Washington and Oregon join 21-state challenge to federal Medicaid ban on trans youth care

Washington and Oregon are challenging a finalized federal Medicaid and CHIP prohibition on gender-affirming care for people under 19, scheduled to take effect October 13, 2026; no new injunction has been identified. Approved individual-market premium increases of about 22% in Washington and 21.6% in Oregon add broader affordability and continuity-of-care risks.