The Trump administration has taken drastic steps to limit access to gender-affirming health care for minors in the United States. The new rules announced on Thursday will restrict federal funding for hospitals and health care providers that offer gender-affirming care to young transgender individuals, despite overwhelming evidence that such care is safe and effective.
Health and Human Services Secretary Robert F. Kennedy, Jr. stated that procedures to reject one’s biological sex are not considered safe or effective treatment for children with gender dysphoria. This move has sparked outrage among health care providers, who argue that evidence-based care is essential for the well-being of transgender youth.
Johana Oviedo, an obstetrician in New York City, expressed concern over the new rules, stating that gender-affirming care is evidence-based, lifesaving, and necessary for the transgender community. She emphasized the importance of providing care that aligns with a patient’s gender identity and supports their mental and emotional well-being.
The proposed measures will impact hospitals and providers that receive federal funding through programs such as Medicare, Medicaid, and the Children’s Health Insurance Program. The FDA is also targeting manufacturers of breast binders, and the administration is warning against the use of puberty blockers and other gender-affirming interventions.
Critics of the new rules, including the American Academy of Pediatrics, argue that they ignore medical consensus and fail to address the needs of transgender children and families. Studies have shown that gender-affirming care can improve mental health outcomes and reduce the risk of suicide among transgender youth.
The Trump administration’s latest actions are part of a broader campaign to stigmatize transgender individuals, following previous executive orders and legislative efforts targeting the community. Advocacy organizations have pledged to challenge the new rules in court, and there will be a public comment period before they are finalized.
In response to these developments, health care providers and advocates are calling for a united front to support evidence-based care for transgender youth. The fight for gender-affirming health care is far from over, and it is crucial to stand up against policies that undermine the well-being of marginalized communities.

