Trump signed EO 14187, directing federal defunding of institutions providing gender-affirming care to minors
On January 28, 2025, President Trump signed Executive Order 14187, "Protecting Children from Chemical and Surgical Mutilation," directing all executive agencies to end federal funding to medical institutions providing gender-affirming care—including hormone therapy, puberty blockers, and surgery—to individuals under 19. The order instructed HHS to revise Medicaid and Medicare conditions of participation to exclude coverage, directed TRICARE and the Federal Employee Health Benefit Program to exclude such treatments, and required federal research and education grant recipients to certify they did not provide such care. The order also directed HHS to rescind reliance on World Professional Association for Transgender Health guidelines from all federal policy.