Ain't you all?

my disdain for the genocide that israel is committing is not racism.

At least you found a way to make a horrifying terrorist attack about you though.

They call gender-affirming care "sex-rejecting procedures."

But note that the definition is not limited to surgeries (which is what "procedures" might suggest). It includes puberty blockers and hormone treatment as well.

But of course the same hormones (or even surgery) are allowed for kids if the purpose is to align their sex with the sex assigned at birth.

I am not aware of another Medicare/Medicaid condition of participation that bars a provider from using clinical judgment to provide a particular treatment to patients *not* paid for with federal dollars.

By doing so here, the Trump Administration runs smack into the prohibition on Medicare and Medicaid regulating the practice of medicine (as opposed to deciding what they'll pay for). Congress recognized regulating the practice of medicine is a state function, not one for Medicare/Medicaid.