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Trump administration bans the use of federal Medicaid funds to cover gender identity healthcare

(CNN) — The Trump administration on Tuesday finalized a rule that will bar Medicaid from covering gender identity healthcare for children enrolled in the government’s low-income insurance program.

The new policy prohibits states from using federal Medicaid funds to pay for any gender identity care for enrollees under 18, marking the administration’s latest effort to restrict youth access to transgender healthcare.

President Donald Trump celebrated the move in a Truth Social post, touting it as necessary to crack down on “barbaric surgeries and practices, which result in unthinkable and irreversible harm to their young bodies.”

“Just think about all the young, innocent, and perhaps confused children who will be spared!” Trump wrote on social media.

The president has sought to make transgender care a central issue in the run-up to the midterms, frequently describing such gender identity healthcare procedures in graphic terms and claiming, without evidence, that swaths of children are being pressured to secretly transition without their parents’ knowledge.

Democrats and a broad range of medical organizations have denounced the Trump administration’s efforts to restrict transgender healthcare procedures as harmful and counterproductive, warning that it will further jeopardize children’s health.

The administration last year floated the potential for a wider effort to restrict gender identity healthcare for children, including withholding federal funds from hospitals and doctors that continue to offer the procedures.

But the rule finalized Tuesday by the Centers for Medicare and Medicaid Services instead targets coverage provided to low-income enrollees that is funded in part by the federal government.

Under the new policy, states that continue to provide transgender care through Medicaid and CHIP would need to finance it themselves, without the aid of federal money that helps pay for a significant share of the insurance programs. In a statement, CMS said that the funding ban would not apply to mental health services for children.

The rule is set to take effect on October 13, according to CMS. For those children who are currently receiving gender identity care, federal funds will remain available for six months to allow for a “tapering off” period.

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Michigan’s cyclosporiasis outbreak grows to more than 1,500 cases

▶ Watch Video: Michigan's cyclosporiasis outbreak grows to more than 1,500 cases Michigan health officials say the state's cyclosporiasis outbreak has grown to more than 1,500 cases. As of July 10, the Michigan Department of Health and Human Services has received 1,562 reports since June 22. Health officials say 44 people have been hospitalized. Cyclospora cayetanensis is a parasite that causes the diarrheal illness cyclosporiasis. The Centers for Disease Control and Prevention says the most common symptoms associated with the illness are frequent watery diarrhea, loss of appetite, bloating, nausea and fatigue. Some people may also experience body aches, headache or vomiting.  The outbreak of the gastrointestinal illness was first reported in late June, after the Monroe County Health Department said it was investigating a cluster of cases. Most of the cases have been in Southeast Michigan, with multiple cases reported in Jackson, Lenawee, Livingston, Oakland, Shiawassee, Washtenaw and Wayne counties. As of July 9, cases have been confirmed in 40 counties, with Monroe County reporting the most, at 215.  Michigan averages about 50 cases per year, according to MDHHS.    According to the CDC, at least 31 states have reported cases since early May, including Illinois, New York, and Texas.MDHHS recently launched a cyclosporiasis outbreak webpage, where case counts are updated daily by 11 a.m. ET. The state will provide an update on hospitalization status and detailed outbreak data on Thursdays.  What's causing the outbreak?Health officials are still working to determine the cause or causes of the recent burst in cases, whether that be a supplier, grower or type of produce.According to MDHHS, previous outbreaks in the U.S. and Canada were linked to bagged salad mixes, fresh cilantro, fresh basil, raspberries, snow peas and scallions.Considering the trends, state health officials recommend that restaurants and commercial kitchens in Southeast Michigan take additional precautions with fresh produce, including washing it under clean running water and cooking it when possible.Tips to prevent cyclosporiasisHealth officials shared the following tips for avoiding the illness:Wash all fruits and vegetables thoroughly, under running water, before cutting, cooking or eating.Scrub firm fruits and vegetables, such as melons and cucumbers, with a produce brush when cleaning.Cut away any damaged or bruised areas of produce before preparing and eating.Refrigerate any cut, peeled or cooked produce within two hours of preparing it.
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