Rush University Medical Center in Chicago has announced it will pause hormonal treatments and gender-affirming surgeries for new patients under the age of 18. This decision follows threats from the Trump administration to withdraw federal funding from institutions providing such care to minors. Rush is the latest hospital in Chicago to roll back gender-affirming care for youth amid these federal funding pressures. Similarly, Kaiser Permanente has declared it will pause gender-affirming surgeries for patients under 19 nationwide. Yale Medicine and Yale New Haven Hospital have also ended the medication treatment component of their pediatric gender programs for patients under 19, while continuing to offer mental health support. These moves reflect a broader trend among major healthcare providers to limit gender-affirming medical interventions for minors in response to federal policy and funding considerations.