By Diana Novak Jones
2026年3月20日 美国东部时间凌晨2:02 | 2小时前更新
卫生与公众服务部部长小罗伯特·F·肯尼迪于2026年2月23日在美国华盛顿特区卫生与公众服务部总部举行的新闻发布会上发言。路透社/ Nathan Howard 购买许可权,新标签打开
- 摘要
- 法官在周四听证会结束时作出裁决
- 该裁决是在19个民主党州质疑该声明后作出的
- 卫生与公众服务部曾表示,该声明仅代表肯尼迪个人观点
3月19日(路透社)——美国一名联邦法官周四表示,在一群民主党州起诉后,他将阻止卫生部长小罗伯特·F·肯尼迪(Robert F. Kennedy Jr.)试图大幅限制医疗服务提供者向未成年人提供性别肯定护理的行为。
俄勒冈州尤金市的美国地区法官穆斯塔法·卡苏拜(Mustafa Kasubhai)在听证会上表示,他将批准由19个州和华盛顿特区的总检察长提起的诉讼的即决判决动议。这些州称,肯尼迪发布的声明越权并违反了联邦法律。
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肯尼迪于去年12月发布的声明称,美国卫生与公众服务部可以禁止提供儿童性别肯定护理的医疗服务提供者参与联邦医疗保险(Medicaid)和联邦医疗补助(Medicare)项目,并禁止儿童健康保险计划(CHIP)支付此类费用。
根据法庭记录,卡苏拜在周四持续一整天的听证会后作出了上述裁决,他还驳回了美国卫生与公众服务部要求驳回诉讼的请求。
起诉方之一、纽约州总检察长莱蒂西亚·詹姆斯(Letitia James)在一份声明中表示,该裁决“为患者、家庭和医疗服务提供者提供了急需的明确指引。
“变性年轻人的医疗服务仍然合法,联邦政府不能恐吓或惩罚提供这些服务的医疗提供者,”詹姆斯说。
美国卫生与公众服务部的代表未立即回应置评请求。
特朗普政府将消除对变性人的法律保护作为优先事项,试图禁止变性人入伍、禁止他们在护照上使用性别认同,并禁止联邦雇员使用反映其性别认同的浴室。
去年12月,在肯尼迪发布声明称其部门对证据的审查发现,诊断为性别不安症的儿童和青少年接受的医疗和外科治疗“风险收益比不利”后,相关州立即提起了诉讼。
据这些州称,该声明授权卫生与公众服务部监察长办公室禁止医院参与联邦医疗项目,目前已有三家医院被提交给该办公室。
诉讼称,该声明是一项非法颁布的规定,是试图剥夺各州监管医疗事务的权力。
卫生与公众服务部回应称,该声明仅代表肯尼迪个人对该问题的看法,本身并不会禁止医疗服务提供者参与医疗保险和医疗补助项目。监察长办公室将在调查后作出相关决定。
卡苏拜周四表示,他将发布书面裁决,但要求双方提交简要陈述,说明如何阻止该声明继续生效。
Diana Novak Jones报道;Lincoln Feast编辑
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Judge says he will bar RFK move aimed at cutting gender-affirming care for minors | Reuters
By Diana Novak Jones
March 20, 2026 2:02 AM UTC Updated 2 hours ago
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Secretary of Health and Human Services Robert F. Kennedy, Jr. speaks during a press conference at the Health and Human Services headquarters in Washington, D.C., U.S., February 23, 2026. REUTERS/ Nathan Howard Purchase Licensing Rights, opens new tab
- Summary
- Judge ruled at the end of a hearing Thursday
- Ruling comes after 19 Democratic states challenged the declaration
- HHS has said declaration only represents RFK’s opinion
March 19 (Reuters) – A U.S. judge on Thursday said he would block an effort by Health Secretary Robert F. Kennedy Jr that would have sharply restricted medical providers from providing gender affirming care to minors after a group of Democratic states challenged it.
U.S. District Judge Mustafa Kasubhai in Eugene, Oregon, said at a hearing that he would grant a summary judgment motion in a lawsuit brought by state attorneys general from 19 states and Washington D.C. that said the declaration by Kennedy overstepped his authority and violated federal law.
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Kennedy’s declaration, issued in December, said the U.S. Department of Health and Human Services could bar healthcare providers that offer gender-affirming care to children from Medicaid and Medicare and prohibit the Children’s Health Insurance Program from paying for it.
Kasubhai ruled at the end of a lengthy hearing where he heard arguments against the declaration from the states on Thursday, according to court records. He also denied the U.S. Department of Health and Human Services’ bid to dismiss the lawsuit, records show.
In a statement, New York Attorney General Letitia James, one of the attorneys general who sued, said the ruling “gives some needed clarity to patients, families, and providers.
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“Health care services for transgender young people remain legal, and the federal government cannot intimidate or punish the providers who offer them,” James said.
Representatives for the Department of Health and Human Services did not immediately respond to a request for comment.
The Trump administration has made eliminating legal protections for transgender people a priority, seeking to ban transgender people from the military, bar them from using their gender identities on passports and prohibit federal workers from using bathrooms reflecting their gender identity.
The states sued in December, just days after Kennedy issued his declaration stating his agency’s review of evidence found that medical and surgical treatments for children and adolescents diagnosed with gender dysphoria had an “unfavorable risk-benefit profile.”
The declaration enables HHS’ Office of Inspector General to bar the hospitals from federal healthcare programs, and three hospitals have already been referred to the office, according to the states.
The lawsuit said the declaration was a rule that was illegally promulgated and is an unlawful attempt to strip states of their authority to regulate medicine.
In response, HHS said the declaration represented Kennedy’s opinion on the issue and did not itself bar healthcare providers from the Medicare and Medicaid programs. The office of the inspector general would make that determination after an investigation, HHS said.
Kasubhai said Thursday he will issue written rulings, but he asked both sides to file briefs laying out how to halt the declaration going forward.
Reporting by Diana Novak Jones; Editing by Lincoln Feast.
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