21 States Sue to Block Federal Order Targeting Gender-Affirming Care for Minors

California Attorney General Rob Bonta led a multistate lawsuit on Thursday challenging recent federal directives from the Trump administration that seek to limit access to gender-affirming healthcare for transgender, intersex, and nonbinary minors.

Filed in U.S. District Court in Massachusetts, the complaint targets Executive Order 14187 and related guidance issued by the U.S. Department of Justice, which direct federal agencies to investigate and potentially prosecute providers offering gender-affirming care to patients under 19 years old, including in states where such care is lawful.

The executive order, signed in early 2025, mandates federal recognition of only two sexes and describes gender-affirming me

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