Amoskeag Health in New Hampshire informed patients on Tuesday night that it would no longer be offering gender-affirming care, but within 48 hours, those same patients began receiving emails notifying them that the services had resumed.

This back-and-forth uncertainty has become increasingly common nationwide following President Donald Trump’s executive order last week, which eliminates federal support for gender-affirming care for minors under 19.

Linds Jakows, co-founder of the advocacy group 603 Equality, said there’s fear and frustration among the transgender community since the elections in November.

“It feels like we’re being hit from every single side by these executive orders, which are I think meant to just sow all of this chaos and make people feel like they’re not supported in their communities,” said Jakows.

Although the executive order targets minors, Amoskeag Health, which serves the Greater Manchester area, paused all gender-affirming care for a day, affecting adults as well.

A spokesperson for the health center wouldn’t confirm whether the services were officially suspended, but patients received emails Thursday morning from their primary care providers, not the board, letting them know that the services had resumed.

“I’m happy to share today that the order has now been rescinded,” the email read. “We don’t know what the future holds in terms of these federal policy changes.”

For one transgender couple in their 30s from Manchester who receive care at Amoskeag Health, the return of services is a small relief — but they’re still cautious about what the future holds.

“I feel like there’s a caveat to it because while I know that this is going to be fine for at least right now, I really am not anticipating that it’s going to be a long-term solution,” said one of the partners, who was granted anonymity by the Monitor due to their fear for their safety. “I know this is inevitably all going to come down, and there’s going to be no gender-affirming care in the United States for anyone.”

The email from the primary care provider also recommended that patients keep their medication refills up to date with a 90-day supply when possible.

Amoskeag Health is a nonprofit that heavily depends on federal funding to serve its community.

The executive order issued on Jan. 28 calls for the federal government to stop funding medical care like puberty blockers, hormone therapy and surgical procedures for transgender youth under 19 on Medicare and other government health insurance plans.

Across the country, hospitals are rethinking their gender-affirming care programs for patients under 19, leaving transgender youth and their families uncertain about their future care. Institutions like Denver Health in Colorado and Children’s Hospital in Los Angeles have suspended care and many others are reassessing their policies.

Jinelle Hobson, executive director of the Equality Health Center in Concord, confirmed that their services haven’t changed.

“In New Hampshire, we are providing services legally, safely and with the compassion that these patients need,” said Hobson. “We are not affected at this time because things are changing so rapidly.”

The Equality Health Center has never provided gender-affirming care to minors, and their adult services are continuing without interruption.

Dartmouth Health, Planned Parenthood and Lovering Health Center are also keeping their doors open, offering essential gender-affirming care services.

While many healthcare providers are waiting to see how the legal landscape evolves and how the orders are implemented, the impact on the queer community has been profound. Jakows said New Hampshire’s proposed legislation against the transgender community only exacerbates the mental health fallout from the president’s mandates.

“These executive orders are trying to tell trans people that we don’t matter, that we should be silenced but I know that we are not going to stand for that,” they said. “We are a community that has been resilient and cared for each other through really tough times.”

Since President Trump took office, several executive orders have targeted healthcare and the transgender community.

Hobson said that there’s no question the rapid rollout of these executive orders will lead to heightened pressure on health centers, but that it’s crucial to prepare, as the orders won’t be implemented immediately.

Sruthi Gopalakrishnan can be reached at sgopalakrishnan@cmonitor.com