Trump's executive order takes aim at the use of puberty blockers, sex hormones and surgical intervention on children and teens under age 19 who want their physical appearance to align with a sex that differs from the one they were assigned at birth.

President Donald Trump signed an Executive Order on Tuesday banning federal funding to hospitals, clinics, and other medical organizations that provide gender-affirming care to transgender kids under age 19. According to The 19th, the Order could effectively ban gender-affirming care for trans youth across the country.

The Jan. 28 executive order directs federal regulators to cut insurance coverage for hormonal or surgical treatments that help in young peoples’ gender transitions and cut federal funding for medical professionals or institutions that provide such care.