The Trump administration directed 40 states, five territories and Washington, D.C. , to remove references to transgender people from their sex education programs or risk losing federal funding.

The Administration for Children and Families (ACF), a division of the Department of Health and Human Services, sent letters Tuesday demanding that the health departments in these states and territories remove “all references to gender ideology” from their Personal Responsibility Education Program, or PREP. The program is a federally funded initiative created in 2010 to help prevent teen pregnancy and sexually transmitted infections.

“Accountability is coming,” acting Assistant Secretary Andrew Gradison said in a statement. “Federal funds will not be used to poison the minds of the next gener

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