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Trump pushes an end to medical care for transgender youth nationally

The proposal aims to end federal Medicaid and CHIP funding for gender-affirming care for minors, impacting all states and possibly forcing hospitals to halt such programs nationwide.

  • The Department of Health and Human Services drafted rules to restrict Medicaid and CHIP funding for transgender youth, with full texts expected in early November, NPR reported Thursday.
  • President Trump earlier issued an executive order declaring the U.S. "will not fund, sponsor, promote, assist, or support the so-called 'transition' of a child", while HHS has criticized medical research and excluded the Utah analysis and American Academy of Pediatrics guidance.
  • Research shows roughly 724,000 trans youth between ages 13 and 17 in the U.S., with studies indicating gender-affirming care improves well-being and reduces depression and self-harm.
  • Hospitals would be forced to end gender-affirming care programs if federal funding is withheld, and if implemented, the rules could force more hospitals to close, leaving patients with Medicaid or private insurance without access, Protect Our Care said.
  • The proposal represents an "unprecedented" expansion of executive branch power, and combined with bans in 27 states and $1 trillion in Medicaid cuts, access could be blocked nationwide.
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npr broke the news in Washington, United States on Thursday, October 30, 2025.
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