Judge: Federal Prisons Must Continue Providing Hormone Therapy to Transgender Inmates

The federal Bureau of Prisons must continue providing hormone therapy and social accommodations to hundreds of transgender inmates following an executive order signed by President Donald Trump that led to a disruption in medical treatment, a federal judge ruled Tuesday.

U.S. District Judge Royce Lamberth said a federal law prohibits prison officials from arbitrarily depriving inmates of medications and other lifestyle accommodations that its own medical staff has deemed to be appropriate.

The judge said the transgender inmates who sued to block Trump's executive order are trying to lessen the personal anguish caused by their gender dysphoria, which is the distress that a person feels because their assigned gender and gender identity don't match.

"In light of the plaintiffs' largely personal motives for undergoing gender-affirming care, neither the BOP nor the Executive Order provides any serious explanation as to why the treatment modalities covered by the Executive Order or implementing memoranda should be handled differently than any other mental health intervention," he wrote.

The Bureau of Prisons is providing hormone therapy to more than 600 inmates diagnosed with gender dysphoria. The bureau doesn't dispute that gender dysphoria can cause severe side effects, including depression, anxiety and suicidal thoughts, the judge said.

The Republican president's executive order required the bureau to revise its medical care policies so that federal funds aren't spent "for the purpose of conforming an inmate's appearance to that of the opposite sex."

Lamberth's ruling isn't limited to the plaintiffs named in the lawsuit. He agreed to certify a class of plaintiffs consisting of anyone who is or will be incarcerated in federal prisons.

Trump's order also directed the federal Bureau of Prisons to ensure that "males are not detained in women's prisons." In February, however, Lamberth agreed to temporarily block prison officials from transferring three incarcerated transgender women to men's facilities and terminating their access to hormone therapy.

The plaintiffs are represented by attorneys from the Transgender Law Center and the American Civil Liberties Union.

Lamberth, a senior judge, was nominated to the bench by President Ronald Reagan in 1987.