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Section 504, language access, nondiscrimination, and related rules that affect whether patients can use health center services.
HHS published a final rule on November 3 that reads the Section 504 disability exclusion to cover gender dysphoria not resulting from a physical impairment. It takes effect January 4, 2027. CMS's rule ending federal Medicaid and CHIP payment for gender-dysphoria care for youth has been in effect since October 13, and on October 30 a federal court in New Hampshire heard four families' request to pause it. Illinois Medicaid will cover the care with state-only funds through state fiscal year 2027. In the states' Title X case in Maryland, HHS asked for summary judgment on October 23 and opposed the states' motion. Healthy Texas Women providers must recertify by December 31 or lose payment.
As of
Based on: HHS Office of the Secretary, Office for Civil Rights · Monadnock Ledger-Transcript · U.S. District Court, D. Massachusetts · Illinois Department of Healthcare and Family Services · U.S. District Court, District of Maryland · Texas Medicaid & Healthcare Partnership
HHS Office of the Secretary
HHS published a final rule reading the Section 504 disability exclusion to cover gender dysphoria not resulting from a physical impairment. The text is unchanged from the proposal and takes effect January 4, 2027.
U.S. District Court, Northern District of Texas
A Texas federal court vacated parts of HHS’s 2024 Section 504 disability rule. The order lists six provisions, including the definition of “most integrated setting,” and decides no other claims.
North Carolina Health News
On September 11, 2026, North Carolina and the U.S. Department of Justice filed a joint motion asking the federal court to end oversight of the Transitions to Community Living settlement. The settlement had been set to end in July 2027.
HHS Office of the Secretary
HHS published a final rule reading the Section 504 disability exclusion to cover gender dysphoria not resulting from a physical impairment. The text is unchanged from the proposal and takes effect January 4, 2027.
Monadnock Ledger-Transcript
A federal district court heard four New Hampshire families’ request to pause a CMS rule barring Medicaid and CHIP payment for gender dysphoria treatment for transgender youth. The rule took effect October 13.
U.S. District Court, District of New Hampshire
Four New Hampshire families refiled their reply supporting an injunction against CMS’s rule ending federal payment for youth gender-dysphoria care.
U.S. District Court, District of Maryland
HHS asked a Maryland federal court for summary judgment and opposed the states’ motion in the case over Title X funding conditions. On October 20 the court had denied a motion to change venue. No health center is named.
U.S. District Court, District of Maryland
21 states and two governors asked a Maryland federal court for summary judgment against six conditions in HHS’s 2027 Title X funding notice. The conditions tie applications to alignment with agency priorities.
Texas Medicaid & Healthcare Partnership
TMHP said Healthy Texas Women providers must recertify their HTW attestation in PEMS between November 1 and December 31, 2026, to provide HTW services in 2027.
U.S. Department of Health and Human Services / Federal Register
HHS published a final rule that removes liability for unintentional disparate impact from its Title VI regulations, effective the same day with no comment period.
HHS OCR
HHS's Section 1557 rule requiring an annual notice of free language help, in English and the state's 15 most common limited-English languages, took effect July 5, 2025.
KFF Health News
KFF Health News reported in April 2026 that Fresno agencies cut community health worker positions from 49 to 20 after a SAMHSA funding freeze. Orange County lost 27 bilingual mental health professionals.
and 16 more organizations