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Supreme Court blocks Trump from suspending transgender medical care in federal prisons

The justices left in place a lower-court ruling for about 1,000 inmates after finding the Bureau of Prisons had not adequately weighed the evidence.

  • On Wednesday, the Supreme Court rejected the Trump administration's emergency request to enforce a policy restricting medical care for transgender inmates in federal custody.
  • Mandated by a January 2025 executive order, the policy required federal agencies to reject gender identity outside of an "immutable biological classification," though the Bureau of Prisons had provided hormone therapy since 1992.
  • Earlier this year, Washington-based District Judge Royce Lamberth blocked the proposal, concluding the Bureau of Prisons provided no evidence that the previous plan was "ineffective or harmful."
  • Dissenting from the order, Justices Clarence Thomas and Samuel Alito would have granted the request, marking a rare recent victory for transgender advocates at the 6-3 conservative majority court.
  • In other cases, the Supreme Court has previously allowed the administration to implement bans on transgender military service while upholding state restrictions on transgender athletes and youth treatments.
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USA Today broke the news in New York, United States on Wednesday, October 21, 2026.
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