Trump seeks to kill all medical care for trans youth by defunding hospitals that provide ithttps://www.lgbtqnation.com/2025/10/seeks-to-all-medical-care-for-trans-youth-by-defunding-hospitals-that-provide-it/ 🔗Daniel Villarreal (30 Oct 2025)
Trump's Department of Health and Human Services (HHS) seeks to end all Medicaid and Medicare funding for young people's gender-affirming care (GAC), according to newly proposed rules shared by NPR. A trans activist said the rules would amount to a "de facto national ban" on GAC.
The proposed rules would prohibit all federal Medicaid and Medicare funding — as well as funding through the federal Children's Health Insurance Program (CHIP) — for any services at hospitals that provide GAC for trans youth.
Terry Schilling, president of the American Principles Project, a right-wing think tank that has pushed national transphobia as an effective Republican political strategy, said of the proposed rules, "I think these restrictions are very good. It's going to change the entire transgender industry, and it's going to take away a lot of their funding streams."
"This would be a de facto national ban," wrote trans activist and civil rights attorney Alejandra Caraballo via Bluesky. "There would still be providers in blue states that don't take federal funding but the large interdisciplinary teams of just a few years ago would be nearly impossible to maintain. The result is that the care that remains would largely be underground with worse support and likely outcomes."