At least 21 hospitals and health systems have suspended or reduced health services for transgender minors and young adults in 2025, according to an NBC News analysis. Many providers cited fears of federal investigations and the potential loss of government funding.This rollback comes against a backdrop of escalating legal attacks on transgender health care. In recent years, 26 states have passed bans restricting gender-affirming care for minors, with six making it a felony to provide certain treatments. Roughly 40% of trans youth ages 13 to 17 now live in states where access to care is restricted, according to KFF. In June, the Supreme Court upheld Tennessees gender-affirming care ban, effectively green-lighting similar laws nationwide. Related Pam Bondi subpoenas doctors & clinics that provide trans health care At the federal level, restricting access to transition-related care has become a main policy objective of the administration. In January, the president signed an executive order directing federal agencies to cut off funding for gender-affirming care for minors and instructing the Department of Justice (DOJ) to investigate and criminalize providers and health centers that offer such care. In April, Attorney General Pam Bondi ordered the DOJ to investigate providers, hospitals, and clinics that provide gender-affirming care to trans youth.The crackdown escalated earlier this summer when federal prosecutors issued subpoenas to more than 20 hospitals and clinics. In August, sixteen states and the District of Columbia filed suit in an attempt to block the administrations investigations. However, several providers that received subpoenas chose to suspend offering gender-affirming care instead of waiting for the outcome of the lawsuit. Never Miss a Beat Subscribe to our newsletter to stay ahead of the latest LGBTQ+ political news and insights. Subscribe to our Newsletter today The chilling effect has extended even into Democratic-led sanctuary states, where lawmakers have promised protections for transgender people. While attorneys general in those states initially reminded hospitals that scaling back gender-affirming care could violate state anti-discrimination laws, none have pursued enforcement actions. In practice, this has allowed hospitals to quietly eliminate or reduce programs without consequence.According to the NBC News review, twelve hospitals have either stopped or announced plans to stop prescribing puberty blockers or hormone therapy to patients under 19, four hospitals have ended surgeries for minors, and one facility halted all gender-affirming care for trans youth under 18. At least seven university-affiliated health systems, including Stanford Medicine, University of Pittsburgh Medical Center (UPMC), University of Chicago (UChicago Medicine), University of Pennsylvania, Rush University Medical Center, the University of Michigan, and Yale New Haven Hospital, have ceased offering some or all trans-related health services.An additional five hospitals have scrubbed their websites of pages advertising transgender services for minors. Subscribe to theLGBTQ Nation newsletterand be the first to know about the latest headlines shaping LGBTQ+ communities worldwide.