White House
EXCLUSIVE: White House Press Secretary Karine Jean-Pierre on speaking out and showing up
On the two-year anniversary of her appointment, she says, ‘representation matters’
Karine Jean-Pierre sat down with the Washington Blade for an exclusive interview in her office on Tuesday, a week before the two-year anniversary of her appointment as America’s first Black and first openly queer White House press secretary.
Her history-making tenure has come at an especially fraught time for LGBTQ people.
The Biden-Harris administration has been widely celebrated as the most pro-equality in history. Over the past four years, rights and freedoms were expanded through the passage of landmark legislation and the enactment of bold new policies by federal agencies like the FDA and U.S. Department of Education, while the president elevated record-breaking numbers of LGBTQ appointees to serve in the highest levels of government.
At the same time, conservative Republicans have led an unprecedented legislative assault on queer people, especially transgender and gender-expansive youth, which has been accompanied by an escalation of dangerous fear and hate-mongering rhetoric against the community and spikes in bias-motivated acts of violence as well as depression, anxiety, self-harm behaviors, and deaths by suicide.
On these matters Jean-Pierre has often spoken out, addressing reporters from the lectern in the West Wing’s James S. Brady Press Briefing Room in remarks that have often gone viral and driven news coverage.
Reflecting on her tenure, the 49-year-old press secretary explained why she is uniquely positioned to leverage her influence as the most visible spokesperson for President Joe Biden, Vice President Kamala Harris, and the administration — at this pivotal moment for LGBTQ people both at home and abroad.
Leadership comes from the top
“Representation matters,” Jean-Pierre said. “And the president was certainly very aware of that, and wanted to make sure that he put together the most diverse administration,” she said, “and he did that.”
About 14 percent of appointees in the Biden-Harris administration identify as LGBTQ, including U.S. Transportation Secretary Pete Buttigieg and Adm. Rachel Levine, assistant secretary for health at the U.S. Department of Health and Human Services. In his first term, Biden has appointed a record-breaking 11 LGBTQ judges to the federal bench, tying with the number who were confirmed under former President Barack Obama over the course of eight years.
“I am in this job because the president of the United States believed and wanted me to speak on behalf of him and said, ‘You have my voice, and you know how to speak for me, and this is the role that I want’ — I mean, that’s why he chose me,” she said.
Jean-Pierre stressed that she is able to condemn “these bad bills, these awful bills, these really hateful, prejudiced, anti-LGBTQ+ bills” because of “this president” — and not just by virtue of his appointment of her to the role of press secretary, but also because “he believes it is important to speak out.”
“Silence is complicit,” she said. “You know, that’s something that you hear from this president all the time: We cannot be silent in this moment. We cannot. Not when we see these anti-LGBTQ+ bills” nor when attempts are made to restrict reproductive rights or other freedoms.
When vulnerable queer youth are being targeted, Jean-Pierre said, “we have to do everything that we can — as an administration, as the White House, as the federal government — to protect them, and that’s what I get to do” because “this president allows me to speak out and show up.”
Jean-Pierre also pointed to Biden’s remarks in defense of the LGBTQ community and other marginalized groups during his State of the Union addresses and other major speeches.
“One of the things that he has said that always touches me is he says, ‘trans kids are some of the most impressive, brave people’ that he has seen,” she said. The president understands that “This is not about politics. This is about the right thing to do. And protecting lives.”
“And I say all of this to say it matters. It matters who sits behind that Resolute Desk. It matters who’s the president of the United States,” Jean-Pierre said.
The press secretary added that Biden’s actions as president affirm his verbal commitments to protect, support, and defend the LGBTQ community.
“The president signed an executive order to make sure that we were lifting up LGBTQ+ rights on the federal level, to make sure that policies that we were putting out there were taking steps toward protecting families, protecting youth, addressing mental health amongst young people, and in the community, and that was something that was really important for the president to do.”
She described a pivotal moment in the White House when, after the U.S. Supreme Court struck down Roe v. Wade’s constitutional protections for abortion with a 6-3 ruling in Dobbs v. Jackson Women’s Health Organization (2022), conservative Justice Clarence Thomas signaled his interest in revisiting other cases, including those that established the right to marriage equality.
“So, one of the things that came out of Congress in a bipartisan way was protecting marriage, protecting marriage equality,” Jean-Pierre said, “and I remember when the president signed [the Respect for Marriage Act] in December of 2022, and how beautiful that was knowing that that was protected by law.”
“We have made sure to do what we can on the federal level,” she added, noting that, “Obviously, there’s legislation that we have to continue to push for,” including the Equality Act — which would codify nondiscrimination protections for LGBTQ Americans — “but we do what we can from this side of things.”
The importance of diversity of lived experience
The president also understands the value of narrative storytelling in policymaking and governance, Jean-Pierre said, noting how Biden often talks about economic issues by relating to the struggles of working families with his journey from humble beginnings in Scranton, Pa.
Likewise, Jean-Pierre said that drawing from her lived experiences “helps me understand policy a little bit more and telling stories around policies a little bit more.” For example, she sees the danger of anti-LGBTQ laws targeting youth not just because of her identity as a member of the community — but also as the mother of a nine-year-old.
In February, Jean-Pierre spoke out repeatedly after a nonbinary Oklahoma teen named Nex Benedict died, in what was later ruled a suicide, after enduring months of bullying over their sexual orientation and following their state’s passage of a bill prohibiting trans students from using restrooms and facilities consistent with their gender identity.
“I know that for many LGBTQ+ students across the country this may feel personal and deeply, deeply painful,” Jean-Pierre said in remarks to reporters during the opening (the “topper”) of her press briefing on Feb. 23.
“Nex Benedict and so many young people are dying by suicide,” she told the Blade. “And that hurts. That’s an incredibly hurtful thing. Because they were bullied, because they were attacked, because they don’t feel free.”
“As a parent, as a mom, I do everything that I can to make sure that [my daughter] is protected,” Jean-Pierre said. “And what I want for my child, I want for every child, so that does hit differently, because it’s very personal.”
The press secretary recalled how she met two mothers at an event last year and, in separate conversations with the women, learned how they planned to leave their respective home states — Texas and Oklahoma — because they had trans children and felt unable to protect them amid the legislative attacks.
“Can you imagine,” she asked, “you’re raising your child in a community that you are familiar with” when suddenly, “there is a piece of legislation that’s going through the state legislature that gets signed by the governor and it is telling you that your child is in danger?”
Jean-Pierre also recognizes how her professional background and experience have equipped her for the briefing room and other duties of her role as White House press secretary.
Prior to joining Biden’s 2020 campaign and then the Biden-Harris administration, she worked as a political analyst for NBC News and MSNBC, having also served as a senior adviser and national spokesperson for MoveOn, the progressive public policy advocacy group.
Jean-Pierre began her career working on political campaigns and fundraising before joining the faculty of her alma mater, Columbia University, where she was a lecturer in international and public affairs.
“There’s something to growing and experiencing and taking chances and jumping from one thing to another,” she said, “understanding that you’re learning from the last thing and what you’re learning from the last thing you’re going to take to the next experience.”
The president, Jean-Pierre said, “had watched me do TV and watched me in my roles prior, and really believed that I was the person that he wanted” for the press secretary role.
Ultimately, “whether it’s making sure I am empathetic, sympathetic to what people are going through as a mom, as someone that belongs to multiple communities, I get to do that. Whether it’s the media and understanding how the media works, how TV works, how communicating with the press works, I’ve done that, so I’m able to bring that to the podium,” she said.
‘Lifting up issues that matter‘
In the immediate aftermath of Benedict’s death, Jean-Pierre noted that LGBTQ advocacy groups and individuals had sought to “get more attention to what happened there,” while the Biden-Harris administration wanted folks to understand “that we’re watching, we’re seeing what is happening, and we’re going to speak” about it.
“We’re not going to be silent, here,” she said. “We were very purposeful about it.”
In hindsight, Jean-Pierre said, her remarks from the podium made a real impact. “It brings coverage; it brings the White House press corps and others to cover what we’re saying. That is why it is so important what we do at the podium; it is so important what we do in this press briefing room — lifting up issues that matter to the American people.”
The press secretary added, “sometimes it’s not even an issue that’s popular. It’s something that needs to be spoken to, because it is something that could lead to a dangerous situation; something that could oppress a community, harm a community — and we get that; this president gets that, this administration gets that.”
Initially, there was very little press coverage of Benedict’s death, Jean-Pierre said, but “we wanted to really lift up what was happening,” because “it wasn’t just Nex Benedict. It was a story of many, many people in that community who were being bullied, who were being attacked. And we needed to speak to that” especially amid the hundreds of bills targeting the rights of queer youth in Oklahoma and across the country.
In another instance recalling her comments from the briefing room, Jean-Pierre stressed how it was important for the administration to “take on the governor” of Florida, Ron DeSantis (R), over his efforts to target the LGBTQ community by banning books, imposing curriculum restrictions, and limiting educators’ ability to be out at work.
Doing what’s right — regardless of the backlash
Jean-Pierre was quick to brush aside the question of whether she considers the risk of incurring backlash from the right when deciding whether to speak out on matters of LGBTQ rights.
Blowback “happens all the time,” she said. “Every day!” So, “I just don’t pay attention to it. We have to do the right thing and we can’t live in fear, here.”
The choice to be silent about a problem is the choice to be complicit, and not only does silence forestall any progress toward addressing the issue at hand, but it also constitutes an abrogation of one’s responsibility as a leader, Jean-Pierre said.
“The president is very clear about that,” she said. With respect to issues like dangerous anti-LGBTQ legislation, “you can’t be silent” because “people’s lives are at stake.” Ultimately, “The backlash is going to be the backlash, but we’ve got to do the right thing and history will remember where we stood.”
The Biden-Harris administration believes this principle extends to America’s leadership on the international stage, Jean-Pierre said, in her response to a question about U.S. Rep. Tim Walberg’s (R-Mich.) travel to Uganda last year to speak in defense of the country’s draconian Anti-Homosexuality Act.
She stressed that the law, which criminalizes homosexuality and imposes the death penalty in some cases, is “dangerous and undermines the rights of all citizens. And the president has been very clear, the Biden-Harris administration has been very clear, that no one should live — and I’ve said this before — in constant fear.”
Rather, Jean-Pierre said, “They should feel safe in their community, they should feel protected, and no one should be subjected to violence and discrimination. It is not what we believe, whether it’s here in this country or abroad.”
Since the legislation was made effective in May 2023, she noted, “we’ve taken several accountability actions, including restricting visa entry to the United States, restricting economic support to the government, and sanctioning officials who abuse human rights.”
Jean-Pierre added that, “we’re also deeply troubled by the copycat anti-LGBTQ+ legislation around the world,” which is “why it’s important what we do as the United States, because we’re leaders. And when you’re seeing other countries trying to implement and copycat the same thing, you need the United States to stand up and speak out against it. And that’s leadership.”
The administration’s robust response “sends a message around the world, that we do believe in human rights; we do believe that people should be protected; we do believe that violence and discrimination is not OK,” Jean-Pierre said. “And we lead by example.”
Likewise with respect to her comments from the podium, she said. “And [those remarks] went viral, because we spoke to it very loudly, very clearly,” in what was “an important moment for the community here but [also for] the community abroad, to hear from us, [that] we’re not afraid to talk about this because we have to and we understand our role in the world.”
White House
Trump-Vance administration’s LGBTQ brain drain: what you need to know
Several high profile figures have left government since January 2025
Uncloseted Media published this article on Aug. 21.
By SPENCER MACNAUGHTON and HOPE PISONI | Since President Donald Trump regained office in January 2025, he and his administration have waged an all-out war against the LGBTQ community.
This has led queer Americans to move to other countries at unprecedented rates — Rainbow Railroad, a Canadian nonprofit that supports LGBTQ asylum seekers, reported receiving a huge increase in inquiries from the U.S. last year.
The same pattern is playing out within the government. And it’s leading to a brain drain of competent queer employees and allies who are either resigning or being fired, often because of their LGBTQ identity or their belief that queer people deserve basic human rights.
Here are six examples of federal workers who had a messy exit from Trump 2.0:
Demetre Daskalakis
- WHAT HE DID: Dr. Daskalakis is one of the foremost LGBTQ health professionals in the U.S. Under Trump’s first term, he was appointed director of the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention. Under Biden, he also served as the deputy response coordinator for mpox at the White House.
- WHAT HAPPENED: While he continued a lot of this work under Trump 2.0, he didn’t last long. In August 2025, he resigned from the CDC, writing in his resignation letter that he was “unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public’s health.”
- BOTTOM LINE: I recently interviewed Daskalakis, where he told me that leadership from RFK Jr.’s Health and Human Services Department justified HIV cuts by saying the virus is “just too woke.”
Julia Curlee
- WHAT SHE DID: Julia Curlee worked in intelligence for nearly two decades between the CIA and the National Security Council. Earlier this week, she wrote an article in The Atlantic explaining how she had served as Mike Pence’s daily briefer and the NSC’s director for intelligence programs. During Trump 1.0, she briefed the president on Air Force One.
- WHAT HAPPENED: Curlee told CNN this week that in Trump’s second term, her treatment by the federal government transformed. She was no longer allowed to use the women’s bathroom on federal property and had to leave her workplace to relieve herself. Her passport was also reissued to read “male,” which led to complications when traveling abroad. In March 2025, less than 70 days into Trump’s second term, Curlee says she received a call while at a rib joint in Virginia with her family informing her that her White House tour was over and that they couldn’t tell her why. She continued to work for the CIA for some months, but she later resigned.
- BOTTOM LINE: Curlee wrote that moments after she learned she was fired from the White House, she saw a post from right-wing political activist Laura Loomer that read “A transgender, Biden holdover who hates President Trump is still working in the NSC intel office. I’m told there are several NSC staffers who have complained that this trans Biden holdover hasn’t been fired yet, but nothing is being done about it.”
Marc Seawright
- WHAT HE DID: Marc Seawright worked for more than eight years at the U.S. Equal Employment Opportunity Commission. Most recently, he served as the EEOC’s director of information governance and strategy, where he oversaw tech policy to help combat workplace harassment and discrimination.
- WHAT HAPPENED: During Trump 2.0, Seawright was ordered to develop technology that would erase any mention of LGBTQ identities from EEOC outreach materials. “[My expertise] was being leveraged to perpetuate discrimination against people like me,” he told the Associated Press. In that article, Seawright and other transgender and gender nonconforming federal employees described their “fear, grief, frustration, and distress working for the federal government at a time when it rejects them — often with no clear path for recourse or support.”
- BOTTOM LINE: Seawright quit in June, citing a hostile work environment. “It became overwhelming. It felt insurmountable,” he told the AP. He has now hired lawyers at Katz Banks Kumin and has filed a discrimination complaint.
David Maltinsky
- WHAT HE DID: Until 2025, Maltinsky worked for more than 16 years at the FBI as an intelligence specialist. In 2025, he was training to become a special agent, but three weeks ahead of graduation, he was fired.
- WHAT HAPPENED: On Oct. 1, he was delivered a letter from FBI Director Kash Patel informing him that he was being fired for an “inappropriate display of political signage.” The signage in question, according to Maltinsky, was a Pride flag displayed in his work station at a previous post in Los Angeles. The flag had been given to him by the FBI’s LA Field Office, and Maltinsky says he had been told by multiple supervisors that displaying it would not be a violation.
- BOTTOM LINE: Maltinsky is currently suing the FBI and the Department of Justice, arguing that his firing constituted unlawful discrimination.
Mary Brinkmeyer
- WHAT SHE DID: Brinkmeyer had been working as a psychologist for the Department of Veterans Affairs since 2008. She held multiple leadership roles, including the LGBTQ veteran care coordinator at the Hampton VA Medical Center. She established the first military support group for trans servicemembers and was awarded Navy Psychology Civilian Psychologist of the Year in 2016.
- WHAT HAPPENED: Following an early Trump executive order directing the federal government to purge any practices promoting “gender ideology,” Brinkmeyer says staff at her workplace were told to remove all LGBTQ-affirming materials from both public and private areas, as well as to identify “anything in medical records, training materials, or patient resources that could be considered ‘gender ideology.’” When she refused to comply and confronted her supervisor, she says her concerns were dismissed.
- BOTTOM LINE: Brinkmeyer resigned in February 2025, stating that she “didn’t want to be complicit in something that I knew was wrong.”
Amy Paris
- WHAT SHE DID: Paris was the second-highest ranking trans woman in the federal government, serving as a deputy digital services lead in the HHS Department, where she oversaw the safety of organ donations. Prior to that, she worked in a number of tech-related roles across the federal government since the Bush administration. She helped create cross-agency spending trackers, streamlined unemployment insurance during the pandemic and implemented trans-inclusive policies like gender-neutral passports.
- WHAT HAPPENED: Paris was fired as part of a string of mass layoffs across the federal government in February 2025. While the HHS did not publicly comment on why she was fired, Paris says she was told it was because of her performance, despite the fact that she got a 4.75 out of five on her last performance review and was praised for her work by multiple Biden administration officials.
- BOTTOM LINE: Paris told the 19th she suspected her firing was politically motivated, saying the Trump administration is “trying to sow discord and disrupt confidence in the workings of the federal government.”
White House
White House targets gender-affirming care funding, states fight back
Attorneys general from Md. and elsewhere are fighting directives
The Centers for Medicare and Medicaid Services announced last week that federal funding could no longer be used to pay for gender-affirming care through Medicaid or the Children’s Health Insurance Program.
The rule prohibits federal Medicaid dollars from covering puberty blockers, hormone therapy, and rare instances of surgery for enrollees under the age of 18 in the Medicaid program and under the age of 19 in CHIP. It does not prohibit coverage of counseling or psychotherapy as part of gender-affirming care.
The decision to restrict what healthcare is covered by federal dollars is part of a longer, more aggressive stance the Trump-Vance administration is taking toward LGBTQ healthcare.
Since taking the White House back for his second term, Trump has signed three executive orders that directly target transgender Americans. They include Executive Order 14168, “Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” that requires the federal government to recognize only a person’s sex at birth, not their gender identity; Executive Order 14183, “Prioritizing Military Excellence and Readiness,” which attempts to remove transgender service members from the military and prevent them from enrolling; and an executive order that helped spur this change by restricting gender-affirming care.
The administration’s choice to villainize gender-affirming care, despite it being considered a best medical practice recommended by nearly every major medical group for gender dysphoria or gender incongruence, including the American Medical Association, American Academy of Pediatrics, and American Psychological Association, comes as KFF, a source for health policy research and polling data, estimates about 130,000 young trans people with Medicaid or CHIP coverage could be impacted by the policy.
“Today, we are ending federal taxpayer funding for sex-rejecting procedures on children,” U.S. Department of Health and Human Services Secretary Robert F. Kennedy, Jr., said last week when announcing the change. “These interventions carry serious risks and can cause irreversible harm. The federal government will no longer use Medicaid and CHIP dollars to fund procedures that fail to meet the evidentiary standard our children deserve.”
“Children deserve our protection, not experimental interventions that pose serious risks and convey no proven benefits,” said CMS Administrator Mehmet Oz. “By cutting off federal funds for these sex-rejecting procedures, we’re following the science, saving taxpayer dollars, and, most importantly, protecting children from potentially irreversible harm so they can truly flourish.”
The administration’s push is having a chilling effect on state healthcare legislation — more states now prohibit gender-affirming care than ever before. States with gender-affirming care restrictions jumped from four in 2023 to 27 states today.
The funding change has been met with fierce pushback from LGBTQ advocates, health experts, and government officials across the country before the rule goes into effect.
Some of the first actions against this policy began in July 2025.
Twenty-one states have attempted to restrict this effort in some fashion from going through as the White House intends. They include Arizona, California, Colorado, Connecticut, Delaware, Illinois, Maryland, Massachusetts, Maine, Michigan, Minnesota, Nevada, New Mexico, New Jersey, New York, Oregon, Rhode Island, Vermont, Washington, and Wisconsin, as well as Pennsylvania Gov. Josh Shapiro on behalf of his state.
The coalition of attorneys general filed lawsuits challenging nine separate provisions of the final rule, arguing that they would make it harder for consumers to get coverage through the ACA, increase costs for states, and weaken key ACA protections.
The U.S. District Court for the District of Massachusetts on Aug. 15 struck down a key provision of a Trump-Vance administration final rule that would have excluded coverage of certain types of gender-affirming care as essential health benefits under the Affordable Care Act. Essential health benefits are subject to the ACA’s financial protections, including limits on out-of-pocket costs.
“Everyone deserves access to health coverage,” said California Attorney General Rob Bonta. “The Trump administration tried to exclude gender-affirming care from qualifying as an essential health benefit. We fought back, and the court’s ruling means this care can — and in many states must — qualify for the ACA’s financial protections, ensuring transgender people have an equal opportunity to benefit from the ACA.”
“The Trump administration tried to make essential care unaffordable for transgender Marylanders by stripping it out of the ACA’s cost protections,” said Maryland Attorney General Anthony Brown. “We fought to keep that care covered, and we won. My Office will always defend Marylanders’ right to the care they need.”
The final rule at issue — the “Marketplace Integrity and Affordability” rule — was proposed by the Trump-Vance administration in March 2025, purportedly to “curb ACA enrollment fraud” and reduce federal spending on subsidies that help consumers afford ACA coverage. Among other changes, the rule would have removed certain types of gender-affirming care from the ACA’s 10 essential health benefit categories.
“This president would rather target young people than lower costs or expand access to health care. It is reprehensible that our federal government is intent on hurting and isolating the adolescents it is supposed to protect. I will use every tool at my disposal to fight this proposal and protect transgender Americans and their families,” said New York Attorney General Letitia James in December after the policy was announced.
In addition to state government resistance to the change, multiple LGBTQ advocates have committed to protecting the right to healthcare for LGBTQ children.
Rocky Mountain Equality CEO Mardi Moore affirmed those in Colorado would continue to help people most at risk if the change goes through.
“First, to the families impacted by this news: you will not be cut off immediately. The rule takes effect Oct. 13, 2026, and providers can continue to bill Medicaid and CHIP for youth already receiving gender-affirming care for up to six months after that. Rocky Mountain Equality is here, and we can help you understand your options to continue your child’s care.
“This is discrimination dressed up as rule-making. Government healthcare policy should expand what people can access, not strip away care that families and doctors have already determined is medically necessary,” Moore added. “We’ve seen this pattern before with other kinds of essential care, and it rarely stops with just one restriction. Any effort to ban or limit care opens the door for more restrictions on more kinds of care.”
The Human Rights Campaign, the largest LGBTQ lobbying group in the U.S., issued multiple statements following the announcement, and has filed a similar lawsuit against the federal government for prohibiting gender-affirming care to federal employees using federal health plans.
HRC President Kelley Robinson said taking a hard stance against what the administration is presenting as a win for the American people that will ultimately restrict healthcare options for thousands of Americans.
“Every young person is entitled to the health care that they, their parents, and their medical providers agree that they need, without politicians interfering with these important and highly personal decisions. And yet, rather than working to make healthcare more affordable and accessible, the Trump administration continues to obsess over the healthcare needs of trans youth, this time by cutting off health insurance coverage for those who rely on Medicaid and CHIP to access that care,” Robinson said. “The Trump administration is terrorizing trans youth and their families with these kinds of actions, and it has to stop.”
White House
HRC files class action over federal ban on gender-affirming care coverage
Lawsuit filed Monday challenges White House effort to restrict care
The Human Rights Campaign Foundation, the nonprofit sister organization to the largest LGBTQ human rights lobbying and advocacy organization in the U.S., along with law firms Correia & Puth and Cohen Milstein Sellers & Toll, filed a class action lawsuit against the government as it attempts to restrict gender-affirming healthcare for federal employees.
The suit, filed on Monday, alleges that the Office of Personnel Management, run by Trump appointee Scott Kupor, is discriminating against LGBTQ federal employees (and their families and retired employees) by prohibiting health insurance coverage for gender-affirming care under the Federal Employees Health Benefits and Postal Service Health Benefits plans. There are five plaintiffs named in the complaint, but it extends to others who have those healthcare plans.
The document asserts that OPM’s prohibition on coverage for “gender transition” care in the FEHB and PSHB programs violates Title VII, the federal law that prohibits discrimination based on sex, race, color, religion, or national origin.
The policy, which was implemented on Jan. 1 following the 2025 issuing of Program Carrier Letter, mandated that insurance providers in these programs deny any coverage for gender-affirming care. In February, HRC filed a federal complaint with OPM over the change in healthcare policy, which was ultimately passed to the Equal Employment Opportunity Commission for review. That complaint is now an officially filed class action lawsuit in the U.S. District Court for the District of Columbia.
Research from the Williams Institute at UCLA Law, a think tank that collects data and conducts research on issues related to sexual orientation and gender identity, indicates that this policy denying gender-affirming care will impact healthcare access for at least 39,400 current and former federal employees and their dependents.
Human Rights Campaign President Kelley Robinson released a statement following the lawsuit’s filing.
“Our message to the Trump administration is simple: we’ll see you in court,” said Robinson. “Healthcare access should never be weaponized to advance discrimination — and the denial of coverage for critical healthcare based simply on who you are blatantly violates the rights of all of us.”
Gender-affirming care has been under constant attack by the Trump-Vance administration since its return to the White House, despite the practice being considered as extensively evidence-based but also supported by nearly every major medical organization. This type of care is provided to all people—not just transgender people—and includes things such as social affirmation, including using correct names and pronouns and wearing clothing that matches a person’s gender identity; mental health support, such as counseling to reduce depression and anxiety; and, in some cases, medical interventions such as reversible puberty blockers or hormone therapy when deemed medically appropriate.
“Federal employees have been through the wringer with the Trump administration,” said Cathy Harris, partner at Correia & Puth. “We draw the line at blatant discrimination to deny healthcare to our nation’s dedicated civil servants.”
“This odious policy is the latest example of the Trump administration’s obsession with targeting transgender people, using shameful and cruel tactics to threaten their employment, their health, and the well-being of themselves and their families,” Robinson added. “OPM’s actions will not go unchallenged, and we’ll continue to fight so that federal employees and their families receive the dignity they deserve.”
This is not the first time the White House has directly attacked gender-affirming care.
In January 2025, the administration issued Executive Order 14187, titled “Protecting Children from Chemical and Surgical Mutilation.” The order directs federal agencies to restrict gender-affirming medical care — including puberty blockers, hormone therapy, and surgeries — for individuals under the age of 19.
For more information on how to get involved with the lawsuit, visit hrc.org.
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