The form below can be used to privately and securely submit your comment(s) on the proposed CMS rules to the Federal Register. Your digital footprint, like IP addresses and metadata, will not be shared.
Comments are due Sunday, February 15 by midnight ET.
If you need guidance or assistance with your comments, start with this toolkit. If you have additional questions, you can register for an informational webinar or book office hours with Equality Connecticut.
Background: On December 18, 2025, the Centers for Medicare and Medicaid Services (CMS) released two proposed regulations that would further restrict access to gender-affirming medical care for minors. One proposal would revise hospital Conditions of Participation, effectively barring most hospitals that participate in Medicare or Medicaid from providing certain gender-affirming treatments to youth. The second proposal would prohibit the use of federal Medicaid and CHIP funds to cover gender-affirming care for this population.
If adopted, these changes would significantly limit access to care for adolescents, despite gender-affirming care being widely recognized as a best-practice model endorsed by major medical associations. Together, the proposals would meaningfully narrow the availability of medically recommended interventions.
The proposed rules are not yet in effect. Each is subject to a 60-day public comment period which closes on February 17, 2026. After reviewing submitted comments, CMS may choose to finalize the rules as written, revise them, or decline to move forward. They are one of the most effective tools we have to slow, weaken, or stop harmful policies—and to protect access to care.
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