
The Department of Health and Human Services will soon begin the rule-making process to prohibit the federal government from directly funding sex-trait modifications for minors through Medicaid and the Children’s Health Insurance Program (CHIP), National Review has learned.
The White House is in “the final stage of review for a new rule that would make it a condition of hospitals participating in Medicare or Medicaid that they not provide sex trait modifications to minors,” according to an administration official. The prohibition will apply to hospitals that provide puberty blockers, cross-sex hormones, and gender-transition surgeries to minors.
The groundbreaking decision by the White House to use the power of the executive to ban federally funded gender-transition services for minors follows an unsuccessful attempt by congressional Republicans to ban federal funding for such practices through the budget reconciliation process. The Senate parliamentarian ruled that the legislative language included in the “One Big Beautiful Bill Act” did not clear the Byrd rule, prompting GOP lawmakers to spike the language from the final bill that passed earlier this month.
The Trump administration’s latest move could have far-reaching effects. While some children’s hospitals paused gender-transition services for minors earlier this year in response to the Trump administration’s executive order aggressively pushing back against the practice, the new guidance could have drastic financial consequences for hospitals that do not change their policies.
“We are actively combing through all federal grants that go to the hospitals that still provide these procedures (surgeries, hormones, and puberty blockers) to kids, and sorting through what funding could be cut without jeopardizing the health and safety of other patients and critical research needs,” an administration official tells National Review. “We are identifying what cuts can be made consistent with ongoing injunctions and what cuts can be made immediately after the injunction is lifted.”
The White House has identified multiple hospitals to investigate and audit over their alleged failure to obtain informed consent – in compliance with existing informed consent conditions for Medicaid and Medicare reimbursements — from children seeking gender-transition services. Citing the testimony of patients who regret their childhood transitions, the administration claims the hospitals routinely fail to inform the children in their care about the damaging and often irreversible effects of gender-transition treatments.
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Author: Dillon B
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