CMSProposed Rule

Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children

HealthcareFinance & Banking

Summary

The federal government is proposing to prohibit Medicaid and the Children's Health Insurance Program (CHIP) from paying for certain medical procedures related to sex characteristics in children. This rule would restrict what types of medical care these government health programs can fund for minors.

Key Points

  • 1Medicaid and CHIP would be banned from covering specific medical procedures for children related to sex characteristics
  • 2This affects low-income families and children who rely on these government health insurance programs
  • 3The rule is still in the proposal stage, and the public has until February 18, 2026 to submit comments before it becomes final
  • 4States that run Medicaid programs would need to follow these federal restrictions on what treatments they can pay for
  • 5Healthcare providers and patient advocacy groups are likely to weigh in during the comment period about how this rule would affect their patients

Key Dates

Published

December 19, 2025

Comment Deadline

February 18, 2026

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This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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