The order directs that federally-run insurance programs, including TRICARE and Medicaid, exclude coverage for gender-affirming care for those under 19.

The Jan. 28 executive order directs federal regulators to cut insurance coverage for hormonal or surgical treatments that help in young peoples’ gender transitions and cut federal funding for medical professionals or institutions that provide such care.

President Trump on Tuesday signed a sweeping executive order meant to broadly restrict access to gender-affirming care for transgender children and teenagers younger than 19, inching closer to