A federal judge said the government overreached by issuing a declaration that called treatments like puberty blockers and surgeries unsafe and ineffective for young people experiencing gender dysphoria, according to a ruling Thursday in Oregon.

Judge Mustafa Kasubhai's ruling was centered on Secretary Robert F. Kennedy Jr. not going through the proper administrative procedures when issuing the declaration in December.

The declaration also warned doctors that they could be excluded from federal health programs like Medicare and Medicaid if they provide these treatments.

The judge also denied the defendants' motion to dismiss the case.

The judge's ruling was at the end of a roughly 6-hour hearing and will be followed by a written decision.

"Today's win breaks through the noise and gives some needed clarity to patients, families, and providers," the Democratic New York Attorney General Letitia James, who led the lawsuit, said in a statement Thursday. "Health care services for transgender young people remain legal, and the federal government cannot intimidate or punish the providers who offer them."

A spokesperson for HHS did not immediately respond to an email requesting comment. The New York Times reported that the judge spoke about the broader implications associated with this case, especially as it relates to democracy.

"The notion that 'I will go forward and issue a declaration and see if we can get away with it' is not a principle of governance that adheres to the overarching commitment to a democratic republic that requires the rule of law to be regarded and respected and honored as a sacred," the judge said.

The decision is the second major legal setback for Kennedy and the U.S. Department of Health and Human Services this week. Another federal judge in Boston on Monday temporarily blocked several of Kennedy's vaccine policy changes. The judge ruled Kennedy likely violated federal procedures in revamping a key vaccine advisory committee and slimming down the childhood vaccine schedule without the committee's input. Federal officials have indicated they plan to appeal that ruling.

A coalition of 19 states and the District of Columbia in December sued HHS, Kennedy and its inspector general over the declaration, alleging that it is inaccurate and unlawful and asking the court to block its enforcement.

The lawsuit says that HHS's declaration seeks to coerce providers to stop providing gender-affirming care and circumvent legal requirements for policy changes. It also says federal law requires the public to be given notice and an opportunity to comment before substantively changing health policy — neither of which, the suit says, was done before the declaration was issued.

HHS's declaration based its conclusions on a peer-reviewed report that the department conducted earlier this year that urged greater reliance on behavioral therapy rather than broad gender-affirming care for youths with gender dysphoria.

The report questioned standards for the treatment of transgender youth issued by the World Professional Association for Transgender Health and raised concerns that adolescents may be too young to give consent to life-changing treatments that could result in future infertility.

Major medical groups and those who treat transgender young people have sharply criticized the report as inaccurate, and most major U.S. medical organizations, including the American Medical Association, continue to oppose restrictions on transgender care and services for young people.

Attorneys and volunteers with the Vermont Asylum Assistance Project used to go into Vermont's prisons and meet with every immigration detainee, using their phones and computers for language interpretation, according to Jill Martin Diaz, executive director of the organization.

But they say that access changed this fall after Jon Murad took over as interim commissioner of the Vermont Department of Corrections. Since then, attorneys with the organization said the department has made it harder to meet and work with their clients, citing language barriers and lack of meeting space.

Murad denies those claims and says he has merely enforced policies that predate his time as commissioner, cutting off practices that shouldn't have been allowed under his predecessor.

Federal immigration authorities use Vermont prisons to hold often more than a dozen immigration detainees at a time per a contract agreement with the federal government. Though detainees can be held in any Vermont prison, they're most commonly brought to two facilities: Chittenden Regional Correctional Facility in South Burlington and Northwest State Correctional Facility in St. Albans Town.

As President Donald Trump has ramped up his mass deportation campaign, federal immigration authorities often swiftly shuffle people they detain around the country. And the Vermont Asylum Assistance Project has been the main organization routinely providing legal services to all immigration detainees in Vermont.

"I think it's really important to capitalize on this opportunity that Vermont can be where we disrupt this arrest-to-deportation pipeline that is happening across this country," said Hillary Rich, an attorney at the Vermont chapter of the American Civil Liberties Union.

The issue has raised the eyebrows of legislators focused on the state's prison system and prompted them to write the Corrections Department a memo directing its officials to develop a memorandum of understanding with the Vermont Asylum Assistance Project to guarantee cooperation between the organization and the department.

A judge has rejected a request for a new trial for a Venezuelan man convicted of killing Georgia nursing student Laken Riley, a case that became a flashpoint in the national debate over immigration.

Lawyers for Jose Ibarra argued his constitutional rights were violated when the judge declined two defense motions before trial. One was a request to delay the trial to give an expert witness time to review and analyze DNA data. The other would have excluded some cellphone evidence.

Clarke County Superior Court Judge H. Patrick Haggard, who presided over the trial, wrote in an order Monday that the evidence of Ibarra's guilt presented by the state was "overwhelming and powerful." After Ibarra waived his right to a jury trial, Haggard found him guilty of murder and other charges during the November 2024 trial and sentenced him to life in prison. A spokesperson for Ibarra's attorneys said they plan to file an appeal.

Ibarra, 28, had entered the U.S. illegally in 2022 and was allowed to stay while he pursued his immigration case.

Prosecutors said Ibarra encountered Riley while she was running on the University of Georgia campus in Athens on Feb. 22, 2024, and killed her during a struggle. Riley was a student at Augusta University College of Nursing, which also has a campus in Athens, about 70 miles (115 kilometers) east of Atlanta.

Ibarra's trial attorneys had asked the judge to delay the trial after a DNA expert said she would need six weeks to review evidence analyzed using TrueAllele Casework, software used to interpret DNA and assist the defense. The judge wrote in his order Monday that Ibarra's lawyers "effectively challenged the TrueAllele DNA evidence at trial" and concluded that Ibarra was not harmed by the denial of a delay.

The DNA expert testified during a January hearing on the motion for a new trial, and the judge wrote that he did not find her opinion to be persuasive or credible and that it would not have changed the trial outcome.

Ibarra's attorneys also had challenged the seizure of two cellphones from his apartment, saying they were not listed on the search warrant, and sought to exclude evidence pulled from them. Haggard wrote that there were "exigent circumstances authorizing the seizure of the cellphones" and that the phones were not searched until after warrants were issued authorizing the search of the contents of the phones.