Alan Levine, chair of the Florida Board of Governors, sent a formal letter pressing the Liaison Committee on Medical Education to explain how medical schools could retain accreditation if they endorse gender-affirming care for minors. Levine framed such treatments as "unproven and dangerous" and asked accrediting officials why they had not publicly opposed them, even though major medical associations support gender-affirming care for adolescents. The request escalates Florida’s ongoing efforts to challenge traditional accreditors and follows state moves to create alternate accreditation pathways. The LCME said it had received the letter and would respond; the episode underscores growing state-level pressure on accreditation standards tied to politically sensitive clinical practices.