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Nearly 20 states sue HHS over declaration to restrict gender transition treatment for minors

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Nearly 20 states sue HHS over declaration to restrict gender transition treatment for minors

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A group of 19 Democrat-led states and Washington, D.C., filed a lawsuit against the Trump administration over a declaration that aims to restrict gender transition treatment for minors.

The lawsuit against the U.S. Department of Health and Human Services; its secretary, Robert F. Kennedy Jr.; and its inspector general comes after the declaration issued last week described treatments such as puberty blockers, hormone therapy and gender surgeries as unsafe and ineffective for children experiencing gender dysphoria.

The declaration also warned doctors they could be excluded from federal health programs, including Medicare and Medicaid, if they provide these treatments to minors.

The move seeks to build on President Donald Trump’s executive order in January calling on HHS to protect children from “chemical and surgical mutilation.”

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HHS UNLEASHES SWEEPING CRACKDOWN ON CHILD ‘SEX-REJECTING PROCEDURES,’ THREATENS HOSPITAL, MEDICAID FUNDING

The lawsuit was filed against the U.S. Department of Health and Human Services; its secretary, Robert F. Kennedy Jr.; and its inspector general. (Elizabeth Frantz/Reuters)

“We are taking six decisive actions guided by gold standard science and the week one executive order from President Trump to protect children from chemical and surgical mutilation,” Kennedy said during a press conference last week.

HHS has also proposed new rules designed to further block gender transition treatment for minors, although the lawsuit does not address the rules, which have yet to be finalized.

The states’ lawsuit, filed Tuesday in Eugene, Oregon, argues that the declaration is inaccurate and unlawful and urges the court to prevent it from being enforced.

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“Secretary Kennedy cannot unilaterally change medical standards by posting a document online, and no one should lose access to medically necessary health care because their federal government tried to interfere in decisions that belong in doctors’ offices,” New York Attorney General Letitia James, who led the lawsuit, said in a statement.

The lawsuit claims the declaration attempts to pressure providers into ending gender transition treatment for young people and circumvent legal requirements for policy changes. The complaint said federal law requires the public be given notice and an opportunity to comment before substantively amending health policy and that neither of these were done before the declaration was released.

HHS’ move seeks to build on President Donald Trump’s executive order in January calling on HHS to protect children from “chemical and surgical mutilation.” (Tom Brenner for The Washington Post via Getty Images)

The declaration based its conclusions on a peer-reviewed report that the department conducted earlier this year that called for more reliance on behavioral therapy rather than broad gender transition treatment for minors with gender dysphoria.

The report raised questions about standards for the treatment of transgender children issued by the World Professional Association for Transgender Health and brought concerns that youths may be too young to give consent to life-changing treatments that could result in future infertility.

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Major medical groups and physicians who treat transgender children have criticized the report as inaccurate.

HHS also announced last week two proposed federal rules — one to cut off federal Medicaid and Medicare funding from hospitals that offer gender transition treatment to children and another to block federal Medicaid money from being used for these procedures.

HOUSE APPROVES MTG-SPONSORED BILL TO CRIMINALIZE GENDER TRANSITION TREATMENT FOR MINORS

New York Attorney General Letitia James led the lawsuit against the Trump administration. (Michael M. Santiago/Getty Images)

The proposals have not yet been made final and are not legally binding because they must go through a lengthy rulemaking process and public comment before they can be enforced.

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Several major medical providers have already pulled back on gender transition treatment for youths since Trump returned to office, even those in Democrat-led states where the procedures are legal under state law.

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Medicaid programs in just under half of states currently cover gender transition treatment. At least 27 states have adopted laws restricting or banning the treatment, and the Supreme Court’s decision this year upholding Tennessee’s ban likely means other state laws will remain in place.

Democrat attorneys general from California, Colorado, Connecticut, Delaware, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont, Wisconsin, Washington state and Washington, D.C., as well as Pennsylvania’s Democrat governor, joined James in the lawsuit.

The Associated Press contributed to this report.

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Jordan grills Soros-backed DA Descano in heated spat over soft-on-crime policy: ‘This is almost laughable’

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Jordan grills Soros-backed DA Descano in heated spat over soft-on-crime policy: ‘This is almost laughable’

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House Judiciary Committee Chairman Jim Jordan, R-Ohio, tussled with high-profile Soros-backed Fairfax Commonwealth’s Attorney Stephen Descano over soft-on-crime policies that critics said let illegal immigrant criminals back on the street.

Descano was seated two spots away from Cheryl Minter, mother of Stephanie Minter, who was allegedly murdered by Sierra Leone national Abdul Jalloh at a bus stop not far from George Washington’s Mount Vernon.

Minter’s case, following several similar incidents and the failure by Descano or fellow witness Fairfax County Sheriff Stacey Ann Kincaid to honor ICE detainers, spurred lawmakers to haul them across the river to testify about the rapidly deteriorating safety of what the prosecutor called one of America’s safest counties.

Jordan began by pressing Kincaid on why she “let” illegal immigrant suspect Marvin Morales-Ortiz out of her jail: “Because the guy beside you wouldn’t prosecute him, right?”

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HOUSE PANEL SUMMONS SOROS-BACKED FAIRFAX PROSECUTOR OVER RELEASES TIED TO VIOLENT ILLEGAL IMMIGRANT CASES

Fairfax County Commonwealth’s Attorney Steve Descano speaks at an event in Fairfax County, Va. (Sarah Voisin/Getty Images)

“You’d have to talk to him,” Kincaid replied, adding a judge later ordered his release, before bristling at Jordan’s follow-up question about law enforcement morale in Fairfax.

Jordan then turned to Descano, questioning changes to language on his website about considering immigration consequences in charging decisions.

Descano said the excerpt was part of a “campaign” statement and not an actual law enforcement policy, leading Jordan to incredulously ask whether people should believe his campaign statements will translate into policies upon election.

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“That’s not what I’m saying,” Descano countered.

“This is almost laughable,” said Jordan. “This is your policy. You said it right here. You told the voters, if you elect me, I will take into account immigration consequences when making, charging and pleading [decisions].”

Descano’s exchange with next Republican to ask questions, Rep. Jeff Van Drew of South Jersey, also quickly escalated into near-shouting.

WAVE OF ALLEGED MIGRANT MURDERS IGNITES FURY ACROSS US AS OFFICIALS WARN OF MORE CARNAGE, CRACKDOWN NEEDED

Van Drew criticized sanctuary policies, including in his home Garden State, and told Minter that his own condolences could not do justice to what happened to her daughter in Descano’s territory.

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He called the conditions in sanctuary jurisdictions “bizarro world” and asked the prosecutor if communities are safer when illegal immigrant criminals are deported or when they are released.

“Well, sir, that’s not –” Descano began before Van Drew cut him off. “Yes or no – I’m asking the questions.”

“You’re a human being. You’re sitting next to a woman who lost her daughter. Can you tell me if illegal criminals are removed from the country; if we’re safer,” Van Drew said, prompting a fiery response from Descano:

“To suggest I don’t care about what happens in my community…” he began before more crosstalk ensued.

“Dammit, answer my question,” Van Drew eventually fumed.

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GRIEVING VIRGINIA MOTHER TELLS FAR-LEFT PROSECUTOR ‘DO YOUR JOB’ AFTER DAUGHTER STABBED TO DEATH

“Explain to the lady next to you (Cheryl Minter). Abdul Jalloh was charged in your county more than 40 times. Not four times. 40 times. Your office dropped the charges in almost every single case. That’s fact. We have it documented. We can look at it your own. Fairfax County Police Department wrote your office [in] May 2025 saying he had shown a, quote, ‘blatant disregard for human life and was a danger to the community’ and that if he wasn’t detained and deported, he would seriously hurt someone or kill someone,” Van Drew said.

“The very man went out and then killed someone. So the question is, couldn’t’ve we done better there?”

Another panelist also elicited occasional rifts with the lawmakers. Libertarian analyst David Bier of the Cato Institute often defended the idea of counties making their own decisions about whether to cooperate with federal law enforcement.

Part of Bier’s opening statement drew some eyebrows on X, as he appeared to suggest as much as 20% of Fairfax County’s population is deportable – when trying to argue against mass deportation.

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“The first step would be to give up on the mass deportation fantasy. About 1 in 5 Fairfax residents is someone who could be deported or who lives with them. It would destroy neighborhoods, rip Americans away from their spouses, parents, friends, families, customers, employees, employers, nurses, nannies, and teachers,” Bier said.

Bier also accused DHS of ignoring the Laken Riley Act and instead of “racially profiling Americans at Home Depot” and shooting people like Alex Pretti and Renee Good.

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Newsom offers early peek at rosy budget projections

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Newsom offers early peek at rosy budget projections

Hours before Gov. Gavin Newsom is expected to present his budget plan on Thursday, his office released new projections of a $16.5-billion state revenue windfall over three years and offered a rosy outlook on California’s fiscal position during his final year in office and the year after.

Newsom’s office provided few details about his plan to reduce spending or other adjustments that he would need to propose in combination with the increase in revenue to eliminate projected deficits from 2026-27 through 2027-28.

The unusual early look at his budget proposal comes as Newsom begins to wind down his time at the state Capitol and considers a run for president in 2028.

Two weeks ago, the Legislative Analyst’s Office issued an analysis of state spending that said California could not, in the long term, afford to pay for existing services and the new programs that Newsom and Democratic lawmakers have enacted since he took office in 2019. State spending has outpaced California’s strong revenue growth by about 10%, creating a perennial budget shortfall, defined as a structural deficit.

California’s spending problem threatens to define Newsom’s fiscal legacy and could provide ripe fodder for his critics. If projections of the unexpected tax windfall, which analysts attribute to stock market interest in artificial intelligence companies, bear out, the upswing could mark a lucky break for Newsom.

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The governor has largely resisted adopting new across-the-board tax increases or sharply curtailing his expensive policy proposals in order to align state spending with revenue.

His budget proposal includes a call to increase taxes on corporations by limiting state tax credits to no more than $5 million, or 50% of a company’s tax liability, beginning in the tax year 2027. No estimates were offered to explain how much revenue the new cap would bring in to support the state budget.

The preview of his budget has several new spending proposals, including providing $300 million to help low-income Californians keep $0 monthly premiums on healthcare coverage through the Affordable Care Act in response to cuts by the federal government, as well as $100 million to help wildfire victims afford construction loans to rebuild their homes. Two days before Mother’s Day, Newsom also introduced a plan to provide 400 free diapers for every California newborn at select hospitals beginning this summer.

Newsom is expected to present his budget in more detail late Thursday morning in Sacramento.

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Denise Powell Wins Democratic Primary in Key Nebraska House Race

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Denise Powell Wins Democratic Primary in Key Nebraska House Race

Denise Powell, a political organizer, won the Democratic primary election in a key Nebraska House district, according to The Associated Press.

She will face Brinker Harding, a Republican city councilman, in the general election, a pivotal contest in a battleground district that comes as Democrats try to recapture control of Congress this fall.

Representative Don Bacon, the Republican incumbent in the district and a frequent critic of President Trump, chose not to run for re-election, setting up a high-profile clash for an open seat in Omaha.

Ms. Powell narrowly triumphed in a competitive Democratic primary that centered on an unusual argument: that electing her chief rival, State Senator John Cavanaugh, could make it easier for Republicans to win the White House in 2028.

The argument stemmed from the way Nebraska allocates its electoral votes in presidential elections. Most states follow a winner-take-all approach, but Nebraska gives just two of its votes to the statewide winner, then gives one to the winner of each of its three congressional districts. In recent elections, the Omaha-area district has typically gone blue in presidential contests and awarded its electoral vote accordingly, even as the two other Nebraska congressional districts typically went to the Republican candidate.

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That could make a difference in a close presidential contest.

State Republicans have tried to repeal the so-called blue dot system — named for the blue, liberal dot Omaha represents in a sea of Republican red — but Democrats in the State Legislature have been able to block that effort.

Mr. Cavanaugh’s opponents argued that if he won the House primary and left the State Senate, it would mean one fewer vote to keep the blue dot. Mr. Cavanaugh argued that the system was safe, and that Democrats were likely to be elected in other State Senate seats to compensate for his departure.

The argument may have been enough to help Ms. Powell to victory. A super PAC with ties to Republicans also spent against Mr. Cavanaugh.

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