Sponsors (5)
Official title: To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes.
Introduced September 26, 2025 by Nancy Mace · Last progress September 26, 2025
The bill prioritizes preventing and defunding gender-related medical treatments for minors and creating federal enforcement standards — reducing federal spending and aligning funding with certain family preferences — at the cost of criminalizing and excluding providers, narrowing definitions that may deny care to transgender youth, reducing access for minors on federal programs, and shifting costs and administrative burdens onto families, providers, and states.
Children and families who oppose gender-related medical treatments for minors: the bill criminalizes knowingly performing such procedures across state lines, aiming to prevent irreversible interventions on minors.
Taxpayers and federal healthcare programs: the bill would reduce federal spending and stop use of federal funds for covered gender-related treatments for minors, lowering federal outlays for those services.
Healthcare providers, hospitals, and prosecutors: the bill creates a federal standard with defined exceptions (e.g., DSD, ambiguous sex, treatment of complications) to guide treatment, enrollment, and enforcement decisions across jurisdictions.
Minors covered by federal insurance (Medicare/Medicaid) and their families: the bill would reduce or eliminate coverage for gender-related medical care, forcing higher out-of-pocket costs, delaying care, or making care inaccessible.
Clinicians and healthcare institutions: the bill raises the risk of severe legal exposure — including potential felony charges — and sanctions for providers who treat minors, even when following prevailing medical guidance.
Healthcare providers and their minor patients: the bill is likely to chill clinicians from providing or even discussing gender-related care and mental-health supports for minors, reducing access to counseling and lawful, evidence-based treatment even where exceptions apply.
Based on analysis of 4 sections of legislative text.
Criminalizes many gender-related medical treatments for minors, bars Medicare payment/participation for such care, and prohibits federal funding, with narrow medical exceptions.
Creates a new federal felony making it illegal to knowingly perform or attempt to perform specified “gender-related medical treatment” on anyone under 18 when federal jurisdictional hooks apply, while carving out narrow medical exceptions. It also bars Medicare payment and participation for providers who furnish these treatments to minors (except for the limited exceptions) and prohibits use of federal funds or federal trust funds for such care, with most Medicare sanctions effective 90 days after enactment and the federal funding prohibition effective upon enactment.