Chicago's largest children's hospital is pausing gender-affirming surgeries for minors after President Trump's executive order called for an end to surgeries and chemical interventions for transgender people under the age of 19.

Gender-affirming surgery is already banned in military healthcare systems but the new memo appears to target hormone therapy and other care.

The action at Lurie comes more than a week after President Donald Trump issued an executive order taking aim at gender-affirming care – including medications to delay puberty, hormone therapy and

“It’s a pocketbook issue,” said Dr. Anne Miller, a physician and board chair of the New York City chapter of LGBTQ advocacy nonprofit PFLAG, formerly known as Parents, Families, and Friends of Lesbians and Gays. “The hospitals talk about how they are there to provide this care… this tells patients that they don’t matter.”

Three Democratic states have sued the Trump administration over its order to ban federal funding for gender-affirming care for transgender people under 19.

Other hospitals, including Children’s Hospital Los Angeles, have paused some treatments after administration’s Jan. 28 statement

In Minnesota, multiple hospitals confirmed that they are still offering gender-affirming care, and no hospitals in the state have publicly announced any cuts or pauses that would affect transgender-specific medical services.

The lawsuit represents the strongest rebuke at the state level of Trump’s executive order targeting transgender healthcare.

Maryland will continue protecting access to gender-affirming care, despite the Trump administration's recent executive order stating that the United States would not support certain health care procedures.