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New York City has been ground zero in the fight over Trump’s campaign to scare hospitals into dropping gender-affirming care for trans youth. When Zohran Mamdani ran for mayor, he promised to fight back — showing up to protests outside NYU Langone, pledging $65 million for gender-affirming care, and vowing to use every lever of city power to protect trans New Yorkers from federal intimidation. Since taking office, those promises have largely gone unfulfilled: no enforcement action against the hospitals that shuttered their programs, no fines from the Commission on Human Rights despite complaints open for over a year, and no public accounting of the promised funding. So when Health Commissioner Dr. Alister Martin announced Friday that the city would open its first-ever direct-care clinic for transgender people, it seemed like the administration was finally delivering. It isn’t. This morning, Erin in the Morning can confirm that Mayor Mamdani’s new clinic will deny care to anyone under 19 years of age — adopting the exact age cutoff from Trump’s anti-trans executive orders.

“Transgender, gender-nonconfirming, and nonbinary New Yorkers deserve age-appropriate health care that is affirming, respectful, and considerate of all their needs. That’s why, for the first time later this summer, the NYC Health Department will be expanding services to provide gender affirming hormone therapy to adults 19 years of age and older at our Corona Sexual Health Clinic. As with the other clinic services, gender-affirming hormone therapy will be offered at no to low cost and regardless of immigration status. We look forward sharing more details upon launching the pilot,” said a NYC health Spokesperson in a statement to Erin In The Morning.

The confirmation comes after a city council budget hearing on Friday, where the exchange that first surfaced the clinic also revealed the administration’s reasoning. Councilmember Tiffany Cabán asked Commissioner Alister Martin — the city’s top public health official, appointed by Mamdani in January — whether the city would be expanding gender-affirming care. Martin announced the direct-care clinic, calling it “one of the first times a public health department has ever taken that step.” But when Cabán pushed back, pointing out that trans youth are the ones most under attack right now — noting that there are “almost no providers” left for youth the entire city — Martin indicated the clinic would not serve youth, citing the need to “strike a balance” between providing care and avoiding “clawbacks from the federal government.” This morning, EITM can directly confirm that the age cutoff is 19 — matching the Trump administration’s executive order threshold, not the standard legal age of adulthood in New York. Read the exchange:

Commissioner Alister Martin: “It’s incredibly important that we get the messaging right here and that we lean in on the comms and the campaign........

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