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Adds a new paragraph (12) to subsection (d) of 26 U.S.C. §213 that excludes 'gender transition procedures' from the definition of medical care and adds definitions for 'gender transition procedure,' 'gender transition,' 'sex,' 'female,' and 'male', including specified exclusions.
Amends subsection (b)(2) of 42 U.S.C. 18022 to (a) insert a new subparagraph (B) that prohibits the Secretary from including the category of gender transition procedures (as defined in 26 U.S.C. 213(d)(12)(B)) or any items or services within that category when defining or revising essential health benefits, (b) redesignate the existing subparagraph (B) as (C), and (c) update a cross-reference in the redesignated subparagraph (C).
Adds a new paragraph (26) to 42 U.S.C. 1395y(a) to exclude Medicare payment for 'specified gender transition procedures' as defined in section 1905(kk), and adjusts punctuation in existing paragraphs (24) and (25) to accommodate the insertion.
Adds a new paragraph (13) to subsection (c) that prohibits payments to a State under this section for amounts expended under the State plan to pay for specified gender transition procedures for minors (as defined in 1905(kk)) or to assist in purchasing health benefit coverage that includes such procedures.
Amends subsection (e)(1)(N) by striking the phrase "and (17)" and inserting "(17), and (28)", thereby altering the enumerated list referenced in that subparagraph.
Amends section 1903(i) by inserting a new paragraph (28) that disallows Federal matching payments for amounts expended for specified gender transition procedures and adjusts related punctuation and the list in the flush left matter to include paragraph (28).
Adds a new subsection (kk) to section 1905 that defines 'specified gender transition procedure,' lists exclusions, and provides related definitions (including 'gender transition,' 'sex,' 'female,' and 'male').
Prohibits federal support and tax relief for gender transition medical care. It disallows itemized medical expense deductions for hormonal and surgical gender‑transition procedures, blocks federal Medicaid matching funds and Medicare coverage for those procedures, prevents CHIP payments for minors’ gender transition procedures, and bars the Secretary from including “gender transition procedures” when defining essential health benefits.
The changes take effect on or after enactment (tax change applies to taxable years beginning after enactment; Medicaid, CHIP, and Medicare changes apply to services furnished on or after enactment). The bill defines “gender transition procedures” to include specified hormonal and surgical interventions and includes statutory definitions and some exceptions in the Medicaid provisions.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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 May 5, 2025 by Claudia Tenney · Last progress May 5, 2025
