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New Hampshire Families Sue to Stop the Trump Administration from Cutting Off Medical Care for Transgender Youth on Medicaid 

Lawsuit asks federal court to block the rule before it takes effect October 13, when it would rip health care away from families struggling in this difficult economy

Four New Hampshire families today filed a lawsuit against the Trump administration, asking a federal court to stop a new rule that would end medical care for some transgender young people in low-income families. GLAD Law, the National Center for LGBTQ Rights, and the ACLU of New Hampshire represent the families, who are asking the court to stop the rule from impacting them before it takes effect on October 13, 2026. 

“These families made medical decisions with their doctors, based on careful assessment of their children’s individual medical needs. On October 13, the Trump administration wants to pull the funding for their care mid-treatment, with no plan for what happens to them. We’re asking the court to act quickly so these families don’t lose the medical care that has enabled their kids to thrive.” said Chris Erchull, Senior Staff Attorney, GLBTQ Legal Advocates & Defenders (GLAD Law).  

The rule was issued in August by the Centers for Medicare & Medicaid Services. It cuts off federal Medicaid and CHIP funding for medications and other treatment for gender dysphoria for young people. The ban applies even when a patient’s own doctor has determined the care is medically necessary. 

“The families I see are very worried about this rule going into effect. These are parents who have, over the course of years, worked with their children’s doctors to understand the best path of care for their child’s individual needs. We are talking about families who are already under tremendous financial strain, and now they are facing the prospect of that care being ripped away – critical medications for their children’s development, health, and wellbeing,” said Dr. Frances Lim-Liberty, New Hampshire physician and advocate for families. 

“If this rule goes into effect, I don’t know what options we will have to pay for our daughter’s continuing care. Kylie’s father and I are worried sick about what will happen to her,” said plaintiff Karla Koe, mother of Kylie Koe (both proceeding in the case under pseudonym). 

“The rule falls hardest on families who are struggling to get by in this difficult economy,” said National Center for LGBTQ Rights Senior Staff Attorney Rachel Berg. “The Trump administration’s message to families is plain: if you can’t pay out of pocket, your children will go without the medical care they need.” 

The complaint argues that the rule is unlawful on several grounds: 

  • Congress never gave the Trump administration – or any president – this power. Medicaid has guaranteed children coverage of all medically necessary care for decades. Congress never authorized the executive branch to override that guarantee and decide on its own that one kind of care can’t be covered. The Centers for Medicare and Medicaid Services admits in the rule that it has never before declared that particular services are “inherently not medically necessary.” 
  • It violates Medicaid’s own regulations. Those regulations say a covered service cannot be denied because of a patient’s diagnosis. The rule does exactly that. The same medications stay covered when they’re prescribed for other conditions, such as early puberty. 
  • It ignored the public. More than 90% of the roughly 11,000 comments CMS acknowledged receiving opposed the rule, including detailed evidence from the nation’s leading medical organizations. The law requires an agency to engage with that evidence. Instead, CMS pressed ahead with an outcome President Trump ordered in January 2025. 

New Hampshire’s legislature has already decided that cutting off care for young people who are in the middle of treatment would be wrong. The Trump administration’s rule overrides that decision for people who can’t afford to pay for health insurance. 

“This rule would cut off essential, evidence-based health care options for some young people and take important decisions away from families,” said Henry Klementowicz, Deputy Legal Director of the ACLU of New Hampshire. “Transgender youth and their families covered by Medicaid deserve to make medical care decisions in concert with their health care professionals – not politicians.” 

The lawsuit, Goe v. US Department of Health and Human Services, was filed in the US District Court for the District of New Hampshire. Read the complaint.

News

LGBTQ+ Students Still Have Rights and Protections at School

LGBTQ+ students, like all students, deserve to be safe at school. The Department of Education has formally restored the 2020 Title IX regulations, but that action does not mean LGBTQ+ students have lost their legal protections. The Department itself says this restoration does not change the substantive rules already in effect. LGBTQ+ students continue to have rights under federal and state law, including protections against sex-based harassment and discrimination.

GLAD Law remains committed to helping students who experience harassment and bullying at school. If you’re a student, parent, educator, or advocate who has experienced or witnessed bullying or harassment of LGBTQ+ students, please consider sharing your story to help us spot trends and strengthen protections.


If you have any questions about how this may impact you or your student, please reach out to our free legal infoline GLAD Law Answers.

Blog

The Resistance Brief: Two Years In: What This Work Has Taught Me

Blog by Ricardo Martinez (he/him), Executive Director

A few weeks ago, I was on a long contemplative walk while on vacation. Working out, long walks, and hikes usually help me sort out complex issues and regulate my nervous system. The trip happened to fall right on my two-year anniversary leading GLAD Law. My body took a minute to catch up – that strange, physical adjustment of easing into a slower rhythm, of finally having room to feel things I’d been carrying without much space to unpack. So, I decided to go on a walk with the intention of paying extra attention to what my body needed and the thoughts surfaced. And what surfaced, underneath everything, was gratitude. Gratitude for the honor of leading this organization at one of the most consequential moments in its history. 

New England is home now, and it has been extraordinarily good to me. Like every place I’ve lived, it’s given me people I can’t imagine my life without. That feels like a blessing. And the work feels like the greatest responsibility I’ve ever carried: to help steward GLAD Law through an attack on our community that echoes ones we’ve survived before, at a scale and speed that demands everything we have – not just defending what we’ve won, but finding where we can create change, where we can move first, where we can win. There is a future waiting for us, held in trust, for the day we build enough power and enough public will to make it real. 

Two years have taught me more than I expected. Here’s what I’m carrying forward. 

Progress is fragile everywhere, not just where it’s threatened.  
I spent a decade in the Southwest championing LGBTQ+ issues, and in that time, I saw two theories drive how our movement approached the states. The first held that the states passing the most anti-LGBTQ+ laws were also the ones with the most opportunity: with enough people mobilized there, we could shift the whole country. The second said the opposite: defend the gains we’ve already made in friendlier states, and stop investing in the hostile ones as lost causes. What I learned is that progress is fragile everywhere, and it needs the same fervor and generosity we give our hardest fights, in every state, all the time. Our opponents treat every state as a laboratory for the next attack on our freedom. We have to meet that with the same seriousness, everywhere, without exception. 

Listen to history – it can tell you what’s coming next.
Our history – recent and distant – is a predictor of what’s ahead, and a source of tactics and strategy that, evolved for this moment, can still be effective now. Reading that history well means watching actions and words together: believe anti-LGBTQ+ forces when they state a goal, because the plans are usually stated plainly, somewhere. And notice what they leave out – the bill that never names the population it will actually harm, the talking point that carefully avoids the next target. Those patterns, stated and unstated, show where the system is breaking down, and where the levers are that we can use to our advantage. 

Choose collaboration.
This moment is a stress test for organizations championing civil rights, and it takes resisting the pull toward scarcity and silos to keep making progress.  

Fear pushes institutions toward secrecy and self-protection. What’s carried GLAD Law through is staying anchored in what has always defined us, and leaning further into innovation, daring leadership, humility, collaboration, and strategy rooted in love, not fear. 

Trust your gut. 
Leadership, at its core, is a series of judgment calls made with incomplete information. The data matters. So does the instinct built from years of doing this work. 

Emotional dysregulation is everywhere right now. It’s in our social media feeds, our news cycles, our families, our workplaces, our own minds. Compassion and understanding carry us through it. And I’ve had to keep relearning that I’m not exempt from needing that same grace. 

Believe the impossible is possible. 
If we can’t picture a way through this moment, we won’t find one. Living in the fullness of what’s possible isn’t naive – it’s a discipline. It’s how we keep building toward something better than what we have proof of yet. 

Two years in, I know this: the work ahead of us is not smaller than the work behind us. But I’ve watched what this community can do when we hold history, strategy, and love together at the same time. So here is my commitment, to all of you — our staff, our board, our donors, our plaintiffs, our community: I will keep working, without letting up, toward a future where every LGBTQ+ person and every person living with HIV can exist openly and fully, free from legal and social barriers, in every part of life. Not someday. Every day. Not in the states where it’s easier. Everywhere. 

That future is held in trust for us. Our job is to go get it. 

What to know, what to do:

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News

Civil Rights Champion Vanita Gupta to Receive GLAD Law’s 2026 Spirit of Justice Award 

Gupta has shaped US civil rights law and policy, secured justice for the most vulnerable, and continues to provide prescient leadership to advance equality and protect democracy 

GLBTQ Legal Advocates & Defenders (GLAD Law), one of the nation’s leading LGBTQ+ legal rights organizations, will present its 2026 Spirit of Justice Award to Vanita Gupta – a lawyer, leader, and tireless champion for justice whose career has been defined by a singular conviction: that civil rights struggles are inseparable, and that the communities most targeted by injustice are also the most powerful force for defending democracy and the rule of law. From her work at the Department of Justice to her current advocacy on behalf of civil rights organizations navigating an era of authoritarian overreach, Gupta has united advocates across causes, amplified their collective power, and shown what becomes possible when movements recognize their shared strength. Gupta will receive the Spirit of Justice Award at the Annual Spirit of Justice Award Dinner in Boston on November 6.

Vanita Gupta

The Spirit of Justice Award recognizes individuals whose courage, vision, and impact embody the fight for justice.  

“Whether securing justice for the wrongfully convicted, holding police departments accountable, or advancing the rights of LGBTQ+ people at the highest levels of government, Vanita has repeatedly demonstrated what it means to use the law as it was intended: as a shield for those in need and a sword against injustice. That is the spirit of justice we are proud to honor,” said Ricardo Martinez, GLAD Law’s Executive Director. “Vanita’s work reflects a deep dedication to advancing equality for marginalized people, and it’s a privilege for GLAD Law to recognize her transformative contributions to LGBTQ+ rights and broader civil liberties.” 

Gupta has dedicated her career to ensuring our country fulfills its promise of equal justice under the law and to strengthening the democratic principles underlying that ideal. Her work addresses our most pressing human and civil rights issues: criminal justice and policing reform, racial justice, community safety, voting rights, environmental justice, gun violence prevention, reproductive rights, immigration, and LGBTQ+ rights.  

Currently, Gupta is the inaugural Director of the Center for Law and Public Trust and a Distinguished Scholar in Residence at NYU School of Law, where her work focuses on reimagining and rebuilding institutions of American democracy. 

Prior to that, she served as Associate Attorney General from 2021-2024 – the first woman of color to hold the position. As the third-ranking official at the Department of Justice (DOJ), Gupta was instrumental in formulating and implementing the Biden-Harris administration’s legal and civil rights agenda, including broad protections for, and advocacy on behalf of, LGBTQ+ people, and led efforts on improving police-community trust, reproductive rights after Dobbs, environmental justice, mental health, and gun violence prevention.  

Gupta first served at DOJ under President Obama, leading the Civil Rights Division from 2014-2017 and overseeing major work on policing reform – including investigations of police departments in Ferguson, Baltimore, and Chicago; voting rights, and LGBTQ+ equality. Under her leadership, the DOJ filed a civil lawsuit on behalf of a transgender woman who alleged employment discrimination at Southeastern Oklahoma State University and challenged North Carolina’s 2016 law HB2 for discriminating against transgender individuals in public accommodations. 

Aside from her DOJ service, Gupta has done influential work at leading civil rights organizations. She began her career at the NAACP Legal Defense Fund, where she helped exonerate 38 people wrongly convicted in a discriminatory drug sting in Tulia, Texas, securing their release from prison in 2003 and negotiating a landmark $6 million settlement. She went on to serve as Deputy Legal Director and Director of the Center for Justice at the ACLU, managing litigation and leading the organization’s Smart Justice Campaign to promote bipartisan justice reform. After serving in the Obama administration, Gupta became President and CEO of the Leadership Conference on Civil and Human Rights, where she focused on the 2020 census, voting rights and election administration, federal courts, criminal justice reform, and COVID relief. 

Now in its 27th year, the Spirit of Justice Award Dinner is GLAD Law’s flagship event. Past Spirit of Justice Award recipients include Jennifer Finney Boylan, Kylar Broadus, Chai Feldblum, the plaintiffs in GLAD Law’s landmark Goodridge v. MA DPH marriage lawsuit, the Honorable Eric H. Holder Jr, Tony Kushner, Massachusetts Chief Justice Margaret H. Marshall, Shannon Minter and Jennifer Levi, Bishop Gene Robinson, Nadine Smith, Urvashi Vaid, and Phill Wilson. The 2025 honoree was Tony Hoang, Executive Director of Equality California.

News

Statement of GLAD Law Executive Director Ricardo Martinez on Anti-LGBTQ+ Violence in Tucson

At GLAD Law, our hearts are with the families, friends, and loved ones of Vincent Anthony Siqueiros and Cameron Davis Capara, who were shot and killed in an act of anti-LGBTQ+ hate this week outside the Venture-N gay bar in Tucson, Arizona.  

Part of my own heart will always belong to Arizona. Before my work at GLAD Law, I worked at GLSEN and traveled often to support their Tucson chapter. I later moved to Phoenix, for love — and he wasn’t the only love I found there. I know the Southwest’s LGBTQ+ community from the inside — the friends who became family, the joy spaces like Venture-N made possible. It was an honor to be part of organizing that was vibrant and undeterred, that fostered hope and change through resistance.  

It is deeply painful to witness hate-motivated violence shatter a community space meant to foster joy and celebrate life. But today I see that spirit of hope and resistance in Tucson’s response — people showing up for each other, refusing to let hate have the last word. We send our love to the Tucson LGBTQ+ and surrounding community as they grieve this loss and come together in the wake of this tragedy. 

A vigil is planned to honor Vincent Anthony Siqueiros and Cameron Davis Capara on Wednesday, September 2, at 6:30pm MST. Visit @tucsonqueerstory and @saaftucson for information and to support the local community. 

We know the impact of violence like this reverberates across our entire LGBTQ+ community. Know that we are shaken, but we are strong. Please take care of yourself and one another, and if you need support, resources are available to help:

Ricardo Martinez
Executive Director

News

Trump administration asks US Supreme Court to expedite discharge of transgender servicemembers

Today, the Trump administration asked the US Supreme Court to review Talbott v. USA, the lawsuit challenging its ban on military service by transgender people. The administration is seeking to overturn a preliminary injunction that protects currently serving transgender plaintiffs in Talbott from being discharged while the case is litigated. Trial is scheduled to begin in the federal district court for the District of Columbia in January 2027.

The Current Situation:

  • The Trump administration is asking the Supreme Court to step in now – before trial – so it can begin discharging transgender servicemembers immediately.
  • Multiple courts have already ruled that these servicemembers must remain protected while the case proceeds, finding that:
    • the ban is baseless and rooted in animus, not military judgment;
    • discharging these servicemembers now would cause them extreme and irreparable harm; and
    • the plaintiffs are highly likely to win at trial, where the ban is expected to be struck down as unconstitutional.

Next Steps:

  • The Supreme Court will decide whether to hear the case at this early stage – before any final ruling, and in the absence of any circuit split.

NCLR and GLAD Law Respond to Today’s Trump Administration Request:

  • “The Trump administration wants the Supreme Court to rush in and bless the expulsion of proven, decorated soldiers before a single court has issued a final judgment. There is no circuit split, no emergency, and no merit – only a policy that multiple courts have now found was driven by prejudice rather than military need. The Trump administration is needlessly attempting to ram through policies that will cause irreparable harm to servicemembers and their families. The Court should deny this request,” said Shannon Minter, National Center for LGBTQ Rights Legal Director.
  • “We are confident the Supreme Court will affirm that the Trump administration cannot base policies on hostility toward a group of people. As the Trump administration’s own attorneys admitted, these are qualified individuals who are meeting all military standards. There is no reason to waste millions of taxpayer dollars to kick out thousands of highly trained, skilled, and decorated troops based on nothing but hostility and this administration’s political whims,” said Jennifer Levi, GLAD Law Senior Director of Transgender and Queer Rights.

Learn more about the case.

Blog

Massachusetts just showed the nation how to protect PrEP

This post was originally published in Boston Spirit Magazine’s September/October 2026 issue. Visit Boston Spirit’s website to find more stories or subscribe for free.

For decades, the fight against HIV has followed a familiar pattern: groundbreaking science followed by battles over access. Be it the first HIV treatments that offered hope during the epidemic’s darkest years or the combination therapies that later transformed HIV from a death sentence into a manageable chronic condition, each scientific breakthrough has been met with legal, political, and financial barriers that kept too many people from benefiting. PrEP is no different.

In July, Governor Maura Healey signed landmark legislation making Massachusetts the first US state to comprehensively protect access to HIV pre-exposure prophylaxis, or PrEP, in state law. By codifying no-cost insurance coverage and eliminating unnecessary barriers to this medication, the Commonwealth has refused to let access lag behind science. Protecting public health isn’t simply a matter of scientific innovation; it requires political will. As the federal government defunds and dismantles critical HIV prevention programs, Massachusetts created a model every state should follow.

Since being approved in 2012, PrEP has transformed HIV prevention, reducing the risk of sexual transmission to nearly 100% when taken as prescribed. Now, a new long-acting injectable form of PrEP requires just two doses a year. These advances are bringing the country closer than ever to eradicating HIV.

But scientific breakthroughs alone don’t end epidemics. They must be reinforced by laws that protect patient access from discriminatory actions, unnecessary bureaucracy, and political interference.

Massachusetts State House

Even in Massachusetts, only about 35% of people eligible for PrEP currently have an active prescription. Cost-sharing, deductibles, prior authorization, insurance bureaucracy, provider inexperience, stigma and unequal access to health care can keep many people from accessing a medication that could prevent lifelong infection. Those barriers are most acutely felt in communities already bearing the greatest burden of HIV. Nationally, just 13% of eligible Black people and 24% of eligible Latino people receive PrEP, compared with 94% of eligible white people.

Massachusetts’ new law, passed thanks to the leadership of House Ways and Means Chairman Aaron Michlewitz, Senate Ways and Means Chair Michael Rodrigues, House Majority Leader Michael Moran, Speaker Mariano, Senator Cindy Friedman, Senate Chair of the Joint Committee on Health Care Financing and bill sponsors Senator Julian Cyr and Representative Jack Patrick Lewis, aims to remove those barriers.

The legislation guarantees that private insurance, MassHealth, and the Group Insurance Commission cover every FDA-approved PrEP medication without copays, deductibles, prior authorization, or unnecessary insurance obstacles. It also recognizes that access requires meeting people where they are. 

The law requires correctional facilities to offer PrEP to eligible individuals before release – including long-acting injectable PrEP – and builds on previous legislation authorizing pharmacists to prescribe a time-limited supply of the medication. Together, these provisions make it easier for people at heightened risk of HIV to obtain prevention when it matters most. 

Massachusetts couldn’t have acted at a more critical moment. For years, federal law has required insurers to cover PrEP without cost-sharing because the US Preventive Services Task Force gave the medication its highest recommendation. Federal guidance has likewise prohibited prior authorization for FDA-approved PrEP. But those protections are no longer guaranteed after a 2025 Supreme Court decision gave the Secretary of Health and Human Services unprecedented authority over the Task Force – the independent panel of physicians, nurses, and public health experts whose evidence-based recommendations determine which preventive services insurers must cover without cost-sharing.

Bottle of PrEP medication

Secretary Robert F. Kennedy Jr. has already begun reshaping the Task Force, firing two of its vice chairs, leaving vacancies unfilled, and disrupting its work through canceled meetings. Public health experts have warned that replacing independent scientific judgment with political interference could jeopardize recommendations for preventive services – including PrEP – that millions of Americans rely on for insurance coverage.

Massachusetts responded by locking those protections into state law. By ensuring continued no-cost access to PrEP regardless of future federal decisions, the Commonwealth has protected both public health and the promise of finally ending the HIV epidemic.

Massachusetts has shown that protecting access to HIV prevention is a choice. States can leave lifesaving care vulnerable to shifting, unscientific political agendas, or they can enshrine evidence-based protections in state law.

Massachusetts chose not to repeat the fraught history of HIV treatment and prevention, where scientific breakthroughs were too often followed by battles over access. Now other states face that same choice. Every day they fail to act, more people are denied access to a medication that can prevent HIV altogether.

Learn more about GLAD Law’s work to expand access to PrEP.

Blog

The Dads: Fathers, Family, and a Fight for Their Trans Kids

Across the country, transgender young people and their families are navigating an increasingly complicated political landscape. “The Dads” offers a personal look at what that experience means for families – and how parents are finding community and supporting one another.

Stephen Chukumba raising his fist at the podium of the Gender Liberation March
Stephen Chukumba
“The Dads” producer and father

GLAD Law, in partnership with local partners, is proud to present three screenings of “The Dads,” a film that follows a group of fathers as they build a movement to support their transgender kids. Each screening will be followed by a discussion with the director, producer, and dads featured in the film.

The film features Wayne Maines, whose family was represented by GLAD Law after his transgender daughter, Nicole Maines, was denied access to her school bathroom. The Maine Supreme Court ruled in her favor, marking a breakthrough moment affirming the rights of transgender students in public education.

These screenings are open to everyone. Whether you’re a parent or family member, an LGBTQ+ community member, an advocate, or simply someone who wants to better understand what families are experiencing, we hope you’ll join us.

September 17 in Worcester, MA

Thursday, September 17 | 7-9 pm | FrontRoom/Cinema Worcester
Co-hosted by GLAD Law, MTPC, and TransHealth

Featuring a post-screening conversation with:

  • Luchina Fisher, Director and Producer 
  • Stephen Chukumba, Producer, father of a transgender son, and featured in the film
  • Josh Sheldon, father of a transgender child, featured in the film

September 18 in Portsmouth, NH

Friday, September 18 | 7-9 pm | Portsmouth Community Campus
Co-hosted by GLAD Law, ACLU NH, and NH Outright

Featuring a post-screening conversation with:

  • Luchina Fisher, Director and Producer 
  • Stephen Chukumba, Producer, father of a transgender son, and featured in the film
  • JR Ford, father of a transgender child, featured in the film
  • The Tirrell family, who sued to allow their transgender daughter, Parker, to continue playing soccer on her New Hampshire school’s girls’ team

September 20 in Portland, ME

Sunday, September 20 | 1-3 pm | SPACE
Co-hosted by GLAD Law, Equality Maine, Maine Women’s Lobby, OUT Maine, and Portland Outright

Featuring a post-screening conversation with:

  • Luchina Fisher, Director and Producer 
  • Stephen Chukumba, Producer, father of a transgender son, and featured in the film
  • Wayne Maines, father of transgender daughter Nicole Maines, featured in the film
  • Nicole Maines, actress (Supergirl, Yellowjackets), who successfully challenged her school’s restroom policy in 2014

About the Film

Inspired by the Emmy-Award winning short documentary of the same name (Netflix, 2023), The Dads follows a community of fathers of trans and nonbinary children forced to choose between country and family amid a shifting political landscape. Filmed over the course of a year – from quiet retreats in rural Maine and Minnesota to protests, family milestones, a pivotal U.S. Supreme Court decision, and the restriction of access to gender-affirming health care – the film captures a moment of national reckoning with striking intimacy.

Directed by Emmy Award–winning filmmaker Luchina Fisher and executive produced by Dwyane Wade, this is fatherhood as an act of radical love and resistance. Learn more at TheDadsFilm.com.

Blog

The Resistance Brief: How We Close the Distance

Blog by Ricardo Martinez (he/him), Executive Director

My friend Genevieve lost her battle with an extremely rare form of cancer in 2017. She would have turned 44 two days ago. She had a gift for bringing people together across difference. Which is probably what made her a great teacher – helping students learn difficult concepts through methods and approaches they could internalize and apply. She cut through and helped students and her friends thrive. I met her freshman year of high school in biology class; the day she walked a student who’d vomited on himself to the bathroom to help him clean up  – while others laughed. 

She made people feel seen, loved, important, and cared for. Nearly everyone who knew her considered her their best friend. I’ve always wondered what made her so good at building real, lasting relationships with so many different people. She was the best of us. She didn’t just see people’s shared humanity – she found a way to make other people see it too, the same way she made a hard concept click for a struggling student. 

As her birthday approached this year, I found myself thinking about her more than usual. We live in a polarized society where finding common ground, seeing each other’s shared humanity, feels nearly impossible. How do we get past this moment? How do we build a collective understanding that everyone is inherently worthy – regardless of gender, race, sexual orientation, ability, religion, and immigration status? How do we break through algorithms built to keep us angry, distracted, and divided? 

Part of the answer is understanding how we got here. COVID’s unimaginable losses and the isolation that followed. Livelihoods upended. Ongoing economic injustice. An unfinished reckoning with racism. All of it sowed fear – and fear is the perfect container for disinformation. Anti-LGBTQ+ forces know the formula well: take something about our community most Americans don’t understand, fill that knowledge gap with disinformation, use the resulting doubt and outrage to legislate against us, then litigate to erode whatever rights remain – and try to chip away at public support along with them. 

We’ve seen this most recently with transgender people, our own community members bearing the sharpest edge of this formula right now. Most Americans have never knowingly met a trans person, never heard them talk about who they are, never spoken to a parent who spent years loving their kid as they came into who they are. Into that gap, opponents poured a story designed to provoke fear and doubt – one that had almost nothing to do with the careful, deliberate process trans people and their families navigate. That story became bathroom bills. Then sports bans. Then bans on transgender health care. Then lawsuits trying to strip away whatever rights remain. Each step made the next one easier, because by then the public had been fed a version of trans people built to be feared, not met. 

Opponent attacks on family formation work the same way. Most people don’t know that LGBTQ+ parents build their families through adoption, foster care, surrogacy, IVF – the same paths many straight couples use – navigated with extra legal hurdles. Into that knowledge gap, opponents inserted a story about families and children who need saving. That story became fights over parent recognition. Restrictions on surrogacy and fertility care access. Custody battles where a parent’s sexual orientation gets weaponized in family court. Each one chips away not just at rights, but at the basic public sense that our families are real families. 

It’s the same formula every time: find the topic people don’t understand, fill the gap with fear, then legislate, litigate, and let public support erode while people watch, too disoriented by disinformation to object. 

But disorientation isn’t permanent. We’ve broken this formula before. Conflicted people can be moved with facts, with stories, with the truth about who we are delivered via trusted sources. 

The fight for marriage equality wasn’t won only in courtrooms – it was won because millions of people had a conversation with someone they loved: a daughter came out to her father, a coworker asked a colleague why it mattered so much to them, a neighbor watched two men raise their kids next door and realized nothing was being lost. Real, personal, non-judgmental conversations instead of arguing facts – moved people more than any ad campaign. The strategy was never “win the argument.” It was “close the distance.” 

That strategy still works, but the terrain has changed. People used to get their sense of the world from a handful of newspapers and networks; those gatekeepers had power, but they also created a shared set of facts to argue about. Now most people get their sense of the world from algorithms built to keep them scrolling, not informed – and those algorithms reward outrage over understanding. You can’t outshout that system with a press release. But you can out-love it the way people have always out-loved bad information: person to person, story to story, trusted voice to trusted voice. 

That means investing not only in convincing strangers on a platform but also in equipping the people who already have relationships – parents, teachers, coaches, faith leaders, coworkers – to have those conversations in their own words. It means telling our stories through channels people already trust, not just through institutions asking to be trusted. It means understanding that a decade of change starts with one dinner-table conversation, one classroom; one parent deciding to listen to their kid – repeated millions of times, off camera, with no algorithm involved at all. 

I don’t know exactly what Genevieve would say if she were watching the world unfold today. But I think I know what she’d do. She’d say go find the kid nobody’s helping and go help them. Don’t wait for the room to agree they are worth it. Don’t wait for consensus on their humanity.  

That’s a critical part of the work. GLAD Law will continue making the argument for LGBTQ+ people’s rights and dignity in court. But consider this, too: Genevieve never won an argument: Genevieve never won an argument to get that student help. She just moved. Find the person nobody’s defending. Defend them. Do it in your classroom, your family, your workplace, your ballot. Do it especially when it costs you something. 

Think about a person in your life who loved as fiercely and unconditionally as Genevieve – a person who stepped in when others backed away. The truest way to celebrate them is to close the gap they always tried to close – the one between people, one person at a time. 


What to know, what to do:

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News

GLAD Law Responds to Trump Administration Rule Barring Medicaid Funding for Transgender Youth Health Care 

Today, the Trump administration released a rule that would, if allowed to take effect, prohibit federal Medicaid dollars from being used to provide care to transgender adolescents under 18, and federal Children’s Health Insurance Program (CHIP) funds from covering care for transgender individuals under 19.  

No federal law prohibits this care, which remains legal and protected in many states. This rule does not change that. Decades of research confirm that established medical care for transgender youth is effective, safe, and essential to their well-being. 

This is why GLAD Law – along with thousands of others – opposed this effort when HHS first proposed it. 

The rule announced today will face legal challenge. Federal courts have blocked previous efforts by the Trump administration to use funding threats to override states’ longstanding authority to regulate medical care, including transgender health care. Thus far, Courts have consistently and resoundingly rejected the administration’s efforts to abandon the patients and families who rely on this care.  

Statement of Josh Rovenger, Legal Director, GLBTQ Legal Advocates & Defenders (GLAD Law): 

“The federal government is putting up barriers between parents and their ability to make the best medical decisions for their children. That should be chilling to every American. With this rule, the Trump administration is once again holding vital health care funding hostage – pressuring states and providers to fall in line with its political agenda, not sound medicine. 

Families of transgender children want what every family wants: for their kids to be happy, healthy, and able to get the care they need. Nothing in this rule changes the fact that transgender health care is established medicine, backed by decades of research, and legal and protected in many states. Providers do not need to change how they deliver this care. States can and should step up to ensure funding and infrastructure keep it accessible. This rule is cruel, it’s wrong, and it will not stand up to legal scrutiny.”  

If you have questions or concerns about this rule, please reach out to our free legal information line, GLADLawAnswers.org.

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