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HHS Drops Plan to Withhold Funding Over Gender-Affirming Care

The Department of Health and Human Services has decided against a directive that would have allowed the agency to cut Medicare and Medicaid funding. This decision affects hospitals providing gender-affirming care to minors nationwide.

07/24/2026 · Orange County edition

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Why it matters locally: The decision by the Department of Health and Human Services not to pursue funding restrictions for gender-affirming care means California hospitals and healthcare providers can continue to offer these services without the threat of losing federal Medicare and Medicaid funding.

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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