Supreme Court rejects Trump administration on gender-affirming care in prison
The Supreme Court on Wednesday denied the Trump administration’s application to enforce its ban on gender-affirming medical care for federal inmates after a judge blocked the policy.
The denial came in an unexplained order. Justices Clarence Thomas and Samuel Alito noted they would have granted the administration’s application, but they also did not explain their reasoning.
Human Rights Campaign President Kelley Robinson said the high court’s action “protects incarcerated trans people from the administration’s attempt to steamroll over constitutional rights for now.” But she added, “the fight to uphold the dignity and respect our community deserves is far from over.”
Urging the justices to lift the judge’s order while it appeals, the administration argued that the public interest favors such a result because the policy “provides appropriate, individualized treatment for gender dysphoria, while disallowing only interventions that are medically unnecessary.”
Lawyers for inmates with the American Civil Liberties Union implored the high court not to back the government’s attempt to “overturn a three decades-long status quo.” They said the government turned to the justices at this preliminary stage of the litigation not because it has a pressing legal claim but rather because it is upset about how the district judge applied settled law to the facts in this case.
Over the past couple of years, the Supreme Court has ruled against transgender people in a series of cases involving sports, the military, passports and gender-affirming care for minors.
When he granted a preliminary injunction for inmates in June, U.S. District Judge Royce Lamberth, a Reagan appointee, said he didn’t want to wade into “the culture war being waged against transgender individuals.” He said he was merely making a legal decision that the government had failed to follow proper procedures when it implemented the new policy.
The Washington judge called the government action “arbitrary and capricious” because it “failed to seriously consider its own experience providing gender-affirming care to inmates for years under its prior policy.” Lamberth issued a subsequent order in August maintaining the injunction, finding that despite officials’ claims, it wouldn’t cause safety issues to continue inmates’ medical care while the litigation proceeds.
Over dissent from a Trump appointee, a federal appellate panel declined to lift Lamberth’s injunction.
In the administration’s application to the justices, Solicitor General John Sauer said the Bureau of Prisons had previously provided both what he called “mental-health treatment (such as psychotherapy and psychiatry services)” and “sex-rejecting interventions (such as sex-trait-modification surgeries, hormone interventions, and social accommodations).”
Sauer said the government concluded it could no longer justify the second category for two reasons: that such interventions weren’t supported by the latest evidence and that they “raised security and prison-administration concerns that outweighed whatever limited benefits they had.”
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