Ask HHS to Withdraw Its Gender-Affirming Care Rules

A final HHS rule ends federal Medicaid and CHIP payment for this care for minors on October 13, 2026, and a pending rule would bar certified hospitals from providing it at all.

A letter to your members of Congress. Facts checked September 24, 2026.

The explainer behind this letter Gender-Affirming Care What the care is, what the evidence shows, and the state bans

The Letter

Subject Press HHS to Withdraw Its Rules on Gender-Affirming Care

I am writing about two HHS rules on gender-affirming care for young people. The first, CMS-2451-F, ends federal Medicaid and CHIP payment for this care for minors on October 13, 2026. The second, CMS-3481-P, would bar any hospital certified by Medicare or Medicaid from providing it at all, and HHS says it still intends to finalize it.

States already decide this question. Twenty-seven have banned the care for minors, and others protect it. The Medicaid rule overrides the states that chose to cover it, which is why a coalition of 22 states and jurisdictions has sued.

Families on Medicaid have the fewest options when a clinic closes, and dozens of hospitals have already ended youth programs under federal pressure.

Please write to HHS and ask it to withdraw both rules. Decisions about this care belong to families, their doctors, and their states.

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U.S. Capitol switchboard: (202) 224-3121

I'm calling about two HHS rules on gender-affirming care for minors.
The Medicaid rule, CMS-2451-F, ends federal Medicaid and CHIP payment for this care on October 13. The hospital rule, CMS-3481-P, is still pending.
Twenty-seven states have already made their own decision on this care. A coalition of 22 states and jurisdictions has sued over the Medicaid rule.
Please ask HHS to withdraw both rules. These decisions belong to families, their doctors, and their states.

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The Facts Behind the Ask

Oct. 13, 2026 Federal Medicaid and CHIP payment for this care for minors ends under CMS-2451-F (source)
34 of 35 U.S. medical groups with a formal position on this care support it (source)
27 states Ban this care for minors; 24 of the bans are in force (source)
Dozens Of hospitals closed youth gender programs pre-emptively, including in blue states (source)

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