Overview

• Kaiser Permanente announced in July it would pause gender-affirming surgeries for patients under 19 effective Aug. 29 as health systems navigated federal enforcement memos and legal risk.
• Sixteen Democratic-led states plus D.C. filed suit in U.S. District Court in Massachusetts, arguing the administration’s executive order and DOJ directives unlawfully threaten providers.
• Federal judges have issued temporary restraining orders blocking enforcement of the January executive order in several jurisdictions while legal challenges proceed.
• DOJ memos from Pam Bondi and Assistant Attorney General Brett Shumate instruct prosecutors to investigate and prosecute providers offering gender-affirming treatments to minors.
• Pelosi highlighted Republican opposition on Capitol Hill as she outlines a legislative push to override Trump’s federal ban and protect youth access nationwide.