Data / Federal rules / 2026-16508
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 final rule in the Federal Register on August 13, 2026. It took effect on October 13, 2026.
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What the agency says
This final rule requires 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 prohibits the use of Federal Medicaid dollars to fund sex-rejecting procedures for individuals under the age of 18. In addition, this final rule requires 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 prohibits the use of Federal CHIP dollars to fund sex-rejecting procedures for individuals under the age of 19. For Medicaid and CHIP beneficiaries who are actively receiving cross-sex hormone therapy, State Medicaid and CHIP agencies may continue to claim Federal Financial Participation for those hormone therapy medications for a period of up to 6 months from the effective date of this final rule.
Key facts
- Document number
- 2026-16508
- Type
- Final rule
- Action
- Final rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- August 13, 2026
- Takes effect
- October 13, 2026
- Dates
- These regulations are effective on October 13, 2026.
- Docket
- CMS-2451-F
- 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
- 69
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 August 2026
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.