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Amends paragraph (3) of section 36B(c) of the Internal Revenue Code to disallow the refundable premium tax credit (and related advance payments) for premiums of a qualified health plan that provides coverage for gender transition procedures, and to add a new subparagraph (C) permitting individuals and non-Federal issuers to purchase or offer separate coverage or a separate plan for such procedures so long as premiums for that separate coverage are not paid with amounts attributable to the credit (including advance payments).
Amends subsection (h) of section 45R of the Internal Revenue Code to exclude from the definition of eligible health plans any plan that includes coverage for gender transition procedures, while allowing employers and non-Federal issuers to purchase or offer separate coverage or a separate plan for those procedures so long as the separate coverage is not paid for with amounts eligible for the credit.
Adds a new paragraph (8) to subsection (a) of 42 U.S.C. 18054 requiring the Director (in entering into multi-State plan contracts) to ensure that no multi-State qualified health plan offered in an Exchange provides health benefits coverage for which the expenditure of Federal funds is prohibited under chapter 4 of title 1, United States Code.
Adds a new chapter to the end of Title 1, United States Code, that prohibits federally funded gender transition procedures.
Stops federal money from paying for gender transition procedures. It creates a general ban on taxpayer‑funded gender transition care and, under the Affordable Care Act (ACA), prevents premium tax credits, cost‑sharing reductions, and the small‑employer health insurance tax credit from applying to any plan that covers those procedures. People and employers may still buy separate coverage for gender transition care, but no federal subsidies or credits can be used for that separate coverage. The ACA changes apply to plan years that start more than one year after enactment. Some key details (like what counts as “gender transition procedures”) are not defined in the provided text.
Adds a new chapter to Title 1, United States Code, titled to prohibit taxpayer-funded (federally funded) gender transition procedures; labeled in the bill as "101 Prohibiting taxpayer-funded gender transition procedures." The provision text provided only states the addition of the new chapter and the prohibition label, and does not include the detailed operative language, scope, exceptions, or penalties in the available excerpt.
Amends the table of chapters for Title 1, United States Code, by adding an item for the new chapter that prohibits taxpayer-funded gender transition procedures (labeled in the bill as "102 Amendment to table of chapters"). The excerpt shows only that the table of chapters is amended to add the new item; no further formatting or placement details are provided.
Disallow refundable premium tax credit and cost‑sharing reductions for coverage provided under a qualified health plan that includes coverage for gender procedures (amends section 36B(c)(3) of the Internal Revenue Code).
Allows individuals to purchase separate coverage or a separate health plan that includes coverage for gender transition procedures, but specifies no premium tax credit or advance payments of that credit may be allowed with respect to premiums for that separate coverage.
Permits non‑Federal health insurance issuers to offer separate coverage or plans that include gender transition procedures so long as premiums for that coverage are not paid with any amount attributable to the premium tax credit or its advance payments.
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Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced March 18, 2025 by Doug Lamalfa · Last progress March 18, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House