Trump order aims to end federal support for gender transitions for those under 19

Trump signs executive order cutting federal support for gender transitions for people under 19, sparking controversy and legal challenges.

President Donald Trump on Tuesday (January 28, 2025) signed an executive order aimed at cutting federal support for gender transitions for people under age 19, his latest move to roll back protections for transgender people across the country.

“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 says.

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The order directs that federally-run insurance programs, including TRICARE for military families and Medicaid, exclude coverage for such care and calls on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.

Medicaid programs in some states cover gender-affirming care. The new order suggests that the practice could end, and targets hospitals and universities that receive federal money and provide the care.

The language in the executive order — using words such as “maiming,” “sterilizing” and “mutilation” — contradicts what is typical for gender-affirming care in the United States. It also labels guidance from the World Professional Association for Transgender Health as “junk science.” Major medical groups such as the American Medical Association support access to care.

“Parents and families should be free to make medical decisions informed by their doctors and the available science without the interference of politics,” an American Academy of Pediatrics spokesperson said.