The 2017 Lesbian, Gay, Bisexual, and Transgender Long-Term Care Facility Residents’ Bill of Rights Act violates the First Amendment rights of staff members of long term care facilities by imposing criminal penalties on them for repeatedly referring to a facility resident by other than the resident’s preferred name or pronoun when clearly informed of the name and pronoun.  (H&S Code 1439.51(a)(5).)  The prohibition is not narrowly tailored to situations in which the repeated use of the wrong pronoun constitutes harassment or creates a hostile environment.  Another portion of the Act (H&S Code 1439.51(a)(3)) which requires the facility to assign rooms in accordance with the resident’s gender identity is not, on its face, an interference with other residents’ right of intimate association, although it could be challenged as applied in particular cases.