{"abstract":"This is to inform the public that, on October 22, 2025, the United States District Court for the Southern District of Mississippi issued an order in Tennessee v. Kennedy, No. 1:24-cv-161-LG-BWR (S.D. Miss. Oct. 22, 2025), vacating portions of the final rule titled \"Nondiscrimination in Health Programs and Activities,\" published May 6, 2024 (89 FR 37522). Specifically, the court vacated certain provisions of the regulation to the extent they expand Title IX's definition of sex discrimination to include gender-identity discrimination. Pursuant to the court's order, the vacated provisions are legally void. The other provisions of the Section 1557 Rule remain in force.","action":"Notification of court decision.","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"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2026/06/02/2026-11015.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"438","title":42},{"chapter":null,"citation_url":null,"part":"440","title":42},{"chapter":null,"citation_url":null,"part":"457","title":42},{"chapter":null,"citation_url":null,"part":"460","title":42},{"chapter":null,"citation_url":null,"part":"80","title":45},{"chapter":null,"citation_url":null,"part":"84","title":45},{"chapter":null,"citation_url":null,"part":"92","title":45},{"chapter":null,"citation_url":null,"part":"147","title":45},{"chapter":null,"citation_url":null,"part":"155","title":45},{"chapter":null,"citation_url":null,"part":"156","title":45}],"citation":"91 FR 32887","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The Tennessee court issued its vacatur order on October 22, 2025. As long as the specified provisions of the 2024 Section 1557 Rule remain vacated, OCR and CMS cannot and will not enforce the vacated provisions.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"2026-11015","effective_on":null,"end_page":32888,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/06/02/2026-11015.xml","html_url":"https://www.federalregister.gov/documents/2026/06/02/2026-11015/notice-of-vacatur-regarding-certain-provisions-of-the-2024-nondiscrimination-in-health-programs-and","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-11015?publication_date=2026-06-02","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-06-02/2026-11015/mods.xml","not_received_for_publication":null,"page_length":2,"page_views":{"count":1154,"last_updated":"2026-06-27 12:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-02/pdf/2026-11015.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11015.pdf?1780317924","publication_date":"2026-06-02","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/06/02/2026-11015.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS_FRDOC_0001","supporting_documents_count":0,"docket_id":"CMS_FRDOC_0001","document_id":"CMS_FRDOC_0001-4380","regulation_id_number":null,"title":"Recently Posted CMS Rules and Notices.","checked_regulationsdotgov_at":"2026-06-09T16:07:25Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":32887,"subtype":null,"title":"Notice of Vacatur Regarding Certain Provisions of the 2024 Nondiscrimination in Health Programs and Activities Final Rule","toc_doc":"Vacatur Regarding Certain Provisions of the 2024 Nondiscrimination in Health Programs and Activities Final Rule","toc_subject":null,"topics":[],"type":"Rule","volume":91}