National
America’s broken pipeline of mental healthcare for trans youth
Despite strong demand, 44 percent of LGBTQ+ youth have no access to it
Uncloseted Media published this article on May 12.
Editor’s note: This article includes mention of suicide and contains details about those who have attempted to take their own lives. If you are having thoughts of suicide or are concerned that someone you know may be, resources are available here.
By SAM DONNDELINGER and ANASTASSIA GLIADKOVSKAYA | The first panic attack Quinn Pulsipher remembers having was at 8 years old. They describe it as “a pitch-black ghost that hugs them all over and tries to control their mind.” At the beach on vacation with their family, the wind suddenly picked up, and Quinn began hyperventilating, screaming and crying uncontrollably. Nothing could calm them down.
After that first episode, the panic attacks occurred whenever there was a storm, sometimes even when there was just a light breeze.
By the time Quinn was 14, they were “spiraling down.”
They began failing most of their classes. They rarely left their room, even avoiding going to the store with their mom.
Quinn, who is nonbinary, says the deterioration of their mental health was related to the rejection they received for their identity. At school, teachers continued to misgender them even after their records were updated. They endured cyberbullying, transphobic slurs from classmates and lawmakers across the country restricting their rights.
For those six years, Quinn cycled through five therapists who, according to their mom, Hilary, did not understand the challenges Quinn faced as a queer kid.
Hilary spent hundreds of hours searching for help — filling out intake forms, sending emails and calling therapists across Utah — only to get to the scheduling stage and repeatedly hear that providers “weren’t willing to treat a trans kid.”
The therapists who agreed to work with Quinn often failed to understand how being transgender intersected with their anxiety and depression. Some confused gender identity with sexuality. Others dismissed the idea that Quinn’s gender identity could be connected to their worsening mental health.
One night, after a teacher refused to use their pronouns, Quinn reached a breaking point. They came home and cried for hours.
“The feelings were too much,” they told their mother. “I shouldn’t have to fight for my pronouns and name to be used.”
“They kept repeating, ‘I just can’t do it anymore,’” Hilary told Uncloseted Media and Fierce Healthcare. “So I flat-out asked if they were suicidal, and they said ‘yes.’ I was terrified. I prepared myself for the possibility that my child might not be alive when I checked on them.”
Hilary scheduled an emergency appointment with a nonbinary therapist Quinn has now started seeing after getting off a six-month waitlist.
“It didn’t fix everything,” says Quinn. “But what helped was talking to somebody who got it. [My therapist] is just so kind, respectful, calm and accepting. I don’t know any other way to describe just how amazing it is to have someone like this.”
“I feel so lucky we found [their therapist] when we did because I could have lost my kid,” Hilary says.
As almost 1 in 4 American teens identify as LGBTQ, affirming therapy can be life-saving. Yet availability is shrinking. Access to mental healthcare for LGBTQ youth dropped from 80 percent to 60 percent from late 2023 to late 2024, according to the Trevor Project. And in 2025, though 84 percent of LGBTQ youth wanted mental healthcare, 44 percent of them could not get it.
Over four dozen interviews with transgender teens, their families, clinicians and researchers reveal a fragmented health system plagued by long waitlists, prohibitive costs, parental consent complications and a shortage of affirming providers. Clinicians receive little to no formal education on LGBTQ health, often leaving young patients to repeatedly explain their identities in spaces intended to support them. Many LGBTQ youth say they have encountered provider homophobia and transphobia. These barriers are compounded by political hostility and school environments where bullying is pervasive.
“It’s really a wall of barriers and there’s these layers and layers of obstacles that, taken together, make accessing care feel impossible,” says Lana Lipe, a licensed clinical social worker and private practice therapist serving queer patients in Indiana.
“Not only is the need growing, but there’s not enough resources,” adds Jenna Glover, chief clinical officer at Headspace.
The journey to affirming providers
On every major mental health and suicide risk indicator, queer youth struggle more than their heterosexual peers. Analysis of 2023 national data found that queer youth are more likely to experience persistent feelings of sadness or hopelessness (66 percent versus 31 percent), poor mental health (54 percent versus 22 percent) and suicidal ideation (41 percent versus 13 percent). They were also more likely to attempt suicide (20 percent versus 6 percent).
Experts stress that the mental health struggles of queer youth are not inherent to their identities. Rather, they exist because of the minority stress they experience. Six in 10 LGBTQ teens experienced bullying in the past year. And those who did reported significantly higher rates of attempted suicide.
“They’re struggling because of what’s being done to them, and what isn’t happening for them,” Lipe says.
Finding affirming providers is difficult in part because there is no mandated LGBTQ cultural sensitivity training for mental health professionals in the U.S. And when training is offered, experts interviewed for this story agree that it’s not sufficient.
“We know that affirming care saves lives,” Lipe says. “The question isn’t whether we can do better; it’s if we’re willing to.”
From 2009 to 2010, medical school curricula included an average of only five hours of LGBTQ-related content, one study found. By 2022, that average had increased to 11 hours, which some maintain is still inadequate. Dustin Nowaskie, a psychiatrist and founder of OutCare Health, a nonprofit offering LGBTQ health resources and provider training, has argued that med schools should require 35 hours of LGBTQ training.
“This leaves the burden of educating providers to patients,” Ellesse-Roselee Akré, assistant professor at Johns Hopkins Bloomberg School of Public Health, told Uncloseted Media and Fierce Healthcare. “It has an impact on people’s willingness to receive care, people’s willingness to continue getting care and contributes to a lot of people finding alternative ways to self-medicate and treat their health themselves.”
Daniel Trujillo, a trans teen from Arizona, was lucky enough to find an affirming therapist.
As early as 3 years old, Daniel expressed his gender identity in drawings. His parents were paying attention and helped Daniel socially transition at 8 years old, which included a haircut and new clothes. Soon after, they found Daniel an affirming care team, including a psychologist for whom they paid out of pocket.
“They had had years of experience navigating how to support transgender youth and how to talk us through things we didn’t know, and help us better understand the needs of our child,” says Daniel’s mother, Lizette Trujillo.
Daniel, now 18, saw his therapist for about eight years. “During my tween and early teen years, it felt really important to have someone to help identify things I was going through,” Daniel says. “As I got older … it was more just someone to debrief with.”
The Trujillos, who have long advocated for trans rights in legislative sessions, moved to Spain in 2025 to keep their family safe due to the current political attacks on trans rights in the U.S. The move meant Daniel could no longer see his therapist.
“The political climate has made it harder and scarier for parents to say that they support their children,” Lizette says.
One way that LGBTQ patients can find providers is through online directories. GLMA, the national association of LGBTQ and allied health professionals, maintains a public list of over 5,000 queer-affirming providers, which it says is the largest online directory of its kind.
To be approved, providers must attest to their approach to LGBTQ care, thereby signaling their commitment to an affirming practice. GLMA reviews each provider’s online presence for anti-LGBTQ activity or affiliations, including social media posts and ties to Southern Poverty Law Center-designated hate groups. In cases where a provider has a limited or no online footprint, GLMA may request professional references. Providers are also asked questions to test their competency in LGBTQ topics and training.
“To be an affirming provider means that you are meeting patients exactly where they are,” Alex Sheldon, GLMA’s executive director, told Uncloseted Media and Fierce Healthcare. “It’s more than just checking a box that says, ‘I’m not going to outright discriminate against you.’ We ask for folks to go a little bit further in their exploration of their own educational ability. … Did you receive LGBTQ-specific training in medical school [or while you pursued your doctorate]? Have you published any LGBTQ related materials? Do you do research in the space?”
In a survey of 375 providers, the findings of which have not yet been published and were shared with Uncloseted Media and Fierce Healthcare, OutCare Health found nearly half of providers stated that the current political climate has made them feel more cautious about being publicly visible as an LGBTQ-affirming provider. “We have witnessed … a shrinkage of LGBTQ+ providers and practices,” Nowaskie wrote in an email.
There are many ways to deepen knowledge. Providers can voluntarily engage with medical association-accredited trainings from organizations like OutCare Health or Violet, which offer provider training on marginalized populations. Companies can either mandate these trainings or offer bonuses to clinicians for completing them.
Violet’s training revolves around a few key questions including whether providers feel confident in their knowledge of a given identity and whether they know what therapies are appropriate. Violet can then track if the training led to changes in provider behavior and patient outcomes.
Violet has seen steady interest in its LGBTQ health training: across 2024-2026, over seven hours of education per provider were completed each year, suggesting sustained engagement. And the number of providers who completed LGBTQ education grew 51 percent on the platform, from over 7,600 to nearly 11,600.
Headspace’s Glover says LGBTQ education should not be a specialization: “It should be a general part of education that any provider should be able to provide this level of care.”
Schools can be a source of pain or support
The lack of affirming providers has real-world effects. It took Emma, a 15-year-old trans girl from Fredericksburg, Va., years to find an affirming therapist to help with her anxiety and depression and to deal with the daily bullying she experienced. Emma’s mom, Angela, says that many therapists who use the tag “trans-accepting” themselves still lack expertise.
“They say LGBTQ-affirming and LGBTQ-welcoming, but … do you know how to deal specifically with gender dysphoria, body dysmorphia, all of the unique and complex things that go along with being trans? Emma is still having to explain who she is over and over again. They don’t even have that concept or grasp of it because, where’s the training?” Angela says.
In 2024, Emma and her family left Florida, where she had been bullied for being trans to the point of fearing riding her bike outside. After researching Bloomington, Ill., Angela felt it would be a safe home for her daughter, joking that half of the 1.6 percent of the population who identify as trans in the U.S. live in Bloomington.
But a few months into seventh grade, Emma was beaten unconscious in a school hallway.
In footage of the attack as described in a lawsuit, another student — who had been overheard saying she would “bully this girl until [she] transfers” — approaches her from behind, pulls her hair and forcefully and repeatedly slams her head to the ground until Emma loses consciousness. She then punches her in the face until someone pulls her off.
“She has officially lived the purest form of hate,” Angela says. “She was only four feet tall and 50 pounds at the time. She is a kid.”
After the attack, Emma was diagnosed with a concussion, a potential traumatic brain injury and post-traumatic stress disorder, according to the family’s lawsuit against the school. She says the trauma left her feeling unsafe and severely disrupted her education and well-being.
“I was just really depressed and I was always in bed. … I couldn’t eat more than a few crackers a day. All I did was sleep,” Emma told Uncloseted Media and Fierce Healthcare. “[The hate and bullying] just kind of makes you feel like a burden and like you shouldn’t be like the person that you are, even if that’s who you should actually be.”
When done right, schools can offer crucial opportunities for community, resources and support, but they are increasingly a breeding ground for bullying and political threats. Queer students reported their school climate felt more hostile during the 2024-25 school year due to an anti-LGBTQ political climate, a Glisten survey found, and over two-thirds of respondents faced harassment or assault because of their gender identity or expression.
Some states have instituted explicit policies to repress LGBTQ identities. In Florida, schools must abide by so-called “Don’t Say Gay” laws that restrict K-3 classroom instruction on sexual orientation or gender identity and prohibit all employees in K-12 public schools from using students’ preferred pronouns. Teachers must also report changes to a student’s name, pronoun use or restroom use to parents, which effectively outs children who haven’t told their parents about their identity. In Ohio, teachers are required to notify the parents if a student requests to identify as a gender that doesn’t align with their biological sex.
And even in Massachusetts, a blue state with the country’s only Commission on LGBTQ Youth, schools have become tight-lipped in their support, whether out of fear of losing funding or retaliation from parents. “Almost all districts [have] some anti-LGBTQ activity,” the commission’s executive director, Shaplaie Brooks, says. Examples include parents opting students out of LGBTQ-inclusive education; rejection of parent advisory councils meant to ensure LGBTQ inclusivity; bullying from students and rejection from educators; and administrators requesting flag removal or other material signaling affirmation.
Not ‘the next Nex Benedict’
Angela didn’t want Emma to be “the next Nex Benedict,” referring to the nonbinary 16-year-old who was beaten unconscious by kids in a school bathroom and later died from the injuries.
Even before the bullying started, she created an extensive integration plan with Emma’s junior high school. All was going smoothly until a teacher accidentally deadnamed Emma while taking attendance, even though the records were updated. From there, bullying “spread like wildfire,” according to Angela. And once it began, Angela exchanged over 60 emails with school administrators to ensure that the bullying would stop, but to no avail.
The school did not respond to Uncloseted Media and Fierce Healthcare’s request for comment.
Beyond attacks on queer rights, some lawmakers are deprioritizing mental health in general. In 2025, just a month after President Donald Trump ordered the closure of the Department of Education, the agency ended $1 billion in grants meant to train and support mental health professionals who work in schools. And in Indiana, Republican legislators removed teacher training requirements related to social-emotional learning and cultural competency.
Schools are the most common institutional entry point into mental healthcare for youth. But staffing models vary wildly. Some districts have well-staffed health centers, while others share a single provider across multiple schools. Half of all U.S. schools cite inadequate access to a licensed mental health professional as a top factor limiting their ability to provide mental health services to students, according to KFF, a nonprofit research organization.
The share of schools reporting inadequate funding for mental health services has grown since 2021 and resources vary by state. In California, public school students on private or government insurance qualify for free therapy and counseling. Meanwhile, Alabama ranks last nationally in mental health access, with many rural districts struggling with staffing shortages and inconsistent funding. Last June, 16 states successfully sued the DOE over terminated grants, with funding restored for those states by a federal judge in October.
Even organizations trying to support schools are hitting roadblocks. Bring Change to Mind, co-founded in 2010 by actress Glenn Close, operates a national student-led high school club program focused on mental health. In 2025, the organization found that 92 percent of registered club participants said they take better care of their mental health as a result.
Bring Change to Mind had spent seven years building out its high school program in Indiana with the support of the state education department. The organization also launched a middle school pilot at the agency’s request. But in 2025, its DOE funding was not renewed. “I have to find money elsewhere, until things change,” says Pamela Harrington, the organization’s executive director.
And last month in Minnesota, administrators shut down student attempts at Benilde-St. Margaret’s to start a mental health club, despite Bring Change to Mind offering seed funding. The school is near where a shooting took place last year, and the club was intended to support students struggling with the tragedy.
Harrington has also noticed that many students have stopped self-identifying as LGBTQ over the past several years. Registration for the organization’s annual student summit is down, even though participation is up. “Some students don’t feel safe registering,” she says.
Crisis care is another first entry point for many
All of these barriers may be contributing to a surge in youth going to the hospital in a mental health crisis. From 2011 to 2020, despite an overall decrease in pediatric emergency department visits, the portion of mental health-related ED visits by kids and teens soared, with the sharpest increase for suicide-related visits.
In New York state, Northwell’s Cohen Children’s Medical Center sees a disproportionate number of kids who are queer. Whether it’s bullying, depression, anxiety, trauma or suicidality, “all the rates are much higher for these kids, they’re much more vulnerable,” says Vera Feuer, the former vice president for child and adolescent psychiatry at Northwell, who left the organization in April. “Because community access is so difficult, we are often the first mental health providers that these families ever see,” says Feuer, who is now the chief clinical officer of the Child Mind Institute.
She says the main reasons kids end up in the ED for mental health are suicidality and self-harm, or behavioral problems like aggression. Conflicts involving sexuality or gender identity are often part of the trigger, and can get worse in a hospital environment if staff are not properly trained. “Feeling like you add value to the people around you versus feeling like you’re a burden, are really important components of suicidal crises,” Feuer says.
Many patients in the ED deal with trauma. And while evidence suggests that trauma-informed care has a positive impact on patients, the approach isn’t always used in EDs. The psychiatry team at Northwell is trained to be trauma-informed and affirming, which could look like wearing a Pride badge, asking a patient their pronouns or determining if they want to disclose their identity to their parents.
Feuer says even in cases of significant self-harm, some parents are “in utter denial” about their child’s identity. They might see the behavior as attention-seeking and be more concerned about their school test the next day. “The parent is also in crisis, and their brains don’t work particularly well when they’re with us,” she says.
When Emma was admitted to Carle Foundation Hospital in Illinois after the attack at school, Angela says she was offered “zero resources.”
Speaking generally about the hospital’s policies, Holly Cook, director of the Carle Foundation Hospital ED, wrote in an email that the ED has multiple protocols in place for patients experiencing mental health crises, including referrals to the outpatient psychiatric team and community mental health resources. “The top priority … is keeping the patient safe, treating the patient with dignity and helping to explain the processes as they occur,” Cook wrote.
But Angela says none of those supports were offered to Emma after her hospitalization. She says they were left without referrals for counseling, trauma services or clear guidance about where Emma could receive ongoing emotional support.
“The hospital ER doc was aware of the situation,” Angela says. “They didn’t even give me the proper ‘victim information’ paperwork that includes those types of resources. … We got nothing regarding mental health resources from the hospital. … I ended up finding resources on my own for crisis counseling because I just really needed somebody to help my kid.”
A Carle Health spokesperson declined to comment on Emma’s case, citing HIPAA, and reiterated the hospital’s priority of patient safety and dignity.
In other parts of mental healthcare, resources are strained. Last year, the Trump administration cut the LGBTQ-specific option on the 988 suicide hotline, even though suicide rates dropped 11 percent below projections since its rollout. And the 10 states with the largest 988 service uptake saw rates drop 18 percent below projections.
All of this is occurring when research demonstrates that LGBTQ youth who are able to access affirming mental healthcare report lower rates of suicide attempts.
Angela, aware that her daughter needed urgent support after she was attacked, found Project Oz, an Illinois nonprofit that provides survival aid to youth. They provided crisis care weekly to Emma, which helped her process the trauma of the attack. But the care was limited to six weeks due to their care model.
“She really listened and included my [trans identity] in the care,” Emma says. “I wish I had a little bit more time because I got to a point of recovery but it wasn’t complete. I get it could only be six weeks, but it takes time to process this stuff.”
“My biggest barrier to mental healthcare has honestly been people not understanding,” she says. After searching for years, Emma has found a trans therapist that Angela says “sees all the trans youth in [their] town.”
After working with him, Emma’s self-harm has reduced from an average of once a month to only once in the past six months.
“I’m happier. I’ve worked through my struggles a lot more and [don’t] keep it in the back of my mind because that’s what I used to always do. I would just avoid my problems.”
Parental consent Is a significant barrier to care
Emma was fortunate to have her mom in her corner. For many LGBTQ youth who need mental healthcare, getting their parents on board can be a barrier. Family rejection has among the strongest associations with suicidality and poor mental health in LGBTQ youth.
Jessica Schleider, an associate professor at Northwestern University, came across this in her research as director of the school’s Lab for Scalable Mental Health.
When she initially required parental consent for teen participation in youth mental health research, it led to homogenous samples. But when the researchers secured university approval to waive parental consent for future studies, “samples suddenly became about 80-85 percent LGBTQ, from 5-10 percent,” Schleider says. Through follow-up studies, it became clear that fearing parents was often the reason teens avoided care.
This revelation prompted Schleider to lead a study analyzing parental consent laws for mental healthcare around the country. In 2024, she found that a third of states have laws prohibiting teens from independently consenting to therapy. In these states, the study found teens with depression were significantly less likely to get treatment. Things have likely gotten more restrictive since then, per Schleider.
“Parental rights movements have really been sweeping recently, and a lot of these laws are getting more stringent,” says Schleider. The movement hinges on a “push for parents to be involved in every facet of their children’s lives to their detriment,” Schleider adds.
Trans youth are much more likely to experience homelessness than their peers and are overrepresented in foster care. Getting kicked out of their home for identifying as LGBTQ further complicates access. Will they have an ID? Will they know their Social Security number? What about transportation? “We have a healthcare system that’s built on forms and insurance cards,” says Lipe, the private practice therapist in Indiana. “When you don’t have those things, getting access to long-term care or even just routine care becomes impossible.”
Schleider says states, both red and blue, don’t realize the extent to which parental consent laws create barriers to accessing care. “It reflects how these structures and systems are all built, which is without youth input,” she says.
Astrid, a 17-year-old in central Florida who didn’t want her last name included for safety concerns, says that her mental health struggles are fueled by her parents’ rejection of her trans identity. She says these struggles are compounded by the fact that it’s been difficult getting her parents on board with seeking consistent care.
Astrid has experienced depression and anxiety and has self-harmed since she was 10. As therapy helped lessen her gender dysmorphia and body dysphoria as she transitioned, it was a blow when her family had to change insurance and their provider was no longer in network.
“I just can’t have this fight with my parents again,” she told Uncloseted Media and Fierce Healthcare. “It took so long to convince [them] to let me try therapy. … They just think I should occupy myself more, and it will distract me.”
As a result, Astrid has not been in therapy for the last two years.
LGBTQ youth who report living in very accepting communities attempted suicide at less than a third of the rate of those who live in very unaccepting communities, per the Trevor Project. “That’s why chosen family, chosen community is so important,” says Glover. “That’s the basic safety net that we need.”
With his family’s and care team’s support, Daniel Trujillo never experienced suicidality, his mother says. “He’s proof of what happens when you affirm and you love someone,” Lizette says.
Freedom of speech makes it harder to police harm
Once parents are on board, navigating the network of providers and discerning who may be affirming or rejecting still remains a challenge. To demonstrate this, Avery, an 18-year-old from Mississippi, opened up his laptop to Psychology Today, a therapy provider directory, to find a therapist. Avery, who is questioning his gender and has been in and out of therapy for six years to help with his anxiety, depression and suicidal ideation, filters for “transgender” therapists, and only a handful in his area appear. When he adds another filter looking for therapists who work with trans people with autism, zero results turn up.
“There’s a big difference between mental healthcare and good mental healthcare,” says Avery, who asked to use only his first name for safety reasons. “A lot of queer people are dealing with complex cases. I have autism and I want to be able to work with someone who understands that as well as my gender.”
Avery describes a long history of therapy providers who were unequipped or dismissive of his gay identity. Several therapists avoided engaging with his gender questioning altogether, leaving him feeling ignored.
There were more extreme scenarios. He says one therapist used a form of Eye Movement Desensitization and Reprocessing, a type of psychotherapy often used for PTSD, suggesting that his sexuality was something he could change.
“He said, ‘Have you considered that identity is culturally constructed and that you could just construct an identity that’s not gay?’” Avery says. “It made it hard to trust therapists for me.”
With Colorado’s ban on conversion therapy being overturned by the Supreme Court on free speech grounds last month, therapists now have more legal protections to use nonaffirming language with clients. Beyond that, the ability for LGBTQ-affirming therapists to practice freely in certain states is being challenged. In March, Texas’s attorney general issued a legal opinion declaring that the prohibitions outlined in a law that makes it illegal for healthcare providers to “transition” kids also apply to certain mental health providers. This limits what they can say in sessions.
“They want to make any mental healthcare for trans kids that is affirming punishable but they are saying free speech protects conversion therapy, so that is hypocritical in our minds,” GLMA’s Sheldon says. “It is going to be a very challenging landscape for mental health providers.”
If you find it, can you afford it?
Even when you identify an affirming provider, finding one that takes insurance is another battle. According to the Trevor Project, affordability was the top reason queer youth couldn’t access care in 2025, with 46 percent reporting they could not afford it.
Many therapists don’t accept insurance, citing difficulties in becoming in-network with payers and low reimbursement rates.
“We’re quite literally pricing kids out of survival,” Lipe, the therapist in Indiana, says.
Aaron Martin, a licensed marriage and family therapist with a virtual private practice in San Francisco, accepts several commercial insurance plans. And his reimbursement rates are not only low but also sometimes delayed. For over a month, Martin was owed over $1,000 by a major insurer. Chasing them down by phone meant wasted time that could’ve been spent seeing patients. “It becomes this really awful game,” Martin says. “It makes a lot of sense why providers are just opting out [of insurance] altogether.”
The Savannah Pride Center offers therapy for free or as low as $5, regardless of insurance status. But getting in is challenging. Parental consent is required, and there is a waiting list. “We definitely saw an uptick in clients right after the election,” Michael Bell, the center’s executive director, says.
The path forward
To combat the shortage of providers, especially in more rural areas, experts interviewed for this story agree that telehealth has emerged as a powerful medium to support queer patients. Use of telehealth for mental healthcare has increased in schools, though some schools are parting ways with virtual providers as federal COVID-19 relief funds expire.
“Technology is here,” says Ashwin Vasan, a physician and epidemiologist and the former commissioner of the New York City Department of Health and Mental Hygiene. “Let’s make it better. … When you do that, you can actually steer it towards meeting the needs of the most vulnerable.”
Virtual providers like Charlie Health are seeing the positive impact. In 2025, 34 percent of Charlie Health’s patients identified as LGBTQ, many of whom struggle with suicidal ideation. “Virtual care can really meaningfully change access and safety equations,” says Caroline Fenkel, co-founder and chief clinical officer at Charlie Health. For example, for trans youth who have not had top surgery, being able to log on virtually where they only have to show their face can feel more comfortable.
Though telehealth can help in some cases, policy change is needed. Akré, of Johns Hopkins Bloomberg School of Public Health, says the barriers trans youth face are systemic, not individual. “Our mental healthcare system as it’s designed, is not really meant to accommodate individuals with diverse identities,” she says.
Echoing Akré, Lipe notes chronic stressors like poverty and disability don’t have an easy fix: “We don’t currently have solutions that match the complexity of that problem.” Some social needs are addressable, like transportation to care. “Anything we can do to help reduce those barriers, so that they can access those types of services, is critical for upstream prevention,” Lipe says.
While expanding LGBTQ-specific training for providers is often cited as a solution, Akré argues that education alone won’t fix the problem. “It doesn’t change behavior at scale — policy does.”
In addition to mandating training requirements, Akré recommends stronger accountability for discrimination in care and clearer reporting systems so patients aren’t left “reporting into a black hole.” Without those structural changes, she says, trans youth will continue to navigate a system that too often requires them to fight for care at the very moment they need it most.
When it comes to schools, Glisten, a national nonprofit advocating for LGBTQ students, says queer kids feel safest when reports of bullying are taken seriously. Glisten recommends that bullies should be held accountable, with parent involvement, and schools should support students in organizing gender and sexuality alliances.
In the absence of sweeping policy changes, non-therapy tools remain a key access point. Schleider’s lab runs Project YES, a free online mental health support tool that offers referrals to local or crisis resources. Within the tool, users can access Project RISE, designed for LGBTQ youth, which teaches skills to overcome internalized stigma.
“I definitely believe that’s our best bet, particularly for these historically stigmatized groups, where changing laws and policies is going to take too long,” Schleider says.
For Quinn, things are still hard, but their affirming therapist has changed how they move through tough moments.
After years of shutting down when things felt overwhelming, Quinn’s biggest change, according to their mom, is their ability to express what they want and need.
“[Their therapist] was kind of the catalyst for us to find a gender clinic and start on estrogen and puberty blockers,” Hilary says.
Quinn says they feel more themselves and feel more engaged with life. Their mom has noticed.
“I went to Costco the other day, and they wanted to come with me,” Hilary says. “That didn’t used to happen. I get to see my kid again.”
Neither the Society for Adolescent Health and Medicine nor the American Academy of Child and Adolescent Psychiatry, which publish clinical guidelines for providers, responded to multiple requests for comment.
Florida
Gay Fla. Democrat Elijah Manley sees opportunity in Trump’s second term
State’s 20th Congressional District’s includes Broward, Palm Beach Counties
Just over two and a half miles from President Donald Trump’s primary residence lies one of Florida’s most reliably Democratic congressional districts. There, a 27-year-old progressive is mounting a campaign centered on resisting what he calls the Trump-Vance administration’s attacks on civil rights, immigrants, and LGBTQ+ Americans.
Elijah Manley, an openly gay Democrat, sat down with the Los Angeles Blade to discuss why he is running for Florida’s 20th Congressional District, why he believes this moment calls for a new generation of leadership, and what he hopes to accomplish if elected to Congress.
Born and raised in Fort Lauderdale’s historic Sistrunk neighborhood — the city’s oldest African American community — Manley was raised by a single mother who struggled to make ends meet. His family experienced housing insecurity and, at one point, homelessness, experiences he says continue to shape both his politics and his policy priorities.
For Manley, those experiences are precisely what he believes Congress is missing.
“I think now the country is in need of somebody like me, with my story, my lived experience, the struggles I’ve been through in my life. We’re going through a really dark time in the country with the Trump administration coming for our civil rights and an economy that is not working for everybody. In a time where we have MAGA fascism, we need progressive leadership, and we need people who are really going to do the work of fighting back and resisting and obstructing Donald Trump and MAGA Republicans’ agenda in Congress.”
Manley said his campaign is also about ensuring people from marginalized communities — those without wealth, political connections, or institutional backing — have a voice in Congress.
“I think my story sets me aside from everyone else. I’m the only one in this race who has a story to tell voters that lines up with their lived experiences and their struggles. Growing up in poverty and experiencing homelessness was instrumental in developing my worldview and how I fight for people, and I think that’s something that’s absent on Capitol Hill.”
He argues that lived experience offers a perspective often missing on Capitol Hill.
“There are too many lawyers and people coming from professional and political backgrounds. Then you have somebody like me who is rooted in the story of this district. That’s what sets me apart from everyone else in this race.”
According to his campaign website, Manley’s interest in public service dates back to childhood. He cites the election of President Barack Obama as a defining moment that inspired him to pursue politics.
“He was inspired by Barack Obama’s historic election, igniting his passion for public service. He began writing to elected officials, speaking at school board and city council meetings, and advocating for issues affecting his community,” the website states. It goes on to describe his involvement in criminal justice and law magnet programs, Navy JROTC, and hundreds of hours of volunteer service while in high school.

As an openly gay candidate running during Trump’s second administration, Manley said Congress must take a far more aggressive approach to protecting LGBTQ+ Americans, particularly as Republican-led states continue passing restrictions targeting transgender people.
“I think we need to bring the hammer down on some of these states. I’m not one of these states’ rights people — Congress has the power to preempt laws that states pass through the Supremacy Clause. There’s never been a more important time in our history when we’re seeing fascism, we’re seeing an administration out of control, and we need Congress to act.”
His campaign has also drawn criticism from both Republicans and establishment Democrats for his positions on Gaza, immigration, and his call to abolish U.S. Immigration and Customs Enforcement.
Manley said abolishing ICE does not mean eliminating immigration enforcement altogether.
“I’m not saying there should be no immigration laws. We want laws around immigration, but we want dignity. We don’t need a hypermilitarized, paramilitary group chasing people through the streets, terrorizing communities, churches, schools, and families.”
His personal experiences also inform his healthcare agenda.
“When we talk about healthcare, my experience growing up on Medicaid is seeing the failure of the government to expand Medicaid here in Florida, and now we’re seeing cuts from the Trump administration. I’m not just looking at statistics or numbers on paper — this is based on lived experience. I know how the people in this district are going to be hurt by these policies because I’ve lived it.”
California Democratic Congressman Ro Khanna, who has generated early buzz as a potential 2028 presidential contender for his “progressive capitalist” approach to governing, has endorsed Manley’s campaign, giving the first-time congressional candidate one of his highest-profile endorsements.
Manley faces six other Democrats in the primary, including U.S. Rep. Debbie Wasserman Schultz and former U.S. Rep. Sheila Cherfilus-McCormick, along with four Republican candidates in the general election field. Cherfilus-McCormick resigned from Congress ahead of a potential expulsion and is running again while facing federal criminal charges.
Despite running as the youngest candidate in the field, Manley said he hopes voters leave the race remembering one thing above all else.
“I want people to remember bold and authentic leadership. I want them to know I’m running because I’ve been through what people are going through right now — and it’s not that I’ve been through it, I’m actually still going through it. We need bold people who are going to fight for everybody and stand up for what’s right, and that’s what I hope voters see when they go to the polls.”
Alabama
Former Fla. gubernatorial candidate Andrew Gillum arrested on drug charges
Democrat narrowly lost to DeSantis in 2018, later came out as bisexual
Andrew Gillum, the former Democratic nominee for governor of Florida and former mayor of Tallahassee, was arrested on drug possession charges in Alabama last week.
Police in Daphne, Ala., said they pulled Gillum over for erratic driving and found marijuana and methamphetamine in his vehicle. He was charged with possession of marijuana and unlawful possession of a controlled substance, according to the Daphne Police Department. Jail records show he was arrested on July 2 and released on July 3, the Associated Press reports.
Gillum, the first Black nominee of a major political party for governor in Florida, lost the 2018 election to current Republican Gov. Ron DeSantis in a highly contentious race.
Once considered a rising star in national politics, Gillum served in Tallahassee’s local government, first as a city commissioner and then as mayor of Florida’s capital from 2014- 2018.
The Daphne Police Department said officers stopped Gillum’s vehicle around 10:45 p.m. and initiated a probable cause search after one officer noticed a glass pipe on the center console.
During the search, officers found several rolled marijuana cigarettes and three packages containing a substance that tested positive for methamphetamine, police said.
The day after his arrest he was charged with possession of dangerous drugs, use or possession of drug paraphernalia, and possession of marijuana.
In 2020, Gillum was involved in a similar incident when he was found in a Miami Beach, Fla., hotel room with a man identified as an escort who had apparently overdosed on drugs. Police also found three bags of suspected crystal methamphetamine in the room. The man survived, and no one was ever charged with a crime.
Later that year, Gillum came out as bisexual during an appearance on “The Tamron Hall Show,” where he discussed his struggles with drug and alcohol addiction and his decision to seek treatment following the 2020 incident.
In the same interview he shed light onto this, saying his substance use was a byproduct of the emotional struggles he experienced after losing the 2018 gubernatorial race to DeSantis.
This is not the first time Gillum has faced legal scrutiny.
During his 2014 mayoral campaign, he faced allegations of misconduct after hiring private equity investor Adam Corey as his campaign treasurer, raising questions about a potential conflict of interest. However, the FBI ultimately concluded there was no conflict of interest.
Pennsylvania
Philadelphia murder suspect remains at large
Two killed, one injured in attacks motivated by victims’ sexual orientation
Police seek the public’s support in finding a suspect wanted in connection with three Philadelphia shootings, including two murders, who may have targeted his victims because they were gay. All three shootings took place near Hunting Park Recreation Center between May 29 and June 26.
The suspect is 21-year-old Jahylin Melchur, who has not been located by police and is not in police custody as of July 7. Police seek the public’s support in tracking down the suspect, whose image was captured on surveillance cameras. Previous reporting underlined that Melchur should be considered armed and dangerous.
Each of the victims was found partially clothed between 10 and 11 p.m.
On May 29, a 55-year-old in Juniata Park was found two miles from the rec center. The victim, who survived the encounter with critical injuries, said a man approached him and announced his intention to rob him, before shooting him in the elbow and torso.
Martin Higgins, 45, was pronounced dead on the bleachers of the rec center’s baseball field on June 20, suffering from a gunshot wound to the abdomen. Sharef Holman, 29, was found near the basketball courts on June 26, suffering from multiple gunshot wounds. He was transported to Temple University Hospital but died shortly thereafter.
Deputy Police Commissioner Frank Vanore declined to answer the Philadelphia Inquirer’s question regarding whether the victims may have met Melchur on a dating app, citing the ongoing investigation. Sources told the Philadelphia Inquirer that investigators are exploring this possibility
Although robbery may be at least part of the motive in the first shooting, other movies are unclear.
NBC10 reported that law enforcement sources told the station all three victims were targeted because they were gay, but the Philadelphia Police Department did not confirm this.
The Philadelphia Police Department replied to PGN’s questions with an email stating, “This remains a very active investigation, and investigators are looking at all aspects of the case, including underlying motivations for committing these crimes.
“At this point, we can confirm that Melchur is wanted for two homicides by shooting and one non-fatal shooting, all of which occurred in the Hunting Park area.
“The investigation has not established that the victims were specifically targeted because of their sexual orientation.”
The Philadelphia Police Department is urging anyone with information to contact the Homicide Unit at 215-686-3334 or submit an anonymous tip by calling the PPD Tip Line at 215-686-TIPS (8477).
(This story is republished with permission of the Philadelphia Gay News.)
National
Madonna roundup: Reviews, sales, and love for ‘Danceteria’
Pop legend’s new album ‘Confessions II’ earning raves
Madonna isn’t just back, she’s ubiquitous.
From a Times Square takeover to Graham Norton’s couch, the pop legend is busy promoting her new album, “Confessions II,” a sequel to 2005’s “Confessions on a Dance Floor,” that is earning rave reviews.
“Madonna’s back in peak form with a fresh and honest dance record that’s not only her best in 20 years, but a genuinely vital addition to her canon,” says Pitchfork.
“Facing grief and loss has made Madonna’s music deeper than it’s been in 20 years, but also more alive,” the Guardian proclaims.
“If everyone in the club is a work of art, as ‘Danceteria’ says, then to live loudly is to make an indelible mark,” according to Vulture.
The album features upbeat dance productions along with some melancholic views on death and loss. On the song “Betrayal,” she reflects on the recent death of her stepmother Joan, singing, “You’ll never take my mother’s place … you betrayed me, you enslaved me.”
On “L.E.S. Girl,” she revisits her early days living on the Lower East Side and struggling to pay the rent. “Bizarre” seems to reference her failed 1980s marriage to actor Sean Penn. “Test” is a duet with daughter Lola Leon, in which she sings, “I wish I knew / The pain I’ve caused / My butterfly / Was always being watched.”
But the emotional high point of the album comes on “Fragile,” which she wrote about the death of her brother Christopher. The two were close early in Madonna’s career and he designed sets for early tours, including “Blonde Ambition.” But they had a falling out after her marriage to Guy Ritchie and he wrote a scathing tell-all book about his sister that led to years of estrangement. The two reconciled after Christopher’s cancer diagnosis and shortly before he died in 2024 at age 63. She sings, “Late last night I was fast asleep/You came to me in a dream/You said, ‘Don’t forget about me/Don’t forget to be happy.’”
Death emerges again but in a much more upbeat context in “Danceteria,” an ode to the iconic New York nightclub that has emerged as a gay favorite single and seems destined to be the song of the summer in queer nightlife. She recounts her pre-fame days trying to convince a DJ to play her first single “Everybody” at the club and name checks Jean-Michel Basquiat, Keith Haring, best friend Debi Mazar, and DJ Mark Kamins on the track.
Streaming numbers and sales are strong for the new album with projected first week sales of 100,000 ensuring a No.1 debut in the U.S.
U.S. Federal Courts
Three overlooked court rulings limited White House anti-trans policies
Supreme Court narrowed trans rights, advocates saw victories in other decisions.
While the U.S. Supreme Court’s decision in West Virginia v. B.P.J. continues to dominate headlines about transgender rights, three recent federal court cases produced significant rulings that limited or temporarily blocked Trump-Vance administration policies attacking trans Americans.
Talbott v. USA
Trump issued Executive Order 14183, “Prioritizing Military Excellence and Readiness,” on Jan. 27, 2025, banning trans people from serving in the military. The following day, GLAD Law and the National Center for LGBTQ Rights filed a federal lawsuit in the U.S. District Court for the District of Columbia challenging the ban on behalf of six active-duty service members and two individuals seeking to enlist. The organizations argue the policy violates the Fifth Amendment’s guarantee of equal protection under the law.
The plaintiffs sought a nationwide preliminary injunction — a temporary block on enforcement of the executive order while the litigation continued. The district court granted that injunction and later rejected the Trump-Vance administration’s request to dissolve it, temporarily protecting trans service members from being discharged solely because of their gender identity.
That protection, however, was short-lived. In Shilling v. Trump, the Supreme Court stayed the lower court’s injunction, allowing the military to begin enforcing the trans service ban while litigation continued. The U.S. Air Force subsequently required trans service members facing involuntary separation proceedings to appear in uniforms and grooming standards corresponding to their sex assigned at birth and, in some cases, used their deadnames during those proceedings.
Despite that setback, the plaintiffs secured two significant legal victories during Pride month.
On June 1, a federal appeals court blocked the discharge of the trans service members involved in Talbott. Then, on June 30, a federal district court certified the case as a class action on behalf of all currently serving trans service members. That means future rulings in the case will apply not only to the original six plaintiffs but to all active-duty trans military personnel covered by the class.
The case remains ongoing, but class certification significantly strengthens the ability to protect trans service members as the litigation continues. Currently, there are 28 plaintiffs in total, including the two still attempting to enlist.
Z.A. v. Blanche
In Z.A. v. Blanche (formerly Z.A. v. Lucile Salter Packard Children’s Hospital at Stanford), the U.S. District Court for the Northern District of California issued an emergency order one day before a federal grand jury subpoena was set to be enforced on July 2. The order blocked the Department of Justice from obtaining confidential medical records belonging to California families whose children receive gender-affirming care.
The ruling relied in part on protections established under the Health Insurance Portability and Accountability Act (HIPAA), the 1996 federal law governing the privacy and security of medical records.
The decision represented a significant check on the administration’s efforts to obtain sensitive patient information, protecting the privacy of trans patients and their families while the legal challenge proceeds.
Doe v. Blanche
Doe v. Blanche, which remains ongoing, challenges Trump’s executive order, Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. Under policies implementing that order, many trans women in federal custody would be housed in men’s prisons.
A federal district court in D.C. granted a preliminary injunction blocking enforcement of a Bureau of Prisons policy that would require incarcerated trans women to be housed in men’s facilities regardless of individualized safety assessments or the risk of sexual assault.
The Bureau of Prisons policy also conflicts with the goals of the Prison Rape Elimination Act (PREA), enacted by Congress in 2003 to address sexual abuse in correctional facilities through standards, research, funding, and prevention measures. Federal data has consistently shown that trans people in custody experience sexual assault at dramatically higher rates than the general prison population.
Commentary
When a church fears the rainbow
Puerto Rico pastor objected to Pride symbols outside congregation
There are moments when an incident stops being merely a local story and begins to reveal something much deeper. What happened on June 28 outside One Church, in Comerío, Puerto Rico, belongs in that category.
I do not know who painted the rainbow colors on the asphalt and on a roadside guardrail. I do not know what motivated them, and it is not my place to justify their actions. If someone believes a law was broken, there are authorities and legal mechanisms to address that. That is not the point of this reflection.
The point is the words that followed.
Hours after those colors appeared, Pastor Jorge J. Santiago Reyes went live on social media. He said he felt threatened. He described what happened as a physical attack against his church. He appeared angry and disappointed. He called those who painted the rainbow “cowards” and “charlatans.” He expressed frustration with the support that, according to him, the municipal government of Comerío has shown toward the LGBTQ+ community, and with those who support posts related to that community. He repeated several times that the people responsible had “crossed the line.” He ended his message by saying, “These charlatans have to be stopped.”
As I listened to his words, I stopped thinking about the paint.
I began thinking about fear.
There is one phrase the pastor repeated again and again: “They crossed the line.” Yet he never explained what that line was. If he was referring to a possible violation of the law, that is for the authorities to determine. If he meant respect for property, there are also procedures to deal with that. But when that line remains undefined and the message begins to associate a rainbow with a threat, the question changes. It is no longer only about a guardrail or a road. It becomes a question about what boundary, in the pastor’s view, was actually crossed.
Paint can be erased.
A brush can cover the asphalt and return a guardrail to its original color.
What does not disappear so easily is the meaning of those colors.
And perhaps that is where the real conflict begins.
It is significant that this happened precisely on June 28, the day when the LGBTQ+ community remembers a history marked by exclusion, violence, and the struggle for dignity. What represents memory, hope, and the possibility of living without hiding for millions of people was presented by others as a threat.
I do not know why someone painted that rainbow. I do not need to know in order to ask whether those were the words society should expect from a pastor.
A religious leader may feel hurt, frustrated, or angry. What he cannot forget is the responsibility that comes with every public expression. His words do not end when a livestream ends. They move beyond the space of his church, reach people who may never share his faith, and help shape the way others see those who think differently. When a pastor calls other people “charlatans” and “cowards,” says they “have to be stopped,” and turns a rainbow into evidence of an attack, he is no longer speaking only from frustration. He begins to build a discourse that can feed rejection toward a community far larger than the people responsible for that act.
There was another moment in the livestream that caught my attention. The pastor reminded viewers how much he has served Comerío, how much he has accompanied his community, and how much he has worked for it. I have no reason to question that service. I am sure many people can testify to the good he has done.
That is precisely why it was difficult to hear.
Pastoral vocation is not about reminding a town of everything one has done for it when conflict appears. Service does not lose its value when it goes unrecognized; it loses something when it becomes an argument to claim a moral position from which to speak down to others. A person who serves does so because that is the nature of the calling, not because that service grants authority to discredit those who think differently.
As a pastor, that part of the message left me deeply uneasy. Not because I expect ministers of God to be perfect. We are not. But because our words carry weight, we are called to speak with greater responsibility. Some expressions build bridges. Others raise walls. Some words invite encounter. Others end up justifying rejection.
The paint will disappear. A brush will be enough to cover the asphalt and return the guardrail to its original color.
The words will not disappear as easily.
They will remain recorded in a video, shared again and again on social media, and remembered by those who heard them. They will remain long after the last trace of paint has been erased.
When this episode is remembered, it probably will not be because of the rainbow that appeared outside One Church, in Comerío, Puerto Rico.
It will be because of the words a pastor chose to use when speaking about it.
And that difference changes everything.
U.S. Supreme Court
Supreme Court upholds state laws banning trans athletes from sports teams
Justices heard oral arguments in two cases in January
The U.S. Supreme Court on Tuesday upheld state laws that ban transgender athletes from school sports teams that correspond with their gender identity.
The justices in January heard oral arguments in two cases — Little v. Hecox and West Virginia v. B.P.J. — that challenged laws in Idaho and West Virginia respectively.
Both cases question the constitutionality of laws from both states that block trans girls from participating on girls’ teams at publicly funded schools — specifically if these bans violate the 14th Amendment’s Equal Protection Clause and Title IX. Since 2020, 27 states have banned transgender youth from playing school sports.
In a 6-3 decision made on party lines, the conservative justices asserted that laws prohibiting trans women and girls from participating in sports programs at publicly funded schools does not violate either constitutionally protected right. Notably the ruling does not require any state to categorically bar transgender girls from participating on girls’ sports teams, or transgender boys from participating on boys’ sports teams.
In the majority for the case, Justice Brett Kavanaugh delivered the opinion. It holds that schools can determine eligibility for women’s and girls’ sports teams based on biological sex. It also holds that West Virginia did not violate Title IX, which bars educational programs that receive federal funding from discriminating based on sex.
“Consistent with Title IX and the Equal Protection Clause, we hold that the States may maintain women’s and girls’ sports for biological females. They may determine eligibility for women’s and girls’ sports based on biological sex,” Kavanaugh wrote. “The Constitution and Title IX do not require an overhaul of women’s and girls’ sports throughout America.”
The Chief Justice John Roberts, along with Justices Clarence Thomas, Samuel Alito, Neil Gorsuch, and Amy Coney Barrett joined Kavanaugh’s majority opinion. It permissibly maintains female sports for biological females.
In his conclusion, Kavanaugh shares his belief of the importance of sports to women and girls but also a caution that “[n]o student-athlete on either side of the issue … deserves to be ostracized or vilified.”
Justice Sonia Sotomayor opinion was concurring in the judgment in part and dissenting in part. Justices Elena Kagan, and Ketanji Brown Jackson joined Sotomayor’s opinion.
In her dissent, Sotomayor explains that the majority opinion, while attempting to protect one groups Constitutional rights (those assigned women at birth), it puts another group’s constitutional rights (trans women) at its expense and in principle violates the Equal Protection Clause of the 14th Amendment.
“Because the majority, however, inflicts a hardship on those it disfavors without giving them the fair and full opportunity the Constitution requires to litigate their contentions, I respectfully dissent,” Sotomayor wrote, eventually pointing to how the states had evaluated issues of trans sports participants prior to these bans as evidence of general omission. “The ban eliminated this individualized approach in favor of categorical exclusion.”
She also pointed out that these rules to not equally exclude, further bolstering her argument that the majority opinion was not created with the truest sense of the Equal Protection Clause at its center.
“Teams “designated” for “females” “shall not be open to students of the male sex where selection for such teams is based upon competitive skill or the activity involved is a contact sport.” Teams “designated” for “males” do not have the same restriction.”
Jackson wrote in her dissent that this ban does explicitly allow for sex discrimination in any school or education program that receives federal funding.
“A transgender woman penalized for being perceived as aggressive has experienced discrimination ‘on the basis of sex’ just as much as a cisgender woman has, no matter that the transgender woman’s behavior matches expectations of her sex assigned at birth,” Jackson said. “Either way, the institution has imposed its gender-based expectations upon her. And either way, the institution may have violated Title IX.”
In West Virginia v. B.P.J., the case centers on B.P.J., a trans girl who was barred from competing on her school’s girls’ cross-country and track teams under West Virginia’s Save Women’s Sports Act, enacted in 2021. Under the law, it requires participation to be based on the athlete’s biological sex as indicated on their original birth certificate issued at the time of birth.
In Little v. Hecox, the details are slightly different, but ask the same 14th Amendment and Title IX questions but against Idaho’s Fairness in Women’s Sports Act. In this case Hecox, a trans woman and student at Boise State University wished to join the women’s cross-country team, but couldn’t under the law. She, with a cisgender athlete filed a suit against the governor, arguing the Equal Protection Clause of the 14th Amendment explicitly protects their rights to participate on the woman’s team.
Trans rights activists have criticized the highest court in the land’s decision, highlighting it legally allows for discrimination based on gender identity — something they argue is a foundational element of the spirit of the Equal Protection Clause.
Jennifer Levi, senior director of Transgender and Queer Rights at GLAD Law outright called the six conservative justices view of Equal Protection and Title IX as “wrong.”
“Today’s ruling gets it wrong. And it’s kids who will suffer for it. By upholding these blanket bans, the Supreme Court has allowed states to deny students even the chance to try out for a school team, simply because they are transgender,” Levi told the Los Angeles Blade in a statement. “Policies that categorically bar students don’t advance fairness; they mandate exclusion.”
She continued, pointing out excluding some for the protection of others does not ensure fairness as the justices are arguing in their opinion.
“When a law bars every transgender girl regardless of age, hormones, or physiology, it isn’t about competitive fairness. It’s about keeping transgender kids out. We can protect women’s sports without doing that. Most of the country already does.”
Chris Erchull, senior staff attorney at GLAD Law, pointed out that while disappointing, the court does not mandate discrimination as the policy.
“This ruling does not require any state to follow West Virginia’s or Idaho’s cruel, overly-broad approach, and it does not mandate categorical bans on transgender students participating in school sports,” Erchull said. “It also leaves intact broader nondiscrimination protections for transgender students in education, including Title IX’s protections against sex discrimination for LGBTQ+ students. Discrimination has no place in our schools, and we can and should ensure that every student has the opportunity to learn, to thrive, and to know that they belong.”
Sasha Buchert, senior attorney and director of the Nonbinary and Transgender Rights Project at Lambda Legal, also emphasized the bad faith argument the majority opinion pushes for the sake of one exclusionary view of the Equal Protection Clause and Title IX.
“This ruling is deeply harmful for transgender women and girls who only asked for the ability to participate in sports with their peers,” Buchert said. “Countless studies have demonstrated the myriad benefits that come with participation in team sports. Now, one population, transgender youth and collegians, are targeted for specific and baseless discrimination. We will not be deterred and will continue to fight back to secure the equal participation that all youth, including transgender youth, deserve.”
Joshua Block, senior counsel for the American Civil Liberties Union’s LGBTQ & HIV Rights Project also echoed the lasting negative impact this ruling will have for trans Americans.
“This is a heartbreaking ruling for our clients and transgender girls like them who’ve asked for nothing more than the same opportunities afforded to their peers.” Block said. “The reality is that the equality of transgender women and girls takes nothing away from, and in fact promotes, the equality of all women and girls. We will continue to advance the fundamental principle that all young people deserve equal opportunity to thrive and succeed.”
Shannon Minter, legal director for the National Center for LGBTQ Rights, who himself is trans, issued a statement, reassuring that while upon face value the decision seems to undermine the rights of trans sports participants, it does not make that the rule.
“Today’s limited decision means that states and schools across the country still have the power to make reasonable rules to ensure fairness without banning all transgender girls,” said Minter. “Like other health or medical considerations in sports, reasonable policies for transgender student athletes rely on individual assessments rather than blanket bans. Every child deserves the chance to play sports with their friends and learn the lessons sports teach, including determination, resilience, and teamwork.”
Kelly O’Neill, an attorney for Legal Voice’s from Idaho also provided a statement to the Blade.
“It is profoundly unfair to deny a young person the benefits of teamwork and dedication because of who they are,” O’Neill said. “We should be removing barriers for girls and women in sports, not creating new ones.”
Human Rights Campaign President Kelley Robinson came to a similar conclusion.
“No kid — not my kid, not your kid, not any kid — deserves to be discriminated against. Yet this ruling is heartbreaking for transgender student athletes who are being forced to sit on the sidelines simply for who they are. When politicians convince the public that any girl could be ‘the wrong kind of girl,’ they invite harassment, intimidation, invasive questioning, or even an inspection of their body by a total stranger,” Robinson wrote in a statement shared with the Blade. “It’s sadly just the latest decision by the conservative justices on the Supreme Court to roll back protections for marginalized communities and create a second class citizenship for millions of people. We are sacrificing the dignity, privacy, and safety of America’s young people to solve a problem that was manufactured and exploited for political gain … We must continue this fight with full force until freedom, justice and equal opportunity are not flimsy promises, but nationwide guarantees.”
GLAAD President Sarah Kate Ellis, who presides over the world’s largest LGBTQ media advocacy organization, issued a statement on the ruling.
“This decision is at odds with the fundamental principles of fairness, freedom, and family that define our country and our communities. By allowing sweeping restrictions on a very small number of transgender students who simply wanted to participate in sports alongside their peers, the ruling creates an unnecessarily unfair playing field,” Ellis said. “Personal freedom and opportunity are best served when our legal protections expand access and guarantee safety for everyone. Today’s decision unfairly strips the rights of a few and threatens the ability of every girl and woman to play the sports they love.”
On the other side of the ideological isle, U.S. Sen. Jim Risch (R-Idaho) applauded the Supreme Court’s decision to uphold the state’s women and girl trans sport ban. In a statement the Republican called the court’s conservative view of as a win for “women, fairness, and the Gem State.”
“Idaho was the first state in the nation to ban biological men from competing in women’s sports and uphold the opportunities Title IX promised more than 50 years ago,” Risch said in a statement. “The Supreme Court’s decision affirms those protections and the generations of women who fought for fair, equal athletics.”
U.S. Federal Courts
Court to weigh class action status in trans military ban challenge
Thousands of transgender servicemembers await pivotal decision
While many eyes are on the U.S. Supreme Court awaiting the verdicts in West Virginia v. B.P.J. and Little v. Hecox, another court case involving transgender rights is unfolding less than a mile away at the U.S. District Court for the District of Columbia — one that could have lasting implications for transgender military personnel.
In January 2025, President Donald Trump signed Executive Order 14183, titled “Prioritizing Military Excellence and Readiness,” directing the Pentagon to prohibit transgender, nonbinary, and gender-nonconforming people from serving in the military.
The Trump-Vance administration and Defense Department argued that trans people are inherently incapable of meeting the military’s “high standards of readiness, lethality, cohesion, honesty, humility, uniformity, and integrity,” citing a history or signs of gender dysphoria. According to the Pentagon this creates “medical, surgical, and mental health constraints on [an] individual.” Regardless of their physical or intellectual capabilities, transgender applicants are now considered less qualified than their cisgender peers.
Almost immediately after the executive order was signed, LGBTQ Legal Advocates & Defenders (GLAD Law) and the National Center for LGBTQ Rights filed a federal lawsuit in the U.S. District Court for the District of Columbia challenging the order. The plaintiffs argue the Trump administration acted with discriminatory animus and violated the Equal Protection guarantee of the Fifth Amendment.
The case — originally filed as Talbott v. Trump and now restyled as Talbott v. USA — includes six active-duty service members and two individuals seeking to enlist. Since the initial filing, 12 additional plaintiffs have joined the lawsuit.
On June 1 the U.S. Court of Appeals for the D.C. Circuit blocked the military ban for active-duty trans service members. The three-judge panel ruled 2-1 that Trump’s executive order was illegal — created with the intent to exclude people from military service based on their gender identity.
The Los Angeles Blade spoke with Michael Haley, a staff attorney at GLAD Law who is part of the legal team challenging the ban and seeking to protect the constitutional rights of transgender service members. Haley previously served as an assistant attorney general in the New Hampshire Department of Justice and as a law clerk for the U.S. District Court for the District of New Hampshire.
Asked why the D.C. Circuit’s ruling blocking the ban — issued on the first day of Pride month — was so significant, Haley said the decision is about protecting the constitutional rights of trans people that have been under attack since the beginning of the Trump-Vance administration.
“I think it’s hard to understate the importance of that order, because what is really significant is that the ban is based entirely on the administration’s dislike of transgender people, and not based on any real concerns about lethality and unit cohesion,” Haley said. “The circuit court went through in pretty good detail, identifying all the ways in which it’s clear that the administration is doing this to harm transgender people, and not for any kind of real military benefit. It’s a really striking and important decision that shows all of our plaintiffs have been serving with distinction, earning medals and commendations, and the fact that they are transgender does not factor into the equation.”
On Tuesday, the plaintiffs will ask the court to certify the lawsuit as a class action on behalf of all trans service members affected by the military ban. Asked what class certification would accomplish, Haley said it would allow future rulings in Talbott to apply not only to the named plaintiffs but to all trans service members covered by the case.
“The class certification, if the court approves it — and we’re hopeful that it will — will mean that any final judgment that comes out of this case will apply not just to our named plaintiffs, but to all transgender service members serving. Simply certifying a class does not necessarily change things on the ground for folks now, but it will ensure that our final judgment, or future judgments within this proceeding, apply to everybody and not just the named plaintiffs.”
Haley said the current legal landscape has created significant uncertainty for trans troops, leaving many unsure of their futures — both those serving stateside and those stationed overseas.
“Unfortunately, there’s just really not a lot of transparency around how the government is implementing the ban,” he said. “We are hearing from service members, including our own plaintiffs, who are receiving notices that they are going to be put before separation boards, but we have no insight into their timing, their decisions for who they notify, when and why, or how they are viewing the D.C. Circuit’s order. We’re going to have to wait for a little bit more of the court process to happen before we can speak with any certainty.”
Asked whether the case could eventually reach the Supreme Court — as Defense Secretary Pete Hegseth suggested in a post on X — Haley said the central constitutional question is whether the policy is rooted in discriminatory animus.
“It will be extremely hard for any court to deny that a policy that identifies a group of people and calls them dishonest, lacking integrity, and lacking a warrior spirit — in spite of all the evidence — is motivated by animus. That’s an argument under the Equal Protection Clause of the Constitution, which says everybody is entitled to equal protection of the laws and forbids singling out a group of people and treating them disfavorably just because you don’t like them rather than because of some legitimate purpose … I think that’s going to be the central question.”
Haley also explained how the current policy differs from the trans military ban Trump announced in 2017.
“The first thing goes back to that same question of animus. The D.C. Circuit recognized that this time around, the policy on its face calls transgender people dishonorable and lacking integrity and things like that. We did not have as clear evidence as we do this time around that this is not actually about military readiness — it is about trying to harm transgender people.”
Haley echoed that view, arguing the administration’s “updated” policy is aimed at excluding trans people rather than improving military readiness.
“The fact that they are trying to push out people who are serving simply because they’re transgender goes to show that this is about harming that group rather than making sure the military can function,” Haley said.
He said the current policy is significantly broader, affecting active-duty trans service members rather than primarily those seeking to enlist.
“The other major difference is how this ban is treating folks who are serving. The last time around, those who were already serving were allowed to continue serving and the ban only applied to people seeking to join the military. This time around, the ban is going further and trying to push out people who are serving with distinction and performing to standards, which is just more evidence that this is not about any actual military benefit.”
Haley also outlined the two categories of evidence GLAD Law has presented to the court to challenge the administration’s claims that trans service members undermine military readiness.
“One [type of] evidence about these individual service members — they have served on nuclear submarines, flown Navy planes, reached ranks requiring Senate confirmation, served as field medics, and continue to excel in extremely demanding roles,” he said. “The other category is testimony from high-ranking military personnel who oversaw the inclusion policy and saw transgender people serving without any of the concerns the government now claims.”
“These are people who have to meet the standards just like anybody else, and if they meet the standards, they should be able to continue to serve. We had four years under the previous administration implementing that policy without any of the issues the government now claims, and that’s pretty strong evidence that it was working.”
Asked about the human toll of the policy — and the thousands of trans service members who have been forced out of the military or are uncertain about their futures — Haley said those personal stories have become a driving force behind the legal challenge.
“I have really heard stories of lives torn apart. These are people who, in some cases since they were children, dreamed of serving, achieved extremely high levels within the military, built their lives around it, built their families around it, and have now been sitting in limbo for more than a year not really knowing what’s coming next.”
He said the disruption extends far beyond losing a job, affecting long-term careers, financial security, and retirement plans.
“For those who have left, they have left a life where they had known no other type of career. In many cases they had served for long periods and were planning on availing themselves of the military benefits they had earned through long-term service, and because they were pushed out too soon, they are now having to reorder both their short-term and long-term lives.”
Haley also described service members stranded overseas, unable to return home or continue serving while they wait for the legal process to play out.
“We know of people who are effectively stranded on bases overseas, unable to come home but also unable to serve, and are just waiting for this to move forward so they can see their families again, whatever the outcome. It’s been really devastating, especially for a group of people who raised their hand to serve and protect.”
Asked what trans service members should take away from the upcoming class certification hearing, Haley encouraged them to stay informed through organizations such as SPARTA Pride, a nonprofit organization representing trans service members, veterans, their families, and allies.
“Until we get an order from a court saying, ‘This is what’s next,’ it’s hard for us to guess, and we certainly don’t want to send folks in the wrong direction. Folks should follow organizations like GLAD Law, NCLR, and SPARTA because they’re providing day-to-day updates as these developments happen.”
Second Lt. Nicolas “Nic” Talbott, U.S. Army, one of the plaintiffs in the case, spoke with the Blade last year about what it has been like to be a capable and willing service member stripped of his career because of the policy.
“It’s very empowering to be able to stand up, not only for myself, but for the other transgender service members out there who have done nothing but serve with honor and dignity and bravery,” Talbott told the Blade. “There are no documented cases that I’m aware of of a transgender person having a negative impact on unit cohesion simply by being transgender … Being transgender is just another one of those walks of life.”
Talbott added that a more diverse military is ultimately a stronger military because it brings together people with different backgrounds and perspectives to solve complex problems.
“I think the more diverse our military is, the stronger our military is … We need people from all different experiences and all different perspectives, because somebody is going to see that challenge or that problem in a way that I would never even think of … and that is what we need more of in the U.S. military.”
SPARTA Executive Director Kara Corcoran, an Army infantry officer with 18 years of service who is currently being separated under the trans military ban, said the upcoming class certification hearing could determine whether relief extends beyond the named plaintiffs.
“When the D.C. Circuit Court recently ruled to affirm Talbott v. USA’s preliminary injunction, SPARTA Pride was relieved to see their powerful conclusion: that this policy was not based on any evidence, but in unconstitutional animus toward transgender people,” Corcoran said in a statement to the Blade. “However, the post-CASA climate meant what was originally a universal injunction now only benefited the small number of active duty plaintiffs. This limited scope left behind the thousands of other transgender service members whose rights were also violated. Certifying the case as a class action would ensure that an ultimately positive outcome in litigation would apply to all patriots impacted by the discriminatory policy — not just the few dozen who signed on to be plaintiffs last year.”
Corcoran said the hearing carries implications far beyond the trans military community, arguing that the case could shape how courts respond when constitutional protections are challenged.
“The entire transgender military community and their families are waiting with profound anticipation and hope for the court’s decision, knowing it could determine the future of their military careers, their livelihoods, and their families. But the gravity of tomorrow’s hearing reaches far beyond those directly affected. It will serve as a test of whether our government will uphold its constitutional duty when another branch openly discriminates against a marginalized group of Americans who answered the call to serve with self-sacrifice, honor, and integrity. This is not simply about transgender service members — it is about the precedent the judicial system sets for every American when equal treatment under the law is challenged.”
The U.S. District Court for the District of Columbia is scheduled to hold the class certification hearing on Tuesday at 2 p.m. ET.
U.S. Supreme Court
11 years after Obergefell, marriage equality remains under scrutiny
Landmark ruling issued on June 26, 2015
Friday marks 11 years since the U.S. Supreme Court ruled the Constitution protects same-sex marriage in Obergefell v. Hodges. Despite that major win for LGBTQ+ people nationwide, the case may be on shakier ground than originally thought.
Obergefell v. Hodges, the case that determined the Constitution extends its protection of rights to same-sex couples and that states must recognize marriage licenses for same-sex couples from other states, was decided using a combination of cases from several states.
The central arguments in the case rested on the 14th Amendment’s Equal Protection Clause, Due Process Clause, as well as collateral spousal and parental rights.
Cases in play
The first case came from Michigan with DeBoer v. Snyder, where a lesbian couple, who were not legally allowed to marry in the Mitten State, attempted to adopt their third child but could not both obtain legal parental rights. April DeBoer and Jayne Rowse initially received a favorable ruling in district court, with the judge finding that the Michigan Marriage Amendment — which barred same-sex marriage in the Midwestern state — violated the Equal Protection Clause. The same day, the case was appealed to the 6th U.S. Circuit Court of Appeals, eventually making its way, along with the other five cases, to the highest court in the land.
Ohio had multiple cases that ultimately contributed to the judicial acknowledgment of same-sex marriage rights in the U.S.
The Supreme Court case most commonly associated with the fight for same-sex marriage — Obergefell — originated in Ohio. Beginning as Obergefell v. Kasich in the state, James Obergefell knew his longtime boyfriend, John Arthur, was suffering from ALS. Knowing Arthur’s life would end shortly — and understanding the couple could not legally marry in Ohio — they boarded a medically equipped plane, accompanied by a nurse and Arthur’s aunt, Paulette, and flew to BWI Airport in Maryland. There, they were legally married. Over the next several months, Arthur’s health continued to decline until he eventually passed away in October.
The legal battle began after Arthur died, as Ohio law refused to acknowledge that Obergefell was his husband and would not list him as Arthur’s surviving spouse on his death certificate. Obergefell challenged the decision, arguing it was unconstitutional and pursuing legal action. The local Ohio registrar agreed that refusing to recognize their out-of-state marriage license — which Ohio had recognized for different-sex couples in the past — discriminated against the couple. Despite that, the state attorney general continued to defend Ohio’s same-sex marriage ban.
The judge ultimately ruled that “a marriage solemnized outside of Ohio is valid in Ohio if it is valid where solemnized,” marking another step toward marriage equality. Ohio appealed the ruling, and the case ultimately contributed to the establishment of same-sex marriage protections under the federal Constitution.
The second Ohio case, Henry v. Wymyslo, much like DeBoer v. Snyder, involved parental rights for adopted children. The case included four couples — three lesbian couples who lived in Ohio and adopted children while residing there, and one gay couple from New York with an adopted son born in Ohio. The four couples filed a lawsuit against Ohio, seeking to require the state to list both parents on their children’s birth certificates.
Eventually, the judge — the same one who presided over Obergefell v. Kasich — ruled that the state must list both parents on their children’s birth certificates. Like many cases that make their way to the Supreme Court, it went through multiple appeals before ultimately reaching the nation’s highest court.
Kentucky also had two cases that contributed to the legal battle for same-sex marriage.
The first, Bourke v. Beshear, revolved around Gregory Bourke and Michael DeLeon, a same-sex couple married in Canada in 2004, and Randell Johnson and Paul Campion, who were married in California in 2008. Like DeBoer v. Snyder and Henry v. Wymyslo in their respective states, the plaintiffs challenged Kentucky’s ban on same-sex marriage and its refusal to recognize same-sex marriages performed in other jurisdictions so that both parents could be acknowledged on their children’s birth certificates.
The judge ultimately ruled, much like in Obergefell v. Kasich, that states constitutionally must recognize legally performed out-of-state marriages.
Love v. Beshear is the second case from the Bluegrass State.
Maurice Blanchard and Dominique James were denied a marriage license by Kentucky county clerks. The couple’s legal team filed to join Bourke v. Beshear, another case actively challenging the state’s ban on same-sex marriage, and the motion was approved, with the case restyled as Love v. Beshear. The judge ultimately ruled that Kentucky’s bans on same-sex marriage explicitly “violate the Equal Protection Clause of the Fourteenth Amendment to the United States Constitution, and they are void and unenforceable.”
The final case, Tanco v. Haslam, involved four same-sex couples who filed suit in Tennessee. Each couple had married outside Tennessee before moving to the state, with nearly all relocating for employment. One worked for the military, whose marriage was already recognized by the Department of Defense; one worked for the state; and two were professors. Seeking to have their out-of-state marriages recognized in Tennessee, the four couples filed Tanco v. Haslam in U.S. District Court for the Middle District of Tennessee. The court eventually granted a preliminary injunction requiring the state to recognize the marriages of the three plaintiff couples but denied the request to overturn Tennessee’s same-sex marriage ban.
To SCOTUS
All of these cases contributed to the legal challenge against same-sex marriage bans across the country and ultimately led to a 5-4 ruling that allowed same-sex couples to have their marriages recognized in all 50 states, Guam, Puerto Rico, and D.C.
The justices voted as follows: Anthony Kennedy, who authored the majority opinion, Ruth Bader Ginsburg, Stephen Breyer, Sonia Sotomayor, and Elena Kagan supported Obergefell while Chief Justice John Roberts, Antonin Scalia, Clarence Thomas, and Samuel Alito all dissented.
The court held that the 14th Amendment — specifically its Due Process Clause — guarantees the right to marry as one of the fundamental liberties it protects, regardless of the gender of those getting married.
The court also ruled that another provision of the 14th Amendment — the Equal Protection Clause — extends the right to marry enjoyed by different-sex couples to same-sex couples, finding that denying same-sex couples that right violates their right to equal protection under the law.
Some of the Supreme Court justices who dissented argued that this was a state issue, not a federal one, because the Constitution makes no mention of same-sex couples. They said it was beyond the purview of the court to decide whether states must recognize or license such unions. The dissenters argued that the majority was engaging in judicial policymaking, which they contended is not permitted under U.S. law.
Another argument made by the dissenting conservative justices was that the majority opinion infringed on religious freedom by engaging in this “judicial policymaking” rather than allowing state legislatures to determine the laws governing marriage.
Since the ruling
According to data from the Williams Institute, 823,000 same-sex couples are now legally married — more than twice the number in 2015 — as a result of the Supreme Court’s decision.
The ruling also increased the number of same-sex families raising children, largely because it removed legal barriers and paperwork restrictions that had prevented same-sex couples from being listed as parents. The data shows there are nearly 299,000 children under the age of 18 being raised by married same-sex couples as a result of Obergefell.
The states that saw the largest increases — and the most favorable changes to marriage rates — were in the South. The percentage of cohabiting same-sex couples who were married between 2014 and 2023 increased from 38 percent to 59 percent.
Many of the married same-sex couples surveyed said marriage improved their sense of safety and security (83 percent), life satisfaction (75 percent), and relationship stability (67 percent).
“Marriage equality has significantly benefited the lives and well-being of same-sex couples, their families, and the communities where they live,” said Christy Mallory, interim executive director and legal director at the Williams Institute.
Future of Obergefell
While same-sex marriage remains the law of the land, there have been multiple attempts by conservative and religious figures in America to reverse it.
In 2025, Kim Davis, the clerk of Rowan County, Ky., who made headlines 10 years earlier after refusing to issue marriage licenses following the striking down of same-sex marriage bans, approached the Supreme Court with the goal of getting Obergefell overturned.
She argued that the ruling put her religious beliefs at odds with her job and asked the court to strike it down. The consensus was nearly unanimous, holding that when a person serves as an agent of the state, they cannot place their personal religious beliefs above state policy because they are acting on behalf of the government.
Thomas, one of the Supreme Court’s most conservative justices, has also attempted to plant the seeds for overturning Obergefell.
In Dobbs v. Jackson Women’s Health Organization, which ultimately restricted abortion access in the country, he wrote a concurring opinion suggesting that Obergefell, along with several other precedents, should be “reconsider[ed].”
Later, without directly addressing Obergefell, Thomas told an audience at Catholic University’s Columbus School of Law that he didn’t “think that … any of these cases that have been decided are the gospel.”
While President Donald Trump has not implemented any executive restrictions on same-sex marriage during his presidency, his administration has made it clear that it opposes continued efforts to expand protections for same-sex couples, particularly when doing so conflicts with claims of “religious freedom.” The administration has attempted to remove sexual orientation and gender identity from federal health care and housing nondiscrimination protections and has significantly restricted the rights of transgender Americans.
Currently, same-sex marriage remains federally protected by the Respect for Marriage Act, and the Supreme Court has thus far declined to overturn Obergefell.
New York
Judge blocks DOJ from obtaining transgender patients’ medical records
Advocacy groups sued White House
A judge for the U.S. District Court for the Southern District of New York has granted a request from multiple transgender people for a temporary restraining order, blocking the disclosure of plaintiffs’ and class members’ medical information to the Justice Department.
Judge Katherine Polk Failla approved the Temporary Restraining Order and Provisional Class Certification, preventing any further information from being provided to the Trump-led DOJ.
The medical data was requested through subpoenas issued by the Trump-Vance administration’s DOJ to multiple hospitals in New York City — most notably NYU Langone — which halted its Transgender Youth Health Program in May following a federal push to stop providing trans minors with gender-affirming care.
In May 2026, NYU Langone Hospitals received a subpoena from a federal grand jury in Fort Worth, Texas, demanding that the hospitals turn over the identities and sensitive health information of any patient who had received medical treatment for gender dysphoria while under the age of 18 at NYU Langone between January 2020 and May 2026.
Lambda Legal, the American Civil Liberties Union, and the New York Civil Liberties Union filed a lawsuit, “Coe, et al. v. Blanche, et al.,” against the Trump-Vance administration on behalf of three families with trans youth and two trans young adults who were minors when they began care, in June 2026.
The lawsuit requests a temporary restraining order blocking the DOJ from violating the patients’ constitutional privacy rights by obtaining identifying and sensitive health information as part of its investigation into unspecified health offenses. The DOJ issued subpoenas to NYU Langone and other similar healthcare institutions in New York City, including Mount Sinai, that provide or have provided gender-affirming medical care to trans minors. All plaintiffs have filed under pseudonyms to maintain their privacy and anonymity.
Multiple leaders of organizations that helped push for the restraining order provided quotes about the ongoing situation and what it means for the fight for trans children’s access to healthcare in the U.S.
“Today’s order from the court is a victory for the basic privacy of our clients and all families like theirs across New York City. It is no secret that this administration will use every lever in its power to attack transgender people and fulfill its misguided goal to ‘end’ gender-affirming medical care — care that is legal and protected in New York State. Using subpoenas to attain the identities and sensitive health information of transgender young people to effectuate such goals should send chills down the spine of every American. Our laws and our Constitution recognize that we all have a right to confidentiality about the most intimate and private information about ourselves,” said Omar Gonzalez-Pagan, senior counsel and health care strategist at Lambda Legal. “Whether a young person receives any type of medical care is a decision for that patient, their family, and their doctor, not for political appointees to decide, interfere with, or know. The government cannot abuse its powers to violate the constitutional rights of transgender young people and their families. It is an enormous relief for these families that the court has stopped them from doing so as this case proceeds.”
“We’re thankful the court has granted our emergency request to protect the privacy interests of transgender New Yorkers and their families,” said Chase Strangio, co-director of the ACLU’s LGBTQ & HIV Rights Project. “Patients and families trust their doctors with their most intimate, private information and should trust in turn that this information will be protected from impermissible and harassing demands for disclosure from the federal government or anyone else. For the past year, the Trump administration has not only decided that it knows better than these families and their doctors what their medical needs are, but has also sought to obtain troves of sensitive information about patients in New York. We will continue to fight on behalf of these families and the fundamental liberty of all transgender New Yorkers and those who come here to seek needed medical care.”
“New York’s laws recognize that transgender youth deserve fundamental privacy protections for their sensitive medical records and unobstructed access to the care they need,” said Bobby Hodgson, deputy legal director at the New York Civil Liberties Union. “As the Trump administration tries to bully transgender youth, scare families, and intimidate healthcare providers into dropping their patients, we’re thankful the court found these tactics are likely unconstitutional and put a stop to them here in New York.”
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