美国第九巡回上诉法院以2:1的多数意见支持特朗普政府，裁定总统反对变性人医疗照护的政策立场不构成撤销司法部对医疗提供者QueerDoc传票的理由。[1]这一裁定推翻了下级法院的决定，将案件发回地方法院继续审理其他论点。[1]
司法部去年发布了20多份传票，针对提供变性人医疗照护的医生和诊所，作为医疗欺诈调查的组成部分。[1]对QueerDoc的传票要求提交人事档案、账单文件、与药物制造商的通信以及处方青春期阻滞剂或激素治疗患者的记录。[1]
法官卡洛斯·贝亚在裁决书中表示："每位总统都有执法优先事项，就像每位总统都有标志性政策一样。"[1]特朗普已签署行政令，将性别定义为仅为男性或女性且不可改变，并寻求终止对19岁以下患者该类医疗照护的联邦资金。[1]
The U.S. Court of Appeals for the Ninth Circuit ruled 2-1 in favor of the Trump administration, determining that the president's opposition to gender-affirming medical care does not constitute an illegal basis for invalidating a Department of Justice subpoena issued to QueerDoc, a medical provider [1]. The decision reversed a lower court's ruling and remanded the case back to district court to address other arguments [1].
The Justice Department issued more than 20 subpoenas last year targeting doctors and clinics providing gender-affirming care as part of an investigation into medical fraud [1]. The subpoena to QueerDoc seeks personnel records, billing files, communications with pharmaceutical manufacturers, and records of patients prescribed puberty blockers or hormone treatments [1]. Judge Carlos Bea wrote in the majority opinion that "every president has enforcement priorities, just as every president has signature policies," defending the administration's prosecutorial discretion [1].
The Trump administration has signed an executive order defining sex as male or female and unchangeable, while simultaneously seeking to eliminate federal funding for such medical care for patients under 19 years old [1].