Medicaid says it will stop paying for some gender-affirming care for transgender minors
Summary
The Trump administration announced that Medicaid and the Children’s Health Insurance Program (CHIP) will stop paying for hormone treatments and gender-affirming surgeries for transgender minors starting October 13, 2025. Mental health care for transgender youth will still be covered, but payments for hormone treatments will gradually end by April 2027.Key Facts
- Medicaid and CHIP will no longer cover hormone treatments and surgeries for transgender minors under 19 years old.
- The policy starts on October 13, 2025.
- Coverage for mental health treatment for transgender minors will continue.
- Payments for hormone treatments currently received will stop by April 2027.
- At least 27 states have already banned gender-affirming care for minors.
- Gender-affirming surgeries for minors are rare; puberty blockers and hormone treatments are more common.
- LGBTQ+ advocates and some medical groups oppose the policy and plan to challenge it legally.
- The Trump administration has taken other actions restricting transgender rights, including barring transgender athletes from female sports competitions and limiting gender marker options on passports.
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