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King’s temporary order expired Friday, and she held arguments that day before issuing a preliminary injunction blocking most of Trump’s plan pending a final decision on the merits of the case. She rejected a portion of the states’ challenge regarding the order’s protections against female genital mutilation, on grounds that “no credible threat of prosecution exists” in such cases.

Two of Trump’s executive orders are at issue in the case.

One, “Defending Women from Gender Ideology Extremism,” calls for stripping federal money from programs that “promote gender ideology.”

The other, “Protecting Children from Chemical and Surgical Mutilation,” calls for the federal government to cut off research and educational grants for institutions, including medical schools and hospitals, that provide gender-affirming care to people under age 19. Several hospitals around the country ceased providing care, including puberty blockers and hormone treatments, following the order.

Medicaid programs in some states cover gender-affirming care, and Trump’s “Protecting Children” order suggests that practice could end. It also raises the prospect that medical professionals could be criminally charged for providing gender-affirming care under a law that bans medically unnecessary genital mutilation of underage females — a notion that the states suing Trump call repugnant and legally unsupportable.

Young people who persistently identify as a gender that differs from their sex assigned at birth — a condition called gender dysphoria — are far more likely to suffer from severe depression and to kill themselves if they do not receive treatment, which can include evaluation by a team of medical professionals; a social transition, such as changing a hairstyle or pronouns; and eventually puberty blockers or hormones. Surgery is extremely rare for minors.

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