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NYTIMES (Sarah Kliff, Margot Sanger-Katz, Erin Schaff and Asmaa Elkeurti) - Short Naps, Long Hours: How Autism Clinics Squeeze Medicaid Dollars Out of Preschoolers

The industry has grown rapidly, straining state budgets. A focus on finances has led to overbilling, fraud and even harm.

Sourcehttps://www.nytimes.com/2026/05/23/health/autism-therapy-clinics.html
Keywordsautismmedicaidhealthcare-fraudmedicaid-fraudpreschoolersautism-therapynytimesmedical-researchgovernment-spendingpublic-moneyhealthcarestate-budgetsoverbillingcorruptionfinancial-mismanagementlegalinvestigationdisability-rightspediatriciansmedical-industrytaxpayer-fundsfiscal-oversighthealth-newsgovernment-regulation
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From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
What is the administration's stance on the fiscal impact of restricting Medicaid funding for gender-affirming services?
While administration officials acknowledged concerns that restricting funding could increase downstream costs, such as the use of mental health crisis centers, they stated that the goal of the policy is not to save money.
Q&A ID 6fb726cc-a79d-4756-983d-c55b8cb604b0
From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
What justification did the Trump administration provide for adopting this policy regarding youth transition-related care?
The administration stated the policy is intended to "help to protect these children" from procedures they deem harmful, citing a 2025 HHS report that found weak evidence for pediatric gender-affirming medical interventions and a review from the United Kingdom.
Q&A ID aa1a7a25-b1a0-4e8d-a0c0-42d4e1dae6a3
From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
How many states currently cover some degree of gender-affirming care for children under Medicaid or the Children's Health Insurance Program (CHIP)?
According to the rule, seventeen states currently cover some degree of gender-affirming care for children under Medicaid and CHIP.
Q&A ID 7b9c7a14-ed85-44a9-9989-adb76500263d
From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
Does the new Centers for Medicare and Medicaid Services rule affect funding for psychotherapy related to gender dysphoria?
No, the rule does not cut off federal funding for psychotherapy related to gender dysphoria.
Q&A ID 79735aca-1a3d-4941-aa54-4a0f3fda3017
From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
When will the prohibition on states claiming federal Medicaid funding for gender-affirming health services take effect?
The change begins on Oct. 13, though there will be a six-month period where states can continue to receive funding for beneficiaries taking gender-affirming hormone therapies.
Q&A ID 3514598f-b8d2-4e2f-95d7-3ab871b95e4d
From related AXIOS (Maya Goldman): Trump admin cuts Medicaid funds for youth trans care
What specific medical services will no longer receive federal Medicaid funding for transgender youths under the Trump administration's new rule?
The finalized plan cuts off federal Medicaid funding for hormone therapy, puberty blockers, and surgeries for transgender youths.
Q&A ID 15231d2f-db46-4fe2-8371-f4b486b20584

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