HHS proposes Section 504 rule codifying exclusion of gender dysphoria from disability protections

Proposed ruleHHS

Date
Actor
HHS Office for Civil Rights
Agency
Department of Health and Human Services (HHS)
Type
Proposed rule
Section
HEALTH AGENCIES (HHS, NIH, CDC, CMS, FDA, SAMHSA, HRSA, ACF)

Summary

NPRM (90 FR, doc. 2025-23484; RIN 0945-AA27) to revise 45 CFR 84.4(g), codifying HHS's interpretation that "gender dysphoria not resulting from a physical impairment" falls within the Rehabilitation Act/ADA statutory exclusions from the definition of disability — converting the April 2025 non-enforcement "clarification" into regulation and foreclosing Section 504 claims by transgender people premised on gender dysphoria. Original comment deadline January 20, 2026; comment period reopened February 2, 2026 (through February 20, 2026).

Status

Pending; final rule not identified as of August 20, 2026.

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

Documents

Sources