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Medicaid Monitor
Policy Intelligence
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Manatt Health·January 29, 2025

Trump Executive Order Directs HHS to End Federal Funding for Youth Gender-Affirming Care, Raising Medicaid Coverage Questions

A January 2025 executive order instructs federal agencies to cease support for gender-affirming care for individuals under 19, with HHS directed to potentially modify coverage rules and impose new grant conditions on providers. The directive carries direct implications for Medicaid managed care plans and state programs that currently cover such services, setting up potential conflicts between federal enforcement and state laws protecting transgender care access. MCOs may face new coverage restrictions or provider network compliance requirements as agencies work to implement the order within 60 days, though legal challenges are expected.

Managed Care · Behavioral Health

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