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HHS Proposes Conditioning Federal Hospital Funds on Halting Transgender Care for Minors

The move leverages federal funding to pressure hospitals, raising the risk of service cutbacks for transgender youth.

Overview

  • Draft rules would bar hospitals that provide puberty blockers, hormones or surgeries to patients under 18 from participating in Medicare and Medicaid, regardless of who pays for the care.
  • Companion proposals would prohibit Medicaid coverage of gender-related care for minors under 18 and block CHIP coverage for those under 19.
  • HHS opened a public comment period on the proposals, as Secretary Robert F. Kennedy Jr. labeled such treatments “malpractice” and said the administration expects court challenges.
  • Major medical groups and civil-rights organizations criticized the plan, with the American Academy of Pediatrics warning of harm to families and the ACLU pledging to sue.
  • Federal officials also announced FDA warning letters to chest-binder sellers and an NIH halt to transition-related research, while some health systems, including Sutter Health, reported curtailing services.