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Around 155,000 total federal inmates
Roughly 2,000 identify as transgender
Only about 22 transgender women were housed in women’s prisons at the time
They argue the policy affects a very small group but addresses broader safety concerns.
What Critics and Courts Say
Critics — including civil rights groups and medical experts — argue the policy ignores real risks.
Within weeks, federal courts began pushing back.
Senior Judge Royce Lamberth ruled that parts of the policy appeared “arbitrary and capricious” and ordered prisons to continue providing hormone therapy — calling it medically necessary care already prescribed by prison doctors.