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On Monday, the Trump administration published a new rule in the Federal Register that could affect more than $30 billion in U.S. foreign aid distributed to international organizations. The funding — supporting hospital clinics, HIV/AIDS programs, educational institutions, and more — would be conditioned on sweeping new restrictions barring “social transition” and gender-affirming care at any age, including therapy and counseling. While the administration has already frozen large portions of foreign aid, this rule would formalize those efforts and dramatically expand their reach, with potentially severe consequences for transgender people worldwide as the administration escalates its campaign against transgender lives both at home and abroad.

The rule, titled “Combating Gender Ideology in Foreign Assistance,” would impose sweeping conditions on U.S. foreign aid that effectively bar recognition of transgender people and the care they need to live safely and equally. It is modeled loosely on the Mexico City Policy, which restricts aid to organizations that provide abortion services, but goes significantly further. Rather than targeting specific medical procedures, the rule would apply broadly to any school, hospital, or organization receiving U.S. funding — or funded indirectly through partner organizations. Those........

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