27 states ban gender-affirming care for trans minors. CMS proposed federal rules that would bar any Medicaid-certified hospital from providing it, using Medicare funding as leverage.
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U.S. Capitol switchboard: (202) 224-3121
Here's what to say:
- I'm calling about the proposed CMS rules that would ban gender-affirming care at any Medicaid-certified hospital.
- 27 states already restrict this care. The federal rules would extend the ban nationwide by threatening hospitals' Medicare certification.
- Courts are still blocking state bans — Kansas struck down its ban in May 2026. The science supports this care. The federal government should not override doctors and families.
- I need the Senator to oppose CMS rules 2025-1823 and 2025-23464 before they take effect in October.
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Write Your Own Letter
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Dear [Senator/Representative name],
I am writing as a constituent from [city, state] about oppose the federal trans youth healthcare ban.
27 states already restrict this care. The federal rules would extend the ban nationwide by threatening hospitals' Medicare certification.
Courts are still blocking state bans — Kansas struck down its ban in May 2026. The science supports this care. The federal government should not override doctors and families.
The facts support this: 27 states Now ban or restrict gender-affirming care for trans minors. 6-3 Supreme Court ruling in Skrmetti upholding Tennessee's ban. 117 pages Kansas judge's ruling blocking that state's ban, questioning credibility of state witnesses.
I am asking you to take a public position on this issue and act accordingly. Thank you for your time.
Sincerely,
[Your name]
[Your address]
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Key Facts to Mention
Use these in your letter, call, email, or social post.
- 27 states Now ban or restrict gender-affirming care for trans minors
- 6-3 Supreme Court ruling in Skrmetti upholding Tennessee's ban
- 117 pages Kansas judge's ruling blocking that state's ban, questioning credibility of state witnesses
Preview the full letter
Twenty-seven states now ban or restrict gender-affirming medical care for transgender minors. The Supreme Court made it worse in June 2025, ruling 6-3 in United States v. Skrmetti that Tennessee's ban does not violate the Equal Protection Clause. That removed the main constitutional argument against state bans.
Now the federal government is going further. CMS proposed two rules in December 2025 that would bar any Medicare- or Medicaid-certified hospital from providing gender-affirming care to anyone under 18. A second rule would prohibit state Medicaid and CHIP plans from covering the same treatments. If finalized, it takes effect October 1, 2026.
Tell your senators to oppose CMS rules 2025-1823 and 2025-23464. Courts are still pushing back — Kansas blocked its ban in May 2026 with a 117-page ruling. This fight is not over. Federal rules threatening hospital Medicare certification as leverage will harm far more than trans youth.
This action is part of our LGBTQ Rights coverage.