Oregon AG Secures Court Order Protecting Gender Affirming Care Providers
Summary
Oregon Attorney General Rayfield, leading a coalition of 21 states and D.C., secured a federal court order blocking the Trump Administration's attempt to pressure healthcare providers into ending gender-affirming care. The court ruled that the administration cannot threaten to cut off hospitals and clinics from Medicare and Medicaid for providing such care.
What changed
Oregon Attorney General Rayfield, along with a coalition of 21 other states and the District of Columbia, successfully obtained a federal court order on March 19, 2026. This order prevents the Trump Administration from threatening to terminate Medicare and Medicaid funding for hospitals and clinics that provide gender-affirming care to youth with gender dysphoria. The court granted the states' motion for summary judgment, affirming that such pressure tactics are unlawful.
This ruling is significant for healthcare providers offering gender-affirming services, as it provides legal protection against federal administrative threats to funding. The decision upholds the freedom of individuals to make personal healthcare decisions with their doctors. Regulated entities, particularly healthcare providers receiving Medicare and Medicaid funding, should be aware that the federal government cannot use funding threats to coerce the cessation of gender-affirming care. No specific compliance deadline is mentioned, as this is an enforcement action that has resulted in a protective order.
What to do next
- Review internal policies regarding the provision of gender-affirming care in light of the court order.
- Ensure all staff are aware of the legal protections for providing gender-affirming care to patients.
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AG Rayfield Leads Coalition in Securing Court Order Protecting Gender Affirming Care Providers
March 19, 2026 • Posted in Homepage, Lawsuits and Letters, Media Release
Attorney General Rayfield led a coalition of 21 other states and The District of Columbia today in securing a federal court order blocking an unlawful attempt by the Trump Administration to pressure healthcare providers into ending care for youth with gender dysphoria. The Court granted the States’ motion for summary judgment, ruling the Administration cannot threaten to cut off hospitals and clinics from Medicare and Medicaid, for providing gender-affirming care.
“The freedom to make personal healthcare decisions – with your family and your doctor – is a fundamental Oregon value,” said Attorney General Rayfield. “It’s rooted in our belief that every person deserves dignity, compassion, and care. The court saw through the federal government’s attempt to bully hospitals and providers into abandoning their patients, and ruled on the side of those values.”
The case was led by Attorney General Rayfield and the Oregon Department of Justice. Joining Attorney General Rayfield in this lawsuit are the attorneys general of California, Colorado, Connecticut, Delaware, the District of Columbia, Hawai’i, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, Rhode Island, Vermont, Washington, Wisconsin, and the Governor of Pennsylvania.
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