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19 Democrat-led states sue Trump HHS over federal ban on child sex changes

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Original Story by The Post Millennial
December 25, 2025
19 Democrat-led states sue Trump HHS over federal ban on child sex changes

Context:

Nineteen states have initiated a lawsuit against the Department of Health and Human Services (HHS) and Secretary Robert F. Kennedy Jr. in response to HHS's recent declaration labeling sex change treatments for minors as ineffective and unsafe. This declaration suggests that healthcare providers offering such services risk exclusion from Medicare and Medicaid, prompting state officials to argue that this undermines families' healthcare choices. They view the HHS policy as a direct attack on gender-affirming care, advocating for the autonomy of families and providers in making healthcare decisions. The lawsuit follows a broader political context, including previous federal directives aimed at limiting transgender medical procedures for minors. As the legal battle unfolds, implications for access to gender-affirming care will likely intensify, raising questions about future federal and state healthcare policies.

Dive Deeper:

  • The lawsuit was filed following a recent HHS declaration that declared puberty blockers, hormone therapy, and sex change surgeries for minors as ineffective and unsafe, based on a peer-reviewed study advocating for behavioral therapy instead.

  • Oregon Attorney General Dan Rayfield is leading the lawsuit, arguing that the federal government's actions put healthcare at risk by infringing on the rights of families and physicians to make personal healthcare decisions.

  • Minnesota's Attorney General Keith Ellison emphasized the importance of gender-affirming care, stating it is evidence-based and crucial for the dignity and well-being of transgender individuals.

  • The coalition of states includes California, Illinois, New York, and others, collectively opposing the HHS's stance which they view as a violation of healthcare rights.

  • This lawsuit is set against a backdrop of earlier actions from the Trump administration, which sought to end federal support for transgender medical procedures for minors, indicating ongoing political tensions around the issue.

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