WASHINGTON (AP) — The Supreme Court on Wednesday refused to allow the Trump administration to immediately enforce new medical restrictions for transgender people in prison.
The decision leaves in place a lower-court block on the policy. It was adopted after an executive order from President Donald Trump, a Republican who has taken several steps to roll back transgender rights during his second term.
The brief order did not detail its legal reasoning. Justice Samuel Alito and Clarence Thomas would have allowed the policy to be enforced as the lawsuit played out in lower courts.
The Supreme Court has previously allowed other policies for transgender people to move ahead for now, including restrictions on military service and passport sex markers.
Trump's order called on the Bureau of Prisons to revise its medical care policies so that federal funds aren’t spent “for the purpose of conforming an inmate’s appearance to that of the opposite sex.”
The new policy would halt surgeries, taper off hormones and end social accommodations like makeup and wigs. Prisons would continue to offer mental health services.
Attorneys for transgender inmates challenged the policy in court and U.S. District Judge Royce Lamberth ordered treatments to continue. Lamberth, who was nominated to the bench by Republican President Ronald Reagan, pointed out that untreated gender dysphoria can cause severe side effects like depression, anxiety and suicidal thoughts.
The Trump administration appealed, arguing that treatments raised security concerns and “could no longer be justified.” A divided appeals court panel left the order in place.
About 600 inmates were receiving hormone therapy in 2025, the agency said in court records. Withdrawing care would have significant effects on their bodies and mental health, their lawyers said. The government has not detailed evidence of security problems linked to hormone therapy for transgender inmates over the 30 years it has been provided, they wrote.
The conservative-majority Supreme Court has previously upheld state laws banning certain medical treatments for transgender youth, and restricting sports participation by transgender athletes in women’s sports.
FILE - The Supreme Court is pictured Monday, Oct. 5, 2026, in Washington. (AP Photo/Mariam Zuhaib, File)
ROME (AP) — Manchester United is hardly putting up a fight in the Champions League these days.
Michael Carrick’s struggling team was beaten 4-1 at competition newcomer Como on Wednesday and United has now been outscored 6-1 in its last two European matches.
Nico Paz scored twice and also set up another score for Cesc Fabregas’ Como, which was playing in the fourth division of Italian soccer just seven years ago.
In the other early game, Galatasaray won 4-2 at Lille with Victor Osimhen scoring against one of his former clubs.
Paz has been auditioning to take over Lionel Messi’s playmaker spot with Argentina and his performance against United was a case in point.
At the tiny 10,000-seat Giuseppe Sinigaglia stadium, Paz put Como ahead two minutes in with a curling shot from the edge of the area when Harry Maguire allowed him some space.
United became the first English team to concede in the opening two minutes of consecutive major European matches after Pablo Barrios scored in the opening minute of Atletico Madrid’s 2-0 win last week.
Tasos Douvikas then took a pass from Paz before lobbing in over goalkeeper Senne Lammens for his third goal in three Champions League matches.
For Como’s third, Paz went in virtually uncontested before shooting around Lammens. Center back Jacobo Ramon scored Como's fourth.
Joshua Zirkzee pulled one back for United in the stoppage time.
United has won only one of its last 11 Champions League away matches.
Como moved up to sixth in the standings, while United dropped to 20th.
In France, 19-year-old Soriba Diaoune scored twice for Lille in the first half but it was 2-2 at the break before an own goal and a strike from Osimhen put Galatasaray in control.
It was Galatasaray’s first win of this season’s competition, while Lille has now lost all three of its matches.
In the late games, six-time winner Bayern Munich plays last season’s runner-up Arsenal and Real Madrid warms up for this weekend’s clasico by facing Leipzig.
Also, Italian champion Inter Milan meets Shakhtar Donetsk at the San Siro still seeking its first points in this year’s competition.
The match in Munich pits one of Europe’s most devastating attacking units against the most well-organized defense on the continent.
Bayern, which has four points from a possible six in the Champions League so far, is coming off a 6-1 win over Leipzig in the Bundesliga that makes it 36 goals in 10 games this season.
Arsenal has yet to concede a goal after back-to-back wins in Europe and is tied for the best defensive record in the Premier League with five goals conceded in seven games of its title defense.
Bayern coach Vincent Kompany has a viral infection and is doubtful to attend the game. Midfielder Joshua Kimmich has been ruled out for personal reasons following a death in his family, Bayern said Wednesday.
José Mourinho’s Real Madrid is involved in an ongoing battle with the Spanish league over alleged refereeing controversies and will want a more straightforward match after needing three goals in the final 10 minutes to beat Roma last week.
Madrid visits Spanish league leader Barcelona on Sunday.
Also Wednesday, it's: Real Betis vs. Feyenoord; Club Brugge vs. Lens; Aston Villa vs. Viking; and Sporting Lisbon vs. LASK.
See AP’s full soccer coverage here
Manchester United's head coach Michael Carrick stands near the bench before the Champions League opening phase soccer match between Como and Manchester United in Como, Italy, Wednesday, Oct. 21, 2026. (AP Photo/Antonio Calanni)
Como's Nico Paz, left, challenges for the ball with Manchester United's Mason Mount during the Champions League opening phase soccer match between Como and Manchester United in Como, Italy, Wednesday, Oct. 21, 2026. (AP Photo/Antonio Calanni)
Manchester United's Mason Mount gestures after Como scored the second goal during the Champions League opening phase soccer match between Como and Manchester United in Como, Italy, Wednesday, Oct. 21, 2026. (AP Photo/Antonio Calanni)
Como's Jacobo Ramon celebrates scoring his side's fourth goal during the Champions League opening phase soccer match between Como and Manchester United in Como, Italy, Wednesday, Oct. 21, 2026. (AP Photo/Antonio Calanni)
Manchester United's Mason Mount is dejected after Como scored their fourth goal during the Champions League opening phase soccer match between Como and Manchester United in Como, Italy, Wednesday, Oct. 21, 2026. (AP Photo/Antonio Calanni)
Real Madrid's head coach Jose Mourinho sits on the bench before the La Liga soccer match between Real Madrid and Sevilla in Madrid, Spain, Sunday, Oct. 18, 2026. (AP Photo/Manu Fernandez)
Arsenal goalkeeper David Raya attends a press conference in Munich, Tuesday Oct. 20, 2026, a day ahead of the Champions League soccer match between FC Bayern Munich and FC Arsenal on Wednesday. (Angelika Warmuth/dpa via AP)
Arsenal coach Mikel Arteta attends a press conference in Munich, Tuesday Oct. 20, 2026, a day ahead of the Champions League soccer match between FC Bayern Munich and FC Arsenal on Wednesday. (Angelika Warmuth/dpa via AP)
Arsenal's Bukayo Saka and Viktor Gyokeres, right, attend a training session in London Colney, England, Tuesday Oct. 20, 2026. (John Walton/PA via AP)
Bayern Munich's Harry Kane attends a training session ahead of the Champions League, opening phase soccer match against Arsenal, in Munich, Germany, Tuesday, Oct. 20, 2026. (Angelika Warmuth/dpa via AP)