The order aims to prevent gender-affirming care for Americans under nineteen by withholding federal funding and directing agencies to take steps to prevent various essential gender-affirming treatments, including surgeries, hormone therapy, and puberty blockers. The order characterizes gender-affirming care for minors as “chemical and surgical mutilation,” “maiming,” and “sterilizing” children. It asserts that “countless children” who receive such care will regret the “horrifying tragedy” of being unable to have their own children or breastfeed. It also prohibits the Federal Government from funding, sponsoring, promoting, assisting, or supporting any person under nineteen’s transition. The order directs the Department of Health and Human Services to review insurance terms under Medicare, Medicaid, and the Affordable Care Act to eliminate specific gender-affirming care coverage, instructs federal agencies that provide grants to medical institutions to ensure these institutions are not performing any gender-related procedures, and protects “whistleblowers” who report institutions providing gender-affirming care.