1. United States
2. Mich.
3. Letter

I'm asking you to oppose any legislation or policy that would restrict access to gender-affirming care for transgender minors, including the proposed CMS rule that would cut federal funding to medical institutions providing this care. The American Medical Association, representing the largest physician organization in the United States, has reaffirmed that gender-affirming care is medically necessary. In March, AMA Board Chair Dr. David H. Aizuss stated unequivocally: "The AMA supports gender-affirming care as medically necessary per our policy." He also clarified that "there has been no change in AMA policy with respect to access to and provision of gender-affirming care," directly contradicting misleading media reports suggesting a shift in medical consensus. Scientific consensus overwhelmingly supports the benefits of gender-affirming care for trans people of all ages. The proposed CMS rule is already forcing hospitals to drop patients out of fear, causing real harm to vulnerable young people who need this care. Medical decisions should be made by doctors, patients, and families, not politicians responding to manufactured controversy. Stand with the medical community and protect access to this essential healthcare.