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Multiple left-leaning states have been forced to suspend the coverage of transgender procedures in state Medicaid programs, following a federal rule that eliminated federal contributions for "sex-rejecting procedures" on minors in Medicaid and CHIP. Announced in August, the final rule by the Centers for Medicare & Medicaid Services (CMS) took effect on Tuesday. "Current medical evidence does not support a favorable risk/benefit profile for the use of chemical or surgical procedures in children to treat gender dysphoria," the agency concluded.

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