美国上诉法院恢复司法部对变性医疗服务提供商的传票


作者:迈克·斯卡塞拉
2026年8月14日 美国东部时间下午6:32 / 更新于1小时前 / 路透社

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  • 内容摘要
  • 上诉法院将案件发回西雅图法官审理
  • 此次裁决是美国上诉法院首次支持特朗普政府司法部针对未成年人变性医疗服务提供商的传票
  • 传票要求提供人事记录、账单信息和患者病历

华盛顿8月14日路透电 — 美国联邦上诉法院周五为唐纳德·特朗普政府的法律主张提供了支持,该政府试图从为未成年人提供变性医疗服务的机构处获取数据,恢复了下级法院以政治动机为由驳回的司法部传票。

由旧金山第九巡回上诉法院组成的分歧合议庭在裁决中表示,西雅图的一名联邦法官错误认定,在远程医疗提供商QueerDoc提起的诉讼中,司法部的传票是恶意签发的。

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QueerDoc为被诊断为性别焦虑(即出生时性别与性别认同不一致导致的痛苦)的患者,包括未成年人,提供变性医疗护理。作为特朗普政府向全美各地医院和诊所提出的类似要求浪潮的一部分,该传票要求获取人事记录、账单信息、患者病历及其他相关资料。

“总统可以指示司法部以符合其更广泛政策目标的方式行使法定职权,”由前总统乔治·W·布什任命的巡回法院法官卡洛斯·贝写道。他与特朗普任命的巡回法院法官丹尼尔·布雷斯达成一致意见。巡回法院法官理查德·派兹发表了反对意见。

QueerDoc的律师未立即置评。司法部也未立即回应置评请求。

特朗普下令终止变性医疗资助

特朗普今年1月就职后签署了一项行政命令,终止联邦政府对跨性别青少年变性医疗护理的资助或支持,并指示司法部优先调查此类治疗方案。

周五的裁决标志着美国上诉法院首次支持特朗普政府司法部针对为未成年人提供变性医疗护理的医院和诊所签发的传票。此前多名下级法院法官已驳回了此类要求。

司法部在上诉中辩称,该传票是“司法部在医疗领域一贯签发的传票——旨在获取记录以正式调查潜在的联邦犯罪行为”。

在反对意见中,由前总统比尔·克林顿任命的派兹表示,有“大量证据证实,司法部利用刑事调查的威胁向医疗服务提供商施压,迫使他们停止提供变性医疗护理”。

法院并未下令QueerDoc提交传票要求的文件。而是将案件发回西雅图的美国地区法官贾马尔·怀特黑德,由其就QueerDoc提出的传票范围过宽、会给这家小型诊所造成不当负担的论点作出裁决。

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迈克·斯卡塞拉报道;大卫·巴里奥和罗德·尼克尔编辑

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US appeals court revives Justice Department subpoena to gender-affirming care provider

By Mike Scarcella
2026-08-14 6:32 PM UTC / Updated 1 hour ago / Reuters

A person holds a Progress Pride Flag during the “International Rally + March on Washington for Freedom” in support of LGBTQ+ rights as part of WorldPride in Washington, D.C., U.S., June 8, 2025. REUTERS/Gabriel V. Cardenas/File Photo Purchase Licensing Rights

  • Summary
  • Appeals court sends case back to Seattle judge
  • Ruling marks first US appeals court decision upholding Trump DOJ subpoena targeting providers treating minors
  • Subpoena seeks personnel records, billing information, patient records

WASHINGTON, Aug 14 (Reuters) – A U.S. ​federal appeals court handed President Donald Trump’s administration a legal victory on Friday in its ‌efforts to seek data from providers of transgender health care to minors, reinstating a Justice Department subpoena that a lower court had blocked as politically motivated.

In its ruling, a divided panel of the San Francisco-based 9th U.S. Circuit Court of Appeals said a ​federal judge in Seattle wrongly concluded the Justice Department’s subpoena was issued in bad faith in ​a lawsuit brought by telehealth provider QueerDoc.

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QueerDoc provides gender-affirming care for patients, including minors, ⁠diagnosed with gender dysphoria, which is distress from a mismatch between a patient’s sex at birth and ​gender identity. The subpoena, part of a wave of similar demands from the Trump administration to hospitals and ​clinics across the country, sought personnel records, billing information, patient records and other information.

“The President may direct DOJ to exercise its statutory authority in a manner that aligns with his broader policy goals,” wrote Circuit Judge Carlos Bea, who was appointed by former ​President George W. Bush. He was joined by Trump appointee Circuit Judge Daniel Bress. Circuit Judge Richard ​Paez wrote a dissent.

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A lawyer for QueerDoc had no immediate comment. The Justice Department did not immediately respond to a request ‌for ⁠comment.

TRUMP ORDERED END TO FUNDING GENDER-AFFIRMING CARE

After taking office in January, Trump signed an executive order ending federal funding or support for gender-affirming care for transgender youth, and directing the Justice Department to prioritize investigations into such treatments.

Friday’s ruling marked the first time a U.S. appeals court has upheld a subpoena issued by the Trump ​administration’s Justice Department targeting hospitals ​and clinics that provide ⁠gender-affirming care to minors. Many lower court judges have blocked the demands.

The Justice Department argued in the appeal its subpoena was one “that the Department issues all the time ​in the health care space — seeking records so it can duly investigate potential ​federal offenses.”

In his ⁠dissent, Paez, an appointee of former President Bill Clinton, said there was “a mountain of evidence that corroborates that DOJ used the threat of criminal investigation to pressure health care providers to stop offering gender-affirming care.”

The court did not ⁠order ​QueerDoc to produce the documents sought by the subpoena. It sent ​the case back to U.S. District Judge Jamal Whitehead in Seattle to rule on QueerDoc’s arguments that the subpoena is overbroad and would ​impose an undue burden on the small clinic.

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Reporting by Mike Scarcella; Editing by David Bario and Rod Nickel

Our Standards: The Thomson Reuters Trust Principles.

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