Donald Trump Just Took His Prison Trans Care Fight Straight to the Supreme Court

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An MS-13 murderer who helped kill a 14-year-old boy is demanding taxpayer-funded hormone treatments in federal prison.

A federal judge keeps ruling that he should get them.

That’s why Donald Trump just took his prison trans care fight straight to the Supreme Court.

An 83-Year-Old Reagan Judge Overruling the Entire Federal Prison System

His name is Royce Lamberth.

He's 83 years old, appointed by Ronald Reagan in 1987, and he has now blocked Trump's Bureau of Prisons transgender medical policy repeatedly – first by enjoining the 2025 executive order memoranda, then by blocking the new 2026 policy twice after BOP spent months rebuilding it from scratch.

Every time the injunction is about to expire, Lamberth renews it.

That's not an accident.

Congress passed the Prison Litigation Reform Act specifically to stop federal judges from running prisons through open-ended injunctions.

The law caps prison injunctions at 90 days.

Lamberth's workaround: issue a new 90-day injunction the moment the old one expires – stacking them end-to-end to create a permanent judicial takeover of federal prison medical policy without ever making the particularized findings the law requires.

The D.C. Circuit Court, by a divided panel, let him get away with it.

So Trump's DOJ went to the Supreme Court.

The Science Lamberth Is Forcing Your Tax Dollars to Follow

Here's what Lamberth is actually protecting.

Biden's Bureau of Prisons built its transgender treatment policy on standards published by an organization called WPATH – the World Professional Association for Transgender Health.

Trump's BOP spent months reviewing those standards, assembled a 3,200-page administrative record and a 43-page legal memo, and concluded they don't hold up.

Turns out, WPATH reached a similar conclusion about itself.

The FTC sued WPATH in June 2026 for deceptive practices – for promoting procedures that harm patients who can't give informed consent.

When WPATH tried to get the case thrown out, it told the court that its standards of care represent just one side of a legitimate scientific debate – not settled consensus.

Read that again.

The organization whose guidelines are forcing your tax dollars to pay for prisoner hormone treatments just admitted in federal court that those guidelines are one side of an open scientific debate.

Justice Thomas flagged WPATH's credibility problems in his 2025 Skrmetti concurrence – the very opinion Trump's BOP cited when building its new policy record.

Countries across Europe have already abandoned WPATH standards for minors.

Lamberth is still forcing BOP to follow them – for convicted felons, on your dime.

What the Supreme Court Is Really Being Asked to Decide

Lamberth didn't just block BOP's policy.

He issued an injunction broader than the lawsuit itself.

The prisoners' own lawyers never asked the court to address the ban on sex-change surgeries.

Lamberth blocked it anyway – covering all 2,000 federal inmates diagnosed with gender dysphoria, including those who never requested any treatment at all.

That's a single district court judge substituting his own judgment for the Bureau of Prisons' expert prison administrators – on a nationwide basis, for every federal facility in America.

The Supreme Court that upheld state bans on transgender youth treatments in Skrmetti last year is now being asked whether one judge in Washington can force the federal government to fund those same treatments – for convicted felons – indefinitely.

Biden spent four years embedding WPATH standards across the federal government.

Trump has been pulling them out agency by agency.

Activist judges have been putting them back in – not through legislation, not through elections, but through an endless chain of 90-day injunctions that Congress specifically wrote the PLRA to prevent.

An MS-13 gang member who participated in the murder of a child is in federal prison right now demanding the hormone treatments a Reagan-appointed judge says Trump must provide.

And the organization whose standards justify that demand just told a federal court that those standards are one side of a scientific debate.

The Supreme Court needs to end this.


Sources:

  • D. John Sauer, "Application to Stay the Order of the United States District Court for the District of Columbia," U.S. Supreme Court, September 2026.
  • Tyler O'Neil, "WPATH Just Made an Earth-Shattering Admission in Court," Daily Signal, August 12, 2026.
  • "Advocates Call Out Transgender Health Group for Admitting Its Guidelines Are 'Opinions' in Fraud Case," Washington Examiner, August 11, 2026.
  • "Judge Weighs Whether Prisons Can Phase Out Hormone Drugs for Transgender Inmates," Washington Examiner, May 27, 2026.
  • Chuck Sharman, "BOP Ordered to Restart Gender Affirming Care for Trans Prisoners," Prison Legal News, July 1, 2026.