View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML
HHS/CMS RIN: 0938-AV87 Publication ID: 2026 
Title: ●Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children (CMS-3481) 
Abstract:

This rule revises the requirements that Medicare and Medicaid certified hospitals must meet to participate in the Medicare and Medicaid programs. These changes are necessary to protect the health and safety of children and reflect HHS’ review of recent information on the safety and efficacy of sex-rejecting procedures (SRPs) on children. The revisions to the requirements prohibit hospitals from performing specified SRPs on children.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 482   
Legal Authority: 42 U.S.C. 1395hh    42 U.S.C. 1395rr    42 U.S.C. 1302    EO 14187   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  12/19/2028 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
NPRM  12/19/2025  90 FR 59463   
NPRM Comment Period End  02/17/2026 
Final Action  12/00/2028 
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 Clinical Standards and Quality
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-3000
Email: hospitalsrpinquiries@cms.hhs.gov