Each week, Crowell & Moring’s State Attorneys General team highlights significant actions that State AGs have taken. See our State Attorneys General page for more insights. Below are the updates from September 3-9, 2026:

Multistate

• A multistate coalition of 22 attorneys general, co-led by Illinois Attorney General Raoul and the attorneys general of California, Connecticut, Maryland, and Massachusetts, filed suit challenging a final rule issued by the U.S. Department of Health and Human Services prohibiting federal Medicaid and CHIP reimbursement for gender-affirming care for beneficiaries under ages 18 and 19, respectively, while continuing to cover the same treatments when provided to non-transgender youth. The coalition argues that since the creation of Medicaid and CHIP in the 1960s, Congress has reserved to states the authority to determine which services are covered under their programs, and that HHS and the Centers for Medicare & Medicaid Services lack statutory authority to categorically exclude medically necessary services from reimbursement based solely on the patient’s transgender status. The complaint alleges violations of the Administrative Procedure Act and the Spending Clause of the U.S. Constitution. The rule is set to take effect on October 13, 2026.