Documents › Agency rules › 2026-16508
Health and Human Services Department, Centers for Medicare & Medicaid Services
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
Published August 13, 2026. Takes effect October 13, 2026. printed at 91 FR 52406. amending 42 CFR 441, 42 CFR 457.
Medicaid pays some health providers. This bars the money from going to some of them.
What the Rule Says It Does
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.
This is the rule's own summary, as the Federal Register prints it.
The Order It Names
The rule names this order itself. What it does about it is a reading, and none is recorded here.
- The rule itself
Health and Human Services Department, Centers for Medicare & Medicaid Services, “Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children,” 91 FR 52406 (August 13, 2026). Effective October 13, 2026.
https://www.federalregister.gov/documents/2026/08/13/2026-16508/medicaid-program-prohibition-on-federal-medicaid-and-childrens-health-insurance-program-funding-for - This page
“Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children,” a final rule naming an order indexed here. Read the Mandate, https://readthemandate.org/rules/rule-2026-16508/ (retrieved August 26, 2026).
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How This Rule Is Quoted
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