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Editorial illustration of an Archives of Disease in Childhood volume, a conflict-of-interest stamp, and a journal stack

Archives of Disease in Childhood (BMJ)

BMJ journal: intellectual conflicts of interest in guidelines on puberty blockers

18 September 2026

On 18 September 2026, Archives of Disease in Childhood published Dr. Richard Santen on intellectual conflicts of interest in clinical guidelines. The paper’s title uses “gender-affirming care”; that means puberty blockers and opposite-sex hormones for children and adolescents with gender dysphoria. Santen says a weak evidence base has been filled by conflicted expert opinion.

Editorial illustration of a clinic building, Acta Paediatrica, and a Finnish register folder

Acta Paediatrica — Ruuska et al.

Finnish register: psychiatric needs did not subside after medical gender reassignment

4 April 2026

Ruuska, Tuisku, Holttinen, and Kaltiala compared 2,083 under-23s referred to Finnish gender services (1996–2019) with 16,643 matched controls. Specialist psychiatric care was already higher before referral and still higher two or more years later. It rose among those who received medical gender reassignment. The authors: psychiatric needs do not subside after that pathway.

Editorial illustration of a New England public school and FERPA student-privacy case files

U.S. Department of Education

Education Department opens a FERPA/PPRA investigation of Northborough-Southborough schools

17 September 2026

On 17 September 2026 the U.S. Department of Education’s Student Privacy Policy Office opened an investigation of the Public Schools of Northborough and Southborough — including Algonquin Regional High School — for possible FERPA and PPRA violations after alleged social transition of a minor without parental knowledge or consent. That is an investigation, not a finding. The district denies. Healey attributes the DCF removal to criminal charges against the parents; the parents dispute that.

Editorial illustration of the Supreme Court at night and a navy amicus brief

U.S. Department of Justice — amicus brief

DOJ to the Supreme Court: parents have standing when Washington routes kids around them

17 September 2026

On 17 September 2026 the official Justice Department account posted the United States’ merits-stage amicus brief in International Partners for Ethical Care, Inc. v. Bob Ferguson (No. 25-840). DOJ tells the Supreme Court that parents have standing when Washington refers runaway minors seeking so-called “gender-affirming treatment” for behavioral-health services without parental consent.

Editorial illustration of a New York federal courthouse at dusk

U.S. Department of Justice Press Release 26-1022, Sept. 4, 2026

DOJ Agreement: Mount Sinai Ends Pediatric Sex-Rejecting Procedures

4 September 2026

On September 4, 2026, the U.S. Department of Justice announced an agreement with Mount Sinai Health System resolving an investigation into potential federal-law violations arising from sex-rejecting procedures on children.

Editorial illustration of multiple capitol domes and a federal courthouse

Complaint filed Sept. 2, 2026, U.S. District Court for the District of Massachusetts, No. 26-cv-14051

22 States and D.C. Challenge the CMS Rule Ending Medicaid Funding for Pediatric Transition

3 September 2026

On September 2, 2026, twenty-two states and the District of Columbia filed suit against the Department of Health and Human Services and the Centers for Medicare & Medicaid Services in the U.S. District Court for the District of Massachusetts, Civil Action No. 26-cv-14051. The complaint challenges CMS-2451-F, the August 2026 final rule ending Medicaid and CHIP payment for gender-transition procedures on minors.

Editorial illustration of a research campus and a PATHWAYS trial protocol binder

King’s College London

What the PATHWAYS puberty-blocker trial actually is

26 July 2026

King’s College London, the trial’s lead sponsor, says there is not enough information about the benefits or risks of puberty-suppressing hormones for young people with gender incongruence. PATHWAYS is a research study — not routine NHS care, and not a green light.

Editorial illustration of Argentina’s Congreso with a suspended legal document

Infoleg / Argentina.gob.ar

Argentina Infoleg records a 16 July 2026 cautelar suspending Decreto 62/2025

16 July 2026

On 16 July 2026, Argentina’s official legislative database (Infoleg) recorded that Chamber V of the Federal Contentious-Administrative Court ordered a precautionary suspension (suspensión cautelar) of Decreto DNU 62/2025 until the action is decided. This is a setback for treating the decree as an under-18 ban in force.

Editorial illustration of the Houses of Parliament across the Thames and a paused stopwatch

GOV.UK (Department of Health and Social Care)

UK PATHWAYS trial paused after MHRA advice

20 February 2026

On 20 February 2026, the Department of Health and Social Care said preliminary work to establish the PATHWAYS clinical trial had been paused after new concerns from the Medicines and Healthcare products Regulatory Agency (MHRA).

Editorial illustration of a medical-society building and an ASPS position-statement binder dated February 3, 2026

American Society of Plastic Surgeons

U.S. plastic surgeons advise delaying gender surgery until age 19

3 February 2026

ASPS advises surgeons to delay breast/chest, genital, and facial gender surgery until patients are at least 19. Cites insufficient evidence of a favorable risk–benefit ratio, low-certainty mental-health evidence, concerns about long-term harms, and irreversibility in a developmentally vulnerable population. Professional guidance.

Editorial illustration of an NHS clinic building and Levy’s operational review binder dated 18 December 2025

NHS England

NHS review: adult gender clinics cannot show whether treatment works

18 December 2025

On 18 December 2025 Dr David Levy’s review of England’s nine NHS adult gender dysphoria clinics found no systematic patient-outcomes data, waits of years, and more than 40,000 people waiting for a first assessment. NHS England accepted the findings. This is an operational review.

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