Proposed rule 2025-23464
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
This proposed rule would require 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 prohibit the use of Federal Medicaid dollars to fund sex-rejecting procedures for individuals under the age of 18. In addition, it would require 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 prohibit the use of Federal CHIP dollars to fund sex-rejecting procedures for individuals under the age of 19.
Source-supplied record
Document details
- Document number
- 2025-23464
- Published
- Dec 19, 2025
- Effective
- Not supplied
- Comments close
- Feb 17, 2026
- Federal Register citation
- 90 FR 59441
Docket identifiers
- CMS-2451-P
CFR references
- Title 42, part 441
- Title 42, part 457