The source bodies captured at publish time for CMS calls them "sex-rejecting procedures." Doctors call it gender-affirming care. The President calls it chopping off reproductive organs. Same rule, same effective date, five outlets, and the only thing nobody disputes is the arithmetic: $31 million, 0.003% of Medicaid. — each with the quoted spans highlighted at their character offsets. This is the frozen record the audit was checked against.
