TL;DR
- Federal judge denies class action lawsuit.
- DOJ can continue subpoenas for trans youth records.
- Hospitals must challenge subpoenas individually.
- Judge previously blocked DOJ’s request for records.
- Legal advocates express concerns over privacy.
In a ruling that has left many reeling, a federal judge has just denied a request from transgender advocates to block the Department of Justice (DOJ) from obtaining sensitive medical records of trans youth. This decision, made by Maryland U.S. District Judge Julie Rubin, means that hospitals must now face the DOJ’s subpoenas on their own, without the backing of a class action lawsuit that would have provided nationwide protections.
Judge Rubin, a Biden appointee, had previously shown some backbone by quashing a DOJ subpoena aimed at Washington, D.C.’s Children’s National Hospital back in January 2026. She found that the subpoena lacked a legitimate purpose, which was a small victory for advocates of trans rights. However, this latest ruling has thrown a wrench in the gears of progress, as she declined to certify a class action that would have established a national order against the DOJ’s aggressive tactics.

During the hearing, families of transgender minors and LGBTQ+ legal advocates were hopeful that the judge would recognize the urgency of their situation. They argued that without a nationwide order, the DOJ could continue its campaign of intimidation, pressuring hospitals to hand over private medical records of trans minors before any legal challenges could be mounted. “This is pure intimidation,” said Shannon Minter, legal director for the National Center for LGBTQ+ Rights. “This administration has targeted this very small group of families, families with transgender kids. They want to stop this health care, and they are abusing their power to literally try to intimidate and harass doctors and parents in order to further that political goal.”
Despite her previous rulings, Judge Rubin stated that the request for class treatment was simply not a fit for the matter before her. In her decision, she noted that the arguments presented by the plaintiffs were well-taken but ultimately insufficient to warrant the unprecedented step of certifying a national lawsuit. This leaves the door wide open for the DOJ to continue its invasive practices against hospitals across the country.
The DOJ has sent subpoenas to over 20 major medical systems, including NYU Langone Health, seeking information related to patients who received gender-affirming care as minors. The implications of this are staggering, as it puts the privacy and safety of countless transgender youth at risk.
As the legal landscape continues to shift, advocates are left wondering what the next steps will be. With the Trump administration’s DOJ ramping up its efforts against trans rights, the fight for privacy and protection for transgender youth is far from over. The stakes have never been higher, and the community is rallying to ensure that their voices are heard.
This ruling is not just a legal setback; it’s a stark reminder of the ongoing battle for trans rights in America. As advocates and families of trans youth continue to push back against these aggressive tactics, one thing is clear: the fight for dignity, respect, and privacy for transgender individuals is far from over.