Logan Shepard
@logan-shepard.bsky.social
27, he/him, furry - not a bot, just a Magic the Gathering nerd who also happens to be a furry. Expect both of those and also social justice stuff.
This is awesome! It's nice to see your art, Jabby!
December 19, 2025 at 9:28 AM
This is awesome! It's nice to see your art, Jabby!
What a precious holiday sight!
December 18, 2025 at 10:26 PM
What a precious holiday sight!
Reposted by Logan Shepard
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 An unpublished version is available here, with the official published version expected to appear Friday.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.
Public Inspection: Medicare and Medicaid Programs: Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children
Medicare and Medicaid Programs: Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children
www.federalregister.gov
December 18, 2025 at 5:02 PM
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 An unpublished version is available here, with the official published version expected to appear Friday.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.
Reposted by Logan Shepard
8. The ban would leave a narrow window for trans youth to access care. The only entities that could continue treatment would be private doctors or clinics that do not accept Medicaid. While there has been some discussion about establishing such clinics, those efforts have failed to materialize.
December 18, 2025 at 5:02 PM
8. The ban would leave a narrow window for trans youth to access care. The only entities that could continue treatment would be private doctors or clinics that do not accept Medicaid. While there has been some discussion about establishing such clinics, those efforts have failed to materialize.
Reposted by Logan Shepard
7. The proposed rule nevertheless asserts that these guidelines would preempt state laws, placing a direct target on the “shield laws” enacted by states like California, Minnesota, and New York. The text is explicit in its intent to override state sovereignty.
December 18, 2025 at 5:02 PM
7. The proposed rule nevertheless asserts that these guidelines would preempt state laws, placing a direct target on the “shield laws” enacted by states like California, Minnesota, and New York. The text is explicit in its intent to override state sovereignty.
Reposted by Logan Shepard
6. The government attempts to get around this by stating that gender affirming care is not part of “the practice of medicine.” In a section dedicated to this anticipated challenge, the new rule states:
December 18, 2025 at 5:02 PM
6. The government attempts to get around this by stating that gender affirming care is not part of “the practice of medicine.” In a section dedicated to this anticipated challenge, the new rule states:
Reposted by Logan Shepard
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.
![Sec. 1801. [42 U.S.C. 1395] Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person.](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:m65ifh7vn5zdgs7izcmht4gy/bafkreidhzf5v75y3nezosb7cknbeylyereyi6mkazzfbhvqdg6ofgvxqlm@jpeg)
December 18, 2025 at 5:02 PM
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.
Reposted by Logan Shepard
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.
The government acknowledges this.
December 18, 2025 at 5:02 PM
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.
The government acknowledges this.
Reposted by Logan Shepard
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.
December 18, 2025 at 5:02 PM
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.
Reposted by Logan Shepard
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:
The rule is seen here:
public-inspection.federalregister.gov
December 18, 2025 at 5:02 PM
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:
The rule is seen here: