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HHS Drops Plan to Withhold Funding Over Gender-Affirming Care

July 24, 2026

Why it matters locally: The decision by the Department of Health and Human Services to drop plans for withholding Medicare and Medicaid funding over gender-affirming care means Missouri hospitals will not face federal financial penalties for providing such services to minors. This impacts healthcare providers across the state who offer or are considering offering these treatments.


WASHINGTON – The Department of Health and Human Services (HHS) has opted not to advance a proposal that would have permitted the agency to withhold Medicare and Medicaid funding from hospitals providing gender-affirming care to minors. This decision means the plan, considered the agency's most direct effort to restrict such care across the nation, will not be finalized. The proposed directive aimed to establish conditions under which hospitals could lose essential federal funding. The agency's current stance represents a reversal of its earlier intention to implement these sanctions. NPR first reported the department's decision.

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