
New York Attorney General Letitia James has spearheaded a lawsuit against the U.S. Department of Health and Human Services (HHS), leading a coalition of 11 other states. The legal action arises from HHS's new policy that imposes strict, non-inclusive definitions of sex, threatening to revoke substantial federal funding from states that refuse to comply with discriminatory measures against transgender individuals. The policy, tied to a presidential executive order, challenges the protections set by Title IX – a historic statute designed to prevent sex-based discrimination in federally funded education programs.
According to a press release by the Office of the Attorney General, New York alone stands to lose more than $80 billion in grants, which support essential health services, innovative research and vital educational programming. “This policy threatens health care for families, life-saving research, and education programs that help young people thrive in favor of denying the dignity and existence of transgender people,” James said.
The contentious HHS directive could affect a swath of critical programs, from immunization efforts to HIV prevention and treatment, holding states accountable under vague conditions for existing and new grants. "HHS threatens to terminate grants, demand repayment of funds already spent, or pursue civil or criminal penalties against any state or institution it deems to be non-compliant," James highlighted, signaling the extensive influence such a policy could wield on public health infrastructure. The Attorney General's Office emphasized the coalition's stance that HHS oversteps its legal authority and violates the Constitution by essentially commandeering Congressional spending prerogatives.
The lawsuit claims that the new policy not only undermines established court interpretations of Title IX but also creates a direct conflict with state laws that affirm the rights and identities of transgender communities. In New York, for instance, discrimination based on gender identity or expression is expressly prohibited. “New York’s constitution protects the right of New Yorkers to express their gender identity free from discrimination,” James reaffirmed, asserting also the state’s Educational Law ensuring inclusion in academic centers, as noted by the Attorney General's Office.
Joining New York in this legal challenge are California, Colorado, Delaware, Illinois, Michigan, Minnesota, Nevada, Oregon, Rhode Island, Vermont, and Washington.









