This is a setback.
On 18 May 2026 the Colorado Supreme Court decided Bella Boe et al. v. Children’s Hospital Colorado, 2026 CO 32, case 26SA66. Justice Hood wrote for the Court. Chief Justice Márquez and Justices Gabriel, Berkenkotter, and Blanco joined. Justices Boatright and Samour dissented.
What happened, from the opinion: after HHS’s December 2025 declaration on sex-rejecting procedures, Children’s Hospital Colorado stopped puberty blockers and hormone therapy for patients under 18 at its TRUE Center. Patients sued under the Colorado Anti-Discrimination Act. The Denver District Court denied a preliminary injunction. The Supreme Court reversed and ordered the trial court to issue a preliminary injunction directing the hospital to restore those sex-rejecting procedures, pending a decision on the merits.
That is one hospital, under one state statute, on a preliminary injunction. It is not a ruling that puberty blockers work. It is not Skrmetti. It does not wipe the HHS evidence review or the later CMS funding rule. Read the PDF.
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