New York AG Tells Hospitals to Continue Transgender Care After Trump’s Executive Order

What to Know

• New York Attorney General Letitia James told hospitals that they would be violating state law if they stop offering gender-affirming care for people under age 19 in response to an executive order from President Donald Trump.
• James, a Democrat, told health care facilities that refusing to provide the treatments would violate New York’s anti-discrimination laws.
• Trump, a Republican, last week signed an executive order that directed agencies to take steps to make sure that hospitals receiving federal research and education grants “end the chemical and surgical mutilation of children.”

New York Attorney General Letitia James on Monday told hospitals that they would be violating state law if they stop offering gender-affirming care for people under age 19 in response to an executive order from President Donald Trump aimed at curtailing federal funding for such treatments.

In a letter, James, a Democrat, told health care facilities that refusing to provide the treatments would violate New York’s anti-discrimination laws.

“Regardless of the availability of federal funding, we write to further remind you of your obligations to comply with New York State laws,” her letter reads.

Trump, a Republican, last week signed an executive order that directed agencies to take steps to make sure that hospitals receiving federal research and education grants “end the chemical and surgical mutilation of children.” The language in the order — using words such as “maiming,” “sterilizing” and “mutilation” — contradicts what is typical for gender-affirming care in the United States.

The letter from James came as some hospitals in Colorado, Virginia, and Washington, D.C., said they were pausing gender-affirming treatments for young people while administrators evaluate the order. The White House on Monday released a statement that said the executive order was “already having its intended effect.”

A spokesperson for the Greater New York Hospital Association said they were in close contact with member hospitals about the gender-affirming care executive order.

“We are collaboratively working through every aspect of the EO to determine its legal and clinical implications. That work is ongoing,” Brian Conway said in an email.

Gender-affirming medical care for transgender youth is not common, but such treatments have been the subject of fierce political debate. Fewer than 1 in 1,000 adolescents in the U.S. with commercial insurance received puberty blockers or hormones during a recent five-year period, according to a new study.

Conclusion

The New York Attorney General’s letter serves as a clear reminder that hospitals in the state have a legal obligation to provide gender-affirming care for people under the age of 19. The executive order from President Trump may have sparked controversy, but it will not change the fundamental principles of providing quality medical care to all individuals, regardless of gender identity.

FAQs

• What is gender-affirming care?
• Gender-affirming care refers to medical treatments that help transgender individuals align their physical body with their gender identity, such as hormone therapy and gender confirmation surgery.
• What is the controversy surrounding gender-affirming care?
• The controversy surrounding gender-affirming care is a result of political and social debates surrounding the issue of transgender rights and the ethics of providing such treatments to minors.
• What is the New York Attorney General’s position on gender-affirming care?
• The New York Attorney General’s position is clear: hospitals in the state have a legal obligation to provide gender-affirming care for people under the age of 19, and refusing to do so would violate New York’s anti-discrimination laws.