On January 28, 2025, President Donald Trump signed an executive order that bans federal funding for gender-affirming care for individuals under 19, fulfilling a campaign promise. The order, titled 'Protecting Children from Chemical and Surgical Mutilation,' restricts access to puberty blockers, hormone therapy, and surgical procedures. It directs federal agencies to end reliance on guidance from the World Professional Association for Transgender Health, labeled as 'junk science' by Trump. Major medical organizations criticized the order, emphasizing its potential harm to transgender youth and their access to necessary healthcare, while legal challenges are expected.