A US district judge has said he will overturn the Kennedy declaration that found gender-affirming care for young trans people does not meet medical standards.[1] The declaration was issued on December 18, 2025 by HHS Secretary Robert F. Kennedy Jr., who stated in it that gender-affirming care for children and adolescents is neither safe nor effective and does not meet professionally recognized standards of health care.[1][2][7] This declaration may have resulted in the exclusion of providers from federal health care programs such as Medicare and Medicaid if they provided such care.[1][2] After its release, several children's hospitals were referred to the HHS Office of Inspection for standards violations.[1] The declaration labels procedures such as puberty blockers, cross hormones and surgery as "sex-rejecting procedures" without long-term evidence of safety and effectiveness in adolescents.[2][5][6] A lawsuit was filed against her by a coalition of attorneys general on December 23, 2025 in Oregon, alleging violations of federal laws and processes.[4] A judge ordered a temporary preliminary injunction, which was extended, allowing hospitals like Rady to continue providing care except for surgeries.[6]