LGBTQ Rights

Research about endometriosis, suicide risk had been removed from a government website due to an executive order prohibiting “gender ideology”

Stay takes effect while ACLU lawsuit proceeds in federal court

Attorneys representing transgender, nonbinary, and intersex Americans asked the Supreme Court today to reject a request from the Trump administration to stay a preliminary injunction in Orr v. Trump.

In March 2025, doctors from Harvard Medical School challenged the removal of their articles from the Patient Safety Network (PSNet), a government-run website for doctors and medical researchers to share information about medical errors, misdiagnoses, and patient outcomes. The papers were removed as part of a takedown of information that the government contends promotes “gender ideology,” including any articles containing certain prohibited terms, including “LGBTQ” and “trans[gender].” The articles removed include “Endometriosis: A Common and Commonly Missed and Delayed Diagnosis,” co-authored by plaintiff Dr. Celeste Royce, which included a sentence about diagnosis in transgender and gender-nonconforming people, and “Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings,” co-authored by plaintiff Dr. Gordon Schiff, which included a sentence about heightened risk in LGBTQ communities. The researchers are represented by the Media Freedom and Information Access Clinic at Yale Law School, the American Civil Liberties Union, and the ACLU of Massachusetts. In January 2025, President Donald Trump signed an executive order that required federal agencies to remove all statements that “promote or otherwise inculcate gender ideology.” The Office of Personnel Management (OPM) subsequently issued guidance directing all agencies to “[t]ake down all outward facing media (websites, social media accounts, etc.) that inculcate or promote gender ideology.” PSNet’s removal of articles based on blacklisted terms followed. PSNet is run by the Agency for Healthcare Research and Quality (AHRQ), a sub-agency of the U.S. Department of Health and Human Services (HHS). The suit argues that the government violated the First Amendment by imposing a viewpoint-based and unreasonable restriction on the doctors’ participation in a forum the government has opened to private speakers. It also argues that the government violated the Administrative Procedure Act, including by removing articles without a reasoned basis. OPM, AHRQ, and HHS are named in the suit. The complaint was filed in the U.S. District Court for the District of Massachusetts.

Update: In March 2024, the Rural Justice Network and ACLU of Massachusetts announced a settlement in their lawsuit against the Town of North Brookfield, following an earlier announcement that a local Pride event will go forward as planned on June 29. In December 2023, the ACLU of Massachusetts filed a lawsuit against the North Brookfield Select Board and two of its members after they refused to grant permission for a 2024 Pride celebration on the Town Common because the event would include drag performance. The lawsuit was filed on behalf of the Rural Justice Network. According to the complaint, the Select Board’s actions violate free expression and assembly rights, and unlawfully discriminate on the basis of gender. Furthermore, by denying this permit, the Select Board continues an alleged pattern of discriminatory treatment. In October 2023, the Rural Justice Network requested permission to host its fourth annual Small Town Pride celebration on the North Brookfield Town Common in June 2024. During a November Board meeting, after event organizers confirmed the celebration would include a drag performance that would not be hidden from public view in a tent, the Chair and Vice Chair refused to approve the Rural Justice Network’s request and explained that the decision meant that the application for the event permit “doesn’t go forward.” This followed the Chair and Vice Chair’s previous attempts to deny the Rural Justice Network the right to include any drag performance in its 2023 Small Town Pride celebration — simply because the officials personally believed that such performance is “wrong.” The 2023 event ultimately went forward as planned after the ACLU and North Brookfield’s legal counsel became involved. In the face of the clear legal advice previously provided, this lawsuit alleges that the latest action by the Chair and Vice Chair is a blatant and intentional violation of free speech, assembly, and anti-discrimination laws. The lawsuit, filed in Worcester County Superior Court, seeks relief to allow the Rural Justice Network to host its 2024 Small Town Pride celebration, including drag performance, and to prevent further obstruction in the future.

The ACLU of Massachusetts, together with the law firm Zalkind Duncan & Bernstein LLP, filed a lawsuit on behalf of two LGBTQ rights protesters, challenging state regulations that unconstitutionally restrict the rights to free speech and expression on public lands.

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