Actually, Trump tossed the issue back to the states where it belongs.

Might want to be careful with what you define as sexuality.  Sex is set at the cellular level nearly at the moment of conception.  No amount of wishful thinking or medical mutilation of various body parts or child abuse masquerading as tolerance of some bizarre notion of 'choice' is going to change it.  

What if you or I suddenly decide we want to identify as a turnip?  Does that choice, that decision, actually make us a turnip?  hardly.  It does, OTOH, make us at some level mentally ill which is another thing entirely.  Cheers -