A federal judge late Friday extended an order blocking U.S. President Donald Trump’s administration from withholding federal funding from medical providers in four Democratic-led states that provide gender-affirming care to transgender youth under 19.

U.S. District Court Judge Lauren King in Seattle issued a preliminary injunction preventing the administration enforcing two of the Republican president’s executive orders in the states of Colorado, Minnesota, Oregon and Washington, after concluding they were unconstitutional.

King, an appointee of Trump’s Democratic predecessor Joe Biden, agreed with those states’ attorneys general that the two executive orders intruded on Congress’ power to appropriate federal funding by withholding research and education grants from medical institutions that provide such care.