Data / Federal rules / 2025-23464
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on December 19, 2025. Comments closed on February 17, 2026.
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What the agency says
This proposed rule would require that a State Medicaid plan must provide that the Medicaid agency will not make payment under the plan for sex-rejecting procedures for children under 18 and prohibit the use of Federal Medicaid dollars to fund sex-rejecting procedures for individuals under the age of 18. In addition, it would require that a separate State Children's Health Insurance Program (CHIP) plan must provide that the CHIP agency will not make payment under the plan for sex-rejecting procedures for children under 19 and prohibit the use of Federal CHIP dollars to fund sex-rejecting procedures for individuals under the age of 19.
Key facts
- Document number
- 2025-23464
- Type
- Proposed rule
- Action
- Proposed rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- December 19, 2025
- Comments due
- February 17, 2026
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on February 17, 2026.
- Docket
- CMS-2451-P
- Regulation ID (RIN)
- 0938-AV73
- Code of Federal Regulations
- 42 CFR 441; 42 CFR 457
- Topics
- Grant programs-health; Health professions; Medicaid; Reporting and recordkeeping requirements
- Pages
- 23
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on grant programs-health · Rules on health professions · Rules on medicaid · Published in December 2025
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.