CMS proposes 2027 Notice of Benefit and Payment Parameters continuing "sex-trait modification" exclusion framework
- Date
- Actor
- HHS / Centers for Medicare & Medicaid Services
- Agency
- Centers for Medicare & Medicaid Services (CMS)
- Type
- Proposed rule
Summary
CMS publishes the proposed 2027 Notice of Benefit and Payment Parameters (doc. 2026-02769; comments closed March 13, 2026), the annual ACA-marketplace rule whose text carries forward the administration's "sex-trait modification" framework after the Marketplace Integrity and Affordability final rule (doc. 2025-11606, finalized June 25, 2025) -- not the 2026 NBPP itself, which HHS finalized January 15, 2025 (doc. 2025-00640), before the change in administration -- prohibited coverage of gender-affirming care as an essential health benefit beginning plan year 2026. The 2027 parameters were finalized May 20, 2026 (doc. 2026-10050), effective July 20, 2026. (see also section 2)
Status
Final rule effective July 20, 2026; the EHB exclusion of gender-affirming care remains in force for ACA marketplace plans.
As recorded in the data of . Check the sources for anything newer.
Documents
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Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program, 91 Fed. Reg. 6292 (proposed Feb. 11, 2026).
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Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program, 91 Fed. Reg. 29,526 (May 20, 2026).
Sources
- federalregister.gov/documents/2026/02/11/2026-02769/patient-protection-and-affo…(opens another site)
- federalregister.gov/documents/2026/05/20/2026-10050/patient-protection-and-affo…(opens another site)
- kff.org/lgbtq/overview-of-president-trumps-executive-actions-impacting-lgbtq-he…(opens another site)
Cite this action
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program, 91 Fed. Reg. 6292 (proposed Feb. 11, 2026).
Short form: 91 Fed. Reg. at 6292.