The Trump administration, through the U.S. Department of Health and Human Services (HHS), has directed 46 states and territories, including 40 states, five territories, and Washington, D.C., to remove all references to gender ideology from federally funded sex education programs under the Personal Responsibility Education Program (PREP). The administration has warned that failure to comply within 60 days will result in the withdrawal of federal funding, totaling more than $81 million aimed at teen pregnancy and sexually transmitted infection prevention. California has already had its funding revoked for non-compliance. The directive specifically targets content related to transgender individuals and gender identity in sex education curricula. States such as Arizona, Nevada, and Wisconsin have been explicitly threatened with funding cuts, with Wisconsin facing a potential $2 million loss. The Administration for Children and Families, part of HHS, has emphasized the 60-day compliance deadline. This move follows a broader effort by the Trump administration to restrict gender ideology references in education programs, with some healthcare providers, including Advocate Health in Illinois, scaling back gender-affirming care for minors amid concerns over federal funding. The Trump administration characterizes these actions as protecting children from what it terms "delusional ideological content."