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Enforcement ActionLow RiskMultistate

Oregon AG Coalition Sues HHS Over Gender-Affirming Care Declaration

U.S. Department of Health and Human Services (HHS)December 24, 2025Oregon Attorney General

Summary

Health and civil rights enforcement action. Oregon Attorney General Dan Rayfield led a coalition of 19 states and the District of Columbia in filing a lawsuit against the U.S. Department of Health and Human Services (HHS). The suit challenges a December 18, 2025 HHS 'declaration' that claims certain gender-affirming care is 'unsafe and ineffective' and threatens to exclude providers from Medicare/Medicaid for offering such care. The attorneys general argue HHS violated federal administrative law by implementing a major policy change without required notice-and-comment rulemaking, creating fear for patients and providers and threatening state Medicaid programs.

Remedy

The coalition is asking the U.S. District Court for the District of Oregon to declare the HHS declaration unlawful and issue an injunction blocking its enforcement.

Injunction

Violation Types

Entity Details

Entity

U.S. Department of Health and Human Services (HHS)

Also known as: HHS

Industry

Healthcare

Multistate Coalition

Official Sources

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