Latest news and developments in the national debate over gender ideology:
HHS Updates Report on Sex-Rejecting Procedures: A new 410-page HHS report should be a new wake up call for mainstream pediatric medicine.
Arkansas Delays Contract Over SAFE Act Issues: Lawmakers delayed a $375,000 contract amendment with Evident Change due to its past support for sex-rejecting interventions.
EPPC Supports Codes for Detransitioners: EPPC urged HHS to adopt diagnostic codes for detransitioners to ensure their medical needs are recognized and monitored.
Sincerely,
The Biological Integrity Team
The American College of Pediatricians
HHS Releases Peer-Reviewed Report on Sex-Identity Disorder
Last wednesday, the U.S. Department of Health and Human Services released an updated 410-page peer-reviewed report discrediting pediatric sex-rejecting procedures. This report supersedes the department’s initial groundbreaking report released in May 2025.
The report, released through the Office of the Assistant Secretary for Health, finds that the harms from sex-rejecting procedures — including puberty blockers, cross-sex hormones, and surgical operations — are significant, long term, and too often ignored or inadequately tracked.
Arkansas Panel Delays Controversial Child-Welfare Contract
Arkansas lawmakers delayed approving a $375,000 contract amendment with Evident Change after concerns were raised about the nonprofit’s past public support for sex-rejecting interventions for children.
Because this stance conflicts with the SAFE Act — the 2021 law banning all chemical and surgical interventions on minors — the amendment was sent back to committee for further review.
The delay postpones any additional funding or decisions on expanding Evident Change’s role in foster-care and hotline services.
EPPC Urges HHS to Adopt Medical Codes for Detransitioners
Ethics & Public Policy Center (EPPC) recently submitted a public comment urging Department of Health and Human Services (HHS) to adopt new medical diagnostic codes for “detransitioners” — individuals who previously underwent, then discontinued, social, hormonal, or surgical sex-rejecting interventions.
EPPC argues that without those codes, the healthcare system has no systematic way of tracking their numbers or addressing their medical needs, effectively making their health issues invisible.
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Trump Administration Aims to Cut Funding for All Sex-Rejecting Interventions
The Trump administration is proposing a new rule that would end Medicare and Medicaid coverage for all sex-rejecting interventions on minors, including puberty blockers and sex-rejecting hormones for those under 18 and CHIP coverage for those under 19.
By encouraging hospital participation in federal programs to enact this restriction, the administration aims to remove taxpayer-funded support for sex-rejecting interventions. While the rule has not yet been finalized, it underscores a broader effort to ensure that government funds are not used in ways that harms children.
