No Subsidies for Gender Transition Procedures Act

This bill would block federal support and tax breaks for gender transition procedures. It would stop people from claiming these costs as a medical tax deduction , block Medicaid and Medicare from paying for them , and prevent the Children’s Health Insurance Program (CHIP) from paying for them for minors or helping buy plans that cover them. It would also say these procedures are not part of the “essential health benefits” that many health plans must cover.

The bill defines “gender transition procedures” to include certain hormones, puberty blockers, and many surgeries, and it lists exceptions. Care for people born with certain sex development conditions, treatment of complications, emergency care to prevent serious harm or death, puberty blockers for early puberty, and male circumcision are not counted as gender transition procedures under this bill. It also defines “male” and “female” as biological sex in the law’s definitions.

• Who is affected: People seeking gender transition medical care; families with children on CHIP; people on Medicaid or Medicare; and health plans that set benefits .
• What changes: No medical tax deduction for these costs; no Medicaid, Medicare, or CHIP payments for these procedures (CHIP applies to minors); these procedures would not be treated as essential health benefits in many plans .
• When: The coverage limits would start once the bill becomes law, for services provided after that date, and the tax rule would apply to tax years that begin after it becomes law .