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Trump's order blocks support for gender-affirming health care for transgender people under age 19.
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Trump put out a sweeping order on his first day in office last month that called for the federal government to define sex as only male or female.
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The freeze would affect several services including Medicaid coverage for more than 800,000 Nevadans, school meals, and Head Start.
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At least 26 states have adopted laws restricting or banning such care for minors, and most of those states face lawsuits.
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The Supreme Court is set to hear arguments on the constitutionality of Tennessee's ban on gender-affirming care for transgender minors.
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The justices’ action comes as Republican-led states have enacted a variety of restrictions on health care for transgender people.