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A person picks up a button during a "No Hate in WA State" rally against multiple initiatives on the November ballot, including Washington State Initiative 638, which would prohibit transgender girls from competing in girls' sports, Saturday, Oct. 17, 2026, in Seattle. (AP Photo/Lindsey Wasson)

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A volunteer uses a reference card while phone banking for Let's Go Washington, a group backing Washington State Initiative 638, which would prohibit transgender girls from competing in girls' sports, Monday, Oct. 19, 2026, in Bellevue, Wash. (AP Photo/Lindsey Wasson)

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Let's Go Washington staff member Josh Johnson, left, helps a volunteer while phone banking in support of Washington State Initiative 638, which would prohibit transgender girls from competing in girls' sports, Monday, Oct. 19, 2026, in Bellevue, Wash. (AP Photo/Lindsey Wasson)

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A yard sign supporting Washington State Initiative 638, which would prohibit transgender girls from competing in girls' sports, is seen in a median Monday, Oct. 19, 2026, in Redmond, Wash. (AP Photo/Lindsey Wasson)

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The Supreme Court has rejected a Trump administration appeal seeking to immediately enforce medical care restrictions for transgender people in federal prison. The decision leaves in place lower court orders requiring prison officials to continue providing treatments like hormone therapy. The administration had asked to enforce for now a policy halting surgeries, hormones, and social accommodations. It was adopted after an executive order from President Donald Trump. Attorneys for transgender inmates said the policy violated their rights and amounted to cruel and unusual punishment. The Trump administration argued that treatments raised security concerns and “could no longer be justified.”