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On Wednesday, the Trump Administration sent a letter to hospitals regarding care for pediatric transgender patients. The letter requests a response within 30 days on the following data elements: 

• The adequacy of informed consent protocols for children with gender dysphoria; 

• Changes to clinical practice guidelines and protocols “that your institution plans to enact in light of the recent comprehensive review of medical evidence”; 

• Any adverse events related to procedures, “particularly children who later look to detransition”; 

• Billing codes used for care of these patients; 

• Revenue data, including projected forecasts for these service lines.