Ask any American what our citizenship rule is and they'll tell you, everyone born here is a citizen alike. That rule was enshrined in the 14th Amendment to put it out of reach of any government official to destroy.
The law says consent cannot truly be given in those circumstances due to the power imbalance, and it also applies to a professor and a student, or a boss and an employee, or a therapist and a client.
Republican-appointed judges reversed a ruling which blocked the ban, arguing with little evidence that gender-affirming care for trans adults was "dangerous," urging states not to fund what it spuriously described as "experimental procedures." It further claimed that trans people had become "disdainful of their sex" and claimed, again without evidence, that banning such provisions would "encourage citizens to appreciate their sex."
Data on sexual orientation and gender identity (SOGI) are essential for understanding the characteristics of lesbian, gay, bisexual, and transgender (LGBT) populations in the United States. However, on the first day of his second term, President Donald Trump issued an executive order that declared it was official policy of the administration that transgender, nonbinary, and intersex identities would not be recognized by the federal government.
Related: Federal HR office sets deadline for government-wide purge of transgender and nonbinary inclusion OPM sent a letter to insurance carriers last year saying that as of 2026, "chemical and surgical modification of an individual's sex traits through medical interventions (to include 'gender transition"' services) will no longer be covered under the FEHB or PSHB Programs. There is a narrow exception for people who are mid-treatment.