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Supreme Court rejects Trump’s ‘dangerous’ push to cut off medical care for transgender prisoners

The justices denied the administration’s emergency request to enforce restrictions on gender-affirming care in federal prisons.

u.s. supreme court

A view of the US Supreme Court in Washington, DC, on October 14, 2026.

SAUL LOEB / AFP via Getty Images

The U.S. Supreme Court on Wednesday rejected the Trump administration’s bid to restrict gender-affirming care for transgender people in federal prisons, preserving access while a legal challenge continues.

The policy would have ended surgeries, gradually withdrawn hormone treatment, and eliminated accommodations including wigs and makeup. Mental health services would remain available.


Related: Trump begs Supreme Court to let feds withdraw medical care for trans prisoners: ‘A dangerous thing to do’

About 600 incarcerated people received hormone therapy in 2025, according to Bureau of Prisons court filings.

U.S. District Judge Royce Lamberth ordered treatment to continue, warning that untreated gender dysphoria can cause depression, anxiety, and suicidal thoughts. The administration appealed, citing security concerns.

The order in Trump v. Kingdom leaves a lower court’s order blocking the restrictions intact. Justices Samuel Alito and Clarence Thomas would have allowed enforcement. Chief Justice John Roberts, who issued the order, did not explain the Court’s reasoning.

Related: Transgender prisoners ask U.S. Supreme Court to stop Trump from taking their medical care

The ruling leaves the underlying lawsuit unresolved but keeps a lower court’s protection in place against restrictions adopted following President Donald Trump’s executive order targeting care for transgender people held in federal custody. A doctor told The Advocate that removing this care from trans prisoners is “a dangerous thing to do.”


This story is developing.

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