华盛顿——最高法院周三拒绝允许特朗普政府立即对监狱中的变性人实施新的医疗限制。
这一决定为该政策留下了一个下级法院的障碍。该法案是在唐纳德·特朗普（Donald Trump）总统发布行政命令后通过的，特朗普在第二个任期内采取了几项措施来收回变性人的权利。
萨缪尔·阿利托法官和克拉伦斯·托马斯会允许这项政策得以实施。
最高法院此前已经允许跨性别者的其他政策暂时向前推进，包括对兵役和护照性标记的限制。
特朗普的命令呼吁监狱管理局修改其医疗保健政策，以便联邦资金不会被用于“让囚犯的外表符合异性的目的”。
新政策将停止手术，减少激素，结束化妆和假发等社交活动。监狱将继续提供精神健康服务。
变性人囚犯的律师在法庭上质疑这项政策，美国地区法官罗伊斯·兰伯特下令继续治疗。被罗纳德·里根总统提名为法官的兰伯特指出，未经治疗的性别焦虑会导致严重的副作用，如抑郁、焦虑和自杀念头。
特朗普政府提出上诉，认为这种治疗引发了安全担忧，“再也没有理由了”。一个意见不一的上诉法院小组保留了该命令。
该机构在法庭记录中表示，2025年约有600名囚犯接受激素治疗。他们的律师说，取消护理将对他们的身体和心理健康产生重大影响。他们写道，在过去30年里，政府没有详细证据表明变性囚犯的激素治疗存在安全问题。
保守派占多数的最高法院此前支持禁止对变性青年进行某些医疗的州法律，并限制变性运动员参加女子体育项目。
Supreme Court rebuffs Trump admin restrictions on medical care for trans inmates
WASHINGTON --The Supreme Court on Wednesday refused to allow the Trump administration to immediately enforce new medical restrictions for transgender people in prison．
The decision leaves in place a lower-court block on the policy． It was adopted after an executive order from President Donald Trump， who has taken several steps to roll back transgender rights during his second term．
Justice Samuel Alito and Clarence Thomas would have allowed the policy to be enforced．
The Supreme Court has previously allowed other policies for transgender people to move ahead for now， including restrictions onmilitary serviceandpassport sex markers．
Trump＇s order called on the Bureau of Prisons 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．”
The new policy would halt surgeries， taper off hormones and end social accommodations like makeup and wigs． Prisons would continue to offer mental health services．
Attorneys for transgender inmates challenged the policy in court and U．S． District Judge Royce Lamberth ordered treatments to continue． Lamberth， who was nominated to the bench by President Ronald Reagan， pointed out that untreated gender dysphoria can cause severe side effects like depression， anxiety and suicidal thoughts．
The Trump administration appealed， arguing that treatments raised security concerns and “could no longer be justified．” A divided appeals court panel left the order in place．
About 600 inmates were receiving hormone therapy in 2025， the agency said in court records． Withdrawing care would have significant effects on their bodies and mental health， their lawyers said． The government has not detailed evidence of security problems linked to hormone therapy for transgender inmates over the 30 years it has been provided， they wrote．
The conservative-majority Supreme Court has previously upheld statelaws banning certain medical treatmentsfor transgender youth， and restrictingsports participationby transgender athletes in women’s sports．
