'No Alternatives Left': VCU Health Halts Gender-Affirming Care for Minors

Changes in Gender-Affirming Care at VCU Health

Virginia Commonwealth University (VCU) Health has announced that it will no longer provide gender-affirming care to individuals under the age of 19. This decision comes after a thorough review, with officials stating that there are currently no other viable options for the hospital to remain in compliance with federal and state regulations.

On July 29, the webpage detailing transgender care at the Children’s Hospital of Richmond at VCU was updated to reflect this change. The statement said the facility would “cease providing gender-affirming care” for “youth under age 19.” VCU Health explained that this decision aligns with similar actions taken by other children’s hospitals and academic medical centers across the country.

Understanding Gender-Affirming Care

Gender-affirming care refers to a range of medical and psychological services designed to support individuals whose gender identity does not match their sex assigned at birth. These services can include medical evaluations, hormone management, mental health care, voice therapy, and referrals to specialists. They may also involve prescription medications or surgical procedures, depending on the individual's needs.

The decision to stop offering gender-affirming care for those under 19 is influenced by previous policy changes. During President Donald Trump’s second term, an executive order was issued that cut federal funding from institutions providing gender-affirming care. This order, titled “Protecting Children from Chemical and Surgical Mutilation,” defined a “child” as someone 18 years old or younger. It described gender-affirming care as “chemical and surgical mutilation,” including the use of puberty blockers, hormone treatments, and surgeries.

Previous Changes at VCU Health

This is not the first time VCU Health has altered its approach to gender-affirming care. On January 30, the hospital suspended both gender-affirming surgery and medications for patients under 19. However, in late February, it resumed offering medications to current patients under 19 while maintaining the suspension on surgeries.

With the latest update on July 29, VCU Health will no longer provide any form of gender-affirming care to patients under 19, including non-medication and non-surgical interventions. Officials have stated that they will “wind down” these services over a 90-day period, ensuring a smooth transition for existing patients.

Support for Patients and Families

VCU Health acknowledged the difficulty this change may cause for patients, families, and community members. The hospital emphasized its commitment to supporting affected individuals during the transition. Care teams will work to assist with safe transfers of care, taking into account each patient’s unique needs.

In addition, VCU Health has expanded access to mental health services for those impacted by the decision. For individuals not in crisis, the Virginia Treatment Center for Children can be reached at 804-828-3137. In cases of emergency, patients are advised to call 911, visit the nearest emergency room, or contact their local community services board.

Continued Access to Healthcare

Despite the changes, VCU Health reiterated that it remains open to all patients for general healthcare needs. The hospital encourages individuals to seek care for other medical concerns, emphasizing that its doors are still open for comprehensive health services.

For more details, VCU Health has provided a full statement and accompanying frequently asked questions (FAQ) document. This information offers further insight into the reasons behind the decision and the steps being taken to support affected patients.