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19 States and D.C. Sue HHS to Block Funding Threat Over Youth Gender Care

Filed in Oregon, the case contests Secretary Robert F. Kennedy Jr.’s Dec. 18 declaration as beyond his authority, with related rules still in a 60‑day public comment period.

Overview

  • New York AG Letitia James is leading a coalition of 19 states and the District of Columbia, with Oregon AG Dan Rayfield filing the suit in the U.S. District Court in Eugene.
  • The complaint seeks to enjoin HHS’s declaration that labeled pediatric gender‑affirming interventions unsafe and warned providers could be excluded from Medicare and Medicaid.
  • HHS also announced proposed rules to bar hospitals that treat minors with gender‑affirming care from Medicare and Medicaid and to block Medicaid and CHIP payments for such care, though the rules are not final.
  • Plaintiff states argue the declaration violates the Administrative Procedure Act, exceeds statutory authority, coerces providers, and interferes with states’ administration of Medicaid and regulation of medical practice.
  • Major medical organizations have criticized HHS’s conclusions, and reports note some providers have already curtailed youth services as the legal fight proceeds.