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Trump pushes to end medical care for trans youth nationally

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October 30, 2025

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Access to gender-affirming care for transgender youth will be dramatically restricted by the Trump administration under new proposals by the Department of Health and Human Services being prepared for release in early November.

The two proposed rules would use Medicaid to try to force hospitals and doctors not to provide gender-affirming care for young people. NPR has obtained the draft text of one proposal rule that prohibits Medicaid reimbursement for care provided to transgender patients younger than 18. The other more sweeping rule would block all Medicaid and Medicare funding for any services at hospitals that provide pediatric gender-affirming care.

Gender-affirming care — including puberty blockers, hormones and, rarely, surgery — is not against any federal law, but it has been banned in 27 states.

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Trump pushes to end medical care for trans youth nationally · Npr · Sentinel