President Donald Trump맥스카지노�s plan to pull federal funding from institutions that provide gender-affirming care for transgender youth will remain blocked on a long-term basis under a federal judge's ruling in Seattle late Friday.Video above: Washington attorney general speaks on case concerning executive order focusing on trans youthU.S. District Court Judge Lauren King previously granted a two-week restraining order after the Democratic attorneys general of Washington, Oregon and Minnesota sued the Trump administration 맥스카지노� Colorado has since joined the case.King's temporary order expired Friday, and she held arguments that day before issuing a preliminary injunction blocking most of Trump's plan pending a final decision on the merits of the case. She rejected a portion of the states' challenge regarding the order's protections against female genital mutilation on grounds that 맥스카지노�no credible threat of prosecution exists맥스카지노� in such cases.Two of Trump's executive orders are at issue in the case.One, 맥스카지노�Defending Women from Gender Ideology Extremism,맥스카지노� calls for stripping federal money from programs that 맥스카지노�promote gender ideology.맥스카지노�The other, 맥스카지노�Protecting Children from Chemical and Surgical Mutilation,맥스카지노� calls for the federal government to cut off research and educational grants for institutions, including medical schools and hospitals, that provide gender-affirming care to people under age 19. Several hospitals around the country ceased providing care, including puberty blockers and hormone treatments, following the order.Medicaid programs in some states cover gender-affirming care, and Trump맥스카지노�s "Protecting Children맥스카지노� order suggests that practice could end. It also raises the prospect that medical professionals could be criminally charged for providing gender-affirming care under a law that bans medically unnecessary genital mutilation of underage females 맥스카지노� a notion that the states suing Trump call repugnant and legally unsupportable.Young people who persistently identify as a gender that differs from their sex assigned at birth 맥스카지노� a condition called gender dysphoria 맥스카지노� are far more likely to suffer from severe depression and to kill themselves if they do not receive treatment, which can include an evaluation by a team of medical professionals; a social transition, such as changing a hairstyle or pronouns; and eventually puberty blockers or hormones. Surgery is extremely rare for minors.In her ruling Friday, the judge said the order was not limited to children or to irreversible treatments and that it doesn't target medical interventions performed on cisgender children.맥스카지노�In fact, its inadequate 맥스카지노�means-end fit맥스카지노� would prevent federally funded medical providers from providing necessary medical treatments to transgender youth that are completely unrelated to gender identity,맥스카지노� she wrote. 맥스카지노�For example, a cisgender teen could obtain puberty blockers from such a provider as a component of cancer treatment, but a transgender teen with the same cancer care plan could not.맥스카지노�In his arguments Friday, Washington Assistant Attorney General William McGinty stressed the urgency of the issue.맥스카지노�There are going to be young people who are going to take their lives if they can no longer receive this care,맥스카지노� he said.The executive order uses derisive terminology 맥스카지노� words such as 맥스카지노�maiming,맥스카지노� 맥스카지노�sterilizing맥스카지노� and 맥스카지노�mutilation맥스카지노� 맥스카지노� that contradicts what is typical for gender-affirming care in the United States. Such care is widely endorsed by the medical community, including the American Academy of Pediatrics, the American Medical Association and the American Academy of Family Physicians.King, the judge in Seattle, grilled Justice Department attorney Vinita Andrapalliyal in court about the meaning and effect of Trump맥스카지노�s executive orders.맥스카지노�What is gender dysphoria?맥스카지노� she asked.맥스카지노�Your honor, I am not a medical provider,맥스카지노� Andrapalliyal responded.맥스카지노�It맥스카지노�s a thing, correct?맥스카지노� King asked. 맥스카지노�It맥스카지노�s a medically recognizable diagnosis?맥스카지노�맥스카지노�I don't have an official position on that,맥스카지노� Andrapalliyal said.The judge continued to press, saying she was 맥스카지노�looking for a legitimate government interest맥스카지노� that would justify Trump's orders.The four Democratic attorneys general suing in Seattle argued that the orders violate equal rights protections, the separation of powers and the states' right to regulate issues not delegated to the federal government.The Trump administration disputed those claims in court filings. 맥스카지노�The President맥스카지노�s authority to direct subordinate agencies to implement his agenda, subject to those agencies맥스카지노� own statutory authorities, is well established,맥스카지노� Justice Department attorneys wrote.In addition to the orders on health care access and defining the sexes as unchangeable, Trump has also signed orders that open the door to banning transgender people from military service, set up new rules about how schools can teach about gender, and would ban transgender athletes from participating in girls and women맥스카지노�s sports.Many legal challenges have been filed.If you or someone you know needs help, you can talk with the Suicide & Crisis Lifeline by calling or sending a text message to 988, or you can chat online here.