Pediatricians and legal experts in Washington are denouncing a new Trump administration proposal to bar gender-affirming care for minors. Washington’s Attorney General has publicly rebuked the plan, underscoring the tension between state and federal perspectives on transgender healthcare.

A recent ruling by Judge Jackson Lofgren has upheld North Dakota’s ban on gender-affirming care for children. Parents who were already leaving the state to secure these treatments must now continue seeking medical help elsewhere, underscoring the ban’s impact on families.

Alaska’s medical board has advanced a draft regulation that could penalize providers of gender-affirming care for minors. The proposed changes, approved on Friday, signal a shift in how youth treatments may be administered across the state.