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Last updated:
January 22, 2026
Issue status:
Critically endangered

Transgender Healthcare

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DateWhat happened?Metadata
Jan 20, 2025Trump signs EO 14168: “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” which, among other things, attempts to create an official, binary definition of sex and directs all agencies to stop acknowledging trans people in communications or supporting trans people through funding.
Jan 26, 2025Several organizations file a lawsuit on behalf of an incarcerated transgender woman aiming to block the enforcement of EO 14168, which would require her to be transferred to a men’s prison and end her gender-affirming care. Federal judge George A. O’Toole issues a temporary restraining order in their favor on the same day (Moe v. Trump).$cases: Moe v. Trump
Jan 27, 2025The administration issues EO 14183: “Prioritizing Military Excellence and Readiness,” which directs the Department of Defense to stop accommodations for trans service members, including acknowledging transitions when considering sleeping and bathroom facilities, and using correct pronouns.
Jan 28, 2025Trump signs EO 14187: “Protecting Children from Chemical and Surgical Mutilation,” directing the Department of Health and Human Services (HHS) to withhold federal research funding from institutions that provide gender-affirming care to those under 19. It also orders HHS to stop using modern best practices for trans healthcare, and instead publish its own.
Jan 29, 2025The Office of Personnel Management (OPM) issues a memo (PDF) directing all agencies to take down outward-facing communications that “promote gender ideology.”
Jan 29, 2025Boston Children’s Hospital starts canceling appointments for transgender patients under 19 in response to EO 14187.
Jan 30, 2025Hospitals in Colorado, Virginia, and Washington, DC, say they have all paused gender-affirming care.
Jan 30, 2025Three transgender women in federal prison file a lawsuit to block the Bureau of Prisons from transferring them to a men’s facility and ending their gender-affirming care. A temporary restraining order is issued in their favor a few days later, on February 4 (Doe v. McHenry).$cases: Doe v. McHenry
Jan 31, 2025Reports surface that the Department of Health and Human Services (HHS) and its agencies, including the Centers for Disease Control and Prevention (CDC), have purged their websites of information and datasets related to LGBTQ+ health.
Jan 31, 2025The Office of Personnel Management issues a letter instructing benefit providers for federal employees to stop providing coverage for gender-affirming care for people under 19 and stop recognizing nonbinary gender identities altogether. It also says that benefit providers may opt out of covering gender-affirming care for people over 19.
Jan 31, 2025Reports surface that NYU Langone Health has begun canceling appointments for trans youth.
Feb 3, 2025Over 1,000 people gather in front of NYU Langone Health’s Tisch Hospital to protest the organization’s choice to cancel gender-affirming care appointments.
Feb 3, 2025New York State Attorney General Letitia James issues a letter (PDF) reminding hospitals in New York State that ending gender-affirming care would put them in violation of state laws that prohibit discrimination on the basis of gender identity. Two days later California’s Attorney General, Rob Bonta, does the same.
Feb 3, 2025Seattle Children’s Hospital starts postponing and canceling some gender-affirming surgeries for patients under 19, specifically citing the threat to research funding in EO 14187.
Feb 4, 2025Children’s Hospital Los Angeles stops offering hormone therapy for new transgender patients under 19 while it tries to “fully understand” the implications of EO 14187.
Feb 4, 2025The group Doctors for America files a lawsuit challenging the administration’s removal of health information, including datasets and webpages related to LGBTQ+ health, from federal websites (Doctors for America v. OPM).$cases: Doctors for America v. OPM
Feb 4, 2025Seven families with transgender or nonbinary children, along with two nonprofit organizations representing LGBTQ+ interests, file a lawsuit challenging EO 14187 (PFLAG v. Trump).$cases: PFLAG v. Trump
Feb 5, 2025Children’s Hospital Colorado says it will stop offering puberty blockers and hormones to patients under 19.
Feb 5, 2025Attorneys general in 15 states issue a joint statement reaffirming their commitment to protecting gender-affirming care.
Feb 6, 2025A group of current and prospective transgender service members file a lawsuit challenging EO 14183, which bans transgender people from serving in the military (Shilling v. Trump).$cases: Shilling v. Trump
Feb 6, 2025Memorial Health in Savannah, GA, begins cancelling surgery appointments for transgender patients, including those over 19.
Feb 7, 2025Washington, Oregon, Minnesota, and three physicians file a lawsuit challenging EO 14187 on the grounds that it discriminates against trans people by attempting to prevent organizations that receive federal funding from providing gender-affirming care (State of Washington v. Trump).$cases: State of Washington v. Trump
Feb 7, 2025Secretary of Defense Pete Hegseth files a memo ordering a pause for “all unscheduled, scheduled, or planned medical procedures associated with affirming or facilitating a gender transition for Service members.”
Feb 6, 2025Lurie Children’s Hospital in Chicago stops offering some forms of gender-affirming care for patients under 19.
Feb 7, 2025Reports surface that Corewell Health in Michigan has stopped offering hormone therapy to new patients under 19 years old. A few days later, after pushback from the community, Corewell decides to resume gender-affirming care for these patients.
Feb 10, 2025Another transgender woman in federal prison sues the Trump administration to block her transfer to a men’s facility and the end of her gender-affirming care (Jones v. Trump).$cases: Jones v. Trump
Feb 10, 2025Parents of patients at Phoenix Children’s Hospital receive a letter saying the hospital is pausing some of its gender-affirming care for patients under 19. The hospital cites EO 114187 as the reason for the pause.
Feb 11, 2025Federal judge John D. Bates orders HHS, the CDC, and the FDA to restore, by the end of the day, the webpages and datasets they took offline in January. The administration does so, but adds a note about rejecting “gender ideology” to the top of many of these pages (Doctors for America v. OPM).$cases: Doctors for America v. OPM
Feb 13, 2025Reports surface that some Arizona healthcare providers, including Prisma Community Care and the Phoenix Children’s Hospital gender clinic, have started pausing gender-affirming care for kids.
Feb 13, 2025Federal judge Brendan A. Hurson issues a restraining order against the Trump administration’s attempts to block federal funding for any organization that offers gender-affirming care for patients under 19 . In response, Prisma Community Care in Arizona and UVA Health in Virginia both resume all gender-affirming care for young patients (PFLAG v. Trump).$cases: PFLAG v. Trump
Feb 14, 2025Federal judge Lauren King issues a ruling, ordering the federal government to stop enforcing EO 14187, which would withhold federal funding from organizations that offer gender-affirming care to patients under 19 (State of Washington v. Trump).$cases: State of Washington v. Trump
Feb 15, 2025In Chicago, hundreds gather to protest Lurie Children’s Hospital’s pausing of gender-affirming surgeries.
Feb 19, 2025The Legal Defense Fund and Lambda Legal file a lawsuit on behalf of nonprofit advocacy groups to stop enforcement of EO 14168 and two other orders which they say “will severely limit organizations’ ability to provide critical social and health services” (National Urban League v. Trump).$cases: National Urban League v. Trump
Feb 19, 2025Children’s Hospital Colorado and Denver Health both commit to resuming care for trans youth, specifically offering puberty blockers and hormones, after having paused both earlier in the month.
Feb 20, 2025Lambda Legal files a second lawsuit challenging the constitutionality of EO 14168 and two other orders that “seek to erase transgender people from public life, defund organizations that provide them with lifesaving services, and terminate equity-related grants” (San Francisco AIDS Foundation v. Trump).$cases: San Francisco AIDS Foundation v. Trump
Feb 24, 2025Federal judge Royce C. Lamberth issues a temporary restraining order that prevents the government from forcing a transgender woman into a men’s prison (Jones v. Trump).$cases: Jones v. Trump
Feb 25, 2025The CDC says it will no longer process transgender identity data as part of its research.
Feb 28, 2025Judge King blocks EO 14187, the executive order rescinding federal funding from hospitals that provide gender-affirming care (State of Washington v. Trump).$cases: State of Washington v. Trump
Feb 28, 2025The National Institutes of Health (NIH) terminates existing grants related to LGBTQ+ research.
Mar 4, 2025Judge Hurson extends a nationwide block on EO 14187, the executive order rescinding federal funding from organizations that provide gender-affirming care (PFLAG v. Trump).$cases: PFLAG v. Trump
Mar 5, 2025The Centers for Medicare and Medicaid Services (CMS) issue a memo denouncing gender-affirming care.
Mar 7, 2025President Trump signs EO 14235: “Restoring Public Service Loan Forgiveness,” which directs the Department of Education to end student loan forgiveness eligibility for employees of organizations that provide gender-affirming care to youth.
Mar 7, 2025The ACLU and two other organizations file a class action lawsuit challenging EO 14168, the executive order that prohibits gender-affirming care in federal prisons (Kingdom v. Trump).$cases: Kingdom v. Trump
Mar 11, 2025The National Indian Health Board passes a resolution (PDF, archived) asserting tribal sovereignty over healthcare and support for gender-affirming care.
Mar 14, 2025Students and researchers participate in a hackathon at the Harvard T.H. Chan School of Public Health to archive public health data at risk of deletion by the Trump administration.
Mar 14, 2025The Department of Veterans Affairs reverses policies that ensured access to hormone therapy, mental health care, and other health services to transgender veterans. .
Mar 19, 2025CMS propose a change to the Affordable Care Act that would prohibit insurers from covering gender affirming care as an essential health benefit.
Mar 20, 2025The acting NIH director sends an internal memo to directors of several NIH institutes that instructs the organization to study “regret” among trans people.
Mar 27, 2025Federal judge Benjamin H. Settle issues a preliminary injunction stating that the Trump administration cannot block trans folks from serving in the military (Shilling v. Trump).$cases: Shilling v. Trump
Apr 2, 2025The American Public Health Association (APHA), along with other organizations and researchers, files a suit against the NIH over politically driven grant cancellations (APHA v. NIH).$cases: APHA v. NIH
Apr 3, 2025Reports emerge that University of Pittsburgh Medical Center (UPMC), one of the largest health systems in Pennsylvania, has stopped offering some forms of gender-affirming care to people under 19 in order to “comply with directives coming from the federal government.”
Apr 4, 2025Sixteen states file a lawsuit against the NIH challenging “unreasonable and intentional” delays in grant application reviews and the terminations of federal grants, including grants specifically terminated because they were deemed to be connected to “transgender issues” (Massachusetts v. Kennedy).$cases: Massachusetts v. Kennedy
Apr 7, 2025Penn State Health changes its age limit on gender-affirming surgery from 18 to 19, and begins also blocking patients under 19 from getting other forms of gender-affirming care.
Apr 14, 2025KFF reports that UCHealth in Colorado will not resume offering gender-affirming care and that they are “awaiting a more permanent decision from federal courts that may resolve the uncertainty around providing this care.”
Apr 14, 2025HHS issues a call for “whistleblowers” to report medical providers providing gender-affirming care to minors.
Apr 21, 2025The NIH announces that all grantees must agree not to “operate any programs that advance or promote DEI, DEIA, or discriminatory equity ideology in violation of Federal anti-discrimination laws.”
Apr 21, 2025Following the preliminary injunction issued March 27, 2025, by Judge Settle, the Pentagon is briefly forced to resume offering gender-affirming care to some transgender troops (Shilling v. Trump).$cases: Shilling v. Trump
Apr 22, 2025Attorney General Pam Bondi issues an internal memo characterizing gender-affirming care for people under 19 as “female genital mutilation” — a felony — and instructing the Justice Department to prosecute providers who offer it. The memo also directs other agencies to investigate and punish providers of gender-affirming care.
May 1, 2025The Department of Health and Human Services releases an anonymously authored 400-page report, which claims that providing gender-affirming care to minors is dangerous. The report is condemned by multiple major medical organizations, including the American Academy of Pediatrics.
May 6, 2025The Supreme Court allows the administration’s ban on transgender service members to take effect while the case is appealed. Soon after, the Pentagon halts gender-affirming care for troops (Shilling v. Trump).$cases: Shilling v. Trump
May 11, 2025Reports surface that El Rio Health, in Arizona, citing fears of federal prosecution, has stopped offering gender-affirming care to people under 18.
May 22, 2025The House of Representatives passes a budget reconciliation bill (PDF) featuring several limitations on healthcare for trans people, including the prohibition of federal funding for “gender transition procedures” for people of all ages enrolled in Medicaid and the Children’s Health Insurance Program (CHIP).
May 22, 2025Communities immediately mobilize against the budget reconciliation bill, launching several campaigns to apply pressure to the Senate to reject it.
May 28, 2025HHS sends a letter to healthcare providers and medical boards asking them to align their treatment protocols with the department’s May 1 report characterizing gender-affirming care for minors as dangerous.
May 29, 2025Penn Medicine says that to comply with “federal government requirements” it will stop providing gender-affirming surgeries for patients under 19.
Jun 2, 2025The FBI posts on the social media site X, encouraging people to report hospitals, clinics, or practitioners providing gender-affirming care.
Jun 2, 2025Stanford Medicine, in California, stops providing gender-affirming surgeries for patients under 19, citing “careful review of the latest actions and directives from the federal government.”
Jun 3, 2025Reports surface that Primary Health Care, in Iowa, ended all gender-affirming care back in February, citing fear of losing federal funding.
Jun 3, 2025Judge Lamberth rules that the Bureau of Prisons must resume providing hormone therapy and social accommodations (gender-conforming undergarments and hair removal products) while litigation continues (Kingdom v. Trump).$cases: Kingdom v. Trump
Jun 9, 2025Hundreds of employees at the National Institutes of Health release a statement denouncing the politicization of science and pleading for the restoration of grants and the NIH budget, specifically naming research into gender identity and sexual health.
Jun 11, 2025Community Medical Center in Missoula says it will stop offering gender-affirming care to minors, citing both federal and state policy changes.
Jun 12, 2025Reports surface that Children’s Hospital Los Angeles plans to close its Center for Transyouth Health and Development, which serves patients 25 and under, as well as its entire gender-affirming care surgical program, which serves patients of all ages.
Jun 16, 2025The Senate Finance Committee proposes a budget reconciliation bill, including language that would exclude trans healthcare from Medicaid and essential health benefit coverage.
Jun 16, 2025Federal judge William G. Young rules in two different cases that the Trump administration’s termination of NIH grants is illegal and orders that hundreds of them be reinstated. The NIH begins reinstating about 900 grants nine days later (Massachusetts v. Kennedy; APHA v. NIH).$cases: Massachusetts v. Kennedy; APHA v. NIH
Jun 17, 2025HHS announces that on July 17 it will shut down LGBTQ+ specialized services offered by National Suicide and Crisis Lifeline (988).
Jun 18, 2025The Supreme Court upholds a state law banning gender-affirming care for minors in Tennessee. Seven professional medical and mental health organizations issue a statement denouncing the decision (United States v. Skrmetti).$cases: United States v. Skrmetti
Jun 20, 2025The Centers for Medicare and Medicaid Services finalize a proposed rule prohibiting insurers from covering gender affirming care as an essential health benefit, beginning in 2026.
Jun 26, 2025The Los Angeles LGBT Center begins hosting regular protests outside Children’s Hospital Los Angeles in support of transgender healthcare.
Jun 26, 2025The Senate parliamentarian rules that the Republican budget bill’s provision blocking Medicaid and CHIP funds from being used for gender-affirming care is ineligible for the reconciliation process and would thus require a higher threshold of votes to pass.
Jun 26, 2025The nonprofit organization that runs Rhode Island’s suicide hotline announces it will keep offering LGBTQ+ support on the hotline despite federal funding cuts.
Jun 30, 2025UPMC in Pennsylvania expands its restrictions on gender-affirming care, including puberty blockers and hormone therapy for patients under 19, and directs its staff not to refer patients to providers who still offer these services.
Jul 1, 2025Rush University Medical Center in Illinois stops offering gender-affirming care for new patients under 18.
Jul 2, 2025149 anonymous Federal Trade Commission employees sign a letter (PDF) protesting an anti-trans workshop planned for the following week, saying that it oversteps the agency’s role and “would chart new territory for the Commission by prying into confidential doctor-patient consultations.”
Jul 3, 2025The House passes the final version of the budget bill. The passed version does not include any prohibitions on gender-affirming care.
Jul 8, 2025Reports surface that Nemours Children’s Hospital, the only hospital in Delaware that provides gender-affirming care to children, has canceled gender-affirming care for new patients, citing “evolving communications and actions from federal agencies.”
Jul 9, 2025The Department of Justice announces it has issued subpoenas to more than 20 doctors and clinics that provide gender-affirming care to youth. Reporting and court filings later reveal that the providers included Boston Children’s Hospital, QueerDoc, Children’s Hospital of Philadelphia, The University of Michigan and UPMC (QueerDoc v. DOJ; In Re: Subpoena No. 25-1431-014).$cases: QueerDoc v. DOJ
Jul 9, 2025The Federal Trade Commission hosts its workshop casting gender-affirming care for minors as possible “fraud and deception.”
Jul 14, 2025Transgender Action SF holds a protest of Stanford Medicine’s ban on gender-affirming surgeries for trans youth.
Jul 18, 2025DC’s Children’s National hospital announces it will end gender-affirming care for youth on August 30, citing “escalating legal and regulatory risks.”
Jul 18, 2025UChicago Medicine announces that it will stop providing gender-affirming care to minors.
Jul 23, 2025Kaiser Permanente, California’s largest healthcare provider, announces that it will no longer provide gender-affirming surgeries for patients under 19 starting August 29.
Jul 26, 2025Nurses protest Kaiser Permanente’s pause on gender-affirming surgeries for youth.
Jul 28, 2025The FTC opens a public comment period to gather stories of consumers being exposed to “false or unsupported claims about ‘gender-affirming care,’” as a means of targeting and punishing providers.
Jul 28, 2025Boston Children’s Hospital releases a statement reaffirming its support for gender-affirming care for trans youth despite the administration’s attacks.
Jul 30, 2025Brown University announces that it will stop offering gender-affirming surgeries, hormones, or puberty blockers to minors as part of an “agreement” with the Trump administration to restore its federal funding.
Aug 1, 2025UI Health in Chicago suspends gender-affirming surgeries for trans youth under 19 “after careful review of recent federal government actions.”
Aug 1, 2025A coalition of 17 states files a lawsuit against the Trump administration challenging EO 14187 (Massachusetts v. Trump).$cases: Massachusetts v. Trump
Aug 4, 2025The Air Force rescinds early retirement for transgender service members, forcing them out with no retirement benefits.
Aug 15, 2025The Office of Personnel Management issues a letter (PDF) announcing that the Federal Employee Health Benefits program will stop covering gender-affirming care for adults in 2026.
Aug 21, 2025HHS’s Administration for Children and Families terminates (PDF) California’s Personal Responsibility Education Program (PREP) grant — costing the state somewhere between $6 and $12 million in federal funding — because California has not removed references to gender identity and transgender people in its sex education materials.
Aug 21, 2025Illinois announces a state-wide legal hotline and website to support LGBTQ+ people.
Aug 25, 2025The University of Michigan announces that it will stop providing gender-affirming care to minors due to the federal subpoena it received.
Aug 26, 2025Michigan’s attorney general issues an open letter to healthcare providers reminding them that withholding gender-affirming care could count as discrimination under Michigan’s laws.
Aug 26, 2025Citing California as a warning, the HHS Administration for Children and Families threatens to terminate a total of $81 million in PREP grants for sex education for states and territories that do not remove all mention of transgender people from their materials.
Sep 1, 2025The House Appropriations Committee releases a spending bill with several provisions that would cut off the use of taxpayer dollars for any form of gender-affirming care.
Sep 8, 2025Medical providers and community members join a die-in protesting UPMC’s decision to end gender-affirming care for patients under 19 and its preparations to comply with a federal subpoena for sensitive records.
Sep 8, 2025Military families file a lawsuit against the Pentagon for cutting off gender-affirming care for military dependents (Doe v. DOD).$cases: Doe v. Department of Defense
Sep 9, 2025Federal judge Judge Myong J. Joun quashes the subpoena issued to Boston Children’s Hospital back in June 2025 (In Re: Subpoena No. 25-1431-019).
Sep 23, 2025Transgender patients and their families file a discrimination complaint with the Pennsylvania Human Relations Commission against UPMC Children’s Hospital of Pittsburgh asserting that UPMC’s refusal to provide gender-affirming care for trans patients under 19 is discrimination based on sex.
Oct 13, 2025Fenway Health stops providing hormones and puberty blockers to transgender patients under 19, citing fear of losing funding and designation as a Federal Qualified Health Center.
Oct 27, 2025Federal judge Jamal N. Whitehead cancels the DOJ subpoena for employee, billing, and patient data from telehealth provider QueerDoc (QueerDoc v. DOJ).$cases: QueerDoc v. DOJ
Oct 30, 2025The Department of Education announces that, starting July 1, 2026, the Public Service Loan Forgiveness program will exclude (PDF) organizations that provide gender-affirming care.
Nov 21, 2025Federal Judge Mark A. Kearney blocks most of the DOJ subpoenas seeking private health information about patients who received gender-affirming care at Children’s Hospital of Philadelphia (In Re: Subpoena No. 25-1431-014).
Nov 28, 2025Northwestern University reaches a settlement with the Trump administration for $75 million. The agreement (PDF) includes a provision that NU’s Feinberg School of Medicine will not provide gender-affirming surgeries or hormone therapy to patients younger than 18.
Dec 17, 2025The House passes a bill that that subverts existing legislation on female genital mutilation to make it a felony to provide gender-affirming care to anyone under 19.
Dec 18, 2025DHS announces a new set of proposed rules that would block all Medicaid and Medicare funding or reimbursement to any hospital that provides gender affirming care.
Dec 18, 2025The House passes a bill that would block Medicaid funds from being used for gender-affirming care for anyone under 19.
Dec 23, 2025Nineteen states (including DC) sue the HHS over its proposed rules to withhold federal funds to punish hospitals that provide gender-affirming care.
Dec 26, 2025Federal Judge Cathy Bissoon blocks the DOJ’s subpoena for the private health records of transgender patients being treated at UPMC Children’s Hospital, writing that the government’s demand for such personal information “carries more than a whiff of ill-intent.”
Jan 1, 2026The Human Rights Campaign files a class-action lawsuit on behalf of federal employees who have lost coverage for gender-affirming healthcare.
Jan 2, 2026An ongoing HHS investigation prompts Denver Health and Children’s Hospital Colorado to suspend gender-affirming care for patients under 18, depriving new patients of medical care and disrupting treatment for existing patients.
Jan 12, 2026Children’s Wisconsin and UW Health both suspend gender-affirming care for patients under 18, citing “escalating legal and federal regulatory risk.”

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