XPost: alt.california, or.politics, sac.politics   
   XPost: talk.politics.misc   
   From: male@female.org   
      
   By the authority vested in me as President by the Constitution and the   
   laws of the United States of America, it is hereby ordered:   
      
   Section 1.  Policy and Purpose.  Across the country today, medical   
   professionals are maiming and sterilizing a growing number of   
   impressionable children under the radical and false claim that adults can   
   change a child’s sex through a series of irreversible medical   
   interventions.  This dangerous trend will be a stain on our Nation’s   
   history, and it must end.   
      
   Countless children soon regret that they have been mutilated and begin to   
   grasp the horrifying tragedy that they will never be able to conceive   
   children of their own or nurture their children through breastfeeding.   
   Moreover, these vulnerable youths’ medical bills may rise throughout their   
   lifetimes, as they are often trapped with lifelong medical complications,   
   a losing war with their own bodies, and, tragically, sterilization.   
      
   Accordingly, it is the policy of the United States that it will not fund,   
   sponsor, promote, assist, or support the so-called “transition” of a child   
   from one sex to another, and it will rigorously enforce all laws that   
   prohibit or limit these destructive and life-altering procedures.   
      
   Sec. 2.  Definitions.  For the purposes of this order:   
      
   (a)  The term “child” or “children” means an individual or individuals   
   under 19 years of age.   
      
   (b)  The term “pediatric” means relating to the medical care of a child.   
      
   (c)  The phrase “chemical and surgical mutilation” means the use of   
   puberty blockers, including GnRH agonists and other interventions, to   
   delay the onset or progression of normally timed puberty in an individual   
   who does not identify as his or her sex; the use of sex hormones, such as   
   androgen blockers, estrogen, progesterone, or testosterone, to align an   
   individual’s physical appearance with an identity that differs from his or   
   her sex; and surgical procedures that attempt to transform an individual’s   
   physical appearance to align with an identity that differs from his or her   
   sex or that attempt to alter or remove an individual’s sexual organs to   
   minimize or destroy their natural biological functions.  This phrase   
   sometimes is referred to as “gender affirming care.”   
      
   Sec. 3.  Ending Reliance on Junk Science.  (a)  The blatant harm done to   
   children by chemical and surgical mutilation cloaks itself in medical   
   necessity, spurred by guidance from the World Professional Association for   
   Transgender Health (WPATH), which lacks scientific integrity.  In light of   
   the scientific concerns with the WPATH guidance:   
      
   (i)   agencies shall rescind or amend all policies that rely on WPATH   
   guidance, including WPATH’s “Standards of Care Version 8”; and   
      
   (ii)  within 90 days of the date of this order, the Secretary of Health   
   and Human Services (HHS) shall publish a review of the existing literature   
   on best practices for promoting the health of children who assert gender   
   dysphoria, rapid-onset gender dysphoria, or other identity-based   
   confusion.   
      
   (b)  The Secretary of HHS, as appropriate and consistent with applicable   
   law, shall use all available methods to increase the quality of data to   
   guide practices for improving the health of minors with gender dysphoria,   
   rapid-onset gender dysphoria, or other identity-based confusion, or who   
   otherwise seek chemical or surgical mutilation.   
      
   Sec. 4.  Defunding Chemical and Surgical Mutilation.  The head of each   
   executive department or agency (agency) that provides research or   
   education grants to medical institutions, including medical schools and   
   hospitals, shall, consistent with applicable law and in coordination with   
   the Director of the Office of Management and Budget, immediately take   
   appropriate steps to ensure that institutions receiving Federal research   
   or education grants end the chemical and surgical mutilation of children.   
      
   Sec. 5.  Additional Directives to the Secretary of HHS.  (a)  The   
   Secretary of HHS shall, consistent with applicable law, take all   
   appropriate actions to end the chemical and surgical mutilation of   
   children, including regulatory and sub-regulatory actions, which may   
   involve the following laws, programs, issues, or documents:   
      
   (i)    Medicare or Medicaid conditions of participation or conditions for   
   coverage;   
      
   (ii)   clinical-abuse or inappropriate-use assessments relevant to State   
   Medicaid programs;   
      
   (iii)  mandatory drug use reviews;   
      
   (iv)   section 1557 of the Patient Protection and Affordable Care Act;   
      
   (v)    quality, safety, and oversight memoranda;   
      
   (vi)   essential health benefits requirements; and   
      
   (vii)  the Eleventh Revision of the International Classification of   
   Diseases and other federally funded manuals, including the Diagnostic and   
   Statistical Manual of Mental Disorders, Fifth Edition.   
      
   (b)  The Secretary of HHS shall promptly withdraw HHS’s March 2, 2022,   
   guidance document titled “HHS Notice and Guidance on Gender Affirming   
   Care, Civil Rights and Patient Privacy” and, in consultation with the   
   Attorney General, issue new guidance protecting whistleblowers who take   
   action related to ensuring compliance with this order.   
      
   Sec. 6.  TRICARE.  The Department of Defense provides health insurance,   
   through TRICARE, to nearly 2 million individuals under the age of 18.  As   
   appropriate and consistent with applicable law, the Secretary of Defense   
   shall commence a rulemaking or sub-regulatory action to exclude chemical   
   and surgical mutilation of children from TRICARE coverage and amend the   
   TRICARE provider handbook to exclude chemical and surgical mutilation of   
   children.   
      
   Sec. 7.  Requirements for Insurance Carriers.  The Director of the Office   
   of Personnel Management, as appropriate and consistent with applicable   
   law, shall:   
      
   (a)  include provisions in the Federal Employee Health Benefits (FEHB) and   
   Postal Service Health Benefits (PSHB) programs call letter for the 2026   
   Plan Year specifying that eligible carriers, including the Foreign Service   
   Benefit Plan, will exclude coverage for pediatric transgender surgeries or   
   hormone treatments; and   
      
   (b)  negotiate to obtain appropriate corresponding reductions in FEHB and   
   PSHB premiums.   
      
   Sec. 8.  Directives to the Department of Justice.  The Attorney General   
   shall:   
      
   (a)  review Department of Justice enforcement of section 116 of title 18,   
   United States Code, and prioritize enforcement of protections against   
   female genital mutilation;   
      
   (b) convene States’ Attorneys General and other law enforcement officers   
   to coordinate the enforcement of laws against female genital mutilation   
   across all American States and Territories;   
      
   (c)  prioritize investigations and take appropriate action to end   
   deception of consumers, fraud, and violations of the Food, Drug, and   
   Cosmetic Act by any entity that may be misleading the public about long-   
   term side effects of chemical and surgical mutilation;   
      
   (d)  in consultation with the Congress, work to draft, propose, and   
   promote legislation to enact a private right of action for children and   
      
   [continued in next message]   
      
   --- SoupGate-Win32 v1.05   
    * Origin: you cannot sedate... all the things you hate (1:229/2)