Medical researchers win permanent restoration of research on federal website

Research about endometriosis, suicide risk had been removed from a government website due to an executive order prohibiting “gender ideology”

February 18, 2026 11:49 am

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BOSTON – Nearly a year after their scholarly research about endometriosis, suicide risk, and patient safety was removed from a government-hosted website because it included references to the LGBTQ+ community, two university researchers have secured a binding agreement requiring the government to maintain the court-ordered restoration of their and others’ work. The agreement prohibits the federal government from removing more research from the website in the future for the same ideological reasons.

The Trump administration had removed the research in early 2025 in accordance with an executive order from the Trump administration prohibiting the use of government funds to “promote” or “inculcate” so-called “gender ideology.”

The articles removed include “Endometriosis: A Common and Commonly Missed and Delayed Diagnosis,” co-authored by plaintiff Dr. Celeste Royce, which included a sentence about diagnosis in transgender and gender-nonconforming people, and “Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings,” co-authored by plaintiff Dr. Gordon Schiff, which included a sentence about heightened risk in LGBTQ+ communities.

"This agreement is a win for the First Amendment and for public health,” said Scarlet Kim, senior staff attorney with the ACLU. “The government cannot censor medical research because it acknowledges the existence of transgender people. Research free from ideological interference by the government promotes rigor, objectivity, and scientific value, which benefits everyone.”

The website, known as PSNet, hosts research from doctors and scholars focusing on patient safety and improving medical outcomes. In addition to the restoration of the work of Dr. Schiff,Dr. Royce, and others, the agreement prohibits the government from removing more articles from PSNet in the future on the basis of the “gender ideology” executive order or a memo from the Office of Personnel Management (OPM) that set out guidelines for implementing that order.

“The Trump administration's politically motivated attacks on science have endangered patient safety, stifled protected speech, and undermined the fundamental academic principles of free inquiry,” said Rachel Davidson, free expression staff attorney with the ACLU of Massachusetts. “The federal government censored important public health articles without any rational or scientific basis — but thanks to our clients’ courage, this work is now restored. Dr. Schiff and Dr. Royce can now continue their work to improve outcomes for patients, and the ACLU will continue to challenge the Trump administration’s abuses of power.”

In March 2025, the researchers filed suit against the Department of Health and Human Services, the Agency for Healthcare Research and Quality, and OPM, arguing that the government violated the First Amendment by imposing a viewpoint-based and unreasonable restriction on the doctors’ participation in a forum the government has opened to private speakers. They also argued that the government violated the Administrative Procedure Act, including by removing articles without a reasoned basis.

The suit was filed in the District Court of Massachusetts by the American Civil Liberties Union, the ACLU of Massachusetts, and the Media Freedom and Information Access Clinic at Yale Law School. In May, the court issued a preliminary injunction restoring the censored articles to PSNet.

“I’m deeply grateful to have supported Yale Law School’s Media Freedom & Information Access Clinic and the ACLU in this important case,” said Sonam Jhalani, second year law student at Harvard Law School. “Contributing to work that protects scientific integrity and the free exchange of knowledge was a meaningful experience, and I’m proud to have worked alongside those who helped advance these principles.”


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