I'm confused about the executive order about trans people that trump signed today

When it says that only two genders that can't be changed is the only thing federally recognized, does that mean that it will be left up to States to decide or does it mean that regardless of where you live, you will still be affected? Does this currently affect me if I live in a blue state(Washington)? Am I still allowed to use men's bathrooms? Will I still be able to change my legal name and gender when I turn 18 in 2 months? Will I be able to get top surgery in about a year? Will I still be able to start testosterone on my 18th birthday?