The University of Michigan’s medical center (Michigan Medicine) has said it will no longer provide gender-altering procedures to those under 19 years old, following an executive order signed by President Donald Trump in January, The Hill reported on Tuesday.

Michigan Medicine is one of 22 hospitals to have suspended gender-altering procedures for youth since the executive order ending federal support was signed.

Michigan Medicine’s transgender services webpage states that “in response to unprecedented legal and regulatory threats to our clinicians and our institution, we have made the difficult decision to stop prescribing puberty blockers and gender affirming hormones for patients under age 19. We understand how impactful these changes will be to many of you. Your safety and well-being is important to us, and we are committed to supporting you during this challenging time.”

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