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19 States and D.C. Sue HHS to Block Move Limiting Youth Gender-Affirming Care

The case tests an HHS declaration issued after a departmental review that deemed pediatric medical treatments too risky.

Overview

  • The coalition filed the lawsuit in federal court in Eugene, Oregon, naming HHS, Secretary Robert F. Kennedy Jr., and the inspector general.
  • The suit seeks to block enforcement of the declaration that labeled puberty blockers, hormones, and surgeries unsafe for minors and warned providers could be excluded from Medicare and Medicaid.
  • HHS also proposed rules to bar hospitals offering such care to minors from Medicaid and Medicare and to prevent CHIP payment, which entered a 60‑day public comment period and are not yet binding.
  • The plaintiffs argue the declaration unlawfully attempts to set medical standards, violates the Administrative Procedure Act, and coerces providers and states administering Medicaid.
  • HHS grounded its stance in a peer‑reviewed internal report urging greater reliance on behavioral therapy, a conclusion sharply disputed by major medical organizations including the American Medical Association.