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House Narrowly Passes Bill Blocking Gender-Affirming Care Coverage Under Medicaid and ACA

The legislation, part of a larger spending package, removes age limits on the ban and now heads to the Senate under budget reconciliation rules.

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Overview

  • The House approved the bill in a tight 215-214 vote, removing Medicaid and ACA funding for all gender transition procedures by reclassifying them as non-essential health benefits.
  • Republican leaders struck the phrase 'for minors' from the text, extending the ban to individuals of all ages.
  • The bill also increases funding for border security, energy drilling, and military spending, while extending most of the 2017 tax cuts.
  • Senate Republicans aim to advance the measure using budget reconciliation, which allows passage with a simple majority, but its inclusion depends on a parliamentarian review.
  • Major medical associations have criticized the ban, warning of harmful consequences, while polls indicate significant public opposition to taxpayer-funded transition care.