"I think it's really, really important to note that nothing is changing immediately. These would be proposals that would go out for public comment, it would take months for the Trump administration to issue a final rule, and then, if past is prologue, we would see litigation over whatever the final rules are."
"They believe that if you want to get some type of sex-trait modification procedure, you should have to pay for it," Schilling told NPR. "The American people are fully behind this effort."
"I shudder to think what this administration would do with such a tool in their hands."
The Trump administration proposes to prohibit federal Medicaid reimbursement for transgender patients under 18 and to block Medicaid and Medicare funding for hospitals that provide gender-affirming care to young people. A Center for Medicare and Medicaid Services employee indicated rules are being prepared for release in early November. The proposals would go out for public comment, and months could pass before any final rule, with litigation likely to follow. Supporters argue removing funding will require individuals to pay for sex‑trait modification procedures and say public opinion supports the move. Critics warn the policies represent a significant escalation against trans healthcare and could have harmful effects for families.
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