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flag A North Dakota judge upheld the state's ban on gender-affirming care for minors, allowing only out-of-state treatment.

flag A North Dakota judge has ruled that the state’s ban on gender-affirming care for minors does not violate the state constitution, upholding a law that criminalizes prescribing hormones or puberty blockers as misdemeanors and performing surgeries as felonies. flag The decision, issued on October 8, 2025, allows children already receiving treatment to continue but forces families to seek care out of state, primarily in Minnesota, disrupting lives and increasing burdens. flag The lawsuit, brought by families and a pediatric endocrinologist, was narrowed to one plaintiff after other claims were dismissed. flag The judge cited legitimate concerns about minors’ ability to understand long-term consequences and acknowledged ongoing medical debates, stating lawmakers should have authority in uncertain medical matters. flag The ruling aligns with a broader national trend, as at least 27 states have enacted similar restrictions, mostly under Republican leadership, following a June U.S. Supreme Court decision permitting such bans. flag Advocates called the decision harmful and a violation of constitutional rights, while supporters say it protects youth from irreversible treatments.

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