By Eric Mack | 福克斯新闻
发表于 2026年3月24日 美国东部时间上午9:52
一名由前总统乔·拜登于2023年任命的联邦法官裁定，卫生与公众服务部部长小罗伯特·F·肯尼迪（RFK Jr.）在其12月发布的声明中越权，称”针对儿童的性别排斥程序既不安全也无效”。
俄勒冈州美国地区法官穆斯塔法·卡苏拜（Mustafa Kasubhai）裁定，当卫生与公众服务部发布该声明时，RFK Jr. 超出了其权限且未遵循必要的行政程序。
该裁决为提供相关治疗的医疗专业人员提供了初步救济。法官还驳回了政府要求驳回此案的动议，此案由20个蓝州和华盛顿特区提起，这些州已将有争议的”性别排斥”医疗服务合法化，包括”青春期抑制激素、跨性别激素和外科手术”。
RFK Jr. 对”显著伤害的记录风险、明显薄弱的益处证据、不利的风险收益概况、不足的现有临床指南、各国进行严格证据审查时日益增长的国际共识，以及适用的医学伦理原则”进行了全面证据审查，而卡苏拜法官认为该声明是越权行为。
众议院通过马乔丽·泰勒·格林（MTG）提出的法案，将对未成年人实施性别转换治疗定为刑事犯罪
（照片：穆斯塔法·卡苏拜在2023年10月4日华盛顿特区参议院司法委员会确认听证会上作证。）（埃里克·李/彭博社通过盖蒂图片社）
声明中写道：”针对儿童和青少年的性别排斥程序作为性别不安、性别不一致或未成年人其他相关疾病的治疗方式，既不安全也无效，因此不符合公认的医疗保健专业标准。” “在本声明中，’性别排斥程序’指的是药物或外科干预措施，包括青春期阻断剂、跨性别激素，以及乳房切除术、阴道成形术和其他试图使个人身体外观或身体与所声称的、与个人性别不同的身份保持一致的程序。”
该裁决阻止联邦政府立即对医院和医疗专业人员执行该声明。
加州总检察长起诉终止未成年人性别转换治疗的医院，以遵守特朗普政策
（照片：卫生与公众服务部部长小罗伯特·F·肯尼迪被拜登任命的法官指责对”性别排斥程序”采取”先破坏再看”的行动。）（安德鲁·哈尼克/盖蒂图片社）
诉讼称，该声明是非法的，是未经公开通知或评论就试图凌驾于既定医疗标准之上的行为。联邦政府表示，一般政策声明不受法律规则制定要求的约束。
政府在2月10日辩称，该声明”是部长关于某些儿科和青少年性别不安、性别不一致或其他相关疾病治疗方式的安全性和有效性的非约束性政策立场”。
“肯尼迪部长和其他人一样，有权表达他对新兴和有争议的医疗实践的安全性和有效性的看法。该声明总结了部长对所引用医学文献的独立评估，并表达了他的观点，即某些治疗方式不安全、无效，且不符合公认的医疗保健专业标准。”
纽约总检察长下令曼哈顿医院恢复对跨性别青少年的性别转换治疗
卡苏拜的裁决是在大约六个小时的听证会结束时作出的，随后将发布书面决定。
卡苏拜表示：”存在一种’先破坏再看别人会怎么做’的主题，这不是一种致力于法治的制度或方法。’我将继续前进，发布声明然后看看我们能否侥幸逃脱’这种想法，不是一种治理原则，因为它违背了对民主公众的总体承诺，而这种承诺要求法治被视为、尊重并奉为神圣。”
（照片：纽约州总检察长莱蒂西亚·詹姆斯领导了由允许”性别排斥程序”的各州提起的反对特朗普政府的诉讼。）（路透社/乔纳森·恩斯特）
领导此案的纽约州总检察长莱蒂西亚·詹姆斯（Letitia James）表示，该裁决保护患者、家庭和医疗服务提供者免受联邦恐吓。
詹姆斯上周在一份声明中写道：”围绕跨性别医疗保健的很多讨论已经忽视了联邦政府攻击所伤害的真实人群。年轻人正在失去获得救命治疗的机会，家庭被蒙在鼓里，医疗服务提供者仅仅因为履行职责和遵循护理标准而受到威胁。”
“今天的胜利打破了喧嚣，为患者、家庭和医疗服务提供者提供了急需的明确性。为跨性别年轻人提供的医疗保健服务仍然合法，联邦政府不能恐吓或惩罚提供这些服务的提供者。
“站在跨性别纽约人和他们的家庭一边是我的职责和特权。我将永远为LGBTQ+社区而战。”
旨在阻止未成年人接受改变一生的跨性别手术的”克洛伊·科尔法案”
此案由俄勒冈州、纽约州、加州、科罗拉多州、康涅狄格州、特拉华州、哥伦比亚特区、夏威夷州、伊利诺伊州、缅因州、马里兰州、马萨诸塞州、密歇根州、明尼苏达州、内华达州、新泽西州、新墨西哥州、罗得岛州、佛蒙特州、威斯康星州、华盛顿州和宾夕法尼亚州提起。
该裁决出台之际，总统唐纳德·特朗普正试图将其2024年总统竞选誓言”保护儿童免受跨性别切割手术伤害”纳入目前正在参议院辩论的2026年《SAVE美国法案》。
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密苏里州共和党参议员埃里克·施密特（Eric Schmitt）正式提出修正案，将特朗普的优先事项附加到选举诚信法案上。
施密特在上周的声明中写道：”我与特朗普总统和白宫密切合作，提出了一项替代修正案，它将拯救我们的选举、拯救女子体育，并将我们的儿童从性别切割手术中拯救出来。现在是时候完成这项工作了。”
埃里克·麦克（Eric Mack）是福克斯新闻数字版负责突发新闻的记者。
Federal judge rules RFK Jr. overstepped on gender care declaration | Fox News
By Eric Mack | Fox News
Published March 24, 2026 9:52am EDT
A federal judge appointed by former President Joe Biden in 2023 has ruled that Health and Human Services Secretary Robert F. Kennedy Jr. overreached in his December declaration that “sex-rejecting procedures” for children were “neither safe nor effective.”
U.S. District Judge Mustafa Kasubhai in Oregon ruled that RFK Jr. exceeded his authority and failed to follow required administrative procedures when HHS issued the declaration.
The ruling grants preliminary relief to health professionals who provide the treatments. The judge also denied the government’s motion to dismiss the case, which was brought by 20 blue states and Washington, D.C., that had legalized controversial “sex-rejecting” health services, including “puberty-suppressing hormones, cross-sex hormones, and surgical procedures.”
RFK Jr. used comprehensive evidence review of “documented risks of significant harm, markedly weak evidence of benefit, unfavorable risk-benefit profiles, inadequate existing clinical guidelines, growing international consensus among countries conducting rigorous evidence reviews, and applicable medical ethics principles” to issue the declaration rejected by Kasubhai as an overreach.
HOUSE APPROVES MTG-SPONSORED BILL TO CRIMINALIZE GENDER TRANSITION TREATMENT FOR MINORS
Mustafa Kasubhai testifies during his Senate Judiciary Committee confirmation hearing in Washington, D.C., on Oct. 4, 2023.(Eric Lee/Bloomberg via Getty Images)
“Sex-rejecting procedures for children and adolescents are neither safe nor effective as a treatment modality for gender dysphoria, gender incongruence, or other related disorders in minors, and therefore, fail to meet professional recognized standards of health care,” the declaration read. “For the purposes of this declaration, ‘sex-rejecting procedures’ means pharmaceutical or surgical interventions, including puberty blockers, cross-sex hormones, and surgeries such as mastectomies, vaginoplasties, and other procedures, that attempt to align an individual’s physical appearance or body with an asserted identity that differs from the individual’s sex.”
The ruling prevents the federal government from immediately enforcing the declaration against hospitals and health professionals.
CALIFORNIA AG SUES HOSPITAL THAT ENDED GENDER TRANSITION TREATMENT FOR MINORS TO COMPLY WITH TRUMP POLICIES
HHS Secretary Robert F. Kennedy was rebuked by a Biden-appointed judge for using “break it and see” actions on “sex-rejecting procedures.”(Andrew Harnik/Getty Images)
The lawsuit argued the declaration was unlawful and an attempt to override established medical standards without public notice or comment. The federal government said the general statement of policy was exempt from legal rule-making requirements.
The declaration was “the Secretary’s non-binding policy position on the safety and efficacy of certain pediatric and adolescent treatment modalities for gender dysphoria, gender incongruence, or other related conditions,” the government argued Feb. 10.
“Secretary Kennedy, just like anyone else, is entitled to articulate his opinion on the safety and efficacy of emerging and controversial medical practices. The Declaration summarizes Secretary Kennedy’s independent evaluation of the cited medical literature and expresses his opinion that certain treatment modalities are not safe and effective and fail to meet professionally recognized standards of health care.”
NEW YORK AG ORDERS MANHATTAN HOSPITAL TO RESUME GENDER-TRANSITION TREATMENT FOR TRANSGENDER YOUTH
Kasubhai’s ruling was at the end of a roughly six-hour hearing and will be followed by a written decision.
“There’s a theme of ‘Break it and see what others will do,’ and that’s not a system or method committed to the rule of law,” Kasubhai said. “That notion that ‘I will go forward, issue a declaration and see if we can get away with it,’ that is not a principle of governance that adheres to the overarching commitment to the democratic public that requires the rule of law to be regarded and respected and honored as sacred.”
New York Attorney General Letitia James led the case brought by states permitting “sex-rejecting procedures” against the Trump administration.(Reuters/Jonathan Ernst)
New York Attorney General Letitia James, who led the case, said the ruling protects patients, families and providers from federal intimidation.
TRUMP-SIGNED SHUTDOWN BILL SENDS $4M TO CHILDREN’S HOSPITALS UNDER FEDERAL PROBE FOR TRANSGENDER CARE
“So much of the conversation around transgender health care has lost sight of the real people harmed by the federal government’s attacks,” James wrote in a statement last week, praising the opinion. “Young people are losing access to life-saving treatment, families are being left in the dark, and medical providers are being threatened just for doing their jobs and following standards of care.
“Today’s win breaks through the noise and gives some needed clarity to patients, families, and providers. Health care services for transgender young people remain legal, and the federal government cannot intimidate or punish the providers who offer them.
“It is my duty and my privilege to stand with trans New Yorkers and their families. I will always fight for the LGBTQ+ community.”
CHLOE COLE ACT AIMED AT BLOCKING MINORS FROM UNDERGOING LIFE-ALTERING TRANSGENDER SURGERIES, GOP LAWMAKER SAYS
The case was brought by Oregon, New York, California, Colorado, Connecticut, Delaware, the District of Columbia, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, Rhode Island, Vermont, Wisconsin, Washington and Pennsylvania.
The ruling comes as President Donald Trump has sought to tag a 2024 presidential campaign vow to “protect children from transgender mutilation surgeries” to the 2026 SAVE America Act currently being debated in the Senate.
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Sen. Eric Schmitt, R-Mo., formally introduced an amendment to attach the added Trump priorities to the election-integrity bill.
“I’ve worked closely with President Trump and the White House to introduce a substitute amendment that will save our elections, save women’s sports, and save our children from gender mutilation surgeries,” Schmitt wrote in a statement last week. “It’s time to get this done.”
Eric Mack is a writer for Fox News Digital covering breaking news.
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