Trump’s New Medicaid Rule Targets Gender-Affirming Care for Minors
A new rule curbs state and federal funding for certain gender-affirming treatments for people under 18.
The Trump Administration has announced a new rule restricting federal funding for gender-affirming care for minors. The Centers for Medicare and Medicaid Services (CMS) will no longer use Medicaid and CHIP dollars to pay for what the agency calls "sex-rejecting procedures for children under 18." The rule, effective October 13, 2025, also limits funding for certain treatments, while mental health services for transgender youths will still be covered through Medicaid.
Shannon Minter, legal director for the National Center for LGBTQ Rights, anticipates legal challenges to the rule, noting that 27 states have enacted similar legislation. The new rule is contested by LGBTQ+ advocates, who argue it is harmful to minors and contradicts medical consensus.
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