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A federal judge has ordered the Trump administration to resume gender-affirming care for transgender inmates, ruling that a recent executive order lacked legal justification. Judge Royce Lamberth, a Reagan appointee, said the Bureau of Prisons’ (BOP) decision to cut medical and social accommodations for around 400 inmates was not supported by reasoned analysis.

Trump’s executive order, issued on his first day back in office, directed BOP to stop treatments intended to align an inmate’s appearance with their gender identity. Lamberth said the administration failed to explain why such care should be treated differently from other mental health treatments.

The ruling requires the BOP to restore hormone therapy and access to gender-conforming items like undergarments and grooming products. Around 600 inmates had continued treatment under a narrower interpretation of the order, which the judge rejected as a “fabricated distinction.”

While acknowledging Trump’s electoral mandate, Lamberth emphasized that “democracy is not blind submission” and must honor existing laws. The Justice Department and BOP declined to comment.


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