New York Attorney General Letitia James warned local hospitals Monday that they will be in violation of state discrimination laws if they comply with President Trump’s executive order aimed at outlawing sex-change procedures for minors.

“Regardless of the availability of federal funding, we write to further remind you of your obligations to comply with New York State laws, including those that prohibit discrimination against individuals based on their membership in a protected class, such as sex, gender identity or expression, sexual orientation, race, creed, color, national origin, citizenship or immigration status, military status, disability, or marital status,” James wrote in a letter to New York health care facilities.

“Electing to refuse services to a class of individuals based on their protected status, such as withholding the availability of services from transgender individuals based on their gender identity or their diagnosis of gender dysphoria, while offering such services to cisgender individuals, is discrimination under New York law,” she added.