In United States v Skrmetti, a supreme court decision issued this summer, the rightwing justices made it legal for states to ban gender-affirming care for trans minors, in a ruling whose reasoning strained logic, claiming that state laws banning the treatment did not discriminate on the basis of sex. The ruling upheld laws in 27 states, all of them passed since 2021, which banned the treatment outright; according to the Human Rights Campaign, about 40% of trans minors live in states where treatment for them is against the law. Now, the Trump administration seems to be looking to cut off access to care for the other 60% of those kids.
In a proposed rule leaked to NPR, the administration plans to ban gender-affirming care for minors from being covered by Medicaid or by the Children’s Health Insurance Program, or Chip. In a second, more sweeping proposed rule, the Trump administration looks to ban hospitals, clinics and providers from receiving any Medicaid or Medicare reimbursements at all if their practice provides transition-related pediatric care.
