There was widespread concern in 2024 — based on the positions of many people in Trump’s orbit — that his administration might start enforcing the centuries-old Comstock Act or have the Food and Drug Administration pull approval for abortion drugs.
Didn't happen, but, as Alanna Vagianos tells us:
"In his first week as president, Trump reinstated the 'global gag rule'...[and] signed an executive order to enforce the Hyde Amendment...
And those were just the policy decisions generally expected of a Republican administration. Others have been more extraordinary — undermining decades of political precedent and quietly targeting abortion as well as basic reproductive health care like birth control and sexually transmitted infection prevention and testing."
Vagianos has put together this incredible list for HuffPost today: "Trump Still Has An Anti-Abortion Agenda, It’s Just Sneakier Than Before."
These policy decisions of Trump's first 100 days include (the numbering is mine):
- "...entertaining pro-natalist policy ideas...[like] awarding the 'National Medal of Motherhood' to any woman who has six or more children. In Nazi Germany, women were awarded a bronze medal for having four children, silver for six and gold for eight children."
- "he limited enforcement of the Freedom of Access to Clinic Entrances Act — a federal law created to safeguard abortion clinics, patients and providers. He dismissed a handful of current ongoing investigations and pardoned 23 people for FACE convictions, effectively declaring open season on already vulnerable abortion clinics, patients and workers."
- "He also rejoined the Geneva Consensus, an extreme global anti-abortion and anti-LGBTQIA pact created during the first Trump administration that aligns the U.S. with socially conservative countries, some of which have been accused of rampant human rights violations."
- DOGE "dismantled the Department of Health and Human Services," disrupting or ending work by those who "monitored in vitro fertilization, tracked national maternal and infant health outcomes, as well as published key contraceptive guidelines for physicians," or "tracked maternal complications like gestational diabetes and preeclampsia," thus "losing the only source of data about the health and behavior of women before, during and shortly after pregnancy." Funding was pulled from "gender-based research, including one study grant meant to protect pregnant women from domestic violence."
- He "cut $65.8 million in family planning grants under Title X," which had "helped fund around 4,000 health clinics, supplying nearly 3 million low-income Americans in 2023 with reproductive health care including birth control, STI testing and cancer screenings" — never abortions (by law). Some Planned Parenthood clinics closed due to the loss of funding.
- The government "joined a Supreme Court case alongside South Carolina, arguing that states should be allowed to exclude Planned Parenthood from their Medicaid programs, even for health care services outside of abortion care." This would "effectively defund Planned Parenthood."
- "...attacks on the trans community and attacks on reproductive justice are inherently linked. Trump’s [first] anti-trans executive order ["Defending Women"] contained 'personhood' language, used often by extremist anti-abortion groups that believe life begins at conception and fetuses should have the same legal rights as born children..."
- "Trump has also lined his cabinet with abortion opponents, creating one of the most extreme anti-choice administrations in history."
- "Attorney General Pam Bondi instructed the Department of Justice to dismiss a high-profile federal lawsuit over the right to emergency abortion care in Idaho — sending a clear message that the administration would rather pregnant women continue dying than offer safe abortion and miscarriage care...The person in Trump’s administration in charge of enforcing that law is Dr. Mehmet Oz, a former TV personality who is openly anti-abortion...Now that the lawsuit is dismissed, the Trump administration has the ability to rewrite federal EMTALA guidance, which would follow the far-right Project 2025 playbook perfectly."
- "Health Secretary Robert F. Kennedy Jr. is responsible for gutting several HHS agencies as well as cutting Title X funding. Trump tasked him with studying the safety of mifepristone, one of two drugs used in medication abortion...Many of the HHS agencies Kennedy decimated were also the ones that would have studied mifepristone. Kennedy himself could pull FDA approval of mifepristone, or FDA Commissioner Martin Makary could. The former Fox News contributor routinely spread anti-abortion misinformation before Trump made him head of the FDA. During Makary’s confirmation hearing, he refused to answer questions about his plans for mifepristone."
- "John Sauer, well-known for his dogged opposition to abortion and birth control access, was recently confirmed as solicitor general, a position sometimes referred to as the 'tenth justice' [i.e., in addition to the nine on the Supreme Court]."
How Trump's HHS Cuts Are Another Attack On Trans People: Research on HIV prevention among trans people was already scarce, but Trump's restructuring of the health agency decimates future studies. Lil Kalish, HuffPost, Apr 29, 2025
HIV funding
Also today in the HuffPost, Lil Kalish writes:
"The Trump administration’s cuts to the Department of Health and Human Services make the dream of ending the HIV epidemic more unattainable than it has been in years, and public health experts warn it also marks an escalation of the president’s attacks on trans people."
"Medicaid is the largest insurer of people living with HIV, and roughly 276,000 trans people access health care through that system.
The Centers for Medicare and Medicaid Services proposed a rule last month that would make it more difficult for low-income people to get insurance from plans covered by the Affordable Care Act — and proposed that gender-affirming care would no longer be covered as an essential health benefit, a move that could drive up medical costs for hundreds of thousands of trans Americans."
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Some of the Ryan White HIV/AIDS programs, which provide direct support for people living with HIV, are completely eliminated in the draft HHS budget for next year.
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'It means that free testing events, or opportunities to get PrEP ... all those different tools that we have are going to be minimized and eliminated depending on where you are in the country and what levels of access and transportation needs you have,' said Tori Cooper, director of strategic outreach and training at Human Rights Campaign."
And:
"Research on the specific challenges to HIV prevention among trans women, trans men and gender nonconforming people has only started in the last five years...and his administration has wiped dozens of web pages, studies and data sets that make any mention of gender.
... Nearly 29% of terminated grants involved research into HIV and AIDS, according to an unofficial database kept by academics tracking the cuts.
A new study from the University of Michigan shed light on the effectiveness of trans-inclusive HIV research. It found that when trans people had access to gender-affirming hormone therapy in the form of primary care, they had a 37% lower chance of getting HIV and a 44% lower chance of having the virus detectable in blood samples."