Illinois joins suit against Trump administration orders limiting gender-affirming care



Illinois Attorney General Kwame Raoul and other Democratic attorneys general are suing the Trump administration over policies to limit gender-affirming care for youths. The lawsuit argues the policies violate states’ 10th Amendment right to regulate health care.


Illinois Attorney General Kwame Raoul on Senate floor in May

Photo: Capitol News Illinois/Jerry Nowicki
Raoul is pictured on the floor of the Senate in May of this year. The Illinois Attorney General joined a multi-state bid to block the Federal government from limiting gender-affirming care.


by Ben Szalinski
Capitol News Illinois

SPRINGFIELD - Illinois Attorney General Kwame Raoul is joining a multi-state lawsuit seeking to block the Trump administration from limiting gender-affirming care.

The lawsuit, filed in Massachusetts district court by 17 states, argues an executive order signed in January by President Donald Trump that directs federal agencies to take “appropriate steps to ensure that institutions receiving federal research and education grants end the chemical and surgical mutilation of children” violates states’ 10th Amendment right to regulate medical care.

The order defines “children” as people under age 19, which the attorneys general say conflicts with many states such as Illinois, where people are generally considered adults when they turn 18. A separate executive order by the president established that the federal government only recognizes two genders.


How does any of this keep our children or our communities safer?

It also seeks to block two Department of Justice orders that direct the DOJ to investigate and enforce legal action against doctors, hospitals and other medical professionals that provide gender-affirming care to youths.

The orders use “cruel, demeaning language” to “undermine the legitimacy” of medical care, California Attorney General Rob Bonta said at a news conference Friday.

“This administration is driving a wedge between patients and health care providers from providing patients the health care that they need,” Raoul said.

Also troubling to the attorneys general is the prospect of criminal prosecution against doctors who provide care.

“The Department of Justice is diverting valuable law enforcement resources away from catching criminals and predators who are actually harming children,” Raoul said. “How does any of this keep our children or our communities safer?”

Guidance to Illinois doctors

The orders have also caused Illinois health care providers to stop providing types of gender-affirming care, including University of Chicago Medical Center, UI Health, Rush, Northwestern Medicine and Lurie Children’s Hospital in Chicago.

Though Raoul said he opposes the Trump administration’s policies and believes they are illegal, he declined to give legal advice about whether Illinois health care providers should continue following the federal directives while the lawsuit proceeds.


Illinois has numerous laws on the books establishing legal gender-affirming care.

“I am not a health care administrator; I am not the head of a hospital that’s being threatened with potential criminal investigation or prosecution or removal of funding that goes toward saving the lives of various patients,” Raoul said. “And so I am not in the position of either advising what administrative decisions should be made at hospitals.”

Raoul said his role is to “remove” legal threats against the state and its residents.

Medical providers that decide to stop providing gender-affirming care are likely not guilty of discrimination under Illinois law, Raoul said, “particularly if the federal government is threatening you with criminal prosecution.” He added Illinois laws don’t require doctors to provide a full range of gender-affirming care.

Illinois has numerous laws on the books establishing legal gender-affirming care, including protections for Illinois health care providers from prosecution and other disciplinary action in other states for giving legal health care to patients in Illinois that might be considered illegal in another state.

Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.

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The human cost of endless conflict hurts now and future generations



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Martin Luther King Jr., in his courageous opposition to the Vietnam War, warned that "a nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death."

by Terry Hansen
      Guest Commentary

I recently listened to an incredibly sad interview on Israel's Channel 5 News with the mother of an Israeli soldier who was deployed in Gaza. Representing a group of mothers of members of the Israeli Defense Forces, she explained that after two years of continual trauma, “Today, they are broken, they are finished." She implored that they desperately need time to heal.

The mother went on to describe a paratrooper who had a panic attack "because the smell of food reminded him of corpses being eaten by dogs in Khan Younis." She further testified that “They don’t encounter terrorists; they encounter IEDs and blow up!”


The world's top five arms manufacturers are American companies.

What this distressed mother recounted reminds me of clinical psychiatrist Jonathan Shay's powerful book "Achilles in Vietnam: Combat Trauma and the Undoing of Character." The book is about Vietnam veterans and the psychological and moral wounds of war. Shay wrote that "Time and safety to mourn were built into ancient warfare and were absent in Vietnam."

Added to this is the immense, constant suffering of Palestinians. Psychiatrist Dr. Samah Jabr explains that, for the children of Gaza, the concept of post-traumatic stress disorder is a misnomer. According to Jabr, "there is no 'post' because the trauma is repetitive and ongoing."

Our leaders should be deeply ashamed of the paths they have so often taken to address our world's problems. The U.S. annual defense budget edges toward $1 trillion, while the Trump Administration slashes funding for the U.S. Agency for International Development and other foreign aid programs. Moreover, the world's top five arms manufacturers are American companies.

Martin Luther King Jr., in his courageous opposition to the Vietnam War, warned that "a nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death."

His words ring true today — for Gaza and other conflict zones. Let us choose justice and compassion to break the cycles of violence before future generations are also lost to war.


Terry Hansen is an opinion writer who frequently comments on Gaza, focusing on humanitarian issues, U.S. policy and Israel’s actions in the region. He is a retired educator from Milwaukee, Wisconsin.


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