Medicaid cuts off gender transition care for low-income patients.

What it does

This bill amends Medicaid and CHIP to prohibit federal funding for gender transition procedures, defined broadly to include surgeries, implants, and hormone treatments performed to change an individual's body to not correspond to their sex. The bill carves out exceptions for treating disorders of sex development and precocious puberty, and for reconstructive procedures following prior transition care. The effect is to bar Medicaid and CHIP from paying for these procedures, shifting costs to individuals, private insurance, or state-only funding.

Why we flagged it

The bill's operative mechanism is a categorical exclusion of a class of medical procedures from Medicaid and CHIP reimbursement. It is not a deregulation or a tax measure; it is a restriction on what federal health insurance programs may fund.

What the text implies

• The definition of 'sex' in subsections (4) and (5) relies on reproductive capacity, which may create ambiguity or litigation over intersex conditions, infertility, or post-menopausal individuals.
• The exception for 'medically necessary procedures' to correct disorders of sex development is narrow and requires physician certification; disputes over what qualifies may shift to state Medicaid agencies and courts.
• The bill does not restrict private insurance or state-only Medicaid funding, creating a two-tier system where wealthier individuals retain access while low-income beneficiaries do not.
• Parental consent requirement in subsection (2) may conflict with state laws granting minors medical autonomy in other contexts and may create liability questions for providers.

Section numbers refer to the bill text the analysis read — linked under Primary records below.

Who it affects

Low-income individuals enrolled in Medicaid or CHIP lose access to federally funded gender transition procedures, shifting costs to individuals, private insurance, or state-only programs. The bill restricts a medical benefit previously available to a vulnerable population without establishing medical necessity as the limiting principle—the exclusion is categorical and sweeping.

Named in the bill

Medicaid, CHIP (Children's Health Insurance Program), Social Security Act, Senate Committee on Finance

Where it stands

1 cosponsor: 1 Republicans.

• Jun 10, 2025 — Introduced · Congress.gov: “Introduced in Senate”
• Jun 10, 2025 — Referred to Senate Committee on Finance · Congress.gov: “Read twice and referred to the Committee on Finance”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

Money around this bill

1 lobbying clients named this bill on 2 disclosure filings across 2 quarters, Dec 2025 to Jun 2026. Those filings disclosed $439,908 in lobbying spend. A filing names 132 bills on average, so that figure is what each filing reported, not a share belonging to this bill.

More lobbying clients named this bill than 0% of bills with at least one filing.

John Cornyn, the sponsor, reported $2,042,484 in PAC receipts in the 2026 cycle.

• Human Rights Campaign — $439,908 on 2 filings

Lobbying Disclosure Act filings through Jul 17, 2026. A filing shows who paid to lobby on a bill it names, not what changed.