In yet another victory for public health, President Donald Trump has signed an executive order aimed at restricting “gender-affirming care” for individuals under the age of 19.

The order seeks to prevent medical institutions that receive federal funding from providing such care—including puberty blockers, hormone therapies, and surgeries—and directs the Secretary of the Department of Health and Human Services to “take all appropriate actions to end the chemical and surgical mutilation of children.”

The order states that “it is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.”: