doctor's speech to prevent that. The AMA was on the other side of the fence in that argument. But how is it different in First Am terms?
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