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Politics · October 22, 2026

US Supreme Court allows gender-affirming care for trans people in federal prisons

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The U.S. Supreme Court denied an emergency request from the Trump administration to lift an injunction that currently blocks a policy prohibiting gender-affirming care for federal inmates. This decision allows the lower court order to remain in place while litigation continues, ensuring that medical treatments such as hormone therapy and gender-transition surgeries for approximately 1,000 transgender inmates are not immediately terminated. The Court provided no explanation for its ruling, though Justices Clarence Thomas and Samuel Alito noted their dissent, stating they would have granted the administration's request.

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Reported across the spectrum

  • The Supreme Court denied the Trump administration's emergency request to implement a ban on gender-affirming care in federal prisons.
  • A lower court injunction from the District Court for the District of Columbia remains in place.
  • Approximately 1,000 transgender inmates are affected by the policy.
  • Justices Clarence Thomas and Samuel Alito dissented from the decision.
  • The policy originated from an executive order issued by President Donald Trump.
  • The ruling was brief and did not provide a detailed explanation of the court's reasoning.

Reported by only some outlets

  • The decision was 7-2.
  • The Trump administration sought to establish biological sex as the determining factor in federal administrative cases.
  • Roughly $1.65 million in taxpayer funds went toward transgender procedures for federal prisoners during the Biden administration.
  • The ACLU represents the inmates and argues that denying care violates constitutional rights.

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