{"abstract":"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 the health and safety of children and reflect HHS' review of recent information on the safety and efficacy of sex-rejecting procedures (SRPs) on children. The revisions to the requirements would prohibit hospitals from performing sex-rejecting procedures on children.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2025/12/19/2025-23465.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"482","title":42}],"citation":"90 FR 59463","comment_url":null,"comments_close_on":"2026-02-17","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on February 17, 2026.","disposition_notes":null,"docket_ids":["CMS-3481-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":30893,"comment_start_date":"2025-12-19","updated_at":"2026-02-25T00:56:18.223-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2025-1822-0001","allow_late_comments":false,"id":"CMS-2025-1822-0001","comment_end_date":"2026-02-18","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2025-1822","title":"Medicare and Medicaid Programs: Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children (CMS-3481-P)"}],"document_number":"2025-23465","effective_on":null,"end_page":59478,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2025/12/19/2025-23465.xml","html_url":"https://www.federalregister.gov/documents/2025/12/19/2025-23465/medicare-and-medicaid-programs-hospital-condition-of-participation-prohibiting-sex-rejecting","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2025-23465?publication_date=2025-12-19","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2025-12-19/2025-23465/mods.xml","not_received_for_publication":null,"page_length":16,"page_views":{"count":30072,"last_updated":"2026-06-25 04:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-19/pdf/2025-23465.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-23465.pdf?1766065528","publication_date":"2025-12-19","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2025/12/19/2025-23465.txt","regulation_id_number_info":{"0938-AV87":null},"regulation_id_numbers":["0938-AV87"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":30893,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2025-1822","supporting_documents_count":0,"docket_id":"CMS-2025-1822","document_id":"CMS-2025-1822-0001","regulation_id_number":"0938-AV87","title":"Medicare and Medicaid Programs: Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children (CMS-3481-P)","checked_regulationsdotgov_at":"2026-02-26T09:55:03Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":59463,"subtype":null,"title":"Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children","toc_doc":"Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children","toc_subject":"Medicare and Medicaid Programs","topics":["Grant programs-health","Hospitals","Medicaid","Medicare","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":90}