Overview

• Letters to 40 states, Washington, D.C., and five territories direct removal of references the agency labels “gender ideology,” including pronoun guidance and definitions of transgender and two‑spirit identities.
• Noncompliance can trigger withholding, suspension, or termination of PREP grants, with more than $81 million at stake across the notified jurisdictions.
• Recipients must submit updated materials by Oct. 27 at 11:59 p.m., removing any cited content the agency says falls outside PREP’s authorizing statute.
• California’s PREP award, worth about $12.3 million, was terminated last week after the state refused to revise its curriculum.
• State responses vary, with New York and Alabama reviewing the notices, Georgia moving to instruct contractors to comply, and medical and LGBTQ+ advocates warning of harm to vulnerable youth.