Sponsors (5)
Introduced September 26, 2025 by Nancy Mace · Last progress September 26, 2025
The bill prioritizes preventing federal funding and cross‑state provision of certain gender-related medical treatments for minors—arguing it protects children and saves federal dollars—but does so by creating criminal liability and coverage exclusions that are likely to reduce access to care, raise costs for families, remove providers from federal programs, and create legal and administrative conflicts.
Children and families: the bill establishes a federal prohibition on certain gender-related medical procedures for minors (including felony penalties for knowingly facilitating cross‑state treatments), which supporters say protects minors from irreversible interventions.
Healthcare systems and regulators: the bill creates a clear federal standard with explicit exceptions (e.g., DSD, ambiguous sex, treatment of complications) and adds interstate‑jurisdiction triggers, which proponents say provides uniform guidance and deters efforts to circumvent state rules by traveling or using cross‑state channels.
Taxpayers and federal budgets: the bill would reduce federal spending on covered gender-related treatments for minors by prohibiting use of federal funds and excluding those services from federal program coverage.
Healthcare workers and hospitals: clinicians who provide or facilitate gender-related medical care to minors consistent with prevailing medical guidelines could face federal felony charges (up to 10 years), sharply increasing legal and career risk.
Children and families: minors may lose access to medically recommended gender-related care (through Medicaid, Medicare, or federal programs), causing delays, disruptions in care continuity, worsened health outcomes, and increased out-of-pocket costs.
Hospitals, providers, and patients: providers who deliver lawful, evidence‑based gender‑related care to minors could be removed from Medicare or otherwise lose reimbursement, reducing provider availability and disrupting continuity of care.
Based on analysis of 4 sections of legislative text.
Makes most gender-related medical treatments for minors a federal felony, bars federal funding and Medicare coverage/enrollment for them, with narrow medical exceptions.
Makes it a federal crime to knowingly perform or attempt most gender-related medical treatments on people under 18, with penalties up to 10 years in prison and fines. It also bars federal payment, Medicare coverage, and Medicare enrollment for providers who furnish those treatments to minors, while carving out limited medical exceptions for certain disorders of sex development and treatment of infections or injuries caused by prior care. The law defines specific surgeries, hormones, and puberty blockers covered, sets jurisdictional rules that rely on interstate commerce or related connections, and takes immediate effect for the general federal funding ban while Medicare payment and enrollment changes start 90 days after enactment.