Op-Ed |

America First Policy Institute

A Reckoning for Experimenting With America’s Children

Ashley Hayek August 15, 2026

Originally published by Townhall

On Tuesday, the Trump administration delivered a major victory for children and parents, announcing a final rule ending federal Medicaid and CHIP funding for sex-rejecting procedures on children, including puberty blockers, cross-sex hormones, and surgeries.

For America First Policy Institute, the announcement marks an important milestone in a fight that began years before this issue was a national conversation.

In February 2023, AFPI researchers published a comprehensive report examining the risks, evidence gaps, and irreversible consequences associated with these procedures for children. That same year, I traveled to dozens of states warning policymakers, parents, and communities about what vulnerable children were facing. At the time, even suggesting that minors should be protected from life-altering sex-rejecting procedures was controversial.

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