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Judge rules US government overreached with transgender health care declaration

Judge Kasubhai ruled Kennedy bypassed required federal procedures in issuing a declaration against gender-affirming care, granting preliminary relief to providers amid a lawsuit by 21 states and D.C.

  • On Thursday, March 19, U.S. District Court Judge Mustafa Kasubhai said he will vacate Robert F. Kennedy Jr.'s December 18 HHS 12-page declaration, finding he overstepped his authority.
  • Kennedy's December declaration asserted that 'sex-rejecting procedures for children and adolescents are neither safe nor effective', prompting 21 states to sue for bypassing the Administrative Procedure Act.
  • HHS has referred 13 medical institutions to the department inspector general, while major hospitals like NYU Langone, Children’s Hospital Los Angeles, and UChicago Medicine have stopped treatments amid pressure.
  • The ruling offers relief to hospitals and healthcare providers offering gender-affirming care by removing the immediate force of the declaration, legal experts said it provides breathing space for trans youth and their parents and medical teams.
  • The Trump administration has enacted a series of anti-LGBTQ+ orders restricting gender-affirming care for under-19s, but federal courts and New York Attorney General Letitia James with a coalition of 15 other attorneys general have repeatedly intervened.
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Courthouse News Service broke the news in Pasadena, United States on Thursday, March 19, 2026.
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