DENVER (AP) — The Colorado Supreme Court has ordered Colorado’s largest provider of gender-affirming care for young people to resume medical treatments like puberty blockers and hormone therapy despite threats that providing the care could lead to losing federal funding.
Children’s Hospital Colorado suspended medical treatments for transgender patients under 18 in January after it said the U.S. Department of Health and Human Services opened an investigation into its treatments following a series of clashes between President Donald Trump's administration and advocates over transgender health care for children.
The hospital said in a statement that it is reviewing Monday's court ruling and considering its next steps. It previously said it would continue to provide mental health treatment for minors and also medical treatment for patients aged 18 to 21.
Four transgender girls, ranging from age 10 to 17, sued the hospital, through their parents, alleging that the hospital was violating the state’s antidiscrimination law by refusing to provide them treatment both because of their gender identity and their disability, gender dysphoria. Gender dysphoria is the distress caused when someone’s gender expression doesn’t match their sex assigned at birth.
The girls said they feared not being able to get medication and monitoring to prevent them from undergoing puberty and developing male traits. And they cited mental health fallout, including depression and suicidal ideation.
The court sided with the girls in a 5-2 ruling, finding that the decision to shutter the services for minors violated a state antidiscrimination law. In the majority opinion, Justice William Wood III said, “We conclude that the actual immediate and irreparable harm to petitioners outweighs the speculative harm CHC may face if the federal government further acts against it.”
In a dissent, Justice Brian Boatright said the hospital didn't make its decision to stop the case because of the gender identity of the patients. Rather, he wrote, “It was a decision driven by the direct threat to the viability of the entire hospital.”
A Kansas judge also sided with transgender minors in a ruling last week.
The Colorado hospital’s TRUE Center, which focuses on gender-affirming care, is one of the largest programs in the country and the only comprehensive care center in the Rocky Mountain region, according to the lawsuit.
Children’s Hospital Colorado said the HHS opened the investigation of the hospital after Health and Human Services Secretary Robert F. Kennedy Jr. issued a declaration that called treatments like puberty blockers, hormone therapy and surgeries unsafe and ineffective for children and adolescents experiencing gender dysphoria, or the distress when someone’s gender expression doesn’t match their sex assigned at birth.
An Oregon-based federal judge ruled in March for Colorado and 20 other states that Kennedy's declaration went too far.
Mulvihill reported from Haddonfield, New Jersey.
FILE - The Ralph Carr Judicial Building, which houses the Colorado Supreme Court and Colorado Court of Appeals, in Denver on Jan. 14, 2026. (AP Photo/David Zalubowski, File)
VILNIUS, Lithuania (AP) — Residents of Vilnius were told to take shelter and Lithuania's president and prime minister were taken to safe locations Wednesday because of an alarm over drone activity near the border with Belarus, underlining jitters on NATO's eastern flank over incursions related to Russia's war with Ukraine.
An emergency announcement from the military told people in the Vilnius region to “immediately head to a shelter or a safe place.”
The alert, which lasted for about an hour, also led to the closure of the airspace over Vilnius Airport. President Gitanas Nauseda and Prime Minister Inga Ruginiene were taken to shelters, and there was also an evacuation order at Lithuania's parliament, the Seimas, the BNS news agency reported.
It was the first major alert that sent residents and political leaders in a European Union and NATO capital rushing to shelters since Russia’s full-scale invasion of Ukraine in February 2022.
Lithuania borders Russia-allied Belarus to the east and Russia's Kaliningrad exclave to the west. Wednesday's alert came after the military said it detected drone activity in Belarus, but no drones were sighted over Lithuania.
On Wednesday, NATO Secretary-General Mark Rutte commended the alliance’s reaction to several drone incidents in recent days, saying that they had been met with “a calm, decisive and proportionate response.” Rutte said: “This is exactly what we planned and prepared for,” and he blamed Russia’s war on Ukraine for the problem.
In recent months, Ukrainian drones aimed at Russia have crossed or come down in NATO territory on numerous occasions. Western officials have blamed what they say is likely Russian electronic jamming of the drones. Russia, meanwhile, has renewed threats that it would retaliate if Ukrainian drones are launched from Baltic countries or if those countries are complicit in their use against Russia.
On Tuesday evening, Lithuanian Foreign Minister Kęstutis Budrys wrote on social media that “Russia is deliberately redirecting Ukrainian drones into Baltic airspace while waging smear campaigns” against Lithuania, Latvia and Estonia. “It’s a transparent act of desperation — an attempt to sow chaos and distract from a simple reality: (Ukraine) is hitting Russian military machine hard.”
Budrys' comment came hours after a NATO jet shot down a Ukrainian drone over southern Estonia. Ukraine apologized for that “unintended incident,” without specifying what had happened.
Last week, Latvia’s government collapsed following an argument over the handling of multiple incidents involving stray drones suspected to be from Ukraine. The defense minister was forced to quit after his party withdrew its support for him, and the prime minister then resigned. The governing coalition had been under strain for months over several other issues.
In a recent escalation of aerial attacks, Russia and Ukraine have sometimes fired hundreds of drones a day at each other.
Ukraine’s air force said Wednesday that it shot down 131 out of 154 drones that Russia launched overnight. The ones that got past air defenses killed three civilians and wounded 18 others, including two children, officials said.
Ukraine, meanwhile, continued its aerial campaign against Russia’s vital oil industry, with the General Staff reporting its drones struck a major Russian oil refinery and a pipeline pumping station overnight.
Russian media reports also indicated that a chemical plant in the southern Stavropol region was hit and caught fire, although local officials didn’t confirm any direct hit.
The U.K. government, a strong supporter of Ukraine's war effort, has loosened strict sanctions on Russian oil refined into diesel and jet fuel in third countries as prices rise due to the Iran war.
The waiver begins Wednesday and reflects growing supply concerns over certain fuels due to the effective blockade of the key Strait of Hormuz waterway.
That step comes two days after U.S. Treasury Secretary Scott Bessent announced that Washington was granting a 30-day extension for countries to import Russian oil that is already in tankers at sea, a move that is meant to reduce the oil supply shortages.
The announcement marked a continued policy reversal by the Trump administration, which had previously said the sanctions on Russian oil would resume. Originally announced in early March, the temporary waiver on the sanctions was first renewed in April.
Geir Moulson in Berlin, Lorne Cook in Brussels, Hanna Arhirova in Kyiv, Ukraine and Barry Hatton in Lisbon, Portugal contributed to this report.
Follow the AP’s coverage of the war in Ukraine at https://apnews.com/hub/russia-ukraine
In this photo provided by the Ukrainian Emergency Services on Wednesday, May 20, 2026, rescue workers put out a fire of a residential building damaged after a Russian strike on Konotop, Ukraine. (Ukrainian Emergency Service via AP)
The phone shows the received message "The Lithuanian military reports: "AIR DANGER. Hurry to cover or a safe place without delay, take care of your loved ones, wait for further recommendations. We will inform you about the end of the danger in a separate message", in Vilnius, Lithuania, Wednesday, May 20, 2026. (AP Photo/Mindaugas Kulbis)
The phone shows the received message "The Lithuanian military reports: "AIR DANGER. Hurry to cover or a safe place without delay, take care of your loved ones, wait for further recommendations. We will inform you about the end of the danger in a separate message", in Vilnius, Lithuania, Wednesday, May 20, 2026. (AP Photo/Mindaugas Kulbis)
