Latest news and developments in the national debate over gender ideology:

California’s attorney general is suing Rady Children’s Health after the hospital stopped providing sex-rejecting interventions for minors, arguing the decision violates state law and merger agreements.

The Utah House passed three bills to prohibit surgical and chemical interventions for minors, restrict public insurance coverage, and require insurers to cover detransition treatments, with the measures now advancing to the Senate.

A new Free Press investigation examines the rapid expansion—and emerging rollback—of so-called “gender medicine”, highlighting growing legal, medical, and cultural scrutiny surrounding the practice.

Sincerely,

The Biological Integrity Team
The American College of Pediatricians

California AG Sued Rady Children’s for Halting Sex-Rejecting Interventions

California Attorney General Rob Bonta has filed a lawsuit against Rady Children’s Health for ending chemical and surgical sex-rejecting interventions for patients under 19, arguing that hospital’s decision violates conditions of the hospital’s merger agreement and California’s “Shield” law protecting access to these interventions.

The hospital refers to federal pressures and investigations that influenced its decision to halt sex-rejecting interventions, while Bonta expressed that the state will continue to fight to regain access.

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American Society of Plastic Surgeons Stands Up for Minors

The American Society of Plastic Surgeons, the nation’s largest organization of board-certified plastic surgeons, has issued a new statement cautioning physicians against performing sex-rejecting surgeries on minors.

ASPS cited the lack of evidence supporting these procedures and the irreversible harm they can cause. This marks the first time a major U.S. medical organization has publicly opposed sex-rejecting surgeries for children, signaling a notable positive shift in the broader medical landscape.

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Utah House Passes Three Bills that Prohibit Sex-Rejecting Interventions on Minors

On February 5, the Utah House of Representatives passed three related bills aimed at fully banning sex-rejecting interventions for minors. The first, HB174, would convert the state’s 2023 moratorium on newly prescribed cross-sex hormones for minors into a permanent prohibition.

Lawmakers also advanced HB193, restricting publicly funded employers from offering insurance coverage for surgical and chemical interventions, and HB258, requiring private insurers that choose to cover such procedures to also cover “detransition” treatments. All three measures now move to the Utah Senate for consideration.

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The Rise and Fall of Sex-Rejecting Interventions

A new Free Press report outlines how so-called “gender medicine” for youth is now facing a backlash and decline after years of controversy and increasing scrutiny. The report also traces how gender ideology swept through medicine and education, pushed by activists and institutions, only to encounter growing resistance from journalists, clinicians, whistleblowers, and legal challenges revealing harms and lack of solid evidence.

Recent legal and medical developments—including various HHS reports, malpractice lawsuits, and changes in surgical guidelines—signal a shift in how sex-rejecting interventions are viewed and practiced.

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