Health Affairs December 29, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analysis of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress.
On December 18, 2025, the Department of Health and Human Services (HHS) announced several new proposals designed to prevent or discourage health care providers from offering medically necessary care to transgender youth. The new announcements—which HHS acknowledges are to carry out one of President Trump’s executive orders—came from multiple operating divisions across HHS. Federal officials are targeting treatment for gender dysphoria even though...
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