Friday, December 19, 2025

HHS Proposes Rules to Bar Hospitals from Performing Gender Affirming Care to Minors

The Department of Health and Human Services today published in the Federal Register two Releases proposing rule changes that would effectively ban almost all U.S. hospitals from providing pharmaceutical or surgical gender-affirming care to children and adolescents under 18 years of age. One Release is titled Prohibition on Federal Medicaid and Children’s Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children. The second Release is titled Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children. Health and Human Services Secretary Robert F. Kennedy, Jr. announced the Proposed Rules yesterday in a Press Release and in a "Declaration" titled Safety, Effectiveness, and Professional Standards of Care for Sex Rejecting Procedures on Children and AdolescentsAccording to the Press Release:

The U.S. Department of Health and Human Services (HHS) today announced a series of proposed regulatory actions to carry out President Trump’s Executive Order directing HHS to end the practice of sex-rejecting procedures on children that expose young people to irreversible harm. These procedures include pharmaceutical or surgical interventions of specified types that attempt to align a child’s physical appearance or body with an asserted identity different from their sex.

The Centers for Medicare & Medicaid Services (CMS) will release a notice of proposed rulemaking to bar hospitals from performing sex-rejecting procedures on children under age 18 as a condition of participation in Medicare and Medicaid programs. Nearly all U.S. hospitals participate in Medicare and Medicaid and this action is designed to ensure that the U.S. government will not be in business with organizations that intentionally or unintentionally inflict permanent harm on children....

CMS will release an additional notice of proposed rulemaking to prohibit federal Medicaid funding for sex-rejecting procedures on children under age 18. The same prohibition would apply to federal Children’s Health Insurance Program (CHIP) funding for these procedures on individuals under age 19. Currently, 27 states do not provide Medicaid coverage of sex-rejecting procedures on children....