The University of Michigan is ending gender-affirming care for minors, leaving an untold number of families with fewer options and greater uncertainty.

Gender-affirming care for minors is legal in Michigan, and major medical and mental-health associations recognize it as best practice. Research links it to lower depression and suicide risk. 

But a Michigan Medicine spokesperson said in a prepared statement that the risks of offering this care are now too high. This comes after it received a federal subpoena as part of a criminal and civil investigation into gender-affirming care for minors.

“We recognize the gravity and impact of this decision for our patients and our community. We are working closely with all those impacted,” the statement reads.

The announcement represents a profound loss for families. For some young people, it means a place they felt safe and could trust is closing its doors. And the consequences are real: more anxiety, more depression, greater risk of suicide.

Equality Michigan’s Emme Zanotti joined Robyn Vincent to discuss the impacts on Michigan families. Zanotti, a trans woman, also took off her advocate hat to reflect on the personal reverberations she feels at this moment.

Michigan Medicine did not respond to an email request about the number of patients who will be affected and how the hospital plans to assist patients during this transition. 

Editor’s Note: After this conversation aired, Corewell Health, a major healthcare provider in Michigan, also announced the end of its gender-affirming care. 

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In this episode

• Reasons behind the change with from the Michigan Department of Health and Human Services.
• Supporters and Opponents share their thoughts on the change. 

Subscribe to MichMash on Apple Podcasts, Spotify, NPR.org or wherever you get your podcasts.

The Whitmer administration is moving forward with changes to Michigan’s behavioral health system. As part of the weekly series MichMash, WDET’s Cheyna Roth and Gongwer News Service’s Zach Gorchow discuss how the proposal is being received by supporters and opponents, including Daniel Cherrin and Robert Sheehan.

Daniel Cherrin leads the MI Care Council, the Michigan Association of Substance Addiction Providers, and the MI Behavioral Health and Wellness Collaborative. He supports the changes, arguing they will make the system more accountable and efficient.

“Right now there are too many layers of behavioral services in the state of Michigan and too many conflicts of interest,” he says. “We support the state’s efforts because now they are asking Prepaid Inpatient Health Plans if they want to be a service provider or a funder. We want them to make a choice.”

Cherrin says the changes would also remove unnecessary gatekeepers in the system.

Robert Sheehan, executive director of the Community Mental Health Association of Michigan, takes the opposite view.

He believes the fundamental structure should not be dismantled in the name of reform. “There is a lack of uniformity with Medicaid benefits. Uniformity has a cost,” he says.

“If a town is told to do it a certain way but they have an innovative practice, they won’t be able to pursue it.” Sheehan argues the state needs a balance of uniformity and innovation.

Roth and Gorchow also spoke with Elizabeth Hertel, director of the Michigan Department of Health and Human Services, who explained the reasoning behind the changes.

The goal is to have the new system in place by October 1, 2026.

More from WDET:

• Detroit Evening Report: Michigan families, caregivers prepare for possible Medicaid cuts
• MichMash: Michigan Health and Hospital Association CEO says protecting Medicaid protects Michigan
• Slotkin talks Medicaid cuts in GOP’s ‘Big Beautiful Bill,’ voting against California EV mandate