圣地亚哥高等法院法官马修·布拉纳上周同意将临时限制令延长15天，允许 Rady Children’s Health 继续为未成年人提供激素治疗和青春期阻断剂，尽管特朗普政府试图禁止此类治疗，并担心失去联邦资金。
法官的这一命令出台之际，纽约市一家医院本周宣布将终止其“跨性别青少年健康项目”，部分原因是“当前的监管环境”——这是特朗普行政命令的结果，该命令旨在禁止针对未成年人的跨性别医疗程序。
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唐纳德·特朗普总统在椭圆形办公室签署行政命令后向媒体讲话。(Chip Somodevilla/Getty Images)
争议焦点是特朗普上任后不久签署的行政命令，该命令试图终止对未成年人的跨性别治疗。去年12月，卫生与公众服务部提出了一项新规则，将剥夺为18岁以下儿童提供“性别排斥程序”的医院的联邦医疗保险和医疗补助资金。
纽约市最大的医院网络之一纽约大学朗格尼健康中心表示，这一变化是由于医院官员所说的“当前监管环境”。
与此同时，圣地亚哥医院的律师在法庭上辩称，即使是暂时继续为未成年人提供治疗，也可能使其面临直接风险，并威胁到其医疗补助和医疗保险资金——考虑到 Rady 是南加州最大的儿童医疗服务提供商，这是一个关键的收入来源。
布拉纳在听取双方意见后承认， Rady 和其他医院在特朗普政府加强审查的情况下，可能感到“左右为难”。
不过，他表示，如果这种情况发生，失去资金的担忧可以迅速解决。“我们会清理日程，如果卫生与公众服务部发出通知，我们将在24小时内举行听证会，”他根据当地新闻媒体的报道说。
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这张拼接图片显示特朗普和为未成年人跨性别治疗权益发声的抗议者。(Getty Images)
法官的这一延长命令将持续到3月15日，但这一保证未能缓解 Rady 律师的担忧。他们援引了不遵守规定的风险，并告诉法官，即使在短期内继续治疗也可能带来“灾难性风险”。
本月早些时候，STAT新闻汇编的数据显示，目前美国已有超过40家医院根据政府的指导方针限制了对未成年人的此类治疗。
纽约大学朗格尼中心官员本周在一份声明中宣布终止对未成年人的跨性别治疗时表示：“鉴于我们的医疗主任最近离职，再加上当前的监管环境，我们做出了艰难的决定，终止我们的‘跨性别青少年健康项目’。”
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2020年5月2日，华盛顿特区，儿童国家医院的工作人员观看美国海军蓝天使飞行队和美国空军雷鸟飞行队飞越华盛顿特区。(Sarah Silbiger/Getty Images)
Rady 儿童医院此前曾宣布，将根据特朗普政府的指导方针停止为未成年人提供治疗。这一宣布促使加州总检察长罗布·邦塔今年早些时候提起诉讼。
布雷恩·德皮施是福克斯新闻数字频道的全国政治记者，报道特朗普政府，重点关注司法部、联邦调查局和其他国家新闻。她此前曾在《华盛顿观察家报》和《华盛顿邮报》报道全国政治新闻，还在《政客》杂志、《科罗拉多公报》等媒体发表过文章。您可以向布雷恩发送提示至 Breanne.Deppisch@fox.com，或在 X 平台关注她 @breanne_dep。
A California judge is requiring a San Diego children’s hospital to continue providing transgender treatments to minors for now, extending a temporary restraining order as hospitals in California and New York take sharply different approaches to President Donald Trump’s executive order threatening to pull federal funding.
San Diego Superior Court Judge Matthew Braner agreed last week to extend a temporary restraining order by 15 days, allowing Rady Children’s Health to continue providing hormone therapy and puberty blockers to minors despite the Trump administration’s efforts to ban such treatments and fears of losing federal funds.
The judge’s order comes as a New York City hospital announced this week it is ending its Transgender Youth Health Program in part due to the “current regulatory environment” — a result of Trump’s executive order aimed at banning transgender medical procedures for minors.
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President Donald Trump speaks to the media after signing executive orders in the Oval Office.(Chip Somodevilla/Getty Images)
At issue is Trump’s executive order, signed shortly after he took office, that seeks to end transgender treatment for minors. In December, the Health and Human Services Department proposed a new rule that would strip federal Medicare and Medicaid funding for hospitals that provide “sex‑rejecting procedures” for children under the age of 18.
NYU Langone Health, one of New York City’s largest hospital networks, said the change was due to what hospital officials cited as the “current regulatory environment.”
Meanwhile, lawyers for the San Diego hospital argued in court that continuing the treatments for minors, even temporarily, could expose it to immediate risk and threaten its Medicaid and Medicare funding — a critical revenue source given Rady’s status as Southern California’s largest children’s health care provider.
Braner acknowledged after hearing from both parties that Rady and other hospitals likely feel caught “between a rock and a hard place” amid heightened scrutiny from the Trump administration.
Still, he said concerns about losing funding could be quickly addressed if that scenario unfolds. “We’ll clear our calendar, and we’ll have a hearing within 24 hours of any notice” from HHS, he said, according to local news outlets.
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Trump and protesters advocating on behalf of transgender treatments for minors are seen in this split imge.(Getty Images)
The reassurances from the judge, whose extension is slated to last through March 15, did little to assuage Rady’s lawyers, who cited the risks of noncompliance and told the judge that even in a short window, continuing the treatments could pose a “catastrophic risk.”
The legal back-and-forth comes as more than 40 hospitals in the U.S. have so far restricted such treatments for minors, in compliance with the administration’s guidance, according to data compiled by STAT News earlier this month.
“Given the recent departure of our medical director, coupled with the current regulatory environment, we made the difficult decision to discontinue our Transgender Youth Health Program,” NYU Langone officials said in a statement this week announcing the hospital was ending transgender treatment for minors.
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Hospital staff from Children’s National Hospital watch as the U.S. Navy Blue Angels and U.S. Airforce Thunderbirds fly over the D.C. area on May 2, 2020 in Washington, DC.(Photo by Sarah Silbiger/Getty Images)
“We are committed to helping patients in our care manage this change. This does not impact our pediatric mental health care programs, which will continue,” the hospital said.
Officials at Rady in San Diego previously announced the hospital would also stop treatments for minors in accordance with the Trump administration’s guidance. The announcement prompted California Attorney General Rob Bonta to file a lawsuit earlier this year.
Breanne Deppisch is a national politics reporter for Fox News Digital covering the Trump administration, with a focus on the Justice Department, FBI and other national news. She previously covered national politics at the Washington Examiner and The Washington Post, with additional bylines in Politico Magazine, the Colorado Gazette and others. You can send tips to Breanne at Breanne.Deppisch@fox.com, or follow her on X at @breanne_dep.
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