A coalition of states has filed a lawsuit challenging President Trump's Executive Order 14187, which attempts to criminalize gender affirming care for people under the age of 19. The plaintiffs are states in which gender-affirming care for transgender minors is legally permitted and protected. The plaintiffs claim that the federal government has made threats of civil and criminal prosecution against providers of gender-affirming care and demanded that providers hand over sensitive personal information about their patients. The plaintiffs argue that Executive Order 14187 violates the Administrative Procedure Act as well as their Tenth Amendment Rights. The plaintiffs requested that the court declare Executive Order 14187 unlawful as well as issue a statement clarifying that gender-affirming care does not violate anti-genital mutilation laws.