2025-02194Presidential DocumentWallet

President Bans Tax Dollars for Kid Gender Transitions: Bureaucratic Bombshell

Published Date: 2/3/2025

Presidential Document

Summary

This new order stops the government from funding or supporting medical treatments that change a child's sex, like hormone blockers or surgeries, for anyone under 19. It aims to protect kids from lifelong harm, including sterilization and health problems, by enforcing strict rules against these procedures. The changes start right away and could affect medical costs and care for many families.

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Analyzed Economic Effects

8 provisions identified: 2 benefits, 5 costs, 1 mixed.

Federal Ban on Child Transition Care

The order directs the federal government to not fund, sponsor, promote, assist, or support medical treatments that change a child's sex for individuals under 19 years of age. This policy is effective as of the Presidential signature on January 28, 2025 and applies to any federal funding or support for such care for those under 19.

HHS Rescind Guidance and 90-Day Review

The Secretary of Health and Human Services must rescind or amend policies that rely on the World Professional Association for Transgender Health (WPATH) Standards of Care and publish a review of existing literature on best practices for minors with gender dysphoria within 90 days of the order (by April 28, 2025).

Federal Research/Grant Recipients Must End Care

Heads of executive departments must immediately take appropriate steps, consistent with law, to ensure institutions receiving Federal research or education grants (including medical schools and hospitals) end chemical and surgical gender-transition treatments for children under 19.

Medicare and Medicaid Coverage Actions

The Secretary of HHS is directed to use authorities including Medicare or Medicaid conditions of participation or conditions for coverage, clinical-abuse assessments for State Medicaid programs, and mandatory drug use reviews to end chemical and surgical gender-transition treatments for minors under 19.

TRICARE Coverage Exclusion for Minors

The Secretary of Defense shall commence rulemaking or sub-regulatory action to exclude chemical and surgical gender-transition treatments for children under 19 from TRICARE coverage and amend the TRICARE provider handbook; TRICARE currently provides health insurance to nearly 2 million individuals under age 18.

Federal Employee Plans: Coverage Exclusion, 2026

The Office of Personnel Management is directed to include provisions in the Federal Employee Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) 2026 Plan Year call letter requiring eligible carriers to exclude pediatric transgender surgeries and hormone treatments, and to negotiate corresponding reductions in FEHB and PSHB premiums.

DOJ Push for Private Lawsuits for Injured Children

The Attorney General, in consultation with Congress, is directed to work to draft, propose, and promote legislation to create a private right of action for children and parents whose children's healthy body parts have been damaged by medical professionals practicing chemical and surgical gender-transition treatments, including a lengthy statute of limitations.

DOJ Consumer Fraud and Safety Investigations

The Attorney General is directed to prioritize investigations and take action to end deception of consumers, fraud, and violations of the Food, Drug, and Cosmetic Act by entities that may be misleading the public about long-term side effects of chemical and surgical gender-transition treatments for minors.

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Key Dates

Effective Date
Published Date
1/28/2025
2/3/2025

Department and Agencies

Department
Independent Agency
Agency
Executive Office of the President
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