Supreme Court refuses to let Trump restrict medical care for transgender inmates

The justices left in place a lower-court block on the policy, which would halt surgeries, taper off hormones and end accommodations such as makeup and wigs. Justices Samuel Alito and Clarence Thomas would have let it take effect.

Inmates on hormone therapy in 2025

600 federal inmates

About 600 inmates were receiving hormone therapy in 2025, the federal prison agency said in court records.

Judge Royce Lamberth ordered treatments to continue, noting that untreated gender dysphoria can cause severe side effects such as depression and anxiety. The administration argued the treatments raised security concerns.