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 [[HIV trials in Africa|randomized controlled trials (RCTs) from sub-Saharan Africa]],<ref name="bailey2007">{{RCT Bailey et al 2007}}</ref><ref name="gray2007">{{RCT Gray et al 2007}}</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