https://apnews.com/live/donald-trump-news-updates-12-18-2025

The U.S. Department of Health and Human Services on Thursday unveiled a series of regulatory actions designed to effectively ban gender-affirming care for minors, building on broader Trump administration restrictions on transgender Americans.

The proposals mark the administration’s most significant moves to restrict the use of puberty blockers, hormone therapy and surgical interventions for transgender children — running counter to the recommendations of most major U.S. medical organizations.

More than half of U.S. states already ban or restrict gender-affirming care.

The proposed rules also cut off federal Medicaid and Medicare funding from hospitals that provide gender-affirming care to children, imperiling access in nearly two dozen states where drug treatments and surgical procedures remain legal and funded by Medicaid.

Secretary Robert F. Kennedy Jr. and his deputies announced the moves, which are not final or legally binding and are likely to face legal challenges.