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| Letitia James on Jan. 8 in New York City. |
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In a letter to healthcare providers, James, a Democrat, emphasized that refusing to offer gender-affirming care would be a violation of New York’s anti-discrimination laws.
“Regardless of the availability of federal funding, we write to further remind you of your obligations to comply with New York State laws,” James stated.
Trump, a Republican, recently signed an executive order directing federal agencies to ensure that hospitals receiving federal research and education grants discontinue what he described as the “chemical and surgical mutilation of children.” The language of the order, which includes terms like “maiming,” “sterilizing,” and “mutilation,” starkly contrasts with the medical community’s understanding of gender-affirming care in the U.S.
James' letter follows reports that some hospitals in Colorado, Virginia, and Washington, D.C., are pausing gender-affirming treatments for minors while reviewing the implications of the order. The White House issued a statement Monday asserting that the executive order was “already having its intended effect.”
A spokesperson for the Greater New York Hospital Association said the organization is actively working with member hospitals to assess the order’s legal and clinical impact.
“We are collaboratively working through every aspect of the EO to determine its legal and clinical implications. That work is ongoing,” Brian Conway stated in an email.
Although gender-affirming medical care for transgender youth remains relatively uncommon, it has been at the center of intense political debate. A recent study found that fewer than 1 in 1,000 U.S. adolescents with commercial insurance received puberty blockers or hormones over a five-year period.
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