Texas Emerges as Focus of New Trump Administration Actions to Limit Gender-Affirming Care

Category	Detail
Condition	Gender-Affirming Care Restrictions
Key Mechanisms	Federal enforcement actions, subpoenas, and investigations targeting healthcare providers.
Target Population	Youth seeking gender-affirming medical care.
Care Setting	Healthcare institutions providing gender-affirming care.

Texas has become a focal point for federal actions limiting gender-affirming care.
Over 40 healthcare institutions have reduced or ceased providing gender-affirming care since early 2025.
Federal subpoenas have been issued to multiple healthcare providers, including Rhode Island Hospital and NYU Langone Hospital.
Legal challenges are ongoing regarding the enforcement of subpoenas and the implications for patient privacy.
State Attorneys General are pushing back against federal actions to maintain access to care.

Healthcare providers should remain informed about federal and state regulations regarding gender-affirming care.
Develop strategies for legal compliance and patient communication.

Continuously assess the impact of federal actions on the availability of gender-affirming care.

Potential legal repercussions for providers who do not comply with federal subpoenas.

Youth requiring gender-affirming medical interventions.

Providers are facing increased scrutiny and pressure regarding off-label prescribing practices.

Ensure compliance with state non-discrimination laws while navigating federal regulations.
Maintain clear communication with patients regarding potential changes in care availability.
Implement best practices for managing off-label prescribing under increased scrutiny.

Clinical Scorecard: Texas Becomes Central Point for Recent Trump Administration Efforts to Restrict Gender-Affirming Healthcare