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'What Are We Going to Do?' The Mom of a Trans Teen Grapples with Trump's Medicaid Move

States may need to replace federal funding as KFF estimates 130,000 transgender people under 18 live where care remains available.

  • On Tuesday, the Trump administration finalized a rule banning Medicaid and the Children's Health Insurance Program from covering gender-affirming care for transgender youth, effective in October.
  • CMS Director Mehmet Oz justified the move by citing the report "Wolves in White Coats," which alleged fraudulent billing practices; he claimed the government "cannot keep signing these checks" when evidence is weak.
  • Health research organization KFF estimates 130,000 transgender youth in states where care remains available could be affected, while the National Women's Law Center found nearly 35,000 comments submitted in opposition.
  • California has budgeted millions to maintain access, yet A.W., a mother of a transgender teenager, faces potential disruptions; senior attorney Jennifer Levi of GLAD Law says legal challenges are likely.
  • Senior attorney Jennifer Levi describes the rule as part of a "long, ongoing attack" on transgender health care; federal courts have previously blocked Trump administration efforts to restrict such care through funding threats.
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npr broke the news in Washington, United States on Sunday, August 16, 2026.
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