On January 28, 2025, the Trump administration issued Executive Order 14187, which declares that it is the policy of the United States not to “fund, sponsor, promote, assist, or support” gender transition for people under 19, which includes 18-year-olds who are legal adults in the states where they reside. Among other things, the order requires federal agencies, such as HHS, to take all appropriate actions to end the “chemical and surgical mutilation of children,” including regulatory and sub-re