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Ends Federal Medicaid Payment for Minors' Gender Transition
Recent Bills/Ends Federal Medicaid Payment for Minors' Gen...

Ends Federal Medicaid Payment for Minors' Gender Transition

IntroducedJanuary 16, 2025
In the Senate11 months ago
Intro
House
Senate
Pres
In the Senate Finance Committee.
Most bills stop here and never get a vote.
HealthChild healthHealth programs administration and fundingMedicaidPrescription drugsSex, gender, sexual orientation discriminationSurgery and anesthesia
More:Bills That Passed the HouseHealthcareHouse Bills
Why This Matters

This bill stops federal Medicaid? money from paying for gender transition surgeries, puberty blockers?, and hormone treatments? for Medicaid patients under 18. States that keep offering this care would have to pay the full cost themselves.

If your child under 18 is on Medicaid and receives puberty blockers or hormones for gender transition, federal Medicaid would stop paying any share, leaving your state to fund it alone or drop coverage.
Who this affects
Transgender youth on Medicaid · Parents of Medicaid-enrolled minors · Doctors treating minors · State Medicaid officials
What this bill changes
  1. 1Covered treatments include puberty blockers, testosterone or estrogen above natural levels, and surgeries such as mastectomy, hysterectomy, genital surgery, and facial feminizing or masculinizing surgery.
  2. 2Federal funds also could not pay a state's administrative costs for running any program that provides these procedures or drugs to people under 18.
  3. 3Exceptions, with parent or guardian consent, cover early puberty, genetic disorders of sex development?, life-threatening physical conditions, and fixing or reversing earlier transition procedures.

The debate

The case for

Kids are too young for permanent changes, and taxpayers shouldn't pay for them.

Rep. Dan CrenshawVoted yes
vs

The case against

Doctors and parents, not lawmakers, should decide on needed care for children.

Rep. Frank Pallone, Jr.Voted no

Go deeper

Read the detailed summary

Do No Harm in Medicaid Act This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including specified surgeries, implants, and medications (e. g., hormones). The bill excludes procedures that are provided to an individual under the age of 18 with the consent of a parent or legal guardian and that are intended to (1) rectify early puberty, genetic disorders, or chromosomal abnormalities; (2) reverse prior gender transition procedures; or (3) prevent imminent death or impairment of a major bodily function.

Read full document

Last changed 7 days ago · checked hourly

Bill Progress3 of 4
A bill has to pass the House and Senate, then go to the President.
Intro
House
Senate
Pres
IntroducedJan 16, 2025
Sponsors
See all 7 sponsors
HouseDec 18, 2025
House Vote
Yes 215No 201Not Voting 20
Crossed party lines: 4 Democrats voted Yes
See How Everyone Voted
SenateCurrent

In the Senate Finance Committee.

Most bills stop here and never get a vote.

President

The President

Donald Trump
President
Not Sent Yet
Related Bills
Similar bill
House Bill · HR 7661
1 of 4 · Introduced
Stop the Sexualization of Children Act
Similar bill
House Bill · HB 1032 (AR)
1 of 4 · Introduced
To Ban Conversion Therapy.
·Healthcare
Similar bill
House Bill · HR 3688
1 of 4 · Introduced
Prohibition of Gender Transition for Minors
Protecting Children from Experimentation Act of 2025
·Healthcare