HHS sends "final request" letters to six medical organizations demanding their positions on youth gender medicine

HHS sent letters to the American Academy of Pediatrics, American Medical Association, American Psychiatric Association, American Psychological Association, Endocrine Society and WPATH. The letters ask each group to state in writing its current position on what HHS calls sex-rejecting procedures for minors, the evidence behind it, any planned revisions to its guidance and a timeline, within 10 business days. The letter to the psychiatric association also asks about planned DSM revisions. HHS says its first request, sent Dec. 30, 2025, went unanswered; the letters name no specific penalty but warn that continued silence will speak for itself.