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CMS ends Medicaid and CHIP funding for pediatric gender‑related procedures

A photo of a trans woman in a white coat and hat holding up a sign reading "Trans Health Care Saves Lives" at a rally.
Photo: Kevin Dietsch/Getty Images

New CMS rule bars federal dollars from covering puberty blockers, hormones, and surgeries for minors, citing safety concerns and insufficient evidence.

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule prohibiting the use of federal Medicaid and Children’s Health Insurance Program (CHIP) funds for gender‑related medical procedures in children and youth.

According to CMS, the decision reflects a reassessment of available evidence, concluding that interventions such

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