U.S. District Court Judge Lauren J. King, an appointee of President Joe Biden, initially issued a 14-day pause on Trump’s directive which sought to stop federal funding for research and educational grants to medical schools and hospitals that provide gender affirming care to people under the age of 19.

Washington, Oregon, Minnesota and Colorado — had sued to block President Trump’s plan to withhold federal funds from hospitals that offer transgender treatment to people under 19.

King's ruling is the second preliminary injunction that has granted in response to Trump trying to block the support of gender transition. In February, another judge blocked his plan to stop medical treatment related to gender transitions and to house transgender women with male inmates at federal prisons.