One Big Beautiful Bill Act
To provide for reconciliation pursuant to title II of H. Con. Res. 14.
119th Congress
PROHIBITING COVERAGE OF GENDER TRANSITION PROCEDURES AS AN ESSENTIAL HEALTH BENEFIT UNDER PLANS OFFERED BY EXCHANGES.— (1) [...] the Patient Protection and Affordable Care Act [...] is amended by adding at the end the following new subparagraph: (C) GENDER TRANSITION PROCEDURES.—For plan years beginning on or after 25 January 1, 2027, the essential health benefits defined pursuant to paragraph (1) may not include items and services furnished for a gender transition procedure.
SEC. 44125. PROHIBITING FEDERAL MEDICAID AND CHIP FUNDING FOR GENDER TRANSITION PROCEDURES FOR MINORS. (a) MEDICAID.—Section 1903(i) of the Social Secu8 rity Act (42 U.S.C. 1396b(i)) is amended— [...] (3) by inserting [...] the following new paragraph: "(28) with respect to any amount expended for specified gender transition procedures (as defined in section 1905(kk)) furnished to an individual under 18 years of age enrolled in a State plan (or waiver of such plan)."
(c) SPECIFIED GENDER TRANSITION PROCEDURES DEFINED.—Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by adding at the end the following new subsection: "(kk) SPECIFIED GENDER TRANSITION PROCEDURES.— "(1) IN GENERAL.—For purposes of section 1903(i)(28), except as provided in paragraph (2), the term ‘specified gender transition procedure’ means, with respect to an individual, any of the following when performed for the purpose of intentionally changing the body of such individual [...] to no longer correspond to the individual’s sex: [...] (D) Administering, prescribing, or dispensing to an individual medications, including— [...] puberty-blocking drugs to stop or delay normal puberty; and (ii) testosterone, estrogen, or other androgens to an individual at doses that are supraphysiologic than would normally be produced endogenously in a healthy individual of the same age and sex.
| date | time | type | location | description |
|---|---|---|---|---|
| 2025-05-21 | 01:00 | Hearing | H-313 CAPITOL | House Committee on Rules Hearing |
History
| Date | Action |
|---|---|
| 2025-05-22 | Rule H. Res. 436 passed House. |
| 2025-05-22 | Considered under the provisions of rule H. Res. 436. (consideration: CR H2235-2357) |
| 2025-05-22 | Rule provides for consideration of H.R. 1. The resolution provides for consideration of H.R. 1 under a closed rule with two hours of general debate and one motion to recommit. |
| 2025-05-22 | DEBATE - The House proceeded with two hours of debate on H.R. 1. |
| 2025-05-22 | The previous question was ordered pursuant to the rule. |
| 2025-05-22 | Mrs. Trahan moved to recommit to the Committee on the Budget. (CR H2356) |
| 2025-05-22 | The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. |
| 2025-05-22 | On motion to recommit Failed by the Yeas and Nays: 212 - 216 (Roll no. 144). |
| 2025-05-22 | On passage Passed by the Yeas and Nays: 215 - 214, 1 Present (Roll no. 145). (text: CR H2235-2334) |
| 2025-05-22 | Motion to reconsider laid on the table Agreed to without objection. |
| 2025-05-21 | Rules Committee Resolution H. Res. 436 Reported to House. Rule provides for consideration of H.R. 1. The resolution provides for consideration of H.R. 1 under a closed rule with two hours of general debate and one motion to recommit. |
| 2025-05-20 | The House Committee on the Budget reported an original measure, H. Rept. 119-106, by Mr. Arrington. |
| 2025-05-20 | Placed on the Union Calendar, Calendar No. 78. |