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.