A recently unsealed court document alleges that a trans-identifying Biden official pushed to remove age limits from the official care standards for transgender procedures.

The document, unsealed as part of Boe v. Marshall, a case challenging Alabama’s law banning certain gender transition-related treatments, is titled “Appendix A To Supplemental Expert Report Of James Cantor, Ph.D.” In it, Canadian sex researcher James Cantor claims that trans-identifying Assistant Secretary for Health Dr. Rachel Levine pushed for the removal of age restrictions from official guidelines.

“Assistant Secretary for Health Dr. Rachel Levine strongly pressured WPATH leadership to rush the development and issuance of SOC-8, in order to assist with Administration political strategy,” Cantor wrote, referring to changes in the World Professional Association for Transgender Health’s Standards of Care Version 8, which omitted previous age recommendations.

The document includes communications among WPATH members pointing to Levine as the source of pressure. These communications suggest that Levine, born Richard Levine, was advocating to remove any age limits that might make it easier for states to restrict access to transition-related puberty blockers, cross-sex hormones, and surgeries.

“I have just spoken to Admiral Levine today, who—as always is extremely supportive of the SOC 8, but also very eager for its release—so to ensure integration in the US health policies of the Biden government. So, let’s crack on with the job!!!” one message read.

Another stated, “I am meeting with Rachel Levine and their team next week, as the US Department of Health is very keen to bring the trans health agenda forward.”

One communication from Sarah Boateng, Levine’s chief of staff, expressed concerns about specific minimum ages for treatment listed in the guidelines. Boateng believed these specifics could lead to restrictive legislation for trans care. She suggested removing the specific ages and possibly creating an adjunct document to be less visible.

Despite WPATH members indicating it was too late to make such changes, the new guidelines were published without the age recommendations.