Background on Trump Executive Order Targeting Health Care for Transgender People Under 19 – Human Rights Campaign

by Brandon Wolf
January 2025
On January 28, 2025, President Trump issued an executive order relating to the provision of health care for transgender people throughout the U.S. The order includes many falsehoods about gender-affirming care, ignoring the fact that this care is supported by every major medical association, including the American Medical Association, American Psychological Association, and others. The order directs agencies across the federal government to take action to prevent gender-affirming care in many avenues, including by removing coverage for gender-affirming care from federal health insurance policies, modifying requirements under the Affordable Care Act, and preventing hospitals or other medical providers who accept Medicare or Medicaid, or who receive federal funding for research or education, from providing gender-affirming care of any kind to people under the age of 19. It is important to note that executive actions do NOT have the authority to override the United States Constitution, federal statutes, or established legal precedent.
None of the provisions in this order have an immediate impact on the ability to receive or provide care. Further administrative action, including the promulgation of regulations and the issuance of significant administrative guidance, are necessary in order for implementation to occur.  
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