Access to gender-affirming care for transgender youth will be dramatically restricted by the Trump administration under new proposals by the Department of Health and Human Services.

NPR has obtained the draft text of a proposed rule that would prohibit federal Medicaid reimbursement for medical care provided to transgender patients younger than age 18. It also prohibits reimbursement through the Children's Health Insurance Program or CHIP for patients under age 19.

An additional proposed rule would go even further, blocking all Medicaid and Medicare funding for any services at hospitals that provide pediatric gender-affirming care.

The rules are being prepared for public release in early November, according to an employee at the Centers for Medicare and Medicaid Services. The employ

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