Trump signs order to block federal support for minors’ gender transitions
CNN
President Donald Trump signed an executive order Tuesday to end federal support for medical procedures aimed at altering sex or gender that involve surgical interventions or the use of puberty blockers or sex hormones in those under 19 years old
President Donald Trump signed an executive order Tuesday to end federal support for medical procedures aimed at altering sex or gender that involve surgical interventions or the use of puberty blockers or sex hormones in those under 19 years old. “Accordingly, 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 states. The order directs the secretary of health and human services to “take all appropriate actions” to end the use of gender-affirming care for minors, including actions that could involve Medicare, Medicaid and the Affordable Care Act. It also instructs HHS to withdraw its guidance on gender-affirming care and patient privacy. Medicine and surgery can be used in the broader practice known as gender-affirming care, but such interventions are typically reserved for adults. International guidelines do not recommend medical or surgical intervention before transgender children reach puberty. Even for older teens and adults, surgery is relatively rare, research shows. The broader practice of gender-affirming care can also include counseling for the individual and for the family at any age. It is meant to help people who are transgender, meaning they identify with a gender that is different than one assigned at birth, or people who identify as gender-diverse, with a gender expression that doesn’t strictly match society’s traditional ideas about gender. This multidisciplinary approach is a medically necessary and scientific evidence-based practice that can help a person safely transition from their assigned gender — the one a clinician assigned them at birth, based mostly on anatomic characteristics — to their affirmed gender — the gender by which a person wants to be known.
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