Hospitals in the D.C. area are putting a prompt stop to aiding transgender youth and their families continue their transition after President Donald Trump signed an executive order that bans all gender-affirming care nationwide for minors under 19.

On Jan. 28, days after Trump took office, signed the executive order, “Protecting Children from Chemical and Surgical Mutilation,” which immediately halted the prescription and medical treatment of gender-affirming care for all minors under the age of 19 across the country. The order use of “chemical and surgical mutilation” is in reference to the various kinds of gender-affirming care that youth may receive when in the care of a medical practice.

“Today, medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex through a series of irreversible medical interventions.” says the executive order. “This dangerous trend will be a stain on our nation’s history, and it must end.”

The executive order laid out various guidelines for medical practices to follow that must be implemented within the coming months. These include “ending reliance on junk science,” in referring to following the World Professional Association for Transgender Health’s guidelines for youth, and “defunding chemical and surgical mutilation,” which seeks to ban hospitals and medical schools to use federal funding for gender-affirming care.

Hospitals, medical schools, and clinics across the country have begun to abide by the executive order and drop trans and gender diverse youth as they dismantled programs that provided care of any kind that treated a child’s gender dysphoria. Children’s National Hospital in Northwest Washington is one of those institutions.

“Children’s National is committed to providing compassionate and comprehensive care in accordance with the law,” said Children’s National in a Jan. 30 press release. “As a result, we are currently pausing all puberty blockers and hormone therapy prescriptions for transgender youth patients, per the guidelines in the executive order issued by the White House this week. Children’s National already does not perform gender affirming surgery for minors.”

“We recognize the impact this change will have, and our commitment to creating a better future for children and families remains at the forefront of our mission,” it added. “We will do everything we can to ensure the same uninterrupted access to mental health counseling, social support, and holistic and respectful care for every patient at Children’s National. We are working directly with patients and providers to ensure every patient has access to the information and support services they need, and we appreciate their continued trust and understanding as we work through these changes.”

The hospital did not provide the Washington Blade with additional comment.

Activists in response to the decision organized a march that took place outside Children’s Hospital. on Feb. 2. D.C. Safe Haven, a group founded to “provide TLGBQ people in the DMV area with opportunities to transform their lives,” helped organize the march.

Similar protests have taken place across the country.

The Gender Liberation Movement organized the “Rise Up for Trans Youth” march in New York’s Union Square on Saturday. The group was one of the organizers of a march that took place in front of the U.S. Supreme Court on Dec. 4 when the justices heard oral arguments in the U.S. v. Skrmetti case, which challenges a Tennessee law that bans gender-affirming care for minors under 18.

“VCU Health and Children’s Hospital of Richmond at VCU have suspended gender-affirming medications and gender-affirming surgical procedures for patients under 19-years-old in response to an executive order issued by the White House on Jan. 28, 2025, and related state guidance received by VCU on Jan. 30, 2025,” the hospital said in a statement. “Our doors remain open to all patients and their families for screening, counseling, mental health care, and all other health care needs.”

Equality Virginia, a queer advocacy group that works across the state, in a statement to the Blade criticized the executive order and response to it.

“Executive orders are not legislation, they are not law, and they do not supersede state laws,” said Narissa Rahaman, the group’s executive director. “The General Assembly has taken up bills on both transgender athletes and gender-affirming care, and in both cases, the general assembly has declined to pursue bans on either. State law is clear; what is unclear is why the Youngkin administration is spending its final year cozying up to the Trump administration and repeatedly singling out transgender Virginians for discrimination.”

“To the transgender and nonbinary athletes and youth seeking healthcare in Virginia who are feeling scared: Equality Virginia will not stop fighting for you, no matter who occupies the Governor’s Mansion or the White House,” added Rahaman.

Petitions are urging D.C. Attorney General Brian Schwalb, Health and Human Services, and Children’s National to use D.C.’s human rights law to challenge the executive orders. Lambda Legal, along with the American Civil Liberties Union and the law firms Jenner & Block and Hogan Lovells have filed lawsuits against Trump’s mandate on behalf of families of trans youth.