Health Affairs December 23, 2025
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 it is based on decades of research, clinical practice, and medical standards and has been endorsed by every major U.S. medical association.
This article discusses two of these unprecedented announcements that target health care providers who offer medically necessary care to transgender young people. First, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule...
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