Sponsor
H. Morgan Griffith
Representative · R-VA
Representative · R-VA
The bill speeds House action and preserves in-progress agency reviews while seeking to limit Medicaid coverage of gender-transition procedures for minors, trading quicker implementation and regulatory stability for reduced deliberation, potential harm to transgender youth, and uneven application of the law.
Taxpayers face lower federal Medicaid spending because coverage of gender-transition procedures for minors would not be supported by Medicaid, reducing federal outlays for those services.
Stakeholders and regulated parties experience continued regulatory stability because federal agencies are allowed to finish corrective actions begun between Jan 20, 2025 and enactment, avoiding sudden reversals of in-progress proceedings.
House consideration of H.R. 3492 is accelerated under a clear, predictable process with one designated amendment and a motion to recommit preserved, letting Members debate and vote on the measure quickly.
Medicaid-enrolled minors who are transgender could lose access to clinician-recommended gender-affirming medical care, reducing health care options and potentially harming their well-being.
The shortened floor process and strict limits on debate and amendments substantially reduce congressional input, transparency, and member scrutiny of a consequential health-policy change.
Waiving points of order removes procedural checks that might have blocked problematic or noncompliant provisions, increasing the risk that flawed language is rushed toward passage.
Based on analysis of 8 sections of legislative text.
Expedites House consideration of specific bills (including a Medicaid restriction for gender transition care for minors and criminal-law changes for mutilation/chemical castration of minors) and exempts certain recent agency corrective actions from the Act's amendments.
Allows the House to immediately consider and fast-track three separate bills by waiving points of order, limiting debate, deeming amendments adopted, and preserving one motion to recommit. It also declares that certain recent federal agency corrective actions (motions to remand or other reopenings begun after January 20, 2025) are excluded from the Act and its amendments so those agency processes can continue uninterrupted.
Official title: Providing for consideration of the bill (H.R. 6703) to ensure access to affordable health insurance; providing for consideration of the bill (H.R. 498) to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors; providing for consideration of the bill (H.R. 3492) to amend section 116 of title 18, United States Code, with respect to genital and bodily mutilation and chemical castration of minors; and relating to consideration of the bill (H.R. 4776) to amend the National Environmental Policy Act of 1969 to clarify ambiguous provisions and facilitate a more efficient, effective, and timely environmental review process.
Introduced December 17, 2025 by H. Morgan Griffith · Last progress December 17, 2025