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Politics · October 21, 2026

Supreme Court rejects Trump policy restricting treatment for transgender prison inmates

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The Supreme Court issued an unsigned, two-sentence order on Wednesday rejecting the Trump administration's emergency application to lift a lower court's block on a new Bureau of Prisons policy. This policy intended to restrict medical treatments, including hormone therapy and surgical interventions, as well as social accommodations for the approximately 1,000 transgender inmates in federal custody diagnosed with gender dysphoria. While the majority declined to intervene, Justices Clarence Thomas and Samuel Alito noted their dissent. The ruling leaves in place a June stay issued by U.S. District Judge Royce Lamberth, ensuring that gender-affirming care continues while legal challenges proceed through lower courts.

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Reported across the spectrum

  • The Supreme Court rejected the Trump administration's emergency petition to lift a block on a federal prison policy regarding transgender healthcare.
  • The decision leaves a lower court injunction in place while litigation continues.
  • Justices Clarence Thomas and Samuel Alito dissented from the decision.
  • The order was unsigned and brief, which is standard for emergency docket applications.
  • The policy aimed to restrict hormone therapy and surgical interventions for inmates with gender dysphoria.

Reported by only some outlets

  • U.S. District Judge Royce Lamberth issued the initial block on the policy in June.
  • There are approximately 1,000 transgender inmates currently in federal custody.
  • The policy was announced following a January 2025 executive order regarding gender identity in federal agencies.
  • The Supreme Court previously upheld administration restrictions on transgender military service and state-level sports limitations based on biological sex.

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