News
A federal policy expert weighs in on Trump’s efforts to stifle gender-affirming care for Americans under 19
Elana Redfield, University of California, Los Angeles
Amid a flurry of executive orders affecting transgender Americans, the Trump administration ordered restrictions on gender-affirming care for minors. Calling it “a stain on our Nation’s history,” the Jan. 28, 2025, order seeks to “end” this form of treatment for Americans under 19 years old.
The Conversation U.S. interviewed Elana Redfield, federal policy director at the Williams Institute, an independent research center at the UCLA School of Law dedicated to studying sexual orientation and gender identity law. She describes the aims of the executive order, how much weight it carries, and how it should be understood in the broader context of legal battles over access to gender-affirming care.
What’s the scope of the executive order?
Twenty-six states have already restricted gender-affirming care for minors or banned it outright. So the order seeks to extend restrictions to the rest of the country using the weight of the executive branch.
However, it’s not a national ban on gender-affirming care for minors. Instead, it’s directing federal agencies to regulate and restrict this form of care.
That being said, federal agencies have a tremendous impact on American life. Trans kids rely on publicly funded health insurance programs such as Medicaid and TRICARE, which is administered to the children of active duty service members via the Department of Defense. And a big part of the executive order is directing the federal agencies that administer these programs to review their own policies to ensure that they are not supporting gender-affirming care for minors.
So what we’re really seeing is the federal government trying to erect barriers to kids accessing this care.
Does the executive branch have the authority to unilaterally ban federal funding of certain medical treatments?
The answer is a little mixed. A president might be able to suspend or put a temporary pause on funding a particular type of treatment or service. But the actual parameters of a program – and how agencies should implement them – are determined by Congress and, to some extent, by the courts.
Ultimately, the president can only take actions in ways that are designated by the Constitution, or through some specific power that Congress has granted to the executive branch. I don’t see that authority granted for a lot of what’s contained in this executive order. But many of these directives will probably be litigated in court, where the president will likely argue that he has the power to direct agencies to do all they can to put a halt to gender-affirming care for minors.
Do private health insurers fall outside the scope of this executive order?
On the surface, yes. But it’s easy to see how directives from the executive branch can touch broader components of the country’s health care system, including private hospitals and private health insurance.
For example, Section 1557 of the Affordable Care Act is a nondiscrimination provision. It says there can be no sex discrimination when it comes to approving health care treatments. This has been interpreted to mean that health insurance plans receiving federal funding cannot deny a policyholder gender-affirming care. However, this interpretation has been blocked by a federal court.
The question of whether this definition of sex discrimination encompasses gender identity is currently playing out in the courts. For example, there’s a pending U.S. Supreme Court decision regarding a Tennessee law banning gender-affirming care for minors. Should the Supreme Court determine that Tennessee is able to ban gender-affirming care for minors, it’s possible to see how this could impact private health insurance coverage for gender-affirming care.
What else stood out to you from the executive order?
The executive order directs the Department of Justice to discourage doctors and hospitals from administering gender-affirming care to minors, characterizing it as genital mutilation, which is a heinous-sounding offense. Even though this is an inaccurate comparison, it could have a chilling effect even in states where this form of care is legal.
The order also contains a provision that asks Congress to extend the statute of limitations for gender-affirming care, so that someone who received gender-affirming care as a minor and decides they’re not happy with it decades later can sue their doctor. Some states have already extended the statute of limitations to 30 years for gender-affirming care.
Again, this could have a chilling effect in states where the care is legal. What doctor or hospital would want to expose themselves to this risk?
Of course, these two elements constitute directives from the executive branch, but we don’t know how they’ll be enforced. They do reveal, however, some of the ways in which the administration plans to direct its efforts.
Before Roe v. Wade was overturned, federal funding of elective abortion had been restricted for decades under the Hyde Amendment. You can’t receive coverage for an abortion under a Medicaid plan, for example. Do you see this executive order as Trump trying to simply enact – via fiat, of course – his own version of the Hyde Amendment, but instead applied to gender-affirming care for minors?
I think there’s a key difference between the two. The Hyde Amendment, which has been repeatedly reenacted by Congress, prohibits federal funding of abortion care, but it doesn’t prohibit states from allowing or permitting abortion. It’s always operated as a sort of compromise: It says providers can’t use federal funding for an abortion, but they can use their own funding to administer abortions – and oh, by the way, they can still receive federal funding for other health services.
This executive order, on the other hand, takes a much more uncompromising position: It tells agency heads to stop directing any and all federal funds to institutions that research or provide gender-affirming care.
Again, it’s important to remember that executive orders aren’t established policy. They’re simply directing agencies to craft certain policies and encouraging lawmakers to enact legislation.
So far, much of the legislation restricting gender-affirming care – whether it’s at the state level or in the executive branch – has centered on minors, or individuals under 19. Are there any threats to gender-affirming care for adults?
Only one state, Florida, has enacted a law that specifically regulates gender-affirming care for adults. That law basically sets some compliance standards and restricts who can prescribe the care. Florida also banned the use of state funds for gender-affirming care for everyone, adults and children. So that means, for example, those who are incarcerated in state prisons can’t receive gender-affirming care.
Florida isn’t the only state that has enacted a state funding ban. Depending on your insurance, this could mean you’re forced to pay out of pocket for your procedures and treatment, which can be prohibitively expensive.
What are you going to be watching for in the coming weeks?
I’m sure someone’s going to sue to challenge the order. The problem, though, is that an executive order is an expression of policy ideas. You need something to actually happen before lawyers and activists can react to it. So I’ll be tracking federal agencies to see how they specifically try to enact some of these directives.
Is there anything else you’d like to add?
This executive order contains language that characterizes the science around gender-affirming care as junk science. It’s repeatedly described as chemical and surgical mutilation, or as maiming and sterilizing kids. There’s talk of rapid-onset gender dysphoria, which has been discredited.
So it rejects the idea that gender-affirming care has health benefits, even though there’s robust, extensive evidence supporting access to gender-affirming care. Self-reporting by transgender individuals is overwhelmingly positive: 98% of trans people who had hormone therapy said it made their lives better, according to the 2022 U.S. Transgender Survey.
There are also rigorous standards of practice, including for how you support and treat minors, that are intended to prevent overprescription or overutilization of services.
In other words, there are already barriers in place and checks and balances for minors if they want to access gender-affirming care.
Elana Redfield, Federal Policy Director at the Williams Institute, University of California, Los Angeles
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Last Updated on November 13, 2026 by Daily News Staff
STM Daily News | November 12, 2026
Graffiti Cleanup Transforms Oceanwide Plaza
LOS ANGELES — The unfinished skyscrapers known as downtown Los Angeles’ “Graffiti Towers” have reached a visible milestone: most of the exterior tagging has been removed, although completing the long-stalled Oceanwide Plaza development remains a separate challenge.
City officials celebrated the cleanup November 12. According to the mayor’s office, crews cleared graffiti from roughly 250 balconies across the three-tower complex opposite Crypto.com Arena and near the Los Angeles Convention Center. Remaining work has included touch-ups on windows and other exterior areas.
Oceanwide Plaza was envisioned as a mixed-use destination with residences, a luxury hotel, shops and restaurants. Construction stopped in 2019 after Beijing-based developer Oceanwide Holdings could no longer finance the project.
In early 2024, trespassers covered the unfinished towers with graffiti, turning them into an internationally recognized sight. The property also attracted dangerous stunts and heightened concerns about security.
The development entered bankruptcy in February 2024. This July, a bankruptcy court approved a purchase arrangement involving KPC Square, a joint venture between KPC Group and Lendlease. Graffiti removal began while the acquisition was still pending.
What Comes Next for LA’s Graffiti Towers?
The partnership is targeting a January 2027 closing, according to the Los Angeles Business Journal. Financing, a construction contract and required approvals remain important steps before the development can be completed.
For downtown residents and businesses, the cleanup marks tangible progress at a prominent property. However, it does not mean the towers are ready to open, and no firm opening date has been announced.
Sources
- Los Angeles Mayor’s Office, November 12, 2026: https://mayor.lacity.gov/news/mayor-bass-celebrates-graffiti-removal-oceanwide-plaza-clearing-way-full-restoration-and
- Los Angeles Business Journal, November 9, 2026: https://labusinessjournal.com/real-estate/cleaning-up-oceanwide/
- City News Service / MyNewsLA, November 12, 2026: https://mynewsla.com/life/2026/11/12/graffiti-cleanup-milestone-marked-at-oceanwide-plaza-in-downtown-la/
Forgotten Genius Fridays
David Crosthwait: The Engineer Behind Indoor Comfort
David Crosthwait helped solve the challenges of heating large buildings, including Radio City Music Hall. Explore his inventions and lasting engineering legacy.
Forgotten Genius | STM Daily News
When audiences enter New York’s Radio City Music Hall, they notice the stage, the lights, and the sweeping auditorium. The engineering that keeps the building comfortable rarely receives applause.
One of the people behind that comfort was David Nelson Crosthwait Jr., a Black engineer and inventor whose work helped advance heating, ventilation, and temperature control in large buildings.
His career offers a reminder that some of the most useful inventions work quietly around us.
Solving the Problem of Heating Large Buildings
Heating a large building takes more than producing enough heat. Different areas can have different needs: one side may face bitter wind while another receives warming sunlight. Delivering the right amount of heat throughout the building requires careful control.
Crosthwait devoted much of his career to those challenges. A Purdue University engineering graduate, he worked for the C.A. Dunham Company, developing equipment and systems for heating and ventilation.
His inventions included improvements to boilers, thermostat controls, and vacuum pumps. These components helped engineers manage the movement and regulation of heat in larger buildings.
One example appears in U.S. Patent No. 1,727,965, granted in 1929. The patent describes a vacuum steam-heating system designed to serve different sections of a building at different steam pressures. That allowed the system to address varying heating needs while using a shared steam source.
Behind the technical drawing was a practical question: How could one building provide comfortable conditions in spaces that needed different amounts of heat?
His Connection to Radio City Music Hall
Crosthwait’s best-known projects included designing the steam-heating system for Radio City Music Hall at Rockefeller Center.
It was a fitting assignment for an engineer whose expertise centered on the demands of large buildings. While performers entertained audiences, the systems behind the scenes helped make the experience comfortable.
His contributions extended across a substantial body of work. The National Inventors Hall of Fame credits him with 39 U.S. patents and 80 international patents, spanning heating, refrigeration, controls, and other technologies.
Sharing Knowledge and Breaking Barriers
Crosthwait also helped other engineers learn. He wrote technical material, contributed to engineering guides, and later taught steam-heating theory and control systems at Purdue.
In 1971, he became the first Black Fellow of the American Society of Heating, Refrigerating and Air-Conditioning Engineers. Purdue awarded him an honorary doctorate in 1975, and the National Inventors Hall of Fame inducted him in 2014.
His legacy rests in the practical details of engineering: controlling pressure, improving equipment, and making complicated systems work together.
The next time you settle into a comfortable auditorium on a cold evening, consider the ingenuity behind that warmth. David Crosthwait helped make indoor comfort an engineering achievement worth remembering.
Discover more inventors and innovators through the Forgotten Genius series in The Knowledge at STM Daily News.
Related Links
- National Inventors Hall of Fame: David Crosthwait — Biography covering his inventions, patent totals, Radio City Music Hall work, teaching, and professional honors.
- Rockefeller Center: A Rock Center Innovator — Highlights his role in designing Radio City Music Hall’s steam-heating system.
- Original 1929 Patent: U.S. Patent No. 1,727,965 — Technical drawings and Crosthwait’s description of a steam-heating system serving different building sections at different pressures.
- Purdue University Libraries: Historical Timeline — Documents his 1913 graduation and contributions to heating, ventilation, and air conditioning.
Sources: National Inventors Hall of Fame, Rockefeller Center, Purdue University Libraries, and U.S. Patent No. 1,727,965.
Family
The House That Hosts: When Your Home Becomes Your Holiday Entertaining Partner
The House That Hosts: There’s a special pleasure in opening your home for the holidays to share the menu you’ve imagined, welcome guests to the glow of a room ready for company and enjoy the anticipation of familiar faces at the door. This year, make sure the house itself can lend a hand.
The House That Hosts: When Your Home Becomes Your Holiday Entertaining Partner
(Feature Impact) There’s a special pleasure in opening your home for the holidays to share the menu you’ve imagined, welcome guests to the glow of a room ready for company and enjoy the anticipation of familiar faces at the door. Every detail is an opportunity to make the loved ones you’ve invited feel especially welcome.
This year, make sure the house itself can lend a hand.
From the kitchen to the living room to the guest bathroom, residential technology offers new ways to turn a host’s imagination into a memorable experience. The best innovations don’t take over the occasion. They help the person bringing everyone together make it extraordinary.
Nor does a home need an elaborate network of connected gadgets. A few well-chosen technologies can make a difference. Explore these ideas from the bathroom design and technology experts at TOTO to level up the different hosting areas of your home as you prepare to gather with family and friends this holiday season.
The Kitchen: Bringing Something Extraordinary to the Table
The holidays invite a little culinary ambition, and today’s kitchens are borrowing a few tricks from professional chefs.
Imagine presenting a beef tenderloin cooked to a perfect rosy pink from edge to edge, thanks to the precision of sous vide cooking. Or bringing a platter of roasted root vegetables to the table, their edges beautifully caramelized and their centers tender, prepared in a steam-convection oven. On an induction cooktop, precise, responsive heat helps turn fresh mushrooms into a golden, savory accompaniment.
These technologies put sophisticated techniques within reach of adventurous home cooks, opening the door to new preparations and dishes worthy of special occasions. Experiment with new flavors and rich cuisines that fill your home with enticing aromas and your guests with awe at the first bite.
Nothing says “happy holidays” quite like watching guests discover what you’ve created for them.
The Living Area: Setting the Stage for Connection
Holiday gatherings have a rhythm all their own. The first arrivals are greeted with excitement, conversations pick up where they left off months (or years) prior, and before long, the room is filled with laughter and the pleasure of being together.
Today’s smart lighting systems allow hosts to create and schedule scenes that shift from the sparkle of a festive welcome to the softer, golden glow of an intimate evening. Multiroom wireless audio systems can bring lively music into the kitchen while keeping it a gentle accompaniment to conversation in the living area. Digital art displays can turn a television screen into a gallery of artwork chosen to complement the celebration, bringing holidays past to life as loved ones mingle in the present.
Successful holiday entertainment engages people not merely as observers, but participants. A short film could start an inspiring conversation, the right music might get people dancing and atmospheric visual-audio experiences, like a crackling fireplace or soft snowstorm, can create a relaxing seasonal backdrop for shared activities.
With the atmosphere changing quietly in the background, no one needs to interrupt a favorite story to adjust the lights or lower the music. The host can simply enjoy the company they’ve brought together.
The Bathroom: The Art of Personal Comfort
The most gracious hosts think beyond the rooms where guests gather. Fresh towels, fragrant soaps and a few unexpected comforts can make the guest bathroom feel every bit as welcoming as the rest of the home.
Technology adds a new dimension to that hospitality. Consider a TOTO WASHLET bidet seat, which offers the welcome warmth of a heated seat, the refreshing pleasure of warm-water cleansing and the soothing comfort of warm-air drying. It’s an unexpected luxury that makes an everyday experience feel special.
Hosts can choose an option that complements their home’s character. The S2 offers inviting simplicity with convenient side-panel controls. The sleek S5 pairs contemporary elegance with a wireless remote. Meanwhile, the S7A adds a touch of theater with a lid that opens automatically, a softly glowing nightlight and personalized cleansing settings.
Even the housekeeping benefits from a little ingenuity through automatic PREMIST and EWATER+: One mists the toilet bowl before use to help keep it cleaner, while the other cleans the cleansing wand and, on select models, the bowl itself with electrolyzed water.
It’s another way a thoughtful host can anticipate guests’ needs and make them feel wonderfully welcome.
Long after the last guest has departed, what lingers isn’t the sophistication of the house. It’s the meal that inspired compliments, the conversations no one wanted to end and the little surprises that made everyone feel at home.
Those are the moments that make holiday entertaining special. Behind each one is a host whose warmth, creativity and attention to detail made it possible, with a little help from the house. Explore more sophisticated bathroom upgrade ideas for the holidays and beyond at TOTOUSA.com.
Photo courtesy of Shutterstock (holiday table)
SOURCE:
TOTO
