They don't need to worry, in practice the made people in their little mafia will be able to do whatever they want on the DL, but outside their clique probably even straight people will have their lives destroyed by empty accusations
When it was illegal in the UK gay men were sterilized with HRT because of estrogen's libido-reducing effects, so essentially forced transition and dysphoria. I see the US leaning more toward camps, but this government looks like it would try anything to inflict pain on "undesirables"