“A bill to amend title XIX of the Social Security Act to prohibit Medicaid and CHIP funding for gender transition procedures.”
No CRS summary available for this bill.
This section prohibits federal Medicaid payments to states under SSA section 1903(i) for specified gender transition procedures furnished to enrollees and applies the prohibition to CHIP. (Thus, states receive no federal matching funds for such procedures, which Medicaid provides to low-income individuals including children, pregnant women, elderly, and disabled persons, and CHIP provides to uninsured children in families with incomes above Medicaid limits.) It defines specified gender transition procedures in new SSA section 1905(kk) as, for the purpose of intentionally changing an individual's body (including by disrupting development, inhibiting functions, or modifying appearance) to no longer correspond to the individual's biological sex (i.e., male or female, determined by reproductive system capable of producing/transporting/utilizing sperm or eggs): (1) surgeries, including castration, orchiectomy, hysterectomy, penectomy, phalloplasty, vaginoplasty, mastectomy, and facial/body feminization/masculinization procedures; (2) placement of chest/erection/testicular/gluteal implants; (3) puberty blockers (e.g., GnRH analogues) or supraphysiologic doses of cross-sex hormones (e.g., testosterone, estrogen). Exceptions apply, with parental/guardian consent, to puberty blockers for precocious puberty; procedures for disorders of sex development (e.g., 46,XX virilization, 46,XY undervirilization), abnormal sex chromosomes/hormones, imminent physical danger (not mental distress), or body restoration after prior gender transition procedures.