2026-08-11T22:31:45.847Z / 美国有线电视新闻网（CNN）
作者：亚当·坎ryn（Adam Cancryn）
发布时间：2026年8月11日，美国东部时间下午6:31
特朗普政府于周二敲定一项规定，禁止医疗补助计划为参保的低收入政府保险项目儿童支付性别认同医疗服务费用。
这项新政策禁止各州使用联邦医疗补助资金，为18岁以下参保者支付任何性别认同医疗费用，这是本届政府限制青少年获得跨性别医疗服务的最新举措。
唐纳德·特朗普总统在Truth Social的一篇帖子中对这一举措表示欢迎，称其有必要打击“野蛮的手术和操作，这些行为会对儿童的身体造成难以想象且不可逆转的伤害”。
“想想所有那些年轻、无辜，或许还有些迷茫的孩子，他们将因此免受伤害！”特朗普在社交媒体上写道。
特朗普一直试图将跨性别医疗服务问题作为中期选举前的核心议题，频繁用直白的措辞描述此类性别认同医疗程序，且毫无根据地声称大量儿童在父母不知情的情况下被胁迫秘密进行变性治疗。
民主党和众多医疗组织谴责特朗普政府限制跨性别医疗服务的做法有害且适得其反，警告此举将进一步损害儿童健康。
特朗普政府去年曾提议推行范围更广的限制儿童性别认同医疗服务的举措，包括停止向继续提供此类服务的医院和医生拨付联邦资金。
但美国医疗保险和医疗补助服务中心（CMS）周二最终敲定的这项规定，仅针对部分由联邦政府资助的低收入参保者的医保覆盖范围。
根据新政策，继续通过医疗补助计划和儿童健康保险计划（CHIP）提供跨性别医疗服务的州，需自行承担相关费用，不得使用联邦资金——而联邦资金通常承担该保险项目的很大一部分开支。美国医疗保险和医疗补助服务中心在一份声明中表示，这项资金禁令不适用于儿童心理健康服务。
据美国医疗保险和医疗补助服务中心消息，该规定将于10月13日生效。对于目前正在接受性别认同医疗服务的儿童，联邦资金将在六个月内继续拨付，以留出“逐步停止”的过渡期。
Trump administration bans the use of federal Medicaid funds to cover gender identity healthcare
2026-08-11T22:31:45.847Z / CNN
By Adam Cancryn
PUBLISHED Aug 11, 2026, 6:31 PM ET
President Donald Trump listens to Medicare and Medicaid Administrator Dr. Mehmet Oz during an announcement in the Oval Office on October 16, 2025.
Andrew Caballero-Reynolds/AFP/Getty Images
The Trump administration on Tuesday finalized a rule that will bar Medicaid from covering gender identity healthcare for children enrolled in the government’s low-income insurance program.
The new policy prohibits states from using federal Medicaid funds to pay for any gender identity care for enrollees under 18, marking the administration’s latest effort to restrict youth access to transgender healthcare.
President Donald Trump celebrated the move in a Truth Social post, touting it as necessary to crack down on “barbaric surgeries and practices, which result in unthinkable and irreversible harm to their young bodies.”
“Just think about all the young, innocent, and perhaps confused children who will be spared!” Trump wrote on social media.
The president has sought to make transgender care a central issue in the run-up to the midterms, frequently describing such gender identity healthcare procedures in graphic terms and claiming, without evidence, that swaths of children are being pressured to secretly transition without their parents’ knowledge.
Democrats and a broad range of medical organizations have denounced the Trump administration’s efforts to restrict transgender healthcare procedures as harmful and counterproductive, warning that it will further jeopardize children’s health.
The administration last year floated the potential for a wider effort to restrict gender identity healthcare for children, including withholding federal funds from hospitals and doctors that continue to offer the procedures.
But the rule finalized Tuesday by the Centers for Medicare and Medicaid Services instead targets coverage provided to low-income enrollees that is funded in part by the federal government.
Under the new policy, states that continue to provide transgender care through Medicaid and CHIP would need to finance it themselves, without the aid of federal money that helps pay for a significant share of the insurance programs. In a statement, CMS said that the funding ban would not apply to mental health services for children.
The rule is set to take effect on October 13, according to CMS. For those children who are currently receiving gender identity care, federal funds will remain available for six months to allow for a “tapering off” period.
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