Related articles
Extreme new Trump admin rules threaten to shutter even more hospitals

A pair of extreme new Trump administration rules aimed at functionally banning gender-affirming healthcare for transgender youth could force even more hospitals to close down.
NPR reported Thursday that the Department of Health and Human Services (HHS) drafted a proposed rule that would prohibit federal Medicaid reimbursement for medical care provided to transgender patients younger than 18 and prohibit the same from the Children’s Health Insurance Program (CHIP) for patients under 19.
Another proposed rule goes even further, blocking all Medicaid and Medicare funding to hospitals that provide gender-affirming care to youth.
As Erin Reed, an independent journalist who reports on LGBTQ+ rights, explained, this “would effectively eliminate access to such care nationwide, except at the few private clinics able to forgo Medicaid entirely, a rarity in transgender youth medicine.”
The policies are of a piece with the Trump administration and the broader Republican Party’s efforts to eliminate transgender healthcare for youth across the country.
Bans on gender-affirming care for those under 18 have already been passed in 27 states, despite evidence that early access to treatments like puberty blockers and hormones can save lives.
As Reed pointed out, a Cornell University review of more than 51 studies shows that access to such care dramatically reduces the risk of suicide and the rates of anxiety and depression among transgender adolescents.
The new HHS rules are being prepared for public release in November and would not be finalized for several more months.
But if passed, the ramifications could extend far beyond transgender people, impacting the entire healthcare system, for which federal funding from Medicare and Medicaid is a load-bearing piece. According to a report last year from the American Hospital Association, 96% of hospitals in the US have more than half their inpatient days paid for by Medicare and Medicaid.
It is already becoming apparent what happens when even some of that funding is taken away. As a result of the massive GOP budget law passed in July, an estimated $1 trillion is expected to be cut from Medicaid over the next decade. According to an analysis released Thursday by Protect Our Care, which maintains a Hospital Crisis Watch database, more than 500 healthcare providers across the country are already at risk of shutting down due to the budget cuts.
Tyler Hack, the executive director of the Christopher Street Project, a transgender rights organization, said that the newly proposed HHS rule would be “forcing hospitals to choose between providing lifesaving care for trans people or maintaining the ability to serve patients through Medicare and Medicaid.”
“Today’s news marks a dangerous overreach by the executive branch, pitting trans people, low-income families, disabled people, and seniors against each other and making hospitals choose which vulnerable populations to serve,” Hack said. “If these rules become law, it will kill people.”
‘A warning shot’: CNN’s John King floored as voters tell Trump they’re ‘still not happy’

CNN election expert John King was floored on Tuesday night after New Jersey's voters elected a Democrat as the state's next governor.
Democrat Mikie Sherill was projected to win the state's governor's seat against Republican Jack Ciattarelli. Sherill's race was called after she won 56% of the vote with more than three-quarters of precincts reporting, according to CNN.
What surprised King the most was that Sherill outperformed Kamala Harris's efforts during the 2024 campaign against President Donald Trump.
"This is definitely a warning shot across the bow of the White House and I would say the Republican Party," King said. "Donald Trump won big just a year ago in 2024. This is America saying we're still not happy. And you're in charge now, and we're not happy."
He also found that Sherill had flipped the five counties Trump won during his campaign against Harris, which is an obvious warning sign for Republicans.
"That's called 'Never mind, we're going back to vote for the Democrats,'" King said.

