The Trump administration has finalized a new policy that blocks federal Medicaid funds from covering gender identity healthcare for minors. This regulation prohibits the use of federal money for such treatments for anyone under the age of 18 enrolled in the program. States that choose to continue offering these specific services must now cover the costs entirely on their own without federal financial support.

CMS officials noted that the funding restriction does not apply to mental health services for children. The directive is scheduled to take effect on October 13. A six-month tapering period is included for minors currently receiving care to manage their transition off these specific programs.

President Donald Trump announced the decision on social media, describing it as a move to protect minors from medical practices he characterized as harmful. Supporters of the administration view this as a significant step in national healthcare policy reform regarding youth medical treatments.

Medical organizations and various Democratic lawmakers have criticized the decision. They warn that restricting access to these medical services creates serious risks to the health and safety of affected children. The debate remains a major point of contention ahead of the upcoming midterm elections.