So many things to keep track of in this timeline! There are new headlines every day, and it all builds up. We thought we might try to pull together a working snapshot of what’s going on with the youth care executive order (executive order 14187).
We’re also including some information on executive order 14168, as the two executive orders are joined via lawsuits. It’s complicated!
Timeline of this executive order:
As of March 17, 2025:
- Executive order 14168 is signed and published on 1/20/2025 – this order is “defending women from…”.
- Executive order 14187 is signed an published on 1/28/2025 – this order is “protecting children from….”
- Clarified and terms defined on 2/19/2025.
- Enjoined in WA, OR, MN, and CO on 2/28/2025 and nationally on 03/04/2025.
LAWSUITS – two lawsuits have been filed. Both have issued injunctions stopping the administration from enforcing the EOs
- 2/4/2025 – lawsuit filed in Maryland by PFLAG and GLMA
- 2/13/2025 a temporary restraining order was issued.
- 3/4/2025 – a preliminary temporary injunction was ordered
- This injunction applies nationally. The administration should be withholding or denying no federal funding based on whether or not an institution provides gender affirming care.
- The administration should also not try to get around the order by making up a new one.
- The administration should release any funds that were already withheld.
- 2/7/2025 – a lawsuit was filed by the Attorneys General of Washington, Oregon, and Minnesota and three physicians. Colorado later joined the suit.
- 02/14/2025 – a temporary restraining order was issued to apply until 2/28/2025.
- 02/26/2025 – the temporary restraining order was extended to March 5th, 2025.
- 02/28/2025 – a preliminary injunction was issued. This injunction applies to Washington, Oregon, Minnesota, and Colorado
- the administration’s request for a stay pending appeal was denied
Read the injunction orders:
- Order granting preliminary injunction (MD: PFLAG and GLMA – 03/04/2025)
- Order Granting In Part And Denying In Part Motion For Preliminary Injunction (WA/OR/MN/CO – 2/28/2025)
What is Stopped?
The national injunction stops Section 3(g) of Executive Order 14,168 and Section 4 of Executive Order 14187.
The WA/OR/MN/CO injunction stops Sections 3(e) and 3(g) of Executive Order 14168 and Section 4 of Executive order 14187.
What does the executive order do?
The goal of the executive order is to make appropriate and medically necessary gender affirming care extremely difficult to access for youth and young adults under age 19. It disproportionately affects patients at publicly funded medical institutions such as university or research hospitals, of those who receive Medicaid or Medicare.
The specifically enjoined sections include:
EO 14168:
Section 3(e)
Agencies shall remove all statements, policies, regulations, forms, communications, or other internal and external messages that promote or otherwise inculcate gender ideology, and shall cease issuing such statements, policies, regulations, forms, communications or other messages. Agency forms that require an individual’s sex shall list male or female, and shall not request gender identity. Agencies shall take all necessary steps, as permitted by law, to end the Federal funding of gender ideology.
Section 3(g)
Federal funds shall not be used to promote gender ideology. Each agency shall assess grant conditions and grantee preferences and ensure grant funds do not promote gender ideology.
EO 14187
Section 4
Defunding Chemical and Surgical Mutilation. The head of each executive department or agency (agency) that provides research or education grants to medical institutions, including medical schools and hospitals, shall, consistent with applicable law and in coordination with the Director of the Office of Management and Budget, immediately take appropriate steps to ensure that institutions receiving Federal research or education grants end the chemical and surgical mutilation of children.
How does the youth care order work?
It denies scientific evidence, orders funding to institutions that provide care to be stopped, and instructs federal administrative entities to review existing procedures, regulations, and laws, and write new ones. It also instructs the Attorney General to investigate and prosecute shield states.
- Denies the validity of the rigorous review process behind the WPATH guidelines. Many insurance policies require adherence to WPATH guidelines for coverage.
- Requires a new review of existing literature on gender affirming care for youth to be completed. (This will be cherry-picked and biased.)
- Requires institutions that receive research or education grants (medical schools, hospitals, clinics) to stop providing gender affirming care.
- Instructs Health and Human Services to review policies and regulations with the stated aim of stopping affirming care, including:
- Medicaid and Medicare policies
- requiring mandatory drug use reviews
- section 1557 of the Patient Protection and Affordable Care Act (which prohibits discrimination in covered healthcare on the basis of race, color, national origin, sex, age, or disability.
- quality and safety oversight
- essential health benefits requirements
- medical coding, including procedure, diagnosis, and mental health codes
- Instructs Health and Human services to publish new guidelines protecting people who report gender affirming care given to minors.
- Instructs the Department of Defense to cease coverage of gender affirming care to minors covered by TRICARE (military insurance).
- Requires a review of laws on “female genital mutilation” and enforcement – no doubt to classify gender-affirming procedures as illegal rather than rightfully prosecuting unconsented and not medically supported procedures.
- Instructs the Attorney General and Congress to draft legislation creating an outsized statue of limitations for gender care.
- Instructs the Attorney General to go after sanctuary (shield) states and utilize parental kidnapping laws to do so.
- Requires a report on all of the above within 60 days (March 28th, approximately.)
Read QueerDoc’s statement on the executive order and information on Navigating Youth Care Access After The January 28th Executive Order.
Sources for this article include:
- KFF’s Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health
- WA State Attorney General’s Office news release.
- Ongoing coverage by Gender Justice League, Erin in the Morning, and Lawdork.
- Wikipedia on Executive Order 14168
- Wikipedia on Executive Order 14187
We’re not linking to the orders themselves, because gross.
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