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

Missouri Supreme Court Upholds SAFE Act: Last week, the Missouri Supreme Court upheld Missouri’s SAFE Act restricting sex-rejecting interventions for minors and prohibiting Medicaid coverage.

HHS Report Exposes Fraud in Pediatric Gender Medicine: A peer-reviewed HHS report published in November concludes that fraud is a “fundamental” part of gender medicine.

States Sue HHS Over Funding Cuts: Twelve Democrat-led states are suing the HHS and Trump admin over withholding grants that funded sex-rejecting interventions on minor

Sincerely,

The Biological Integrity Team
The American College of Pediatricians

Missouri Court Upholds Restrictions on Sex-Rejecting Procedures for Minors

Huge win for Missouri in EN v. Kehoe last week! The Missouri Supreme Court unanimously upheld both the SAFE Act, which puts restricts chemical and surgical sex-rejecting interventions on minors, including puberty blockers or cross-sex hormones, and prohibits Medicaid coverage for these interventions for all ages.

In September, ACPeds filed an amicus brief in this case, providing valuable scientific information highlighting the harms of sex-rejecting procedures.

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Complete Fraud in Sex-Rejecting Medical Practices

A robust peer-reviewed HHS report that was published in November points to a “fundamental” part of the child sex-rejecting medical field, which is fraud: fraud in its claims, medical consensus, and even fraud in medical insurance.

“Fraud is not just a feature, or, I should say, it’s not just something that happens in this field. It’s almost fundamental to the field itself,” states the author of the report, Leon Sapir.

In part, support for chemical and surgical involvement came about because it was dishonestly framed as a civil rights matter. This led many providers in the medical community to neglect the evidence against interventions and to continue harming children.

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Court Appear to Side with States After Oral Arguments

Conservative justices repeatedly signaled sympathy for the states’ position, suggesting they are inclined to uphold laws that ban males from competing in female sports as a way to protect fairness and opportunities in women’s athletics.

They focused on biological differences between males and females and questioned whether overturning the bans would be appropriate given ongoing scientific debate, with several justices indicating the laws likely don’t violate the Constitution or Title IX.

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Twelve States Sue HHS Over Funding Cuts

Twelve Democrat-led states, including New York, California, and Oregon, have sued the U.S. Department of Health and Human Services, accusing the Trump administration of threatening to withhold billions in grant funding unless states comply with new federal conditions related to gender policy.

The lawsuit argues the administration is “unlawfully using executive authority to redefine sex discrimination and force states to adopt what they call ‘unscientific’ definitions of sex.” Defendants include HHS Secretary Robert F. Kennedy Jr. and CMS Director Mehmet Oz.

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