Federal Ruling on Hormone Therapy for Transgender Inmates
In a recent decision, a federal judge ruled that the Bureau of Prisons must continue providing hormone therapy and related support for transgender inmates. This follows an executive order from former President Donald Trump, which caused disruptions in their medical treatment.
U.S. District Judge Royce Lamberth emphasized that federal law prevents prison officials from denying inmates necessary medications and lifestyle accommodations deemed appropriate by medical staff. The ruling stated that many transgender individuals face significant distress due to a mismatch between their assigned genders and their gender identities.
The judge pointed out that the plaintiffs in the case were simply seeking to address their personal struggles with gender dysphoria. He questioned the reasoning behind implementing different rules for gender-affirming care compared to other mental health treatments.
Currently, the Bureau of Prisons provides hormone therapy for over 600 inmates identified with gender dysphoria. The court noted that this condition can lead to serious mental health issues, including depression and anxiety. The ruling contrasts with Trump’s executive order that aimed to restrict the use of federal funds for altering an inmate’s appearance to that of the opposite sex.
Judge Lamberth’s ruling impacts all transgender inmates in federal prisons, not just those involved in the lawsuit. One notable plaintiff, Alishea Kingdom, is a transgender woman who faced interruptions in her hormone therapy following the executive order. While she regained access to her treatment after filing a lawsuit, she has not received her requested feminine undergarments.
The ruling also addressed prison policies aimed at keeping transgender women from being housed in women’s facilities. A temporary block was put on transferring three incarcerated transgender women back to men’s prisons, ensuring they can continue their hormone therapy.
Judge Lamberth criticized the lack of consideration given to the potential harm these changes could inflict on transgender inmates. He noted that while the defendants argued that the plaintiffs were not suffering irreparable harm as they received some treatment, the continuity of these treatments appeared unstable.
This ruling highlights the ongoing complexities surrounding the treatment of transgender individuals in the prison system, emphasizing the need for thoughtful policies that respect individual rights and address mental health concerns.


