Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 12:32 PM MT
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Legal·August 19, 2026

Federal Judge Vacates Trump Administration Restrictions on ACA Gender-Affirming Care

A federal judge has struck down Trump administration restrictions on gender-affirming care under the Affordable Care Act while upholding other ACA policy changes. The ruling restores certain protections for gender-affirming care that had been rolled back by the administration. The decision affects coverage requirements for Medicaid managed care organizations and state agencies operating under ACA-aligned nondiscrimination standards. The ruling takes effect immediately, though appeals are likely.

Why it matters

Medicaid managed care plans must now determine whether restored ACA protections trigger changes to their coverage policies and prior authorization protocols for gender-affirming services.

Managed Care · Behavioral Health

Read the full article at healthcaredive.com

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