The Trump administration's crackdown on gender-affirming care is expanding rapidly as officials investigate hospitals, cut off benefits for federal workers and their dependents, and pick new fights with blue states.

Why it matters: The latest moves could put hospitals and other providers in the middle of a showdown between federal power and patient privacy protections — or even force health providers to break their own state laws. • The actions have also created an atmosphere of fear for transgender individuals, their families, and health providers who say they're providing medically necessary care and haven't violated any laws.

What they're saying: "As of this month, we have really seen escalation," said Kellan Baker, senior adviser for health policy at the Movement Advancement Projec

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