This bill would block federal Medicaid money from paying for gender transition care for anyone under age 18. It covers procedures meant to change a young person’s body to no longer match their sex under the bill’s definition, including certain surgeries, implants, puberty blockers, and hormones . The bill defines “sex” as male or female based on reproductive system functions.

There are exceptions. Medicaid could still cover care, with a parent or guardian’s consent, for early puberty, certain genetic or chromosomal conditions, reversing a prior transition, or to prevent imminent death or major bodily harm .

• Who is affected: Children under 18 on Medicaid, their families, and the doctors and clinics that bill Medicaid.
• What changes: No federal Medicaid payments for gender transition surgeries, implants, puberty blockers, or hormones for minors, with limited medical exceptions .
• How “sex” is defined: Male or female, based on whether a person’s reproductive system produces eggs or sperm at some point in life.