A federal judge vacated RFK Jr.'s declaration that would have excluded health care providers offering gender-affirming care to minors from Medicare and Medicaid programs, ruling it unlawfully overrode medical standards. The ruling blocks what the judge called an attempt to ban transgender health care unilaterally without going through proper rulemaking. Multiple outlets including KGW and the Daily Chronicle confirm the decision; the judge also criticized RFK Jr.'s approach as showing "wanton disregard" for the rule of law. What remains unclear is whether the Trump administration will appeal or attempt alternative regulatory pathways to restrict this care.