President Donald Trump on Tuesday signed an executive order aimed at cutting federal support for gender transitions for people under age 19, his latest move to roll back protections for transgender people across the country.
“It is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures,” the order says.
The order directs that federally-run insurance programs, including TRICARE for military families and Medicaid, exclude coverage for such care and calls on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.
Medicaid programs in some states cover gender-affirming care. The new order suggests that the practice could end, and targets hospitals and universities that receive federal money and provide the care.
The language in the executive order — using words such as “maiming,” “sterilizing” and “mutilation” — contradicts what is typical for gender-affirming care in the United States. It also labels guidance from the World Professional Association for Transgender Health as “junk science.”
On his Truth Social platform, Trump called gender-affirming care “barbaric medical procedures.”
Major medical groups such as the American Medical Association and the American Academy of Pediatrics support access to care.
Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive puberty blockers or hormones. Surgery is extremely rare for minors.
“It is deeply unfair to play politics with people’s lives and strip transgender young people, their families and their providers of the freedom to make necessary health care decisions,” said Human Rights Campaign President Kelley Robinson.
The order encourages Congress to adopt a law allowing those who receive gender-affirming care and come to regret it, or their parents, to sue the providers.
It also directs the Justice Department to prioritize investigating states that protect access to gender-affirming care and “facilitate stripping custody from parents” who oppose the treatments for their children. Some Democratic-controlled states have adopted laws that seek to protect doctors who provide gender-affirming care to patients who travel from states where it’s banned for minors.
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