Changes

Several state Medicaid programs stopped paying for non-therapeutic circumcision in the early in the 21st Century. It is believed that this caused alarm in the circumcision industry. Shortly after ''The Lancet'' published two reports on randomized controlled trials (RCTs) from sub-Saharan Africa,<ref name="bailey2007">{{RCT Bailey et al 2007}}</ref><ref name="gray2007">{{REFjournal |last=RCT Gray |init=RH |author-link=Ronald H. Gray |last2=Kigozi |init2=G |last3=Serwadda |init3=D |etal=yes |title=Male circumcision for HIV prevention in men in Rakai, Uganda: A randomised trial |journal=Lancet |date=et al 2007 |volume=369 |issue=9562 |pages=657-666}}</ref> it was announced in 2007 that the [[American Academy of Pediatrics]] (AAP) would take the lead, in association with the [[American Congress of Obstetricians and Gynecologists| American College of Obstetricians and Gynecologists]] (ACOG) and the [[American Academy of Family Physicians]] {AAFP}, these being the three trade associations (stakeholders) whose members perform most of the non-therapeutic circumcisions, in developing a new circumcision policy for America.<ref>{{REFjournal