Republican states are quietly eliminating transgender adults' healthcare access through Medicaid restrictions, with Kansas, Louisiana, and Wyoming implementing bans with little public announcement.

The Supreme Court heard arguments in two transgender sports ban cases Tuesday that could reshape all transgender rights. Trans elder and former University of Georgia athlete Diego Sanchez spoke about how much attitudes have changed since the 1970s. The justices appeared likely to uphold the bans, with Justice Barrett revealing the laws only restrict trans girls and women not trans boys and men.

Children's Wisconsin and UW Health stopped providing gender-affirming care to minors citing federal policy changes. An independently-owned pharmacy is stepping up to fill the gap, with the owner saying nothing restricts pharmacies from prescribing.

Nearly half of LGBTQ+ adults report being less out than a year ago, according to a new Human Rights Campaign survey. HRC documented how people are hiding at schools, work, and in public, with two-thirds of transgender and nonbinary Americans reporting difficulty accessing healthcare.

Utah lawmakers want to eliminate exceptions in the state's care ban that currently allow some youth to continue treatment. Missouri's Supreme Court upheld the state's ban on minors' care. In legal victories, a judge ordered HHS to restore $1.2 million to a pro-trans pediatric group after slamming Kennedy's "retaliatory cuts."

Meanwhile, the Alliance Defending Freedom is trying to convince the Supreme Court to overturn Colorado’s ban on conversion therapy, while SEGM's president authored a study claiming transition is worse than conversion therapy.

In the commonwealth, Queensland's health minister quietly amended trans health directives, changing guidelines on youth care. WPATH, USPATH, and EPATH have raised ethical concerns about the UK government's PATHWAYS trial.

Support the attorneys general fighting HHS attacks on trans protections.

Apply for Alberta Trans Advocacy Microgrants to fund grassroots trans rights work.

Donate to the Alberta trans advocacy campaign supporting youth and families.

This week’s reporting looks at a reality many clinicians underestimate: for a huge number of trans patients, gender-affirming surgery means traveling hundreds of miles—and recovering without their surgeon nearby. In I Traveled for Top Surgery, I examine where post-operative care breaks down, why “just go to the ER” isn’t a plan, and what healthcare professionals and caregivers need to understand when distance is part of access.

This issue also marks the relaunch of the Well Beings News Resource Library, now redesigned and live with all downloadable guides in one place—including two new, reporting-informed resources on surgical travel and post-op support built for real-world clinical use.