2026-09-28T16:03:54.177Z / 美国有线电视新闻网（CNN）
作者：约翰·弗里茨
发布时间：2026年9月28日，美国东部时间下午12:03
唐纳德·特朗普总统的政府于周一敦促最高法院允许联邦监狱官员拒绝为跨性别囚犯提供某些类型的医疗护理，比如手术——这又将一项文化争议议题加入了最高法院日益紧凑的快速审理日程表。
这项始于特朗普第二任期初期的联邦监狱管理局政策，在经历一轮法庭纠纷后经过修改，允许为患有性别烦躁症的囚犯提供心理治疗和精神病诊疗服务，但不包括激素疗法、手术或“社会适应安排”。
此次上诉提交至由6名保守派大法官和3名自由派大法官组成的最高法院之际，美国 LGBTQ 群体正遭遇一系列法律挫折，包括近年多项裁决允许各州禁止为未成年人提供跨性别医疗护理，以及允许各州禁止跨性别运动员参加女子校队体育赛事。
特朗普在2024年总统竞选期间将打压跨性别美国人取得的法律胜利作为核心议题，而他的政府在最高法院的协助下，已经采取行动禁止跨性别者参军，并要求美国护照上的性别标识与旅行者的生理性别一致。
“公共利益远超对上诉人的任何不可弥补的损害，”美国司法部在向最高法院提交的紧急上诉书中写道，“2026年的政策为性别烦躁症提供了适当的个性化治疗，同时仅禁止那些医学上不必要的干预措施。”
在今年的一系列裁决中，美国地区法院和华盛顿特区联邦上诉法院均临时阻止了特朗普这项政策生效。本月早些时候，哥伦比亚特区巡回上诉法院在一份简短命令中认定，特朗普政府的这项政策很可能是武断且反复无常的，因为联邦监狱管理局未“充分”考虑“其在先前政策下提供性别确认护理的自身经验”。
最高法院可能会在几周内对这起紧急上诉作出裁决，这是本届政府近几周向最高法院提交的大量紧急诉讼中的最新一起。大法官们目前正在审议一起备受瞩目的上诉案件，涉及将移民驱逐至原籍国以外的国家，且不给予他们提出人权担忧的机会。
今年夏天，最高法院还审理了与特朗普相关的多起案件，涉及邮寄选票、白宫舞厅以及识别非公民选民的相关举措。
Trump asks Supreme Court to suspend transgender medical care in federal prisons
2026-09-28T16:03:54.177Z / CNN
By John Fritze
PUBLISHED Sep 28, 2026, 12:03 PM ET
The US Supreme Court, pictured in May.
Evelyn Hockstein/Reuters
President Donald Trump’s administration urged the Supreme Court on Monday to allow federal prison officials to deny certain types of medical care for transgender inmates, such as surgeries – putting another culture war issue on the high court’s burgeoning fast-track docket.
The Bureau of Prisons policy that began early in Trump’s second term – and that was modified after an early round of court battles – permits psychotherapy and psychiatry services for inmates with gender dysphoria, but not hormone therapies, surgeries or “social accommodations.”
The appeal reached the 6-3 conservative Supreme Court at a time when LGBTQ Americans have faced a series of legal setbacks, including back-to-back decisions in recent years that have allowed states to ban transgender care for minors and permitted states to prohibit transgender athletes from playing on girls’ sports teams in school.
Trump made clamping down on legal victories secured by transgender Americans a centerpiece of his presidential campaign in 2024, and his administration, with the Supreme Court’s help, has moved to ban trans people from serving in the military and to require that sex designation on US passports align with a traveler’s biological sex.
“The public interest substantially outweighs any irreparable harm to respondents,” the Justice Department told the Supreme Court in its emergency appeal. “The 2026 policy provides appropriate, individualized treatment for gender dysphoria, while disallowing only interventions that are medically unnecessary.”
In a series of rulings this year, a US district court and a federal appeals court in Washington, DC, blocked the Trump policy from taking effect in the short term. In a brief order earlier this month, the DC Circuit concluded that the administration’s policy was likely arbitrary and capricious because the Bureau of Prisons had not “adequately” considered “its own experience providing gender affirming care under its prior policy.”
The rush appeal, which the court will likely decide within a few weeks, was the latest in a deluge of emergency litigation the administration has filed at the Supreme Court in recent weeks. The justices are already considering a high-profile appeal seeking to remove migrants to countries other than their homeland without giving them an opportunity to raise human rights concerns.
Over the summer the court weighed Trump-related cases dealing with mail ballots, the White House ballroom and efforts to identify non-citizen voters.
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