Articles and Blogs

On December 18, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued two proposed rules aimed at limiting provision of gender-affirming care to minors (each a “Proposed Rule” and, collectively, the “Proposed Rules”). The first rule would add a new Condition of Participation (“CoP”), prohibiting a hospital from performing “sex-rejecting procedures” on minors, in... READ MORE

In July 2025, the United States Department of Justice (“DOJ”) announced that it had issued “more than 20 subpoenas” to health care providers involved in the provision of gender-affirming care to minors. On August 18, 2025, one of these subpoenas—issued to a children’s hospital in Pennsylvania (the “Hospital”)—was included in a court filing that... READ MORE

The Supreme Court of the United States (the “Court”) issued its highly anticipated decision in United States v. Skrmetti (“Skrmetti“) on June 18, 2025. The decision holds that a Tennessee law prohibiting the provision of certain medical treatments to minors for gender-affirming purposes does not violate the United States Constitution. This decision has wide-ranging... READ MORE

There have been significant developments in the litigation surrounding Executive Order 14187 (“Executive Order”), entitled “Protecting Children from Chemical and Surgical Mutilation,” which directs agencies and certain federal health care programs to limit access to gender-affirming care to patients under the age of 19 through different measures, including halting federal grant funding that provide... READ MORE

On January 28, 2025, President Trump issued Executive Order 14187 entitled “Protecting Children from Chemical and Surgical Mutilation” (the “Executive Order”), which sets forth administration policies opposing the provision of gender-affirming care to minors and directs agencies and certain federal health care programs to limit access to such care through measures including halting federal... READ MORE

On March 2, 2022, the Office for Civil Rights (“OCR”) in the U.S. Department of Health & Human Services (“HHS”) released notice and guidance on federal civil rights protections and privacy laws that apply to gender-affirming care (the “Notice”). In the Notice, OCR affirms its intent to investigate and enforce Section 1557 of the... READ MORE