(ABC 6 News) – The Trump administration is introducing a series of proposed actions to limit access to gender-affirming care for minors.

The decision comes after the U.S. Department of Health and Human Services’ (HHS) report from last month found that harms from sex-rejecting procedures can be long-term.

“So-called ‘gender-affirming care’ has inflicted lasting physical and psychological damage on vulnerable young people,” HHS secretary Robert F. Kennedy Jr. said. “This is not medicine. It it malpractice.”

However, not all medical experts are on board.

Dr. Kade Goepferd, the chief education officer at Children’s Minnesota, said decisions related to a patient’s care should come from a doctor after discussing what is best between the patient and their parents.

“The people who have the expertise in that care, the health care providers, should be able to make those decisions with parents and with patients based on that individual patient and what’s best for them.” Goepferd said.

The proposal from HHS only applies to hospitals that participate in Medicare and Medicaid, meaning minors seeking gender-affirming care may have to go to a smaller practice – ones that are used to referring people to larger facilities.

“My worry is that it’s going to put pressure on potentially rural physicians who are not very familiar with this care to provide care for desperate young people and their families,” Goepferd said.

As for how hospitals will look to manage these potential cuts, right now, it’s still unclear.

“Conditions of participation for Medicaid services are designed to increase care – to increase something you’re doing to make care safer or higher quality or follow a new guideline,” Goepferd said.

Minnesota Attorney General Keith Ellison announced Tuesday evening that the state would join 19 others in suing to stop HHS from moving forward with these plans to limit gender-affirming care for young people.