On January 20, 2025, President Trump signed an executive order defining gender strictly as male or female based on reproductive cells, disregarding transgender and intersex identities. This order may impact federal documents and policies, leading to concerns about federal funding for programs supporting transgender individuals. Experts argue this definition contradicts scientific understanding and could lead to significant legal challenges. The order also raises questions about its effects on Medicaid coverage for gender-affirming care and federal prison guidelines for transgender inmates.