Texas Emerges as Focus of New Trump Administration Actions to Limit Gender-Affirming Care Author: Lindsey Dawson Published: May 21, 2026

https://www.kff.org/lgbtq/texas-emerges-as-focus-of-new-trump-administration-actions-to-limit-gender-affirming-care/?utm_campaign=31978628-KFF-LGBTQ&utm_medium=email&_hsenc=p2ANqtz--Ezebc-OA8GqCAgFrCp6BywR7oDhR-3jtde0d2bJmEUw2gt6ixtkWv4BPVnDx6ubPiOLsiO0r52dUn2_dI26Arrh9YBg&_hsmi=419929426&utm_content=419929426&utm_source=hs_email Examining the Trump Administration’s Newest Efforts to Limit Youth Gender-Affirming Care, Focusing on Texas Following recent settlements with a Texas hospital over youth access to gender-affirming care, a new KFF brief examines the Trump administration’s recent efforts to restrict youth access. The settlements require payment of damages and penalties, provider terminations, and, in an unusual move, the establishment of a clinic dedicated to providing detransition-related services. The brief explores three major developments in recent weeks, which center on U.S. Department of Justice actions in Texas. These actions include criminal and civil investigations, financial penalties, and forced clinic operations changes to compel a crackdown on gender-affirming care, even though Texas has had bans on youth gender-affirming care for several years. These developments could further discourage health care providers nationwide from offering gender-affirming care. Since early 2025, federal pressure has resulted in dozens of providers discontinuing gender-affirming services, with providers citing "external pressures" and "federal orders" rather than medical concerns as reasons for stopping care.