Federal funds will no longer pay for gender-affirming care for minors

The US government proposes to stop using federal Medicaid and Children's Health Insurance Program (CHIP) funds for gender-affirming care for anyone under 18. This means states that want to cover such care for minors will have to use only their own state funds, not federal money.

This proposed rule would shift the financial burden for gender-affirming care for minors entirely to state budgets. It forces states to make a clear choice: either fund this care themselves or stop offering it through Medicaid and CHIP. This could lead to a patchwork of access across the country, depending on state-level political decisions.