ICD10monitor February 25, 2025
Tiffany Ferguson, LMSW, CMAC, ACM

The U.S. Department of Health and Human Services (HHS) recently announced policy changes in response to President Trump’s executive order aimed at gender classifications and restricting gender-affirming care for minors.

These actions are a 180-degree change from the Biden Administration, which had previously expanded policies and rights for transgender and non-binary individuals, after the Supreme Court’s ruling in Bostock v. Clayton County (2020).

In alignment with Executive Order 14168, titled “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” HHS issued guidance establishing strict sex-based definitions for gender classifications. According to this guidance, sex is defined as an immutable biological characteristic, categorizing individuals strictly as male or female.

The definitions specify that a female is...

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