18-month-old Amalia, who, according to a lawsuit filed, suffered a life-threatening respiratory illness while in U.S. Immigration and Customs Enforcement (ICE) custody, reacts, in this handout picture obtained on February 7, 2026. Elora Mukherjee/Handout via REUTERS
] Kheilin Valero Marcano and Stiven Arrieta Prieto, parents of 18-month-old Amalia, who, according to a lawsuit filed, suffered a life-threatening respiratory illness while in U.S. Immigration and Customs Enforcement (ICE) custody, pose for a photo, in this handout picture obtained on February 7, 2026. Elora Mukherjee/Handout via REUTERS
Summary
Child had severe respiratory illness, lawsuit says
DHS says child received proper medical care and medications
Trump faces criticism for immigration detention practices
NEW YORK, Feb 7 (Reuters) – An 18-month-old girl detained for weeks by U.S. immigration authorities was returned to custody and denied medication after being hospitalized with a life-threatening respiratory illness, according to a lawsuit filed in Texas federal court.
The child, identified in the lawsuit as “Amalia,” was released by immigration authorities in President Donald Trump‘s administration after her parents sued on Friday. The parents, who also had been detained, were released as well. The suit had sought the release of all three of them.
In a statement provided on Monday following the publication of this story on Saturday, U.S. Department of Homeland Security spokeswoman Tricia McLaughlin said claims that Amalia did not receive proper medical treatment or medications were false.
The family was detained during a check-in with immigration authorities on December 11 and held at a facility in Dilley, Texas, according to the lawsuit. Amalia was hospitalized from January 18 to 28, and returned to the Dilley facility in the midst of a measles outbreak, the lawsuit said.
“Baby Amalia should never have been detained. She nearly died at Dilley,” said Elora Mukherjee, an attorney for the family.
Mukherjee said hundreds of children and families detained at Dilley lack sufficient drinking water, healthy food, educational opportunities or proper medical care, and should be released.
McLaughlin said in the statement on Monday that the child immediately received medical care after becoming ill, was admitted to a hospital for treatment and returned to the Dilley facility after being cleared for release by a pediatric doctor. Amalia was housed in the medical unit upon her return and received proper treatment and prescribed medicines, the statement said.
“It is a longstanding practice to provide comprehensive medical care from the moment an alien enters ICE custody. This includes medical, dental, and mental health intake screening within 12 hours of arriving at each detention facility, a full health assessment within 14 days of entering ICE custody or arrival at a facility, and access to medical appointments and 24-hour emergency care,” McLaughlin said.
Trump’s administration has been accused of heavy-handed and inhumane tactics as well as violating court orders while carrying out his mass deportation program.
A federal judge in Michigan criticized the administration in a January 31 ruling ordering the release of a five-year-old boy – seen in a viral photo wearing a blue bunny hat outside his house as federal agents stood nearby – who was detained by immigration agents in Minnesota. The administration is now seeking to deport the boy.
Amalia’s parents, originally from Venezuela, have lived in the United States since 2024 with their daughter, who is a Mexican citizen, according to the lawsuit. The lawsuit says all three intend to file asylum applications in the United States.
Amalia developed a fever on January 1 that reached as high as 104 degrees Fahrenheit (40 degrees Celsius), started vomiting frequently and struggled to breathe, according to the lawsuit.
She was taken to the hospital on January 18 with extremely low oxygen saturation levels and diagnosed with COVID-19, respiratory syncytial virus, viral bronchitis and pneumonia, according to the lawsuit. She was placed on supplemental oxygen.
Amalia was given a nebulizer and a respiratory medication upon her discharge from the hospital, but these were taken away by detention center staff upon her return, according to the lawsuit. The girl has lost 10% of her body weight and was given nutritional drinks to help her regain it, but these were also confiscated by authorities, according to the lawsuit.
Reporting by Jack Queen in New York; Editing by Sergio Non, Will Dunham and Daniel Wallis
I often say that a lot of anti-trans anti-gay anti-LGBTQ+ people have their feelings because they don’t feel different from the cis straight majority so can’t understand or accept that such things because they simply don’t feel that way. If they don’t feel it it can’t be real which is the same with how many white people feel about racism. Remember the old question of how do you know you’re gay or trans or lesbian or nonbinary or what ever simply because the people who grew up straight and cis felt normal in society? But if you ask them when they knew or how they knew they were straight and / or cis they are confused. If a boy at 10 comes out as gay the parents freak out, but if that same kid starts showing interest in girls the parents are ecstatic about their boy growing up. Why the difference? Because one fulfills their expectations and the other … well it just is not like them. It simply comes down to tradition and what feels normal for them. Every person who asked me if I tried to change my sexual orientation and there have been so many, to them I ask have you? They act offended. Why would I do that and I reply, then why should I. Then if they persist for some reason that I should do conversion therapy I ask could they convert from their straight / cis desires to being LGBTQ+? Again they are stunned why they would do that and instantly claim not I couldn’t do that. Then again why ask me to do it? Hugs
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On Oct. 7, the U.S. Supreme Court heard oral arguments in Chiles v. Salazar, a case that challenges Colorado’s ban on conversion therapy.
Shortly after, Alliance Defending Freedom (ADF) sent an email to their supporters quoting Paul in Ephesians 6:12: “For our struggle is not against flesh and blood, but against the rulers, against the authorities, against the powers of this dark world and against the spiritual forces of evil in the heavenly realms.”
The email goes on to say, “You might think that a law like this might be just a ‘Colorado problem.’ Sadly, laws like this exist in 22 other states,” referencing other parts of the U.S. that have instituted conversion therapy bans.
This sort of language about conversion therapy is nothing new for the Christian legal group representing Kaley Chiles. Unlike most legal organizations, ADF is sharply anti-LGBTQ. Since their inception over 30 years ago, the group has fought to maintain anti-sodomy laws, uphold the right to discriminate against gay couples and overturn Roe v. Wade.
In recent years, a major element of their fight has been to legalize the discredited practice of conversion therapy.
The Supreme Court appears poised to rule in favor of ADF, which could effectively invalidate conversion therapy bans for minors by licensed professionals across the U.S. This victory would add to the organization’s already-high win streak, which they say is around 80%.
“I don’t think anyone is undermining LGBTQ rights as relentlessly as ADF,” Peter Montgomery, research director at the advocacy group People for the American Way, told Uncloseted Media and GAY TIMES. “They’re shaping the culture for generations to come.”
Although nearly every major medical association has denounced conversion therapy, ADF is arguing that disallowing the practice is a violation of the U.S. Constitution’s First Amendment.
“This case is part of its crusade to turn religious freedom into a license to harm others,” says Amy Tai, the co-author of an amicus brief in Chiles v. Salazar that is urging the Supreme Court to uphold the Colorado law. “It is part of a larger effort and movement to harm LGBTQ people and strip them of their constitutional rights.”
ADF, originally the Alliance Defense Fund, was founded by evangelical anti-gay activists in 1994. Alan Sears, their former CEO and president, co-authored “The Homosexual Agenda: Exposing the Principal Threat to Religious Freedom Today.” The book calls homosexuality a “disordered sexual behavior” and equates it with pedophilia and states that gay people on college campuses are involved in “the promotion of sexual relations between adults and children.”
D. James Kennedy, another founder, has preached about “reparative” therapy for gay folks. In a 1993 fundraising letter for his Christian media organization Coral Ridge Ministries, he asked “Would you want your son, daughter, or grandchild sharing a shower, foxhole, or blood with a homosexual?”
A third founder was the late James Dobson, who advised several presidents and argued that conversion therapy could “cure” people.
Since ADF launched, many powerful political figures with anti-LGBTQ beliefs have worked for them. While working as an ADF spokesperson between 2002 and 2010, House Speaker Mike Johnson described gay folks as “destructive” and argued that support for homosexuality could lead to support for pedophilia.
Kristen Waggoner speaking at a press conference in 2018 (Groversawit)
And their current president, Kristen Waggoner, has delegitimized the harm conversion therapy causes by defining the practice as merely having conversations.
Today, their influence in the U.S. government is stronger than ever, with ties to all three branches. In addition to Speaker Johnson, Supreme Court Justice Amy Coney Barrett has been a paid speaker for ADF at least five times since 2011. And in May, President Donald Trump appointed Waggoner to the newly-formed Religious Liberty Commission.
All of these resources and connections are employed to advance an anti-LGBTQ agenda. “They want to see what they see as the God-defined order for gender and marriage be imposed into law,” Montgomery says. “They are trying to create a legal regime in which people can claim religious beliefs to opt out of laws that apply to everyone else.”
History of Fighting to Criminalize Homosexuality and Legalize Conversion Therapy
Over time, ADF has incorporated these viewpoints into their litigation to try and dismantle legal protections for LGBTQ people.
“Just 20 years ago, they were still arguing in court that states should be able to criminalize gay people,” says Montgomery.
In 2000, for example, ADF funded amicus briefs in Dale v. Boy Scouts of America, a case where an assistant scoutmaster sued the Boy Scouts after the organization revoked his membership for being gay. The Supreme Court ruled in favor of ADF.
In 2003, when support for gay marriage was still low in the U.S., they filed an amicus brief to uphold the criminalization of gay sex in Lawrence v. Texas, arguing that the state has a right to regulate “public health and morality.” The group lost the case and sodomy laws were banned nationwide.
As public opinion changed and gay marriage became legal across America in 2015, ADF shifted to more nuanced arguments. “Now, because they know that most Americans favor LGBTQ equality, they’ve really reframed their arguments [around] religious liberty and free speech,” says Montgomery.
The organization has since set its sights on overturning state bans on conversion therapy. In 2018, ADF Senior Counsel Matt Sharp argued against a California bill that classified conversion therapy as fraud. And in 2019, the group sued New York City for a similar law, which led the city to reverse the ban out of fear the case would reach the Supreme Court.
A few years later, in 2021, ADF fought to overturn a statewide conversion therapy ban in Washington, where they represented Christian therapist Brian Tingley. In this instance, they argued that Washington’s law censored Tingley from speaking about gender dysphoria.
A federal appeals court unanimously upheld Washington’s law, with Circuit Judge Ronald Gould shutting down ADF’s argument, writing that: “Washington, like other states, has concluded that health care providers should not be able to treat a child by such means as telling him that he is ‘the abomination we had heard about in Sunday school.’”
Learning from their mistakes, ADF tried again with Chiles v. Salazar, claiming the Colorado law discriminates against Chiles’ viewpoint. Chiles is an evangelical therapist who received her counseling training and education from a seminary.
In their arguments to the Supreme Court, ADF says the conversion therapy ban encourages therapists to help minors explore LGBTQ identities and condemns assisting patients to align with their assigned gender.
Though intended to ban conversion therapy for all LGBTQ people, ADF’s case focuses on gender identity, capitalizing on souring U.S. public opinion on trans rights.
“Chiles believes that people flourish when they live consistently with God’s design, including their biological sex,” ADF wrote in a petition to the Supreme Court.
“ADF has tried to draw a connection between laws prohibiting conversion therapy and states attempting to force mental health professionals or doctors to treat transgender youth,” Christopher Stoll, senior staff attorney at the National Center for LGBTQ Rights, told Uncloseted Media and GAY TIMES. But if the law passes, conversion therapy would become legal to practice on all LGBTQ people.
Another part of ADF’s success stems from manufacturing legal battles to advance cases that match their goals.
Chiles, for example, had not incurred any legal penalty from the Colorado district attorney. Instead, ADF filed a pre-enforcement lawsuit, claiming that she had censored herself and stopped accepting patients for conversion therapy following the law’s passage.
“All of these cases are, in a sense, made up cases. … They’re brought on behalf of therapists who have not actually been subject to any kind of investigation or penalty by either state or local governments,” says Stoll, who is representing Kansas City, Mo. as ADF and Missouri’s Attorney General challenge the city’s ban on conversion therapy.
This strategy is what makes ADF stand out. Montgomery says that unlike many other legal organizations, ADF also helps file lawsuits and writes the bills that directly challenge precedents and legislation they hope to change.
This was in part how they were effective in overturning Roe v. Wade. ADF drafted the Gestational Age Act, which banned abortion in Mississippi after 15 weeks of pregnancy. That law then became the central point of the Dobbs case, which overturned abortion rights nationwide.
“They’re just engineered to test these legal arguments, when really no dispute has arisen,” says Stoll.
When asked for comment, an Alliance Defending Freedom Media Relations Specialist redirected Uncloseted Media to a website criticizing the Southern Poverty Law Center, saying the group mischaracterizes ADF as a hate group.
How ADF Operates Globally
ADF’s efforts to dismantle conversion therapy and LGBTQ rights span far beyond the U.S. Alliance Defending Freedom International (ADFI) boasts about efforts in 70 countries, where they push anti-LGBTQ legislation as far as possible in each country.
In 2012, ADF’s then-legal counsel Piero Tozzi spoke at a conference in Jamaica, advocating for the prohibition of gay sex, stating that the “retention of the legislation prohibiting sodomy is a bulwark against this agenda.” And in 2013, members of ADF defended a statute in Belize that characterized LGBTQ sex as “carnal intercourse against the order of nature.”
“They’re one of the most powerful and influential Christian right religious extremist groups that we have operating in Europe,” Neil Datta, executive director of the European Parliamentary Forum on Sexual and Reproductive Rights, told Uncloseted Media and GAY TIMES.
Datta says with offices in six cities with international human rights centers, ADFI contacts political allies throughout the continent, feeding them legal briefs and direct arguments. Then, those partners take that information and rejig it to align with their country’s political discourse.
“They’re hiring Europeans, training them in the American model of social issues litigation from an anti-rights perspective, and then hoping that [they] will be running with this in European courts,” Datta says. “They bring know-how and capacity to the continent.”
Datta says the U.S. is where the organization conducts its litmus tests for anti-LGBTQ laws and legal arguments: “In the U.S., you have 50 little courts that you can try things out in,” he says. “[ADF] has their own range of different areas that they would like to be active in, and they hunt for opportunities where they can make some progress.”
That includes the defense of Finnish politician Päivi Räsänen, who in 2021 was tried for hate speech for condemning a Lutheran church for supporting a Pride event. With ADFI’s assistance, Räsänen was acquitted in 2023.
Making Headway to Ban Conversion Therapy Abroad
While ADFI has yet to succeed in overturning conversion therapy bans in Europe, Datta says some politicians with links to the group have promoted reintegrative therapy, another form of therapy that attempts to help folks suppress same-sex attraction. While the term attempts to distance itself from conversion therapy, it uses similar procedures to the condemned practice.
However, Datta says ADFI is taking steps to shift the discourse by lobbying against the Digital Services Act, a European Union regulation for online hate speech.
In October, ADFI penned a letter to the European Commission asking the organization to review the law. ADF has also posted various blogs on the legislation, one posing a hypothetical about gender identity, stating, “Let’s say you went on Facebook … to post something as common sense as believing that there are only two genders. … If someone were to report that as hate speech, the E.U. could pressure Meta … to remove the post lest it face those stiff financial penalties.”
ADFI has also expanded its horizons to Africa. In May, Bettina Roska, an ADFI legal officer based in Geneva, joined a consortium of anti-LGBTQ advocates in a Pan-African conference on “family values” in Nairobi, Kenya.
“They are trying to do the same thing in Africa, around the African Union, and the African human rights system,” Jamie Vernaelde, senior researcher at Ipas, a non-governmental organization that focuses on reducing the harm of U.S. foreign policy, told Uncloseted Media and GAY TIMES.
Back in the U.S., the Supreme Court will rule on Chiles v. Salazar before the end of its current term next year. Their decision will potentially clear the way for conversion therapy to be practiced nationwide and abroad.
Vernaelde says that if Chiles v. Salazar is successful, ADF is hoping to bring their fight against conversion therapy worldwide in the same way they are expanding their anti-abortion lawsuits. Today, the group is attempting to undo abortion protections in the U.K. with the help of allies in the country’s right-wing Reform party.
“This is a template that they can use in other places that they can spread as widely as they want through their networks,” says Vernaelde.
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I really like the reporting of this person. I strongly suggest everyone subscribe to her substack and support her efforts if you can. But even though this is 7 days old it is really important as it shows how feelings are changing on protecting trans people. Hate won’t win if we and our politicians fight back. When they had the right takes advantage to attack the rights of the LGBTQ+. Hugs
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Early Tuesday morning, final appropriations bills for the Departments of Labor, Health and Human Services, and Education—and related agencies—were released, marking the last major funding measures to be negotiated in the aftermath of the record-breaking government shutdown fight in 2025. That standoff featured multiple appropriations bills loaded with anti-transgender riders and poison pills for Democrats, ultimately ending in a short-term continuing resolution that punted many of those provisions to the end of January. While other “minibus” packages funding individual agencies moved forward, the Education and HHS bills were conspicuously absent, as they contained some of the most sweeping and consequential anti-trans riders ever proposed in Congress. Now, with the final bills released, it is clear that no anti-transgender riders were included—meaning transgender people will largely be spared new congressional attacks through most of 2026 should they pass as-is.
As the government shut down on Oct. 1, the state of appropriations bills needed to reopen the federal government for any extended period was extraordinarily dire for transgender people. Dozens of anti-transgender riders were embedded across House appropriations bills, even as those provisions were largely absent from the Senate’s versions. The riders appeared throughout nearly every funding measure, from Commerce, Justice, and Science to Financial Services and General Government. The most extreme provisions, however, were concentrated in the House HHS and Education bills, including language barring “any federal funds” from supporting gender-affirming care at any age and threatening funding for schools that support transgender students. Taken together, those measures would have posed a sweeping threat to transgender people’s access to education and health care nationwide.
Those fears eased somewhat when the government reopened under a short-term continuing resolution funding operations through the end of January. In the months that followed, Democrats notched a series of incremental victories for transgender people, advancing multiple appropriations “minibus” packages that stripped out anti-trans riders as the government was funded piece by piece. As amendment after amendment fell away, those wins grew more substantial, including the removal of a proposed ban on gender-affirming medical care from the NDAA—even after it had passed both the House and Senate. Still, the most consequential question remained unresolved: what would ultimately happen to the high-impact anti-trans provisions embedded in the HHS and Education bills.
Now, the package has been released—and for the moment, transgender people can breathe again. The final HHS and Education bills contain no anti-transgender provisions: no ban on hospitals providing gender-affirming care to transgender youth, no threats to strip funding from schools that support transgender students or allow them to use the bathroom, and no mandate forcing colleges to exclude transgender students from sports or activities like chess or esports. The bills are strikingly clean. As such, they avert yet another protracted shutdown fight in which transgender people are once again turned into political bargaining chips—and, at least for now, remove Congress as the immediate vehicle for new federal attacks, should they pass as-is.
When asked about the successful stripping of anti-trans provisions, a staffer for Representative Sarah McBride tells Erin In The Morning, “Rep. McBride works closely with her colleagues every day to defend the rights of all her constituents, including LGBTQ people across Delaware. In the face of efforts by the Trump administration and Republicans in Congress to roll back health care and civil rights, she was proud to work relentlessly with her colleagues in ensuring these funding bills did not include anti-LGBTQ provisions. It takes strong allies in leadership and on committees to rein in the worst excesses of this Republican trifecta, Rep. McBride remains grateful to Ranking Members DeLauro, Murray, and Democratic leadership for prioritizing the removal of these harmful riders.”
This does not mean that transgender people will not be targeted with policies and rules that affect them in all areas of life. The Trump administration has acted without regard to law in forcing bans on sports, pulling funding from schools and hospitals, and banning passport gender marker updates. The Supreme Court has been increasingly willing to let the office of the presidency under Trump do whatever it would like to transgender people. However, the lack of passage of bills targeting transgender people means that these attacks will only last for as long as we have Trump in the White House, and a future president should hopefully be easily able to reverse the attacks.
Erin In The Morning is a reader-supported publication. To receive new posts and support my work, consider becoming a subscriber.
I have never understood the rights hate of LGBTQ+ people just for being different. I used to think it was they couldn’t understand it because they did feel that way. If they did not feel that way then it must be wrong or not exist. The very same things they say about trans people they said about gay people when I was a school kid. I remember that people were pushing to ban gay guys, and it was always gay guys just like it is always trans women, from teaching because they would molest the kids. Now it is we can’t let trans people use the bathroom that corresponds to their gender identity because of some fear they will molest the little girls. Always to protect the kids but if that was the goal then may I mention religious leaders? I think also the fear some religious right wingers have is that they find trans women attractive and that terrifies them. They want to force kids to go through the wrong puberty so it is harder for them to fit in with the stereotypes people have of what is masculine or feminine. For some they think they are doing the bidding of their deity but I don’t remember reading Jesus saying anything about trans people. But he did preach love and tolerance a lot. Maybe the pain and cruelty is the point after all. Hugs
Trans youth almost always feel less suicidal while undergoing treatment. (Getty
Trans youth almost always feel less suicidal while undergoing treatment. (Getty)
Yet another study proving that trans youth almost always feel less suicidal on gender-affirming care has been thrown on the pile of evidence that puberty blockers are safe and effective.
Research set to be published in the Journal of Paediatric’s February volume has once again proved that trans adolescents show “meaningful reductions” in depression and anxiety after beginning clinically-endorsed hormone therapy.
Co-written by paediatricians in Nevada, Texas, and Missouri, the study examined the wellbeing of 432 patients before and after undergoing treatment.
The participants, aged 12 to 20, were surveyed on their mental health before and at least 364 days after beginning appropriate medical treatment such as puberty blockers and hormone replacement therapy (HRT).
Trans youth regularly come under attack by politicians. (Getty)
Using the Ask Suicide-Screening Questions (ASQ) toolkit – an internationally acknowledged assessment of suicidality in young people and adults – researchers found significant improvements in the mental health of patients across the board.
Suicidality among participants decreased significantly over time, according to the study’s results, with rates continuing to decrease as time went on.
The reductions, clinicians noted, were consistent regardless of gender identity, treatment duration, and, interestingly, the age at the start of therapy.
This not only once again proves that gender-affirming care is remarkably effective in improving the wellbeing of trans patients, but that its effectiveness in reducing suicidal tendencies does not diminish as patients get older.
Clinicians recommended following-up the study with a “larger sample and longer follow-up” to sufficiently prove the consistency of gender-affirming care’s mental health treatments.
Politicians continue to ban puberty blockers despite evidence
Numerous studies across the globe have proven that gender-affirming care is almost always a good thing for trans people, especially trans young people.
One study from October 2024 found that 97 per cent of trans under-18s were “highly satisfied” with the results of gender-affirming treatment, while another from March in the same year found that, out of 548 patients who accessed trans healthcare, just two regretted it.
Regret rates for gender-affirming treatment are very low according to a paper from May 2024, which found that patients are more likely to regret knee surgery, breast augmentation, and even having children than those starting gender-affirming care.
Despite the mountain of evidence proving that gender-affirming care can be, and almost always is, life-saving, anti-trans politicians and political pundits regularly claim trans young people shouldn’t be allowed to access clinically-approved medical treatment.
Wes Streeting has routinely come under fire for his policies on trans people. (Getty)
At least 27 states in the US ban gender-affirming care in some capacity, preventing over 40 per cent of America’s trans youth population from accessing care. Puberty blockers are also banned for trans youth in the UK, despite being freely available for cisgender youth.
The Trevor Project, an LGBTQ+ suicide prevention organisation, warned these bans have “detrimental impacts” on the mental health of trans young people, who are already disproportionately likely to feel suicidal.
Research conducted by Dr Natacha Kennedy in the University of London found that Wes Streeting’s ban on puberty blockers for trans young people is “significantly, extensively, and relentlessly harming trans children and young people”.
She spoke to the parents of trans young people who were once “happy, well-adjusted, and little different from most cis children”, but who have now resorted to self-harm because of an inability to access care.
Suicide is preventable. Readers who are affected by the issues raised in this story are encouraged to contact the Samaritans on 116 123 (www.samaritans.org), or Mind on 0300 123 3393 (www.mind.org.uk). Readers in the US are encouraged to contact the National Suicide Prevention Line on 1-800-273-8255.
Early Tuesday morning, final appropriations bills for the Departments of Labor, Health and Human Services, and Education—and related agencies—were released, marking the last major funding measures to be negotiated in the aftermath of the record-breaking government shutdown fight in 2025. That standoff featured multiple appropriations bills loaded with anti-transgender riders and poison pills for Democrats, ultimately ending in a short-term continuing resolution that punted many of those provisions to the end of January. While other “minibus” packages funding individual agencies moved forward, the Education and HHS bills were conspicuously absent, as they contained some of the most sweeping and consequential anti-trans riders ever proposed in Congress. Now, with the final bills released, it is clear that no anti-transgender riders were included—meaning transgender people will largely be spared new congressional attacks through most of 2026 should they pass as-is.
As the government shut down on Oct. 1, the state of appropriations bills needed to reopen the federal government for any extended period was extraordinarily dire for transgender people. Dozens of anti-transgender riders were embedded across House appropriations bills, even as those provisions were largely absent from the Senate’s versions. The riders appeared throughout nearly every funding measure, from Commerce, Justice, and Science to Financial Services and General Government. The most extreme provisions, however, were concentrated in the House HHS and Education bills, including language barring “any federal funds” from supporting gender-affirming care at any age and threatening funding for schools that support transgender students. Taken together, those measures would have posed a sweeping threat to transgender people’s access to education and health care nationwide.
Those fears eased somewhat when the government reopened under a short-term continuing resolution funding operations through the end of January. In the months that followed, Democrats notched a series of incremental victories for transgender people, advancing multiple appropriations “minibus” packages that stripped out anti-trans riders as the government was funded piece by piece. As amendment after amendment fell away, those wins grew more substantial, including the removal of a proposed ban on gender-affirming medical care from the NDAA—even after it had passed both the House and Senate. Still, the most consequential question remained unresolved: what would ultimately happen to the high-impact anti-trans provisions embedded in the HHS and Education bills.
Now, the package has been released—and for the moment, transgender people can breathe again. The final HHS and Education bills contain no anti-transgender provisions: no ban on hospitals providing gender-affirming care to transgender youth, no threats to strip funding from schools that support transgender students or allow them to use the bathroom, and no mandate forcing colleges to exclude transgender students from sports or activities like chess or esports. The bills are strikingly clean. As such, they avert yet another protracted shutdown fight in which transgender people are once again turned into political bargaining chips—and, at least for now, remove Congress as the immediate vehicle for new federal attacks, should they pass as-is.
When asked about the successful stripping of anti-trans provisions, a staffer for Representative Sarah McBride tells Erin In The Morning, “Rep. McBride works closely with her colleagues every day to defend the rights of all her constituents, including LGBTQ people across Delaware. In the face of efforts by the Trump administration and Republicans in Congress to roll back health care and civil rights, she was proud to work relentlessly with her colleagues in ensuring these funding bills did not include anti-LGBTQ provisions. It takes strong allies in leadership and on committees to rein in the worst excesses of this Republican trifecta, Rep. McBride remains grateful to Ranking Members DeLauro, Murray, and Democratic leadership for prioritizing the removal of these harmful riders.”
This does not mean that transgender people will not be targeted with policies and rules that affect them in all areas of life. The Trump administration has acted without regard to law in forcing bans on sports, pulling funding from schools and hospitals, and banning passport gender marker updates. The Supreme Court has been increasingly willing to let the office of the presidency under Trump do whatever it would like to transgender people. However, the lack of passage of bills targeting transgender people means that these attacks will only last for as long as we have Trump in the White House, and a future president should hopefully be easily able to reverse the attacks.
Discover the cosmos! Each day a different image or photograph of our fascinating universe is featured, along with a brief explanation written by a professional astronomer.
Explanation: Apollo 14’s Lunar Module Antares landed on the Moon on February 5, 1971. Toward the end of the stay astronaut Ed Mitchell snapped a series of photos of the lunar surface while looking out a window, assembled into this detailed mosaic by Apollo Lunar Surface Journal editor Eric Jones. The view looks across the Fra Mauro highlands to the northwest of the landing site after the Apollo 14 astronauts had completed their second and final walk on the Moon. Prominent in the foreground is their Modular Equipment Transporter, a two-wheeled, rickshaw-like device used to carry tools and samples. Near the horizon at top center is a 1.5 meter wide boulder dubbed Turtle rock. In the shallow crater below Turtle rock is the long white handle of a sampling instrument, thrown there javelin-style by Mitchell. Mitchell’s fellow moonwalker and first American in space, Alan Shepard, also used a makeshift six iron to hit two golf balls. One of Shepard’s golf balls is just visible as a white spot below Mitchell’s javelin.
I love Erin’s posts and reporting. The attack on trans rights and health was planned and coordinated by religious conservatives who felt they lost the culture war on gay acceptance and same sex marriage so they decided to jump quickly on the trans issue with lots of money. Their first attempt failed because they went after the idea of trans people itself. So then they changed to the old “protect the children” play book with the entire focus on protecting little cis girls but they never mention the trans boys that cis boys need to be protected from. See how patristical it is? It is all about males needing to protect the little womans. They don’t care about trans kids, they don’t care about female sports. It is about not letting trans kids transition with puberty blockers and the correct hormones as then the kids will grow up as they are fitting the societal view of what men and women look like. That scares the straight cis male religious guys because they are terrified they will be attracted to a trans woman. Imagine the horror if trans people moved freely in society not raising any question of their gender because they conformed to how society sees each gender. That sounds like a grand thing to me, but it terrifies these fanatical religious grifters that want to control how everyone lives to please their god. They make up untrue and scary what ifs, what if a man uses the letting trans people use the bathroom of their gender ID to go into a girls … notice they phrase it girls not womans because that make people more protective from the start, and they harm a little girl, your little girl? Well nothing stops a man from doing that now! Predators don’t need permission and won’t wait for it. And that has happened where a straight cis male dragged a little girl into the male bathroom and raped her while his friend watched. There was a famous court case on it. Look it up if you want. Want to know what has not happened, a trans woman going into the female’s bathroom and assaulting a female. Sorry. The right has tried hard to make one happen, but each claim of a trans person in a locker room or bathroom acting inappropriate has been debunked and disproven. This is all a made up scandal and crisis by people who can not accept the society progressing beyond the old traditional binary they grew up with and they think their holy books claim must be as their god insists on it. Weird how it is always how their god insists on what they already believe or promote. Handy that. So many people can not move past the idea that if it dangles you MUST be a boy regardless of how you feel and if it is an inny you must be a girl regardless of anything else idea. They can not seem to grasp personal feelings, needs, or medial science. Hugs
The bill would establish the Affirming Health Care Trust Fund, administered by the State Treasurer, to support clinics and providers outside the reach of federal funding threats.
Vermont Bill Would Create State Trust Fund For Private Trans Youth Care Clinics As Trump Threatens Hospital Funding
The bill would establish the Affirming Health Care Trust Fund, administered by the State Treasurer, to support clinics and providers outside the reach of federal funding threats.
Erin In The Morning is a reader-supported publication. To receive new posts and support my work, consider becoming a subscriber.
Across the United States, gender-affirming care has come under sustained attack in Republican-led states and from the Trump administration. For transgender youth, those attacks have been especially severe, with roughly half of U.S. states now banning such care outright. At the federal level, the administration has waged an intense pressure campaign against hospitals, threatening funding and prompting many systems to drop their care programs altogether. That campaign has now escalated further, with the federal government moving to threaten hospitals’ entire Medicaid and Medicare funding if they continue providing transgender youth care. In response, some states and cities are beginning to fight back by establishing their own funding mechanisms for trans healthcare. The latest example comes from Vermont, where lawmakers have introduced a bill to create a trust fund for gender-affirming care designed to be entirely insulated from federal funding threats.
H.576, introduced by Representatives Daisy Berbeco, Tiffany Bluemle, and Troy Headrick, would establish the Affirming Health Care Trust Fund. Administered by the State Treasurer, the fund would provide direct monetary support to healthcare providers and nonprofits offering gender-affirming care in Vermont. It would cover costs for patients who would otherwise go without treatment, fund the establishment of Vermont-based clinics, and pay for malpractice and liability insurance for clinicians who continue offering care. The bill is part of an increasing movement towards private clinics as a mechanism to survive federal threats.
The bill also includes provisions designed to protect patient information from both federal pressure and out-of-state threats, going further than the recent “refuge” or “shield” laws passed in several blue states to protect transgender youth care. It explicitly bars the board and other state actors from disclosing patient-identifiable data, the identities of providers, or the identities of award recipients to the federal government. This is a significant protection given the wave of abusive legislation and attempts to subpoena transgender healthcare records nationwide. While federal preemption may ultimately be litigated, these provisions give clinics a stronger legal footing to resist such demands—particularly as similar subpoenas have been repeatedly quashed in recent court cases.
The bill comes as families scramble to locate alternatives to hospital systems that are abandoning them. With more than 20 hospitals closing their doors to transgender youth care out of fear and preemptive compliance with the Trump administration, many families have been forced to seek alternatives. Just this week, major hospital systems across Colorado, for example, have stopped providing care. Groups like the Trans Youth Emergency Project say they have the capacity to refer displaced patients to private clinics, and in many places those clinics do exist and are absorbing demand. But as hospital-based programs continue to shut down and demand rises, those private providers will need sustained support—and more clinics will need to be created. Bills like this are a targeted way to do exactly that.
If this bill passes, Vermont would be the latest state to protect care in this way—but it would not be the only one. Massachusetts passed a similar measure last year, allocating $1 million toward transgender youth care clinics, though that funding has already come under criticism as insufficient to meet statewide need in the wake of major clinic closures. In New York City, newly elected mayor Zohran Mamdani has pledged $65 million for transgender healthcare. If that funding is realized, it would position New York City as a major hub for private clinics capable of absorbing demand created by hospital closures across the country. This strategy could prove to be a critical backstop for private providers that are already emerging—and that are likely to come under increasing strain in the years ahead.
The bill allows funding from state appropriations, private donations, grants, and—importantly—federal funds under a future administration that is protective of transgender healthcare. It would take effect immediately upon passage, with the board required to convene by August 1, 2026. There are still hurdles ahead: the bill must advance through committee, pass both chambers, and ultimately receive meaningful funding to function as intended. But its introduction alone signals something important. At a moment when hospitals are retreating and families are being forced into crisis planning, Vermont lawmakers are putting forward a concrete framework to protect access to care rather than surrender it. For Vermonters who want to see their state take a clear stand, residents can find and contact their legislators through the Vermont General Assembly website to make clear where they stand on protecting transgender healthcare.
Erin In The Morning is a reader-supported publication. To receive new posts and support my work, consider becoming a subscriber.
18-month-old Amalia, who, according to a lawsuit filed, suffered a life-threatening respiratory illness while in U.S. Immigration and Customs Enforcement (ICE) custody, reacts, in this handout picture obtained on February 7, 2026. Elora Mukherjee/Handout via REUTERS
] Kheilin Valero Marcano and Stiven Arrieta Prieto, parents of 18-month-old Amalia, who, according to a lawsuit filed, suffered a life-threatening respiratory illness while in U.S. Immigration and Customs Enforcement (ICE) custody, pose for a photo, in this handout picture obtained on February 7, 2026. Elora Mukherjee/Handout via REUTERS
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