If enacted, the orders – which NPR reports are scheduled for a rollout in early November – would dramatically reduce the number of providers able to treat trans teens, even in states where the care remains legal. Unable to keep their practices financially viable without reimbursements for care provided to Medicare and Medicaid recipients, the majority of medical professionals currently treating trans kids with puberty blockers, hormones or affirming forms of psychotherapy would be forced to stop providing such treatment. The result would be a back-door ban on transition-related care for minors nationwide: even in states that have not passed laws banning the care, like the one upheld in Skrmetti, trans teens and their families – even those are able to pay for the care – would not be able to find a doctor willing to help them.