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A group of 19 states and Washington, D.C., filed a lawsuit against the Department of Health and Human Services and Secretary Robert F. Kennedy Jr. following a declaration that described treatments such as puberty blockers, hormone therapy and gender surgeries as unsafe and ineffective for minors.

A group of 19 states and Washington, D.C., filed a lawsuit against the Department of Health and Human Services and Secretary Robert F. Kennedy Jr. following a declaration that described treatments such as puberty blockers, hormone therapy and gender surgeries as unsafe and ineffective for minors.

The declaration warned doctors they could be excluded from federal health programs, including Medicare and Medicaid, if they provide these treatments to minors. Medicare and Medicaid account for nearly 45 percent of spending on hospital care, according to health research group KFF.

The declaration warned doctors they could be excluded from federal health programs, including Medicare and Medicaid, if they provide these treatments to minors. Medicare and Medicaid account for nearly 45 percent of spending on hospital care, according to health research group KFF.

The lawsuit argues that the declaration is procedurally defective because federal law requires the public be given notice and an opportunity to comment before substantively amending health policy. The complaint states neither of these were done before the declaration was released.

The lawsuit argues that the declaration is procedurally defective because federal law requires the public be given notice and an opportunity to comment before substantively amending health policy. The complaint states neither of these were done before the declaration was released.

The declaration based its conclusions on a peer-reviewed report that called for more reliance on behavioral therapy rather than broad gender transition treatment for minors with gender dysphoria. Major medical groups and physicians who treat transgender children have criticized the report as inaccurate.

The declaration based its conclusions on a peer-reviewed report that called for more reliance on behavioral therapy rather than broad gender transition treatment for minors with gender dysphoria. Major medical groups and physicians who treat transgender children have criticized the report as inaccurate.

At least 27 states have adopted laws restricting or banning the treatment, and the Supreme Court's decision this year upholding Tennessee's ban likely means other state laws will remain in place. Medicaid programs in just under half of states currently cover gender transition treatment.

At least 27 states have adopted laws restricting or banning the treatment, and the Supreme Court's decision this year upholding Tennessee's ban likely means other state laws will remain in place. Medicaid programs in just under half of states currently cover gender transition treatment.

The lawsuit claims the declaration attempts to pressure providers into ending gender transition treatment for young people and circumvent legal requirements for policy changes. The attorneys general argue that the job of regulating the practice of medicine belongs to the states, not the federal government.

The lawsuit claims the declaration attempts to pressure providers into ending gender transition treatment for young people and circumvent legal requirements for policy changes. The attorneys general argue that the job of regulating the practice of medicine belongs to the states, not the federal government.

19 States Sue HHS Over Youth Gender Treatment Declaration

19 States Sue HHS Over Youth Gender Treatment Declaration

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19 States Sue HHS Over Youth Gender Treatment Declaration

19 States Sue HHS Over Youth Gender Treatment Declaration

The Controversies

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