CMS Final Rule Ends Federal Medicaid and CHIP Funding for Certain Gender-Transition Care for Minors

The Centers for Medicare & Medicaid Services has finalized a rule prohibiting federal Medicaid and CHIP funding for certain gender-transition procedures for minors, with the rule taking effect October 13, 2026. Tada Images/Shutterstock

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule prohibiting the use of federal Medicaid and Children’s Health Insurance Program (CHIP) funds to pay for what the rule terms “sex-rejecting procedures” for minors, according to an official announcement published in the Federal Register on August 13, 2026.

What the New Medicaid and CHIP Rule Prohibits