Erin Reed
@erininthemorning.com
Independent LGBTQ+ journalist, mom, D&D DM. Tips: http://ko-fi.com/erininthemorn // Booking: http://erinreedwrites.com // Venmo erin888
Bylines @TheGuardian.com, @advocate.com, @xtramagazine.com
Subscribe to support my journalism www.erininthemorning.com
Bylines @TheGuardian.com, @advocate.com, @xtramagazine.com
Subscribe to support my journalism www.erininthemorning.com
10. Lastly, EITM is an award-winning media outlet covering LGBTQ+ issues every day. You can subscribe to support our journalism at www.erininthemorning.com/subscribe.
Subscribe to Erin In The Morning
News and discussion on trans legislation and life. Click to read Erin In The Morning, by Erin Reed, a Substack publication with hundreds of thousands of subscribers.
www.erininthemorning.com
December 22, 2025 at 4:10 PM
10. Lastly, EITM is an award-winning media outlet covering LGBTQ+ issues every day. You can subscribe to support our journalism at www.erininthemorning.com/subscribe.
9. You can leave a public comment here. Note that public comments are just that—public—and so take steps to protect your anonymity if it is something that matters to you.
www.federalregister.gov/documents/20...
www.federalregister.gov/documents/20...
Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children
This proposed rule would revise the requirements that Medicare and Medicaid certified hospitals must meet to participate in the Medicare and Medicaid programs. These changes are necessary to protect t...
www.federalregister.gov
December 22, 2025 at 4:10 PM
9. You can leave a public comment here. Note that public comments are just that—public—and so take steps to protect your anonymity if it is something that matters to you.
www.federalregister.gov/documents/20...
www.federalregister.gov/documents/20...
8. That work may prove lifesaving if the administration follows through. At the same time, the public comment period matters. Every comment forces the administration to justify its actions on the record, slowing the process and strengthening the case against it in court.
December 22, 2025 at 4:10 PM
8. That work may prove lifesaving if the administration follows through. At the same time, the public comment period matters. Every comment forces the administration to justify its actions on the record, slowing the process and strengthening the case against it in court.
7. In the meantime, parents, families, and allies are not powerless. The Trans Youth Emergency Project has confirmed it has the capacity to connect transgender youth who may be cut off from hospital-based care with private doctors who are less vulnerable to these incoming regulations.
Trans Youth Emergency Project Offers Families Guidance To Help Keep Getting Care After New Trump Anti-Trans Rule
The organization tells EITM that they are prepared to scale up for further shutdown of care, and can offer most families places to continue getting care.
www.erininthemorning.com
December 22, 2025 at 4:10 PM
7. In the meantime, parents, families, and allies are not powerless. The Trans Youth Emergency Project has confirmed it has the capacity to connect transgender youth who may be cut off from hospital-based care with private doctors who are less vulnerable to these incoming regulations.
6. Even after the Supreme Court’s recent Skrmetti decision, which allowed states to ban gender-affirming care for transgender youth, it will be difficult for the federal government to argue that it can impose a nationwide ban in direct contradiction of a statute that forbids it from doing so.
December 22, 2025 at 4:10 PM
6. Even after the Supreme Court’s recent Skrmetti decision, which allowed states to ban gender-affirming care for transgender youth, it will be difficult for the federal government to argue that it can impose a nationwide ban in direct contradiction of a statute that forbids it from doing so.
5. The ACLU has multiple grounds on which to challenge the rule. For instance, Section 1801 of the Social Security Act explicitly bars the federal government from using Medicaid to “exercise any supervision or control over the practice of medicine.”
www.ssa.gov/OP_Home/ssac...
www.ssa.gov/OP_Home/ssac...
www.ssa.gov
December 22, 2025 at 4:10 PM
5. The ACLU has multiple grounds on which to challenge the rule. For instance, Section 1801 of the Social Security Act explicitly bars the federal government from using Medicaid to “exercise any supervision or control over the practice of medicine.”
www.ssa.gov/OP_Home/ssac...
www.ssa.gov/OP_Home/ssac...
4. “We have seen the devastating consequences of similar policies at the state level, and we have fought them every step of the way. Let us be clear: If this administration moves forward with this attempt to enact a national ban on our medical care through coercion, the ACLU will see them in court."
December 22, 2025 at 4:10 PM
4. “We have seen the devastating consequences of similar policies at the state level, and we have fought them every step of the way. Let us be clear: If this administration moves forward with this attempt to enact a national ban on our medical care through coercion, the ACLU will see them in court."
3. “These gratuitous proposals are cruel and unconstitutional attacks on the rights of transgender youth and their families,” said Chase Strangio, Co-Director of the ACLU’s LGBTQ & HIV Rights Project.
www.aclu.org/press-releas...
www.aclu.org/press-releas...
ACLU Will Challenge Trump Administration’s Unconstitutional Effort to Ban Gender-Affirming Care for Transgender Youth | American Civil Liberties Union
WASHINGTON–Today, the American Civil Liberties Union condemned the Trump administration’s latest proposals to implement two nationwide rules that...
www.aclu.org
December 22, 2025 at 4:10 PM
3. “These gratuitous proposals are cruel and unconstitutional attacks on the rights of transgender youth and their families,” said Chase Strangio, Co-Director of the ACLU’s LGBTQ & HIV Rights Project.
www.aclu.org/press-releas...
www.aclu.org/press-releas...
2. The proposed rule would bar any hospital system that participates in Medicaid from offering gender-affirming care to trans youth, even if that care is paid privately. If enacted, it would represent the most sweeping overreach yet by the administration in its campaign against trans people.
Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children
This proposed rule would revise the requirements that Medicare and Medicaid certified hospitals must meet to participate in the Medicare and Medicaid programs. These changes are necessary to protect t...
www.federalregister.gov
December 22, 2025 at 4:10 PM
2. The proposed rule would bar any hospital system that participates in Medicaid from offering gender-affirming care to trans youth, even if that care is paid privately. If enacted, it would represent the most sweeping overreach yet by the administration in its campaign against trans people.
And all this said, the majority of transgender youth get their care through hospital systems and affiliated clinics that accept medicaid.
If you think there is capacity to offer my readers who are about to be shut out of care alternatives, I'm glad to do so.
If you think there is capacity to offer my readers who are about to be shut out of care alternatives, I'm glad to do so.
December 18, 2025 at 7:33 PM
And all this said, the majority of transgender youth get their care through hospital systems and affiliated clinics that accept medicaid.
If you think there is capacity to offer my readers who are about to be shut out of care alternatives, I'm glad to do so.
If you think there is capacity to offer my readers who are about to be shut out of care alternatives, I'm glad to do so.
Many clinics that look independent are legally part of a hospital system for billing purposes (to capture facility fees), which would drag them under this ban. But yes, finding truly independent, non-hospital-affiliated private practitioners is now the primary survival strategy for care in the US.
December 18, 2025 at 7:31 PM
That said, in the story itself and the tweets, I do mention independent providers are one potential option, but those providers are few and far between, and cannot cover for the hospitals.
December 18, 2025 at 7:31 PM
8. The ban would leave a narrow window for trans youth to access care. The only entities that could continue treatment would be private doctors or clinics that do not accept Medicaid. While there has been some discussion about establishing such clinics, those efforts have failed to materialize.
December 18, 2025 at 7:31 PM
Its more narrow in that there are few slots available for people to go to private clinics and they have to find them. There is no scale to absorb the massive number of youth who will lose care.
The regs will go into effect in a few months likely.
The regs will go into effect in a few months likely.
December 18, 2025 at 5:31 PM
Its more narrow in that there are few slots available for people to go to private clinics and they have to find them. There is no scale to absorb the massive number of youth who will lose care.
The regs will go into effect in a few months likely.
The regs will go into effect in a few months likely.
They don't exist in bulk right now sadly. I think there may be a couple private practices that are offering care, but there is not nearly enough scale to absorb the 84% of patients who will be shut out.
December 18, 2025 at 5:27 PM
They don't exist in bulk right now sadly. I think there may be a couple private practices that are offering care, but there is not nearly enough scale to absorb the 84% of patients who will be shut out.
Many clinics that look independent are legally part of a hospital system for billing purposes (to capture facility fees), which would drag them under this ban. But yes, finding truly independent, non-hospital-affiliated private practitioners is now the primary survival strategy for care in the US.
December 18, 2025 at 5:19 PM
Many clinics that look independent are legally part of a hospital system for billing purposes (to capture facility fees), which would drag them under this ban. But yes, finding truly independent, non-hospital-affiliated private practitioners is now the primary survival strategy for care in the US.
That said, in the story itself and the tweets, I do mention independent providers are one potential option, but those providers are few and far between, and cannot cover for the hospitals.
December 18, 2025 at 5:17 PM
That said, in the story itself and the tweets, I do mention independent providers are one potential option, but those providers are few and far between, and cannot cover for the hospitals.
The administration says 84% of youth getting care would be banned by this rule in the doccument. I know that we can't take them at their word on that, but it is clear it's intended to be broad.
December 18, 2025 at 5:17 PM
The administration says 84% of youth getting care would be banned by this rule in the doccument. I know that we can't take them at their word on that, but it is clear it's intended to be broad.
10. Lastly, EITM is an award-winning media outlet covering LGBTQ+ issues every day. You can subscribe to support our journalism at www.erininthemorning.com/subscribe.
Subscribe to Erin In The Morning
News and discussion on trans legislation and life. Click to read Erin In The Morning, by Erin Reed, a Substack publication with hundreds of thousands of subscribers.
www.erininthemorning.com
December 18, 2025 at 5:02 PM
10. Lastly, EITM is an award-winning media outlet covering LGBTQ+ issues every day. You can subscribe to support our journalism at www.erininthemorning.com/subscribe.