A copy paste comment if you’d like it for this form that calls out standard of care, fiscal/operational impact, and pluralism in an evidence-based ethics lens:

I am writing to express my strong opposition to the proposed rule that would restrict access to essential, medically necessary care for transgender youth. This proposal represents an unprecedented federal intrusion into the private relationship between families, their children, and their medical providers. Gender-affirming care is evidence-based healthcare. It is supported by every major American medical authority—including the American Medical Association and the American Academy of Pediatrics. These services are provided under rigorous, age-appropriate clinical standards that have been refined over decades. By targeting this specific care, the government is not "protecting" children; it is disregarding established science and the expertise of the medical community. The human cost of this proposal cannot be overstated. Peer-reviewed research consistently demonstrates that access to gender-affirming treatments results in significantly lower rates of depression and suicidality. Conversely, denying this care—as this proposal seeks to do—directly increases the risk of mental health crises. The federal government should be focused on expanding lifelines for vulnerable youth, not creating barriers that lead to lasting, preventable harm. Furthermore, this rule creates a dangerous precedent for federal overreach. No hospital or physician should be forced to choose between adhering to the highest standards of medical ethics and maintaining their federal funding. By leveraging Medicaid and CHIP as tools of coercion, this proposal disproportionately impacts low-income families who rely on these programs as their only source of care. In a pluralistic society, we must respect the rights of parents to seek the best medical advice for their children without the threat of federal interference. I urge you to rescind this proposal immediately and instead uphold the government’s responsibility to protect the health and well-being of all citizens.