Federal judge pauses Trump order restricting gender-affirming care for trans youth
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BALTIMORE — A federal judge on Thursday temporarily blocked President Trump’s recent executive order aimed at restricting gender-affirming healthcare for transgender people under age 19.
The judge’s ruling came after a lawsuit was filed this month on behalf of families with transgender or nonbinary children who allege their healthcare has already been compromised by the president’s order. A national group for family of LGBTQ+ people and a doctors organization are also plaintiffs in the court challenge, one of many lawsuits opposing a slew of executive orders Trump has issued as he seeks to reverse the policies of former President Biden.
Judge Brendan Hurson, who was nominated by Biden, granted the plaintiffs’ request for a temporary restraining order following a hearing in federal court in Baltimore. The ruling, in effect for 14 days, essentially puts Trump’s directive on hold while the case proceeds. The restraining order could also be extended.
Trump’s executive order “seems to deny that this population even exists, or deserves to exist,” Hurson said.
Shortly after taking office, Trump signed an executive order directing federally run insurance programs to exclude coverage for gender-affirming care. That includes Medicaid, which covers such services in some states, and TRICARE for military families. Trump’s order also called on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.
President Trump issued an executive order Tuesday that aims to stop the use of puberty blockers, hormones and other forms of gender-affirming care for transgender youth.
The lawsuit includes several accounts from families of appointments being canceled as medical institutions react to the new directive.
Attorneys for the plaintiffs argue Trump’s executive order is “unlawful and unconstitutional” because it seeks to withhold federal funds previously authorized by Congress and because it violates anti-discrimination laws while infringing on the rights of parents.
Like legal challenges to state bans on gender-affirming care, the lawsuit also alleges the policy is discriminatory because it allows federal funds to cover the same treatments when they’re not used for gender transition.
Some hospitals immediately paused gender-affirming care, including prescriptions for puberty blockers and hormone therapy, while they assess how the order affects them.
Trump’s approach on the issue represents an abrupt change from the Biden administration, which sought to explicitly extend civil rights protections to transgender people. Trump has made multiple false claims about healthcare for transgender youth.
Major medical groups such as the American Medical Assn. and the American Academy of Pediatrics support access to gender-affirming 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.
Skene writes for the Associated Press.
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