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.

The House is preparing to vote Thursday on a war powers resolution to halt President Donald Trump's attack on Iran, a sign of unease in Congress over the rapidly widening conflict that is reordering U.S. priorities at home and abroad.

It's the second vote in as many days, after the Senate defeated a similar measure along party lines. Lawmakers are confronting the sudden reality of representing the American people in wartime and all that entails — with lives lost, dollars spent and alliances tested by a president's unilateral decision to go to war with Iran.

The tally in the House is expected to be tight, but the outcome will provide an early snapshot of the political support, or opposition, to the U.S.-Israel military operation and Trump's rationale for bypassing Congress, which alone has the power to declare war.

"Donald Trump is not a king, and if he believes the war with Iran is in our national interest, then he must come to Congress and make the case," said Rep. Gregory Meeks, the top Democrat on the House Foreign Affairs Committee.

Meeks said in his nearly three decades in Congress, the hardest votes he has taken have been deciding whether to send U.S. troops to war.

The roll calls are a clarifying moment for the president and the parties just days into the overseas conflict that has quickly carried echoes of the long U.S. wars in Afghanistan and Iraq. Many veterans of those wars have since run for office and now serve in Congress.

Trump's Republican Party, which narrowly controls the House and Senate, largely sees the conflict with Iran not as the start of a new war, but the end of a regime that for decades has long menaced the West. The operation has killed Iran's Supreme Leader Ayatollah Ali Khamenei, which some view as an opportunity for regime change, though others warn of a chaotic power vacuum.

Rep. Brian Mast of Florida, the GOP chairman of the House Foreign Affairs Committee, publicly thanked Trump for taking action against Iran, saying the president is using his own constitutional authority to defend the U.S. against the "imminent threat" the country posed.

Mast, an Army veteran who worked as a bomb disposal expert in Afghanistan, said the war powers resolution was effectively asking "that the president do nothing."

For Democrats, Trump's war with Iran, influenced by Israeli Prime Minister Benjamin Netanyahu, is a war of choice that is testing the balance of powers in the U.S. Constitution.

"The framers weren't fooling around," said Rep. Jamie Raskin, D-Md., arguing that the Constitution is clear that only Congress can decide matters of war.

He said whether lawmakers support or oppose the Trump administration's military action, they should have the debate. "It's up to us, we've got to vote on it."

While views in Congress are largely falling along party lines, there are crossover coalitions. Both the House and Senate resolutions were bipartisan, and are drawing bipartisan support and opposition. The House is also voting on a separate resolution affirming that Iran is the largest state sponsor of terrorism.

The war powers resolution, if signed into law, would immediately halt Trump's ability to conduct the war unless Congress approved the military action. The president would likely veto the measure.

As an alternative, a small group of Democrats has proposed a separate war powers resolution that would allow the president to continue the war for 30 days before he must seek congressional approval. It is not expected to come yet for a vote.

After launching a surprise attack against Iran on Saturday, Trump has scrambled to win support for a conflict that Americans of all political persuasions were already wary of entering. Trump administration officials spent hours behind closed doors on Capitol Hill this week trying to reassure lawmakers that they have the situation under control.

Six U.S. military members were killed over the weekend in a drone strike in Kuwait, and Trump has said more Americans could die. Thousands of Americans abroad have scrambled for flights, many lighting up the phone lines at congressional offices as they sought help trying to flee the Middle East.

Defense Secretary Pete Hegseth said that the war could extend eight weeks, twice as long as the president first estimated. Trump has left open the possibility of sending U.S. troops into what has largely been a bombing campaign by air. Hundreds of people in the region have died.

The administration said the goal is to destroy Iran's ballistic missiles that it believes are shielding its nuclear program. It has also said Israel was ready to act against Iran, and American bases would face retaliation if the U.S. did not strike first. On Wednesday, the U.S. said it torpedoed an Iranian warship near Sri Lanka.