It’s difficult to envision a more dizzying exercise in judicial gymnastics than the temporary restraining order and accompanying memorandum opinion from U.S. District Judge Brendan A. Hurson in PFLAG et al v. Donald Trump et al. Hurson’s decision halts the directives of President Donald Trump’s Jan. 28 executive order “Protecting Children From Chemical and Surgical Mutilation.”
While Hurson seems content indulging overwrought questions about whether the president “den[ies] that this [transgender] population exists, or even has the right to exist,” he patently ignores a correct application of guiding law that gives the president the authority to halt further governmental federal funding of “gender-affirming care” for minors.
The Department of Health and Human Services under President Joe Biden took the position that funding appropriated by Congress through the Medicaid, Medicare and Affordable Care Act appropriations bill could be used to support such care.
But appropriations bills do not—unless otherwise specified—create substantive law. And in this case, the bills did not create a requirement that funds be used in this way. Just as the Biden administration said that, for example, a contract with a state Medicaid recipient could provide “gender-affirming care,” the Trump administration is well within its right to say “stop.”
The plaintiffs in PFLAG v. Donald Trump have not alleged that Trump’s executive order violates the law—because there is no law for him to violate. They simply want the government to pay for transgender surgeries and treatments for minors from which many developed nations have retreated. Hospitals, clinics and medical providers are free to offer these services all they want. But the government is under no obligation to pay for them.
Thankfully, Hurson’s order is not a determination on the merits of the plaintiffs’ case, but merely a procedural determination. He still has time to get it right.
This letter originally appeared in The Washington Post