United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2026_register executive 2026-08-13 article Part II Rules and Regulations D09002ee1e6b6c2a6 D09002ee1e6b6c97d United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule requires that a State Medicaid plan must provide that the Medicaid agency will not make payment under the plan for sex-rejecting procedures for children under 18, and prohibits the use of Federal Medicaid dollars to fund sex-rejecting procedures for individuals under the age of 18. In addition, this final rule requires that a separate State Children's Health Insurance Program (CHIP) plan must provide that the CHIP agency will not make payment under the plan for sex-rejecting procedures for children under 19, and prohibits the use of Federal CHIP dollars to fund sex-rejecting procedures for individuals under the age of 19. For Medicaid and CHIP beneficiaries who are actively receiving cross-sex hormone therapy, State Medicaid and CHIP agencies may continue to claim Federal Financial Participation for those hormone therapy medications for a period of up to 6 months from the effective date of this final rule. 91 FR 52406 https://www.govinfo.gov/app/details/FR-2026-08-13/2026-16508 2026-16508 fr13au26-13 RIN 0938-AV73 4169-69-P CMS-2451-F https://www.govinfo.gov/app/details/FR-2026-08-13/2026-16508 https://www.govinfo.gov/content/pkg/FR-2026-08-13/html/2026-16508.htm https://www.govinfo.gov/content/pkg/FR-2026-08-13/pdf/2026-16508.pdf Grant Programs-Healt Health Professions Medicaid Reporting and Recordkeeping Requirements Chip Grant Programs-Health 69 p. 52406 52474 91 FR 52406 Title 42 Part 441 42 CFR Part 441 Title 42 Part 457 42 CFR Part 457 RIN 0938-AV73 Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children; Federal Register Vol. 91, Issue RULE 2026-16508 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2026-10-13 CMS-2451-F 4169-69-P 2026-16508 Final rule.

This final rule requires that a State Medicaid plan must provide that the Medicaid agency will not make payment under the plan for sex-rejecting procedures for children under 18, and prohibits the use of Federal Medicaid dollars to fund sex-rejecting procedures for individuals under the age of 18. In addition, this final rule requires that a separate State Children's Health Insurance Program (CHIP) plan must provide that the CHIP agency will not make payment under the plan for sex-rejecting procedures for children under 19, and prohibits the use of Federal CHIP dollars to fund sex-rejecting procedures for individuals under the age of 19. For Medicaid and CHIP beneficiaries who are actively receiving cross-sex hormone therapy, State Medicaid and CHIP agencies may continue to claim Federal Financial Participation for those hormone therapy medications for a period of up to 6 months from the effective date of this final rule.

These regulations are effective on October 13, 2026. MedicaidSRPInquiries@cms.hhs.gov. 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Federal Register, National Archives and Records Administration 2026-08-13 continuing daily deposited born digital 264 p. 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