CMS demands financial data from children's hospitals on federally funded gender-affirming care

Enforcement/investigationCMS

Date
Actor
Centers for Medicare & Medicaid Services (Administrator Mehmet Oz); HHS Secretary Robert F. Kennedy Jr.
Agency
Centers for Medicare & Medicaid Services (CMS)
Type
Enforcement/investigation (funding-related information demand)
Section
FUNDING AND RESEARCH TERMINATIONS

Summary

CMS Administrator Oz sent letters to selected hospitals providing pediatric gender-affirming care demanding, within 30 days, their informed-consent policies, planned changes to clinical guidelines, adverse-event data, and detailed financial information — billing codes, revenue and utilization since 2020, operating margins, and revenue forecasts for pediatric gender-affirming procedures paid "in whole or in part" by federal funds. Kennedy simultaneously wrote providers that HHS "expects" protocol changes. The demands functioned as the information-gathering stage for later funding restrictions, with several hospitals curtailing care under the implicit funding threat. (See also sections 2, 13.)

Status

Information collection completed; fed into the December 18, 2025 CMS proposed rules (below). No standalone rule resulted from the letters themselves.

As recorded in the data of . Check the sources for anything newer.

Sources

Cite this action

see, e.g., Letter from Mehmet Oz, Adm'r, Ctrs. for Medicare & Medicaid Servs., U.S. Dep't of Health & Hum. Servs. (May 28, 2025), https://www.cms.gov/files/document/hospital-oversight-letter-generic.pdf.

Short form: Letter from Mehmet Oz, Adm'r, Ctrs. for Medicare & Medicaid Servs., U.S. Dep't of Health & Hum. Servs. (May 28, 2025), https://www.cms.gov/files/document/hospital-oversight-letter-generic.pdf.