Department of Health and Human Services (HHS) issued a new rule in April that — by the end of 2026 — required states forbid a percentage of their foster homes from adopting to parents who do not agree to affirm a trans child’s gender identity or refuse to assist the child’s sex change. The percentage is unspecified.
Under the new rule governing designated foster homes:
“First, the provider must commit to establishing an environment that supports the child’s LGBTQI+ status or identity. Second, the provider must be trained with the appropriate knowledge and skills to provide for the needs of the child related to the child’s self-identified sexual orientation, gender identity, and gender expression. Third, the provider must facilitate the child’s access to age- or developmentally appropriate resources, services, and activities that support their health and well-being. HHS has concluded that these conditions are generally necessary to effectuate the statutory promise of a safe and appropriate placement for children who are LGBTQI+ because of the extensive evidence of the specific needs LGBTQI+ children have which require more specialized support,”
The initial proposal put forth by HHS last fall suggested that all foster care facilities country-wise adhere to the above criteria, but its implementation was slightly tempered after the department received more than 13,000 public comments and backlash from some members of Congress. Still, in its current form — and assuming the 15 percent compliance rate suggested by HHS — as many as 30,000 foster homes will soon be forced to facilitate sex changes in minors.
Roughly 78 percent of Americans do not support sex changes for minors, and are therefore unfit adopt children in the eyes of Biden’s HHS. The law will further alienate Christian foster parents — who are already being stonewalled in states with similar legislation already in place.
Last year in Oregon, a Christian mom of five was barred from adopting two additional children due to her refusal to assist one in receiving cross-hormone injections. Her refusal did not adhere to Oregon’s law that foster parents must “support” a child’s “sexual orientation, gender identity, [and] gender expression.”
Despite the overwhelming populist support against these initiatives, Hollywood remains in steadfast support of “gender affirming care” in minors. Singer Ariana Grande started a fund “advocating for the rights of trans youth” which has raised more than $3 million to date.

