prisoners

WASHINGTON  — The Supreme Court on Wednesday turned down an appeal from President Trump and rejected his order to end hormone treatments and other gender-affirming care for transgender inmates in federal prisons.

The justices denied Trump’s appeal without comment, over dissents by Justices Clarence Thomas and Samuel A. Alito.

The order leaves in a place a decision by a senior judge appointed by President Reagan who had blocked Trump’s new prison policy from taking effect.

The decision is a rare win for trans rights at the Supreme Court.

In June, U.S. District Judge Royce Lamberth, a Reagan appointee, said he would “not wade into the culture war being waged against transgender individuals” and ruled the Trump administration did not have evidence or good reasons for changing the long-standing policy for these inmates.

He cited the Administrative Procedure Act, which forbids abrupt and “arbitrary” changes in federal regulations.

Lamberth said the Bureau of Prisons’ new regulation would “arbitrarily deprive inmates of medications and other lifestyle accommodations that its own medical staff have deemed to be medically appropriate.” The evidence showed that “gender affirming care is the only effective treatment for gender dysphoria and severe harm flows from the cessation of such care,’’ he wrote.

Last month, the D.C. Circuit upheld his decision on a 2-1 vote, prompting the administration’s appeal to the Supreme Court.

The American Civil Liberties Union, which sued on behalf of three inmates, said the court should not “overturn a three decades-long status quo.” Since 1992, the Bureau of Prisons has “treated people with gender dysphoria with hormone therapy,” their lawyers told the court.

In response to Trump’s order, the “BOP overrode its own medical providers’ clinical judgment and mandated the cessation of treatment for almost 1,000 people in its custody,” they said.

At issue in this latest legal dispute over trans rights was whether the government had evidence to justify a sharp change in its prison regulations.

In the past, the court has often deferred to prison officials on their handling and treatment of inmates.

“If deference to prison administrators means anything, it means that courts cannot second-guess their eminently reasonable choice to treat the mental-health condition of gender dysphoria with psychotherapy rather than physical, sex-rejecting interventions,” Solicitor Gen. D. John Sauer said in his appeal.

The medical condition of dozens of prisoners has deteriorated as inmates protest against suspension of amnesty law.

The medical condition of dozens of inmates on a hunger strike for more than two weeks inside Lebanon’s largest prison has become “dire”, according to a legal campaigner.

“About 400 prisoners are on a hunger strike for more than two weeks. Ambulances enter daily to take [dozens of] them away because their condition is dire,” Mohammed Sablouh, a Lebanese lawyer, told Al Jazeera.

“The prisoners are refusing medication, food and water,” Sablouh, who is also the director of the Prisoners’ Rights Center at the Tripoli Bar Association, said on Wednesday.

The inmates at Roumieh prison went on a hunger strike on September 12 in protest against the suspension of a general amnesty law, which could have granted an immediate release or reduced their sentences.

Protests have also been staged in Lebanon’s second city of Tripoli against the suspension of the law, which has a provision to release inmates jailed for petty crimes.

Many of the prisoners on hunger strike were arrested for their solidarity with the Syrian revolution against President Bashar al-Assad, who was toppled in December 2024 after more than 10 years of bloody war.

The Free Patriotic Movement, one of the country’s largest parties, filed an appeal before the Constitutional Council over concerns that some of the inmates were charged with “terrorism”.

The Constitutional Council is expected to issue its verdict next month.

Overcrowded prisons

Lebanese prisons are notorious for being overcrowded and thousands of inmates spend years behind bars without trial. Lebanon’s current prison population stands at about 8,500, nearly double its capacity.

The law passed on August 12 aimed to address overcrowded prison conditions in the country.

“Prison overcrowding exceeds 330 percent of the facilities’ actual capacity,” Sablouh said.

“The situation in Lebanon’s prisons is truly tragic, it can no longer withstand any … shock or any overturning of the amnesty law.”

More than 40 prisoners died in 2025. “Some died due to medical neglect, others under torture. Some died by suicide due to prolonged trials and repeated postponements,” Sablouh said.

The Lebanese lawyer blamed judicial delays for the large number of inmates, many of them arrested for petty crimes.

He pointed out the failure of the judiciary “to adhere to Article 108 of the Code of Criminal Procedure, which sets a limit for pre-trial detention: two months for misdemeanours, renewable for an equal period, and six months for felonies, renewable for an equal period [up to a maximum of one year].”