Trump Administration Threatens Federal Funding to End Gender-Affirming Care for Minors

• U.S. hospitals face escalating financial pressures as expenses rise over twice as fast as prices, with specialty margins varying widely amid ongoing challenges. • Ophthalmology leads with 17.5% margins, followed by genetics at 12.8%, hematology at 12.2%, cancer at 10.6%, and pulmonology at 2.4%. • Dipping overall margins signal need for cost controls as systems grapple with climbing operational expenses.

• Patients and providers in Colorado reported rising health care costs due to Trump administration policies including H.R.1 Medicaid requirements and ended ACA tax credits, discussed at a March 25 virtual roundtable with Sen. John Hickenlooper. • Nearly 250,000 Coloradans risk losing Medicaid coverage, exacerbating rural health care deserts where 82% of hospitals operate on unsustainable margins, per Craig Memorial Regional Health CEO Jennifer Riley. • Uninsured patients will seek emergency care at the highest cost level, straining providers and worsening access, especially for women's health services.

• A measles outbreak in Washtenaw County, southeast Michigan, now includes 7 cases under investigation involving unvaccinated children and adults, with potential exposure at Trinity Health Ann Arbor Hospital's ER on March 21. • The latest case concerns a young child treated in Ypsilanti, raising concerns that ER visitors may have been exposed to the highly contagious virus. • All confirmed and suspected cases are among unvaccinated individuals, highlighting ongoing vaccination gaps amid the outbreak's growth reported on March 25.

• HHS through the National Cancer Institute announced a $200 million public-private partnership to fund clinical trials for cancer vaccines targeting high-risk recurrence patients. • The initiative supports mRNA and other vaccine types, aiming to accelerate development with private sector involvement including venture capital. • 'Nothing of this scale has been attempted in cancer vaccines before,' said Stacey Adam, VP of science partnerships for the Foundation for the National Institutes of Health.

• Thousands of CDC employees have been laid off over the past year, leaving the agency in chaos amid funding cuts and the aftermath of a deadly shooting at its Atlanta headquarters last summer. • Insiders express concerns that the incoming Trump-nominated director will further erode trust in the agency as measles outbreaks escalate and vaccine policies face resistance. • The nominee is expected to be announced on Truth Social by Wednesday, inheriting a hollowed-out leadership structure marked by yearlong turmoil.

• The White House added Jentadueto, Jentadueto XR for Type 2 diabetes, and Striverdi Respimat for COPD to TrumpRx, enabling cash discounts on brand-name drugs from Boehringer Ingelheim. • Consumers can bypass insurance for lower prices on these medications via the website, expanding access amid high health care costs. • The move supports broader efforts to reduce drug prices as NIH Director Jay Bhattacharya's acting CDC role ends March 26.

• An NIH-funded mouse study shows chronic colitis induces long-lasting epigenetic changes in gut stem cells, boosting AP-1 transcription factor activity and tumor growth potential. • Researchers analyzed over 52,000 cells, finding damage memories persist more than 100 days after inflammation ends, heritable across new cells. • The findings from Broad Institute scientists explain how sustained inflammation elevates colorectal cancer risk through dynamic epigenome alterations.

• Dr. Casey Means' nomination for U.S. surgeon general is stalled after senators from both parties questioned her vaccine views and limited medical experience during a confirmation hearing last month. • The 38-year-old Stanford-educated physician, who left her surgical residency, faces scrutiny for her alignment with Health Secretary Robert F. Kennedy Jr.'s vaccine rollback efforts. • Despite White House and activist support, Means needs full Republican backing on the Senate HELP Committee, but two GOP senators remain opposed amid legal setbacks for Kennedy's agenda.

• KFF published an update on March 24, 2026, to its tracker monitoring bilateral Memorandums of Understanding (MOUs) under the US America First Global Health Strategy launched September 18, 2025. • These five-year plans (2026-2030) with partner countries aim to transition from US aid to domestic health spending, with implementation starting later in 2026. • The tracker, based on State Department releases and MOU documents, tracks signed agreements to build resilient health systems globally while affecting US policy.

• A study analyzing electronic health records from nearly 4 million pediatric hospital admissions from 2016 to 2023 found that 18% of deaths among hospitalized children in the US were linked to sepsis. • Sepsis emerged as a leading cause of mortality in this large dataset, highlighting ongoing challenges in early detection and treatment in pediatric care. • The findings underscore the need for improved sepsis protocols in US hospitals to reduce preventable child deaths, as rates remain significant despite medical advances.

• The House Energy and Commerce Health Subcommittee held a hearing on March 18, 2026, focusing on healthcare providers amid ongoing policy debates. • Reported on March 25, the session examined provider challenges, potentially influencing upcoming health legislation in the US Congress. • This follows recent hearings on Medicare fraud, highlighting congressional scrutiny of healthcare delivery and costs.