States move to restrict transgender adult care amid gender-affirming youth care battles
Transgender flag/Nathan Morris/NurPhoto via Getty Images
(NEW YORK) — After months of targeting transgender youth medical care, legislators in some states are now setting their sights on restricting funding for care for transgender adults.
Lawmakers in at least eight states are seeking to restrict state or public funds from being used for gender-affirming care, limiting a patient’s ability to use Medicaid to help pay: Arizona, Georgia, Idaho, Kentucky, Mississippi, Oklahoma, Texas, and Virginia.
For Mason Kalinsky, that would mean he may no longer be able to access the hormone therapy that he has been taking for roughly three years. Kalinsky, a 27-year-old transgender activist in Kentucky, told ABC News in an interview that hormone therapy changed his life.
Before accessing hormone therapy, Kalinsky said he and his doctors tried a slew of medications including antidepressants to address his mental health challenges, including his struggles with addiction.
Hormone therapy and gender-affirming care made him feel “more awake and alive in my body in a way that no other medication had,” Kalinsky said.
“It’s a necessary medication for me,” he said. “And this bill, if it passes, would mean that I would no longer be able to get this care, as would a lot of other people who also have insurance that is in some way paid for by the public.”
Kentucky state Rep. Josh Calloway, a Republican, is one of the legislators behind the Kentucky bill. He told ABC News in an interview that he believes state funds should not go toward gender-affirming health care.
His bill would bar state funds from going toward services related to gender transitioning, including mental health counseling or therapy, hormone therapy or any surgical procedures.
Calloway could not provide details about how much in state funding currently goes to gender-affirming care for transgender patients. Instead, Calloway stated that the Kentucky Cabinet for Health and Family Services informed him that if his bill were implemented, it could cost the state between $12 to $21 million in the need for psychiatric care, counseling and hospital stays from impacted patients who may need increased mental health services.
“What they are saying by that statement is that we have a mental health crisis,” Calloway told ABC News, adding “they’re saying that these people will be in psychiatric care and treatment if we remove the ability to use these medications.”
ABC News has reached out to the Kentucky Cabinet for Health and Family Services to confirm the estimate.
“The truth is there’s only male and female, and there is no way that either can transition to the other,” said Calloway.
The bill has exceptions for intersex people – such as those with differences in sexual development – and does not restrict such care for non-transgender people.
“This is what is best: men, women, having a family, having babies, procreating,” said Calloway. “Those aspects of our society are under attack through many different avenues. This is just one of those avenues — promote confusion. Cause kids to be confused. They become unstable. They become adults, and before you know it, our society is totally disrupted.”
Transgender Americans — who are estimated to make up less than 1% of the U.S. population over the age of 13 — have been the target of hundreds of Republican-backed bills in recent years.
These bills target bathroom usage and sports participation by transgender residents and restrict certain content in schools or libraries that refer to transgender identities.
However, many anti-LGBTQ bills fail to move forward each year. In 2024, 533 anti-LGBTQ bills were considered by state legislatures and only 49 passed, according to the ACLU.
Kentucky, like other states behind the new wave of restrictive bills, previously passed a gender-affirming care ban for people under the age of 18.
In 2023, the gender youth care ban was vetoed by Kentucky Gov. Andy Beshear, which was quickly overridden by the state legislature and passed into law.
Beshear argued that the bill allowed too much government interference in personal health care decisions.
Many of the laws that have been signed or passed into law have led to ongoing legal battles. The Supreme Court is currently considering a case, U.S. v. Skrmetti, which would decide the constitutionality of gender-affirming care bans for transgender minors.
For Carma Marshall Bell, a 34-year-old trans Kentucky resident who has been on hormone therapy for five years, she said she is “terrified” about what could happen if she’s unable to afford her treatment, which could include hormone withdrawal symptoms, which may lead to physical changes and a potential negative impact on mental health.
“I feel like I’m in a good place. I used to be in a really dark place at the beginning. I didn’t see myself in who I used to be versus who I see myself now,” said Marshall. Losing her hormones “would exacerbate depression and just those dark feelings that so many Americans right now are battling and fighting against.”
She continued, “Hormones, to a degree, have saved my life. If I hadn’t got on them, I don’t know where I would be right now.”
Marshall plans on attending a rally with other LGBTQ advocates and allies to call on lawmakers to vote against the bills impacting the transgender community in the state.
“We are people that are deserving of love, respect, humanity. We deserve our little piece of the American dream,” said Marshall. “We actually take a lot of steps to ensure that there’s nothing wrong with us, by ensuring that we see our mental health professionals, by ensuring that we’re in those doctor’s offices taking care of our health and well being, because health is wealth, and we want to prosper in this country known as America.”
Allison Robbert for The Washington Post via Getty Images
(WASHINGTON) — A federal judge has scheduled a hearing at 5 p.m. ET Monday to address the question of whether the Trump administration knowingly violated a court order when it handed over more than 200 alleged gang members to El Salvadoran authorities over the weekend.
Shortly before the hearing’s scheduled start time, the judge, James Boasberg, denied a request from Attorney General Pam Bondi and Deputy Attorney General Todd Blanche to call off the hearing.
Justice Department attorneys subsequently asked the circuit court to step in and stop the hearing and to assign the case to a different judge.
President Donald Trump’s administration made a calculated decision Saturday to ignore the judge’s directive to turn around two flights containing hundreds of alleged Venezuelan gang members, sources familiar with the matter told ABC News.
Saturday’s verbal instructions from Boasberg accompanied a temporary restraining order blocking the Trump administration from deporting noncitizens currently in custody, which the judge issued less than two hours after Trump attempted to invoke the 18th century law to deport alleged members of the Venezuelan gang Tren de Aragua.
Boasberg, in his temporary restraining order, explicitly told the government to turn around any aircraft that had already departed the country if they were still in the air. However, sources said top lawyers and officials in the administration made the determination that since the flights were over international waters, Boasberg’s order did not apply, and the planes were not turned around.
DOJ attorneys argued in their Monday court filing that court should vacate the hearing because they do not believe they violated the court’s orders, and they are not prepared to provide any further operational security or national security details to the plaintiffs or to the public.
Bondi, Blanche and additional top DOJ leadership wrote that “an oral directive is not enforceable as an injunction” — claiming the government not violate any order because the oral directive in court, issued at 6:46 p.m. ET Saturday, was not in the written order that was filed to the docket at 7:25 p.m. ET.
In a court filing late Sunday night, lawyers with the ACLU and Democracy Forward Foundation argued that the Trump administration may have committed a “blatant violation” of the court’s directive by acting as if the order only applied to flights in U.S. airspace and individuals on American soil.
“This Court orally and unambiguously directed the government to turn around any planes carrying individuals being removed pursuant to the AEA Proclamation,” the filing said.
Lawyers with the Department of Justice insisted in a court filing Sunday that they removed “gang members” pursuant to Trump’s Alien Enemies Act proclamation before the court issued its order.
However, lawyers representing some of the migrants argued that assertion not only conflicts with the timeline of events but also misconstrues when the United States loses jurisdiction of the noncitizens.
“Whether or not the planes had cleared U.S. territory, the U.S. retained custody at least until the planes landed and the individuals were turned over to foreign governments,” the plaintiffs’ filing said. “And the Court could not have been clearer that it was concerned with losing jurisdiction and authority to order the individuals returned if they were handed over to foreign governments, not with whether the planes had cleared U.S. territory or had even landed in another country.”
Plaintiffs’ attorneys said that based on publicly available information, it appears that two flights carrying migrants under the Alien Enemies Act landed after the court’s verbal and written orders. They added that “public comments made by Defendants and the President of El Salvador” boasting about the court being “too late” to stop the deportations reinforces concerns that the Trump administration may have violated the order.
“Defendants could have turned the plane around without handing over individuals subject to the Proclamation and this Court’s [Temporary Restraining Order],” the lawyers argued.
Finding the deportations would cause irreparable harm, Boasberg’s temporary restraining order on Saturday barred the Trump administration from deporting “all non-citizens who are subject to the AEA proclamation” for at least 14 days.
“You shall inform your clients of this immediately any plane containing these folks that is going to take off or is in the air needs to be returned to the United States,” Boasberg said during Saturday’s hearing. “However that’s accomplished, turning around the plane, or not embarking anyone on the plane. … This is something that you need to make sure is complied with immediately.”
Plaintiffs’ lawyers have asked Judge Boasberg to order the Trump administration to submit sworn declarations to determine whether the government knowingly violated his court order.
The aircraft went down in the frigid Potomac River, breaking into multiple pieces. The flight — which had departed from Wichita, Kansas — was approaching Reagan National Airport at the time of the collision, officials said. There were no survivors in the crash, officials said.
There were 64 passengers aboard the plane, and three Army soldiers in the helicopter, according to officials.
Among those lost in the crash were 14 people who were returning home from a national figure skating development camp in Wichita, according to Doug Zeghibe, the CEO and executive director for the Skating Club of Boston.
“Skating is a tight-knit community where parents and kids come together 6 or 7 days a week to train and work together. Everyone is like family,” Zeghibe said in a statement.
Here’s what we know about the victims so far:
Vadim Naumov and Evgenia Shishkova
Vadim Naumov and Evgenia Shishkova, a married couple, were killed in the crash, according to the Skating Club of Boston.
Naumov and Shishkova, who were figure skating coaches, were world champions in pairs competition in 1994.
They joined the club in 2017, Zeghibe said.
Jinna Han and Jin Han
Jinna Han, a figure skater, and Jin Han, her mother, were killed in the crash, according to the Skating Club of Boston.
Spencer Lane and Christine Lane
Skater Spencer Lane and his mother, Christine Lane, were among the victims, the Skating Club of Boston said.
Doug Lane, Spencer’s father and Christine’s husband, told WCVB he and his wife adopted Spencer from South Korea.
Spencer Lane, 16, “just had amazing athletic abilities,” and once he got interested in something, “you couldn’t stop him,” his father said.
The teen decided to try skating three years ago after seeing Nathan Chen in the Olympics and “committed himself to it,” his dad said.
Christine Lane, 49, who worked as a graphic designer, was “such a beautiful person” who “just connected with everyone,” he said. She had just gotten her real estate license, and was also a talented quilter and volunteered at a local animal rescue, he added.
His wife would “do everything for her children, including fly to Wichita, Kansas, for a week,” Doug Lane said. “She just gave parenting her all.”
Alexandr Kirsanov
Alexandr Kirsanov was a coach of two of the youth ice skaters on board, his wife, Natalya Gudin, told ABC News.
“I lost everything,” Gudin said. “I lost my husband, I lost my students, I lost my friends.”
Gudin said Kirsanov traveled with two youth skaters to attend a development camp in Kansas this week. Gudin, who also coaches students with her husband in Delaware, said she stayed home to be with their other skaters.
She last spoke with her husband as he boarded the flight on Wednesday, she said.
“I need my husband back,” Gudin said. “I need his body back.”
Samuel Lilley
Samuel Lilley, the first officer on board American Airlines Flight 5342, recently got engaged, his sister, Tiffany Gibson, told ABC News.
“He was an amazing person. He loved people. He loved adventure. He loved traveling. He was excited. He was young. He was so young, and he was excited about life and his future and getting a dog and a house and kids. And it’s just, this is just tragic,” she said.
Samuel Lilley’s former brother-in-law, Greg Gibson, remembered him for his passion for flying and willingness to help others.
Samuel Lilley died on the same flight path his father, Timothy Lilley, flew for years. Timothy Lilley flew Black Hawk helicopters for the Army, transporting passengers over the Potomac River from his base in Virginia.
“We were stationed in Virginia, and [Timothy Lilley] flew that same route back and forth to the Pentagon, over and over and over again until he retired,” Tiffany Gibson said.
Ryan O’Hara
Georgia Gov. Brian Kemp identified one of the victims as Ryan O’Hara.
Kemp offered his condolences to the family of both O’Hara and Lilley, who he said were both from Georgia.
“Both of these young Georgians shared a passion for flight and for serving others, and this terrible tragedy is that much more difficult knowing their lives were cut so unexpectedly short,” he said in an X post. “Marty, the girls, and I ask that all Georgians join us in keeping their loved ones in our thoughts and prayers.”
Ian Epstein
The family of Ian Epstein, the flight attendant onboard American Airlines Flight 5342, is remembering him as a cherished father, husband, brother and stepfather.
“Ian Epstein was full of life. He loved being a flight attendant because he truly enjoyed traveling and meeting new people. But his true love was his family. He was a father, a stepfather, a husband and a brother! He will be truly missed. The family appreciates the outpouring of love and support we’ve received, but at this time we would ask for privacy as we process and grieve our loss,” his family said in a statement.
Wendy Jo Shaffer
The family of one victim, Wendy Jo Shaffer, confirmed she had been on the plane.
“We are devastated. Words cannot truly express what Wendy Jo meant as a daughter, a sister, a friend, a wife and most importantly, a mother. The family is requesting privacy at this time,” the family said in a statement.
Brielle and Justyna Beyer
Brielle Beyer, 12, and her mother, 42-year-old Justyna, were both killed in the crash, according to Andy Beyer, Brielle’s father and Justyna’s husband.
Andrew is left with the couple’s 6-year-old son, he said.
Andy Beyer said his wife and daughter were returning from the U.S. Figure Skating National Development Camp in Wichita, Kansas.
Brielle was a member of the Skating Club of Northern Virginia and beat cancer when she was just 4 months old.
“She was just such a fighter in everything she did,” Andy Beyer said of his daughter, in an interview with ABC News. “She just lived life to the fullest with everything.”
He added, “She was so proud of herself in figure skating for the progress she had made … Making that team was one of her life goals. And she achieved it. And she was just so, so proud of herself.”
He remembered his daughter’s passion and beautiful singing voice.
“She just lit up the house with her wonderful voice,” he said.
Andy Beyer said his wife and daughter had been away for six days for the figure skating camp.
“I missed them… Figure skating at that level, it’s a lifestyle,” he said. “It’s a full family commitment.”
Elizabeth Keys
Elizabeth Keys was a Washington-based attorney who caught an early flight home to go on a date for her birthday with her long-term boyfriend David, who remembered Elizabeth for being the person who always “pushed you to be the best version of yourself.”
Sean Kay
Sean Kay was traveling with his skating coach Alexandr Kirsanov after attending the U.S. Figure Skating’s National Development Camp. His death was confirmed in a statement by Delaware Sen. Chris Coons.
Angela Yang
Angela Yang was traveling with her skating coach Alexandr Kirsanov after attending the U.S. Figure Skating’s National Development Camp. Her death was confirmed in a statement by Delaware Sen. Chris Coons.
Casey Crafton
Casey Crafton was a father to three sons and husband from Salem, Connecticut. His death was confirmed in a statement by Connecticut Gov. Ned Lamont.
Grace Maxwell
Grace Maxwell was an engineering student from Wichita, Kansas who was aboard American Airlines 5432, according to a statement from Cedarville University.
University president Thomas White described Grace as a “thoughtful, quiet student leader” who helped teach other undergraduates about engineering.
She recently signed up to create a hand-stabilizing device to help a disabled child feed himself without assistance from others.
“Grace was a quiet person with a keen interest in helping others through engineering,” said Tim Norman, her adviser.
Olivia Ter
Olivia Ter, 12, was a treasured member of the Tucker Road Ice Rink in Fort Washington, Maryland, who inspired her peers and coaches, according to a statement from the Maryland-National Capital Park and Planning Commission.
She was one of four elite skaters from her region to attend the U.S. Figure Skating National Development Camp in Wichita, Kansas, and earned praise for her ” talent, determination and sportsmanship.”
“The impact of Olivia’s life will continue to resonate in our youth sports community, and she will be sorely missed,” stated Bill Tyler, director of the commission’s Department of Parks and Recreation in Prince George’s County, Maryland.
Kiah Duggins
Kiah Duggins was a civil rights attorney and an incoming Howard University professor.
Duggins was a Wichita, Kansas, native and attended Wichita State University, received a Fulbright grant, attended law school at Harvard and worked as a civil rights attorney.
In the fall, Duggins was planning to begin teaching as a professor at Howard University School of Law.
“As a civil rights lawyer, she dedicated her career to fighting against unconstitutional policing and unjust money bail practices in Tennessee, Texas and Washington, D.C,” a statement from the university said.
Duggins worked to challenge police misconduct, fight cash bail policies, and pursued prison industrial complex abolition, according to her professional biography. She also was a White House intern during the administration of former President Barack Obama.
Lindsey Fields
Lindsey Fields, the president-elect of the National Association of Biology Teachers, was flying from Wichita to D.C. to “advocate for excellence in life science education,” according to the organization.
She was a professor and biology department chair at Butler Community College in Kansas, where she taught anatomy and physiology.
She loved to garden and had a keen interest in wildlife, including restoring native prairie plants, according to her professional biography.
“This is a tremendous loss,” the National Association of Biology Teachers said in a statement. “Please keep Lindsey, the other victims, and their families in your hearts.”
Donna Smojice Livingston, Peter Livingston, Everly Livingston and Alydia Livingston
Donna Smojice Livingston, her husband Peter Livingston, and their daughters Everly Livingston and Alydia Livingston all died in the crash, according to Indiana University of Pennsylvania.
Everly and Alydia were the famed duo behind the “Ice Skating Sisters” Instagram account, and their last photo depicted them near the ice in Wichita.
Jesse Pitcher, 30
Pitcher was one of five members of the United Association of Union Plumbers and Pipefitters killed in the crash, the union said. He was a member of UA Local 5.
“May God bless each of our fallen Brothers, and all those who knew and loved them,” the union said in a statement Friday.
Charles ‘Charlie’ McDaniel, 44
McDaniel was one of five members of the United Association of Union Plumbers and Pipefitters killed in the crash, the union said. He was a member of UA Local 602.
Jonathan Boyd, 40
Boyd was one of five members of the United Association of Union Plumbers and Pipefitters killed in the crash, the union said. He was a member of UA Local 602.
Michael ‘Mikey’ Stovall, 40
Stovall was one of five members of the United Association of Union Plumbers and Pipefitters killed in the crash, the union said. He was a member of UA Local 602.
Alexander ‘Alex’ Huffman, 34
Huffman was one of five members of the United Association of Union Plumbers and Pipefitters killed in the crash, the union said. He was a member of UA Local 602.
(MARANA, Ariz.) — Two people were confirmed dead after two small planes collided midair at Marana Regional Airport in Arizona on Wednesday.
There were two people onboard each aircraft, a Lancair and a Cessna, according to the Federal Aviation Administration.
The aircrafts collided while upwind of runway 12, according to preliminary information from the National Transportation Safety Board.
“The Cessna landed uneventfully; the Lancair impacted terrain near runway 3 and a post-impact fire ensued,” according to the NTSB.
The planes collided around 8:30 a.m. local time.
The FAA and NTSB will investigate, and NTSB investigators are on their way to the scene with two more on the way, officials said.
The Marana Regional Airport is an uncontrolled field — it does not have an operating ATC control tower. Pilots utilize a Common Traffic Advisory Frequency to announce their position to other aircrafts. The pilot in command is responsible for maintaining a safe distance from other aircrafts.
This is a developing story. Please check back for updates.
