9. The full federal rule can be read in this document. An unpublished version is available here, with the official published version expected to appear Friday. Once published, the rule will enter a 60-day public comment period, during which members of the public can submit feedback.

5. This rule violates multiple U.S. statutes and constitutional limits on federal authority. Most notably, Section 1801 of the Social Security Act explicitly bars the federal government from using Medicaid regulations to exercise direct supervision or control over the practice of medicine.

4.The new rule contains no exceptions for patients already receiving care, meaning transgender youth who have remained in treatment even under some red-state bans would immediately see that care cut off. For many, this would amount to forced medical detransition.

The government acknowledges this.

3. Rather than directly banning Medicaid reimbursement for transgender care, the rule would bar any hospital that accepts Medicaid funding from providing gender-affirming care for trans youth at all, regardless of whether that care is paid for by Medicaid.

2. On Thursday, the Trump administration’s HHS, under Secretary Robert F. Kennedy Jr., released a new rule that uses Medicaid "conditions of participation" to strip funding from hospitals that treat trans youth—the most aggressive attack on trans healthcare in U.S. history.

The rule is seen here:

FIRE’s latest move on behalf of right-wing speech has them coming out in support of conversion therapy. It says the religious beliefs of individual counselors take precedence over patient rights.

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