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HHS/CMS RIN: 0938-AV73 Publication ID: 2026 
Title: ●Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Specified Sex-Rejecting Procedures Furnished to Children and Youth (CMS-2451) 
Abstract:

On January 28, 2025, President Trump issued Executive Order (EO) 14187, ‘‘Protecting Children From Chemical and Surgical Mutilation’,’ which directs the Secretary of HHS to take all appropriate actions consistent with applicable law to end the chemical and surgical mutilation of children. Section 5(a) of this EO states that the Secretary of HHS shall, consistent with applicable law, take all appropriate actions to end the chemical and surgical mutilation of children, including regulatory and sub-regulatory actions for specific programs, including Medicaid. CMS will prohibit sex-rejecting procedures in Medicaid and the Children’s Health Insurance Program in alignment with key evidence on this topic.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 441   
Legal Authority: 42 U.S.C. 1302    EO 14187   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  12/19/2025  90 FR 59441   
NPRM Comment Period End  02/17/2026 
Final Action  09/00/2026 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Center for Medicaid and CHIP Services
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3000
Email: cmcs@cms.hhs.gov