In the Trump regime's quest to ban trans healthcare for people under 19, says Erin Reed today, it's been "threatening and subpoenaing providers for trans youths’ medical records, attempting to pull federal grants from hospitals and universities that offer gender-affirming care, and issuing vague guidance that’s driven even longtime allies into overcompliance. Now the administration is escalating with a blitz of three new rules that could effectively end most transgender youth care nationwide if enacted..."
Today, they finalized a federal rule (PSLF rule (full text)) to "bar nonprofits from qualifying for Public Service Loan Forgiveness" if any minor gets trans healthcare there. It will take effect July 1, 2026. "The change would punish entire institutions: doctors, nurses, and staff at any hospital, university, or nonprofit that provides gender-affirming care to minors would lose access to loan forgiveness, effectively coercing organizations to abandon care or risk their employees’ financial security."
Two more (see the first and second) are expected very soon. "One would prohibit federal Medicaid reimbursement for gender-affirming care provided to anyone under 19. The other would go even further, barring hospitals that treat transgender minors from receiving any Medicaid funds at all — a measure that would effectively eliminate access to such care nationwide, except at the few private clinics able to forgo Medicaid entirely, a rarity in transgender youth medicine."
It's about the federal shutdown too, Reed says:
"The new rules echo the negotiations over the FY26 appropriations bills tied to the ongoing shutdown fight, where House Republicans are similarly pushing to ban federal funding for gender-affirming care nationwide. As the shutdown drags on, transgender advocates and trans Americans are watching closely to see whether any of those provisions slip into law. Though the shutdown has primarily centered around a clean continuing resolution without those provisions, there has been some shift towards negotiation of the full appropriations bills, which could be a mechanism for anti-trans and anti-LGBTQ+ provisions to enter into federal law. If Trump gains access to even a fraction of the restrictions embedded in those House bills, it would further streamline his administration’s efforts to dismantle trans health care across the country."
It's not just for kids. Trans adults' healthcare is also threatened. Katelyn Burns said several days ago:
"...a federal judge in Mississippi overturned an Obama era rule mandating that health care providers and insurers can not deny trans people gender affirming care if that same care would be available to cisgender people for reasons other than transitioning their sex.
The court's ruling is incoherent, and essentially establishes trans people as a disfavored class of American citizen, with fewer rights than everyone else. If you're cis, you can walk into a doctor's office tomorrow and ask for a breast augmentation or reduction and they will do it, no questions asked. But if you are trans, no such luck.
If you are cis, and you want testosterone so you can feel horny again, that's fine as long as you're cis. Go pound rocks if you're trans. If you want estrogen for your perimenopause, go ahead. Fuck you if you're trans."
Please also read:
Informed Consent Doesn't Go Far Enough: The Case for Hormones Over-the-Counter. Jane Migliara Brigham, Assigned Media, Oct 23, 2025
TWIBS: University of Virginia Rolls Over, Shows Soft Underbelly to Trump, Aly Gibbs, Assigned Media, Oct 24, 2025
"DOJ tried to subpoena an online trans health care provider. A judge quashed it."
Seattle-based U.S. District Judge Jamal Whitehead says DOJ’s demand serves an “improper purpose” of executing Trump’s orders targeting gender-affirming care. Josh Gerstein, Politico, October 29, 2025
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