Sources: Iowa Health Center Ends Gender-Affirming Care over Federal Funding Fears
- A health center in Des Moines that receives federal funding discontinued hormone replacement therapy for transgender patients in early 2024, citing concerns about potential loss of government support.
- This decision followed a Trump-era executive order restricting federal grant funds for gender-affirming care, though the order has since been rescinded, creating confusion about compliance.
- The termination distressed PHC staff and patients, and was criticized by State Rep. Aime Wichtendahl as "deeply disappointing" and unlawful, highlighting legislative efforts rolling back gender identity protections in Iowa.
- Wichtendahl called on the transgender community to actively advocate for the reinstatement of healthcare services, stressing their commitment to push for these essential resources.
- The closure of gender-affirming care amid federal pressure reflects broader national trends of increasing legal and political barriers harming transgender youth and healthcare access across multiple states.
14 Articles
14 Articles

Iowa health care center ends gender-affirming care for adult transgender patients
Primary Health Care in Iowa has ended hormone replacement therapy for adult transgender patients, according to several sources. (Photo by Zach Sommers for Iowa Capital Dispatch)A federally funded health care center in central Iowa has terminated core care for its transgender patients for fear of losing federal funding, four sources have confirmed. In a letter sent to transgender patients receiving hormone replacement therapy, and obtained by the…


Sources: Iowa health center ends gender-affirming care over federal funding fears
Sources say Primary Health Care has ended treatment of transgender patients out of fear of losing federal funding after Trump administration directive
US: Bans on Gender-Affirming Care Harm Trans Youth
Click to expand Image Lily, a 10-year-old trans girl, said she was devastated when her family felt forced to relocate to protect her from anti-trans hostility. © 2025 Illustrations by Barrack Rima, Art directed by Studio Safar for Human Rights Watch Laws banning gender-affirming care for transgender youth in the United States are inflicting severe harm on young people and their families as well as health care systems and civil society.Under the …
What's the point of Pride? Trans/genderfluid Iowans discuss persistence, fear and how to spite the bigots in power - Little Village
Photos by Jo Allen and Kellan Doolittle, illustration by DoolittleDr. Emma Denney (she/they) is the community resource navigator at the LGBTQ Iowa Archives & Library in Iowa City. She regularly tracks anti-LGBTQ+ bills in the state legislature for OneIowa, traveling to Des Moines to speak against them. She holds a Ph.D. in composition from the University of Iowa and makes music under the name .em. V Fixmer-Oraiz (they/them) was elected to the Jo…
Scots charity in trans rights row after announcing change to bathroom access
A Scottish charity may be discriminating against transgender staff after announcing a change to bathroom access following the recent UK Supreme Court ruling on the Equality Act, say legal experts.
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