{"abstract":"The Department of Health and Human Services (HHS or Department) published a notice of proposed rulemaking (NPRM) in the Federal Register on December 19, 2025. As a result of administrative technical issues, HHS is re-opening the public comment period for the public to submit comments. The purpose of the NPRM is to limit ambiguity by clarifying that the statutory exclusion of \"gender identity disorders not resulting from physical impairments\" from the scope of what constitutes discrimination includes \"gender dysphoria not resulting from a physical impairment.\"","action":"Notice of proposed rulemaking; re-opening of public comment period.","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":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2026/02/02/2026-02038.html","cfr_references":[{"chapter":null,"citation_url":null,"part":84,"title":45}],"citation":"91 FR 4467","comment_url":null,"comments_close_on":"2026-02-20","correction_of":null,"corrections":[],"dates":"The comment period for the NPRM published at 90 FR 59478 on December 19, 2025, is re-opened. Comments should be received on or before February 20, 2026.","disposition_notes":null,"docket_ids":["Docket Number OCR-2026-0034"],"dockets":[{"supporting_documents":[],"agency_name":"HHS","documents":[{"comment_count":223,"comment_start_date":"2026-02-02","updated_at":"2026-03-13T01:56:10.016-04:00","comment_url":"https://www.regulations.gov/commenton/HHS-OCR-2026-0034-0002","allow_late_comments":false,"id":"HHS-OCR-2026-0034-0002","comment_end_date":"2026-02-21","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"HHS-OCR-2026-0034","title":"Nondiscrimination on the Basis of Disability in Programs or  Activities Receiving Federal Financial Assistance"}],"document_number":"2026-02038","effective_on":"2025-12-19","end_page":4468,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/02/02/2026-02038.xml","html_url":"https://www.federalregister.gov/documents/2026/02/02/2026-02038/nondiscrimination-on-the-basis-of-disability-in-programs-or-activities-receiving-federal-financial","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-02038?publication_date=2026-02-02","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-02-02/2026-02038/mods.xml","not_received_for_publication":null,"page_length":2,"page_views":{"count":855,"last_updated":"2026-04-10 06:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-02/pdf/2026-02038.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-02038.pdf?1769780729","publication_date":"2026-02-02","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/02/02/2026-02038.txt","regulation_id_number_info":{"0945-AA27":{"issue":"202504","html_url":"https://www.federalregister.gov/regulations/0945-AA27/clarifying-statutory-limitation-on-disability-as-it-applies-to-gender-identity-and-dysphoria-in-nond","title":"Clarifying Statutory Limitation on Disability as it Applies to Gender Identity and Dysphoria in Nondiscrimination in Programs and Activities Receiving Federal Financial Assistance.","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202504&RIN=0945-AA27&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0945-AA27"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0945-AA27/clarifying-statutory-limitation-on-disability-as-it-applies-to-gender-identity-and-dysphoria-in-nond","title":"Clarifying Statutory Limitation on Disability as it Applies to Gender Identity and Dysphoria in Nondiscrimination in Programs and Activities Receiving Federal Financial Assistance."},"comments_count":223,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OCR-2026-0034","supporting_documents_count":0,"docket_id":"HHS-OCR-2026-0034","document_id":"HHS-OCR-2026-0034-0002","regulation_id_number":"0945-AA27","title":"Nondiscrimination on the Basis of Disability in Programs or  Activities Receiving Federal Financial Assistance","checked_regulationsdotgov_at":"2026-03-14T08:55:03Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":4467,"subtype":null,"title":"Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance","toc_doc":"Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance","toc_subject":null,"topics":[],"type":"Proposed Rule","volume":91}