{"data":{"id":"us/42-cfr-441.801","jurisdiction":"us","citation":"42 CFR 441.801","heading":"Definitions.","body":"As used in this subpart—\nFemale means a person of the sex characterized by a reproductive system with the biological function of (at maturity, absent disruption or congenital anomaly) producing eggs (ova).\nFFP means Federal financial participation.\nMale means a person of the sex characterized by a reproductive system with the biological function of (at maturity, absent disruption or congenital anomaly) producing sperm.\nSex means a person's immutable biological classification as either male or female.\nSex-rejecting procedure means, except as specified in paragraph (3) of this definition, any pharmaceutical or surgical intervention that attempts to align an individual's physical appearance or body with an asserted identity that differs from the individual's sex by either of the following:\n(1) Intentionally disrupting or suppressing the normal development of natural biological functions, including primary or secondary sex-based traits; or\n(2) Intentionally altering an individual's physical appearance or body, including amputating, minimizing or destroying primary or secondary sex-based traits such as the sexual and reproductive organs.\n(3) For purposes of this definition, the term sex-rejecting procedure does not include procedures undertaken—\n(i) To treat an individual with a medically verifiable disorder of sexual development; or\n(ii) For purposes other than attempting to align an individual's physical appearance or body with an asserted identity that differs from the individual's sex; or\n(iii) To treat complications, including any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of sex-rejecting procedure(s).","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES","Subpart N—Prohibition on Federal Medicaid Funding for Sex-Rejecting Procedures Furnished to Children"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-10-28/title-42.xml","current_through":"2026-10-28","vintage":"","retrieved_at":"2026-10-30T05:54:32Z","sha256":"23804924154eb52c09373192681a30f814a11eb959d3804a648560b0a2b1a439","source_id":"us-cfr","stale":false,"prev":"us/42-cfr-441.800","next":"us/42-cfr-441.802"},"notice":"GroundRules: Original legal text. Not legal advice."}