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Protecting Kids: A Closer Look at the New Gender Transition Rules

USASaturday, December 20, 2025
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The Trump administration has introduced new regulations regarding gender transition treatments for minors. These rules aim to prevent federal funds from being used for specific medical interventions, including puberty blockers and surgeries. The focus is on treatments with proven efficacy, avoiding the use of minors as test subjects.

Key Points from the Proposal

  • Leaders Involved: Dr. Mehmet Oz, head of the Centers for Medicare and Medicaid Services, and his deputy, Stephanie Carlton, discussed this in a recent column.
  • Evidence Concerns: They cited reviews from various health organizations indicating that the benefits of these treatments are not well-established.
  • Financial Impact: The new rules would prohibit Medicaid and related programs from covering these treatments and prevent Medicaid-funded hospitals from performing these procedures on minors. The administration estimates this could save over $250 million over a decade.

Risks and Alternatives

Oz and Carlton highlighted the potential risks associated with these treatments:

  • Puberty Blockers: Can impact bone health and sexual development.
  • Hormones: May lead to infertility and cardiovascular issues.
  • Surgeries: Can result in lifelong complications.

They advocate for starting with less invasive approaches, such as therapy and counseling, and emphasize addressing mental health issues first.

Stance from Health Secretary

Health Secretary Robert F. Kennedy Jr. labeled these treatments as "malpractice." The rules are still under review and will undergo a public comment period, likely facing opposition from medical groups and advocates.

Administration's Perspective

The administration believes parents will support their stance, pointing to the rise in gender dysphoria diagnoses and declining youth mental health. They argue that these trends necessitate caution rather than experimental treatments.

Core Debate

The central question is whether federal programs should fund treatments that permanently alter a child's body when less invasive options are available. The administration's position is clear: they prioritize funding for care that is proven, prudent, and protective.

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