Tag: gender

California lawmakers approve measure protecting medical data of transgender people 

Read more at The Hill.

California lawmakers passed legislation this week to prevent health providers from releasing transgender patients’ confidential medical records in investigations of gender-affirming care in states that ban treatment for minors. 

Senate Bill 497, introduced in February by Sen. Scott Wiener, a Democrat representing San Francisco, builds upon a 2022 state law that established California as a state of refuge for transgender people. That law, also authored by Wiener, prevents states that have banned gender-affirming care for minors from taking legal action against trans youth, their families and their doctors over treatment administered in California. 

The latest bill would require law enforcement requesting health information about transgender people in California to provide a warrant, according to Wiener’s office. It would also bar medical providers from complying with out-of-state requests, including subpoenas, for information related to gender-affirming care. 

“California must do everything in our power to protect the transgender community, and I’m confident that the Governor will continue his longstanding leadership on trans issues,” Wiener said in a statement on Thursday after the bill passed. 

The California Senate voted 30-10 on Wednesday to pass Wiener’s bill, which the state Assembly passed earlier this week. A spokesperson for California Gov. Gavin Newsom (D) declined to comment, saying the governor’s office does not typically remark on pending legislation. 

Newsom must sign or veto the measure by Oct. 13. 

The vote on Wiener’s bill comes after the Justice Department announced in June that it had sent more than 20 subpoenas to doctors and clinics “involved in performing transgender medical procedures on children” in investigations of alleged health care fraud and false statements. A subpoena sent to the Children’s Hospital of Philadelphia that was made public in a court filing last month requested patients’ birth dates, Social Security numbers and home addresses, as well as “every writing or record of whatever type” from doctors related to the provision of gender-affirming care to adolescents younger than 19 years. 

The subpoena requested information dating back to January 2020, more than a year before transition-related care was banned anywhere in the U.S. 

On Tuesday, a federal judge blocked an effort by the Trump administration to subpoena medical records of transgender patients who received gender-affirming care at Boston Children’s Hospital, calling the Justice Department’s investigation improper and “motivated only by bad faith.” 

In an email on Friday, a spokesperson for Wiener said Senate Bill 497, if signed, would “strengthen the case for any medical provider who wishes to fight Trump’s vicious assault on the transgender community.” 

President Trump and administration officials have broadly sought to ban gender-affirming care for minors. A Jan. 28 executive order states that the U.S. “will rigorously enforce” laws that ban transition-related care for anyone younger than 19. 

Federal judges have blocked parts of the order threatening funding for hospitals. 

Laws adopted by more than half the nation since 2021 ban gender-affirming care for minors, which major professional medical groups say is medically necessary and often lifesaving for transgender youth and adults. In June, the Supreme Court ruled that states can ban treatment for minors, finding that Tennessee’s prohibition on puberty blockers, hormones and rare surgeries for adolescents does not constitute sex discrimination. 

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Texas drops lawsuit against doctor accused of providing gender-affirming care to youth

Read more at LGBTQ Nation.

Texas Attorney General Ken Paxton withdrew the state’s lawsuit against pediatric endocrinologist Dr. Hector Granados on Thursday after finding no evidence that he violated the state’s ban on gender affirming care for trans youth.

Paxton sued Granados in October 2024, accusing him of providing puberty blockers and hormones to patients as young as 12 in treatment for gender dysphoria. Paxton accused Granados of falsifying medical and billing records to mislead pharmacies and insurance providers into covering the care.

Paxton initially called Granados a “scofflaw who is harming the health and safety of Texas children,” and Granados wasn’t notified before the lawsuit’s filing, in worries that he might try to destroy relevant records, The Hill reported.

However, Granados said he stopped providing gender-affirming care in May 2023, after the state’s legislature passed the law. Now that Paxton’s office has dropped its charges against him, Paxton’s office will now “focus on other ongoing cases against doctors who illegally provided harmful ‘transition’ treatments and drugs to children,” an attorney general spokesperson said, according to The Hill.

The state has also sued May Lau and M. Brett Cooper, two medical providers from the University of Texas’ Southwestern Medical Center in Dallas. If found guilty, both could possibly lose their medical licenses and face hundreds of thousands of dollars in fines.

Despite Paxton’s claim about gender-affirming care being “harmful,” the medications used in such care have been used safely in children for decades for the purposes of gender transition and to treat other medical issues in cisgender children as well. In fact, Texas’ law stands in opposition to the best care practices for treating gender dysphoria recommended by every major American medical association. These associations agree that such care is safe, effective, and essential for the overall well-being of trans people.

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Creator of the trans flag is fleeing U.S. due to LGBTQ+ persecution

Read more at The Advocate.

Monica Helms, the Navy veteran and creator of the original transgender pride flag, is fleeing the country due to anti-LGBTQ persecution.

She and her wife, Darlene Wagner, launched a GoFundMe earlier this year to facilitate their move abroad.

“We are worried there’s a possibility something could happen where we end up getting arrested just for being who we are,” Helms said in an interview with the Bay Area Reporter when the fundraiser first kicked off.

The couple currently lives in Georgia, which Erin in the Morning’s newest risk assessment map labeled as a “high risk” area for transgender people. Helms is by no means the only transgender refugee fleeing the United States. In May, a Williams Institute poll found that nearly half of all trans adult respondents had considered moving out of state or out of the country.

Since 2023, almost three dozen anti-trans bills have been introduced in Georgia, four of which have passed, according to the Trans Legislation Tracker. There was a ban on trans girls playing on scholastic women’s sports teams, a ban on using state funds to provide transition-related health care to incarcerated people, a ban on providing evidence-based medical treatment for minors with gender dysphoria, and the Georgia Religious Freedom Restoration Act—which does not explicitly target trans people, but is likely to make it easier to discriminate against them using religion as a legal defense. (Thankfully, there have been some successful and ongoing legal challenges to many of these policies.)

However, “even blue states are starting to see problems,” Helms told the Bay Area Reporter. California’s governor reportedly moved to kill pro-LGBTQ bills behind the scenes; New Jersey school boards have engaged in a coordinated effort to forcibly out trans students to hostile parents; and hospitals located within Democratic strongholds across the country are violating state equal protections laws to deny trans kids access to health care, capitulating to Trumpian threats.

NBC’s Jo Yurcaba profiled families of trans kids moving to places like Australia and New Zealand. Hannah Kreager, a 22-year-old trans woman from Arizona, filed a groundbreaking asylum claim in Canada earlier this year; if granted, it would mark the first time a trans person from the United States would be given asylum in another country due to their LGBT status.

Of course, all of these stories come with the presumption of privilege. Trans people in these scenarios may have had familial support and/or a source of income or wealth that enabled them to uproot their lives to a safer place. Others resort to bouncing from state to state to receive care, uprooting their lives to live in a more tolerant community or traveling across state or international lines periodically to access health care.

As for Helms, she vowed to continue to fight for trans people no matter where she lives. “We will not abandon our activism,” she wrote in her GoFundMe.

Helms designed the transgender pride flag after having a conversation with the creator of the bisexual pride flag in 1999, she told the Bay Area Reporter. She has said it is important to her that it remains open and free to use for the public. The pink, white, and blue flag has become a household symbol for trans people and their loved ones.

“No matter how you fly it, it’s always correct, which signifies finding correctness in our own lives,” Helms said.

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DOJ mulling rule that could restrict transgender individuals from owning guns

Read more at ABC News.

Senior Justice Department officials have held internal deliberations in recent days over potentially issuing a rule that could restrict transgender individuals from being able to own firearms, two officials familiar with the discussions confirmed Thursday to ABC News.

The policy discussions, which are believed to be in their early stages and driven in part by chatter in right-wing media, follow last week’s Minneapolis Catholic church shooting that the FBI has said was carried out by a transgender woman.

Such a proposal could face significant pushback not only from civil rights groups but from gun rights organizations, which have historically been resistant to the issuance of any regulations restricting people’s access to firearms.

There is no evidence to suggest transgender people are more likely to be violent than the general population. However, transgender people are far more likely than average to be the victim of a violent crime.

Still, the discussions have percolated in recent days among top officials in the Justice Department, including in the Office of Legal Counsel, which provides legal advice to all executive branch agencies.

The American Psychiatric Association (APA) and other major medical associations do not consider being transgender a mental illness and recognize transgender and gender diverse identities as normal variations in human expression. The APA distinguishes gender dysphoria — which is defined as “clinically significant distress or impairment” that transgender individuals may experience when they feel a difference between their assigned sex at birth and their gender identity — as a separate diagnosis, and supports gender-affirming care while opposing practices that try to change a person’s gender identity.

DOJ officials have debated whether having a diagnoses of gender dysphoria could disqualify someone under a federal law that restricts people who are “adjudicated as mental defective” from owning guns, sources said.

The possible move would be the latest escalation in an ongoing push by the Trump Administration to restrict the rights of transgender individuals — and would appear to conflict with other moves by the Justice Department to lift what it has argued are unfair burdens restricting Americans’ Second Amendment rights to bear arms.

Among its efforts, the DOJ has proposed a new rule that could restore gun ownership rights to certain people with felony convictions, and has said it would pursue civil rights investigations into cities that it says engage in a pattern or practice of depriving local citizens of their Second Amendment rights.

Laurel Powell, director of communications at the Human Rights Campaign, told ABC News in a statement, “The Constitution isn’t a privilege reserved for the few; it guarantees basic rights to all. Transgender people are your neighbors, classmates, family members, and friends — and we deserve the full protection of our nation’s laws, not anti-American nonsense from the White House.”

“If rights can be stripped from one group simply because of who they are, they can be stripped from anyone,” Powell said.

A Justice Department spokesperson told ABC News, “The DOJ is actively evaluating options to prevent the pattern of violence we have seen from individuals with specific mental health challenges and substance abuse disorders. No specific criminal justice proposals have been advanced at this time.”

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Texas uses special session to push “discriminatory & harmful” anti-trans & anti-abortion bills

Read more at LGBTQ Nation.

Despite mounting public protest, Texas lawmakers are fast-tracking two anti-trans and anti-abortion bills. Both measures are being advanced during a special legislative session convened by Governor Greg Abbott (R), who has made restricting transgender rights and reproductive freedom central to his agenda.

Senate Bill 8, an anti-trans “bathroom bill,” would require government buildings —including public universities — to designate restrooms, locker rooms, and other facilities strictly by “biological sex,” instead of gender identity. SB 8 penalizes institutions, not individuals: a first violation carries a $5,000 fine, with repeat violations rising to $25,000 each. It also empowers the state attorney general to investigate complaints.

“I will say it again: SB 8 does NOT protect women.  It is an unconstitutional and a direct attack on the rights of the Trans community,” state Rep. Jessica González (D), who represents District 104 and chairs the Texas House LGBTQ Caucus, wrote on X. “This bill is nothing less than discriminatory and harmful, and it has no place in Texas.”

The state Senate approved SB 8 earlier this month, and it was subsequently greenlighted by the House State Affairs Committee on August 22, despite about 100 activists gathering at the Texas Capitol to protest it, with nearly half of the protesters participating in a sit-in.

Cameron Samuels, an incoming student at the Lyndon B. Johnson School of Public Affairs, told The Daily Texan that bills like SB 8 are designed to erase trans lives. “We are the experts of our lived experiences and this hate and bigotry relies on our inability to tell our stories,” Samuels said.

“They are seeking to silence and erase our narratives. But when we are telling our stories and demonstrating a more accurate reflection of what it means to be a transgender Texan, then we bust those myths and we challenge those narratives.”

According to Equality Texas, testimony on the bill was halted after just two hours, leaving nearly 100 people who had signed up to speak without the chance to testify. After Republicans ended the testimony early, Democratic Representatives Jessica González and Donna Howard held a “people’s hearing” in the Texas Capitol auditorium. SB 8 is now awaiting a final vote and debate on the House floor.

Protesters also rallied against House Bill 7, a sweeping measure that seeks to sharply restrict access to abortion medication. HB 7 would allow private citizens to sue anyone who manufactures, mails, prescribes, or provides abortion pills in Texas, with damages starting at $100,000 per violation.

The measure mirrors earlier “bounty” laws but expands them by targeting the most common method of abortion in the United States. On August 25, the House State Affairs Committee passed a revised version of the bill.

“Despite already having a total abortion ban on the books—one that is wreaking havoc on the state’s health care infrastructure and tragically taking the lives of pregnant people—the Texas legislature is voting on SB 7, another horrifying bounty hunter bill,” the Center for Reproductive Rights said on X. “If enacted, one of the very last avenues for Texans to access critical reproductive care will be closed off.”

Lawmakers have until September 13 to pass the bills during the special session. If approved, SB 8 and HB 7 would add to Texas’s growing slate of anti-trans and anti-abortion laws.

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Transgender people in Kenya just won a major court victory

Read more at LGBTQ Nation.

A trans woman’s court victory in Kenya could have wide-ranging implications for trans rights in the East African nation, after a judge agreed she suffered inhuman and degrading treatment at the hands of government authorities and directed Parliament to enact protections and recognition in law for trans Kenyans.

The plaintiff, Shieys Chepkosgei, was detained in 2019 and charged with “impersonation,” despite the fact that she had held official documents, including a birth certificate and passport with female sex markers, while living in another country where she had also competed in women’s athletics.

Chepkosgei was arrested by Kenyan police while visiting a teaching hospital, Q News reports.

She was remanded to a women’s facility, strip-searched, and ordered by a court to undergo “gender determination,” which included a genital examination, hormone testing, blood sampling, and radiological testing.

Chepkosgei challenged her detention and the nonconsensual medical examinations in court, arguing they were unconstitutional, violated her inherent dignity, and highlighted a legislative gap in the treatment of transgender persons in custody in Kenya.

Justice R. Nyakundi of the Eldoret High Court agreed that Chepkosgei’s rights to dignity, privacy, and freedom from inhuman and degrading treatment had been violated, according to Jinsiangu, a Kenyan intersex, transgender, and gender non-conforming rights group. She was awarded the equivalent of about $8000.

But the judge went a step further, directing the Kenyan government to initiate legislation in Parliament addressing the rights of transgender Kenyans, either with new protections or by amending current legislation on the rights of intersex people currently moving through Parliament.

“This is the first time a Kenyan court has explicitly ordered the State to create legislation on transgender rights, and a first on the African continent,” Jinsiangu’s Lolyne Ongeri told Mamba Online.

“If implemented, it could address decades of legal invisibility and discrimination faced by transgender persons by establishing clear legal recognition of gender identity, protections against discrimination in employment, housing, healthcare, and education, and access to public services without bias or harassment.”

Kenya has a fraught history with LGBTQ+ rights, with colonial-era penalties for same-sex behavior still in effect, and discriminatory legislation modeled on Uganda’s notorious Anti-Homosexuality Act – which allows for the death penalty for homosexuality – introduced in Parliament.

Same-sex relations remain criminalized, with “carnal knowledge against the order of nature” and “gross indecency” punishable by up to 14 years in prison.

Transgender people in Kenya face widespread stigma, discrimination, and violence. Current law bars trans Kenyans from legally changing their gender identity from the one assigned at birth.

While LGBTQ+ people have found relief in the courts, homophobia pervades Kenyan society and the legislature.

In 2023, Kenya’s Supreme Court affirmed a decision granting an LGBTQ+ rights group official status and legal recognition as a non-governmental organization (NGO). The decision ignited protests in the country’s second-largest city, led by clerics and homophobic politicians.

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More than 20 hospitals have rolled back gender-affirming care amid anti-trans crackdown

Read more at LGBTQ Nation.

At least 21 hospitals and health systems have suspended or reduced health services for transgender minors and young adults in 2025, according to an NBC News analysis. Many providers cited fears of federal investigations and the potential loss of government funding.

This rollback comes against a backdrop of escalating legal attacks on transgender health care. In recent years, 26 states have passed bans restricting gender-affirming care for minors, with six making it a felony to provide certain treatments. Roughly 40% of trans youth ages 13 to 17 now live in states where access to care is restricted, according to KFF. In June, the Supreme Court upheld Tennessee’s gender-affirming care ban, effectively green-lighting similar laws nationwide.

At the federal level, restricting access to transition-related care has become a main policy objective of the administration. In January, the president signed an executive order directing federal agencies to cut off funding for gender-affirming care for minors and instructing the Department of Justice (DOJ) to investigate and criminalize providers and health centers that offer such care. In April, Attorney General Pam Bondi ordered the DOJ to investigate providers, hospitals, and clinics that provide gender-affirming care to trans youth.

The crackdown escalated earlier this summer when federal prosecutors issued subpoenas to more than 20 hospitals and clinics. In August, sixteen states and the District of Columbia filed suit in an attempt to block the administration’s investigations. However, several providers that received subpoenas chose to suspend offering gender-affirming care instead of waiting for the outcome of the lawsuit.

The chilling effect has extended even into Democratic-led “sanctuary” states, where lawmakers have promised protections for transgender people. While attorneys general in those states initially reminded hospitals that scaling back gender-affirming care could violate state anti-discrimination laws, none have pursued enforcement actions. In practice, this has allowed hospitals to quietly eliminate or reduce programs without consequence.

According to the NBC News review, twelve hospitals have either stopped or announced plans to stop prescribing puberty blockers or hormone therapy to patients under 19, four hospitals have ended surgeries for minors, and one facility halted all gender-affirming care for trans youth under 18. At least seven university-affiliated health systems, including Stanford Medicine, University of Pittsburgh Medical Center (UPMC), University of Chicago (UChicago Medicine), University of Pennsylvania, Rush University Medical Center, the University of Michigan, and Yale New Haven Hospital, have ceased offering some or all trans-related health services.

An additional five hospitals have scrubbed their websites of pages advertising transgender services for minors.

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Whitehall, Ohio passes LGBTQ-inclusive nondiscrimination protections, bans conversion therapy on minors

Read more at the Buckeye Flame.

The Whitehall City Council voted unanimously to pass an LGBTQ-inclusive nondiscrimination ordinance and a conversion therapy ban at their regular meeting on Tuesday. 

The Columbus suburb became the 37th location in Ohio to pass LGBTQ-inclusive nondiscrimination protections and the 14th location to ban conversation on minors.

Joseph Soza, Equality Ohio’s Central Ohio organizer, lives right on the border of Columbus and Whitehall. 

“I was previously living with the awkward scenario of having legal protections at home, but not in many of the public spaces I frequent in Whitehall,” Soza said in a statement. “Until we achieve statewide nondiscrimination protections, I know that most Ohioans find themselves in a similar situation. While I’m grateful for the initiative taken by cities like Whitehall, it continues to be disappointing that we don’t have these protections statewide.”

Whitehall’s nondiscrimination ordinance covers a range of identities – including sexual orientation, gender identity and gender expression – with protections extending to employment, housing and public accommodations. The ordinance contains an exception for religious institutions to give preference to those who share their religion, provided that such “offerings are not for commercial purposes or supported by public funds.”

Whitehall’s conversion therapy ban prohibits mental health professionals from engaging in “any practices or treatments that seek to change a [minor’s] sexual orientation or gender identity, including efforts to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender.”

Both the nondiscrimination protections and the conversion therapy ban are housed under Whitehall’s prohibition on “unlawful discriminatory acts or practices.” Violations could result in a civil penalty of up to $2,500. 

Ohio does not have statewide LGBTQ-inclusive nondiscrimination protections, despite decades of attempts by legislators. The Ohio Fairness Act, which would grant these protections, currently sits in the Ohio House (HB 136) and Senate (SB 70), but has not been scheduled for a hearing in either chamber. 

There also is no statewide ban on conversion therapy on minors, despite many years of attempts by legislators. A bill to ban conversion therapy on minors currently sits in the Ohio House (HB 300) and Senate (SB 71), but has not been scheduled for a hearing in either chamber. 

LGBTQ+ advocates point to Whitehall as an example of what can be achieved locally, despite the lack of movement in the Columbus Statehouse.

“Equality Ohio is embarking on a journey to flip the state back to equality through our bold new local advocacy strategy,” said Dwayne Steward, executive director of Equality Ohio. “We have won before. And we will win again. But only if we do so together.” 

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Administration’s “cruel” & “illegal” policy ends gender-affirming care for all federal employees

Read more at LGBTQ Nation.

The presidential administration has quietly ended federal employees’ insurance coverage for gender-affirming care. An LGBTQ+ legal advocacy organization called the policy “not only cruel, [but] illegal.”

A letter sent last Friday from the U.S. Office of Personnel Management Healthcare and Insurance to insurance companies said that the Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) Programs will no longer cover “gender transition” services for people of all ages starting in 2026. The letter says that insurance companies can develop an exemption process for patients currently receiving gender-affirming care “on a case-by-case basis,” though it doesn’t specify how.

However, the programs will still cover “counseling services for possible or diagnosed gender dysphoria,” including “faith-based counseling,” which might be a euphemism for conversion therapy, a widely debunked pseudoscientific practice that purports to change a person’s gender identity or sexual orientation.

The letter also directs insurance companies not to “list or otherwise recognize” providers of gender-affirming care in directories of medical professionals and clinics covered by insurance, Them reported.

In a statement condemning the letter, the LGBTQ+ legal advocacy group Lambda Legal wrote that the “policy violates constitutional protections and multiple federal anti-discrimination laws.”

“This discriminatory policy… is not only cruel—it is illegal,” wrote Lambda Legal Counsel and Health Care Strategist Omar Gonzalez-Pagan.

“The federal government cannot simply strip away essential healthcare coverage from transgender employees while providing comprehensive medical care to all other federal workers,” Gonzalez-Pagan added. “Beyond the fundamental equal protection guarantees enshrined in our Constitution, which prohibit such animus-laden actions, multiple federal laws also prohibit this type of discrimination.”

Lambda Legal pledged to explore all options to respond to the discriminatory policy and asked federal employees harmed by the policy to contact their organization.

While the current presidential administration has sought to eradicate gender-affirming care for trans youth, something the administration calls “chemical or surgical mutilation,” this policy change is one of many that show the administration’s interest in ending gender-affirming care for trans people of all ages.

In January, the president issued an executive order (that has since been blocked by several courts) instructing the Department of Justice to use laws against false advertising to prosecute any entity that may be misleading the public about the long-term effects of gender-affirming care.

On February 7, the Department of Defense issued a memo halting gender-affirming medical procedures for adult military service members. In June, the administration finalized a rule modifying the Affordable Care Act to remove requirements that insurance providers cover gender-affirming care as an essential health benefit. 

Gender-affirming care is supported by all major medical associations in the U.S., including the American Medical Association, the Endocrine Society, and the American Academy of Pediatrics, as safe and life-saving for young people with gender dysphoria.

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DOJ demands private info on trans youth patients from 20 gender-affirming medical providers

Read more at LGBTQ Nation.

The Department of Justice (DOJ) has issued subpoenas to medical providers who offer gender-affirming care to transgender youth, demanding that they provide private information on their young patients. The subpoenas demand “billing documents, communication with drug manufacturers, patient’s Social Security numbers, addresses, emails, Zoom recordings, voicemails, encrypted text messages, as well as every writing or record of whatever type” doctors have made from January 2020 to the current day, The Washington Post reported.

While Attorney General Pam Bondi admitted last month to sending 20 subpoenas to hold “medical professionals and organizations that mutilated children in the service of a warped ideology” accountable, she didn’t specify which organizations and individuals received the subpoenas. Anonymous informants told the aforementioned publication that some of the subpoena recipients (who got the subpoenas in June) operate in states with laws protecting gender-affirming care for youth. One trans civil rights activist called the incident an “unprecedented and disgusting violation of medical privacy.”

“[The government] is using its investigative powers to target medical providers based on a disagreement about medical treatment rather than violations of the law,” Jacob T. Elberg, a former federal prosecutor specializing in health care fraud, told The Washington Post. He added that the DOJ must show that the information it demanded is “relevant to a legitimate law enforcement probe.”

The publication contacted numerous clinics and professionals offering gender-affirming care for youth, but none would say whether they had received a subpoena, citing fears of violent threats or government retaliation. Other hospitals have been closing their trans youth clinics and erasing any mention of gender-affirming care from their web pages to avoid federal threats to cut funding or pursue prosecutorial charges.

“The subpoena is a breathtakingly invasive government overreach,” said Jennifer L. Levi, senior director of transgender and queer rights at the LGBTQ+ legal advocacy group GLAD Law. “It’s specifically and strategically designed to intimidate health care providers and health care institutions into abandoning their patients.”

Fewer than 3,000 teens nationwide receive puberty blockers or hormone replacement therapy, according to a 2025 JAMA analysis of private insurance data, The Post noted.

Responding to the news, transgender civil rights lawyer Alejandra Caraballo wrote via Bluesky, “This is an unprecedented and disgusting violation of medical privacy,” adding, “The fact that no lawsuit has been commenced challenging these subpoenas in court is ominous. My best guess is that many of the providers have complied and now DOJ is potentially sitting on the records of thousands of trans youth covering everything from therapy notes to pre- and post-op photos.”

Though there is no federal law banning gender-affirming care, the current presidential administration has sought to eradicate the practice through a January executive order (that has since been blocked by several courts). The order instructed the DOJ to extend the time that patients and parents can sue gender-affirming doctors and to use laws against false advertising to prosecute any entity that may be misleading the public about the long-term effects of gender-affirming care.

In April, Bondi issued a memo to DOJ employees, telling them to investigate and prosecute cases of minors accessing gender-affirming care as female genital mutilation (FGM); even though hospitals don’t conduct such female genital surgeries. The memo threatened to jail doctors for 10 years if they provide gender-affirming care to young people.

Gender-affirming care is supported by all major medical associations in the U.S., including the American Medical Association, the Endocrine Society, and the American Academy of Pediatrics, as safe and life-saving for young people with gender dysphoria.

One doctor interviewed by The Washington Post called the federal government’s crusade against gender-affirming care a “toxic plan” that will force some patients to detransition, potentially forcing them into adverse psychological and physical effects, including increased anxiety, depression, and the development of unwanted physical changes.

“This goes way beyond any degree of moral or ethical dilemma that any of us have ever experienced,” the doctor said. “It is completely scientifically and medically unfounded.”

Republican attorneys general in Texas and Tennessee have demanded similar patient information from providers of youth-centered gender-affirming care outside of their states, but they dropped their demands after courts blocked their efforts.

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