1. HHS recently mandated that doctors must perform gender transition procedures on children even when those procedures may be physically and emotionally harmful to the child.

  2. Children — particularly those that identify as gay and trans children — are some of the most vulnerable in our society. Parents and doctors should be free to work together without government intrusion to decide what is best physically and emotionally for the child.

  3. Gender transition procedures are a deeply personal decision and are especially complicated for children. That decision should be made after candid discussions between the family and their doctor, without interference from politicians and government bureaucrats.

  4. Allowing these procedures on children ignores studies demonstrating that up to 94% of children experiencing gender dysphoria (77-94% in one set of studies and 73-88% in another) will grow out of their dysphoria naturally. HHS itself cites to guidance that acknowledges these studies.

  5. Research shows that there are significant risks with medical transition procedures for children, including heart diseases, type 2 diabetes, loss of bone density, cancer, and other serious problems.

  6. Nearly all doctors in the U.S. will be impacted by this new rule. Some portions of the rule will force qualified medical professionals to perform gender transition procedures such as puberty suppression, cross-hormone therapy, and plastic surgery on children

  7. If a doctor follows their Hippocratic Oath to act in in the best interests of the child instead of the new mandate, they can face severe consequences, including losing their job.

  8. The Mandate doesn’t allow room for a doctor's medical judgment and doesn’t even allow the doctor refer the child to a more willing or more qualified doctor to perform the procedure. Any refusal by a qualifying and practicing doctor is a violation of the Mandate.

  9. The Mandate also will force virtually all private insurance companies and many employers to cover gender transition procedures or face severe penalties and legal action.

  10. However, HHS’s own panel of medical experts acknowledged that gender transition procedures can be harmful to patients and in many cases are not medically justified. For this reason, HHS determined that Medicare and Medicaid should not be required to cover these procedures. Yet HHS bureaucrats are trying to force doctors and private insurance plans to do what HHS will not even require itself to do.