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Data / Federal rules / 2026-11015

Notice of Vacatur Regarding Certain Provisions of the 2024 Nondiscrimination in Health Programs and Activities Final Rule

The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on June 2, 2026.

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What the agency says

This is to inform the public that, on October 22, 2025, the United States District Court for the Southern District of Mississippi issued an order in Tennessee v. Kennedy, No. 1:24-cv-161-LG-BWR (S.D. Miss. Oct. 22, 2025), vacating portions of the final rule titled "Nondiscrimination in Health Programs and Activities," published May 6, 2024 (89 FR 37522). Specifically, the court vacated certain provisions of the regulation to the extent they expand Title IX's definition of sex discrimination to include gender-identity discrimination. Pursuant to the court's order, the vacated provisions are legally void. The other provisions of the Section 1557 Rule remain in force.

Key facts

Document number
2026-11015
Type
Final rule
Action
Notification of court decision
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
June 2, 2026
Dates
The Tennessee court issued its vacatur order on October 22, 2025. As long as the specified provisions of the 2024 Section 1557 Rule remain vacated, OCR and CMS cannot and will not enforce the vacated provisions.
Code of Federal Regulations
42 CFR 438; 42 CFR 440; 42 CFR 457; 42 CFR 460; 45 CFR 80; 45 CFR 84; 45 CFR 92; 45 CFR 147; 45 CFR 155; 45 CFR 156
Pages
2

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Published in June 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.