A coalition of 19 states and the District of Columbia filed suit against the U.S. Department of Health and Human Services (HHS), its Secretary Robert F. Kennedy Jr. and the Inspector General over a statement that the lawsuit claims may make it more difficult for youth to access gender-affirming care[1]. The statement labeled treatments such as puberty blockers, hormone therapy, and surgical interventions as "unsafe and ineffective" for children and adolescents with gender dysphoria[1]. HHS also warned providers that they may be excluded from federal health programs such as Medicare and Medicaid if they provide these types of care[1]. A lawsuit filed in Eugene County, Oregon asks the court to block the implementation of this statement, claiming it is inaccurate and illegal[1]. According to the lawsuit, HHS is circumventing statutory requirements for public notice and opportunity for comment before making substantive changes to health policy[1]. The HHS statement is related to proposed rules that would further restrict access to gender-affirming care for young people, but those rules have not yet been finalized[1]. Major medical organizations and professionals who treat transgender youth have criticized the HHS report as inaccurate, and most major U.S. medical organizations continue to oppose restrictions on such care[1].