US EditionHHS Proposes Federal Rules to Restrict Gender-Affirming Care Funding for Minors
The U.S. Department of Health and Human Services proposes barring Medicare and Medicaid funding for gender-affirming care for minors, with $30 million spent federally in 2023.
- On Dec. 18, the Department of Health and Human Services announced sweeping restrictions on gender treatments for minors at an 11 a.m. press conference, with Health Secretary Robert F. Kennedy Jr. signing a declaration that such procedures do not meet professionally recognized standards.
- House Republican momentum helped prompt the move, as the Republican-led U.S. House of Representatives passed bills criminalizing gender-affirming care for minors and barring Medicaid reimbursement.
- Targeted rules would prohibit Medicaid reimbursement for patients under age 18 and block federal funding for hospitals providing pediatric gender-affirming care, CMS plans to propose.
- Supporters and opponents of transgender rights say the rules could make pediatric gender-affirming care extremely difficult, medical providers criticized the moves, and the rules will enter the Federal Register for public comment.
- Because virtually every hospital accepts Medicare, the federal action would have wide reach, while National Institutes of Health Director Dr. Jay Bhattacharya said NIH ended gender-related care research earlier this year and expects to terminate all by the end of 2025.
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Facing a federal ban and the potential loss of funding, Dartmouth-Hitchcock Medical Center has pledged to find a way to continue performing sex-change procedures on children in New Hampshire. Health and Human Services Secretary Robert F. Kennedy Jr. announced a new rule Thursday banning hospitals from performing what he called “sex-rejection procedures” on children. “Doctors assume a solemn obligation to protect children, yet doctors across the …
New Trump administration proposals could further reduce gender-affirming care for minors in Illinois
CHICAGO — In a move that could further reduce gender-affirming care for minors in Illinois, the federal government is proposing rules that would strip Medicare and Medicaid funding from hospitals that provide such services.
Trump administration moves to restrict gender-affirming care
The Department of Health and Human Services unveiled a series of actions meant to effectively ban transition-related medical treatments nationwide for those under 18. Stephanie Sy discussed more with Selena Simmons-Duffin, who covers health policy for NPR.
Trump health agency proposes rules to limit gender-affirming care for youth • Maine Morning Star
Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz speaks at the Department of Health and Human Services in Washington, D.C., on Dec. 18, 2025. Oz and other Trump administration officials announced proposed rules that would limit gender-affirming care for minors. (Photo by Alex Wong/Getty Images)WASHINGTON — President Donald Trump’s administration took major steps Thursday in a campaign to block minors’ access to gender-affir…
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