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Michigan Joins Lawsuit Against Trump Administration Over Transgender Care Ban

12/29/2025, 11:10:55 PM

Core Event: Lawsuit Filed Against Federal Declaration

On December 18, 2025, the U.S. Department of Health and Human Services (HHS) issued a declaration labeling care for transgender children as unsafe and ineffective, prompting Michigan to join 19 other states in a lawsuit against the Trump Administration. The lawsuit, filed in Oregon, names HHS Secretary Robert F. Kennedy Jr. and HHS Inspector General Thomas Bell as defendants. Michigan Attorney General Dana Nessel criticized the declaration, asserting that it unlawfully attacks “essential healthcare for transgender youth.”

Proposed Regulations and Their Implications

The HHS declaration is accompanied by proposed regulations that would restrict hospitals from providing gender-affirming care, including puberty blockers, cross-sex hormones, and surgical operations. If implemented, these regulations would prevent hospitals from receiving Medicare or Medicaid payments for such procedures. Instead, the declaration recommends talk therapy as a treatment for children experiencing gender dysphoria. The public has until February 17, 2026, to submit comments on these proposed regulations, which must undergo a lengthy rulemaking process before becoming permanent.

Background & Context: State Authority and Medical Standards

The lawsuit argues that the federal declaration unlawfully alters medical standards and undermines states' authority to regulate healthcare. Historically, states have held the power to regulate medicine, and federal law mandates that agencies provide public notice and allow for public comment before making changes to healthcare policy. The declaration has raised concerns that it could deter healthcare providers from offering gender-affirming care to children, despite the proposed regulations not yet being in effect.

Criticism & Opposition: Medical Community's Response

The declaration cites a peer-reviewed report from the HHS as justification for its stance against gender-affirming procedures. However, this report has faced significant criticism from major medical organizations, including the American Medical Association, which continue to oppose restrictions on transgender care for young people. Critics argue that the report is inaccurate and does not reflect the consensus of medical professionals who provide care for transgender children.

Official Statements & Responses

In announcing the lawsuit, Attorney General Dana Nessel emphasized the importance of protecting healthcare access for transgender youth, stating that the declaration represents an overreach of federal authority. The lawsuit seeks to uphold the rights of states to regulate medical practices and ensure that transgender youth receive appropriate care.

Conflicting Reports & Gaps

While the declaration claims to be based on a peer-reviewed report, the details of this report and the specific evidence it presents have not been disclosed in full. Additionally, there is a discrepancy regarding the number of states that have enacted laws restricting or banning gender-affirming care for children, with reports indicating at least 27 states have done so.

Verbatim Quotes

  • “essential healthcare for transgender youth,” — Dana Nessel, Michigan Attorney General
  • “medical organizations, including the American Medical Association, continue to oppose restrictions on transgender care and services for young people, according to NPR.” — Source Unspecified