Do No Harm in Medicaid Act
Sponsors
Legislative Progress
In CommitteeReceived; read twice and referred to the Committee on Finance
Passed House (inferred from eh version)
Mr. Crenshaw (for himself and Ms. Greene of Georgia) introduced …
Summary
What This Bill Does
The Do No Harm in Medicaid Act prohibits federal Medicaid funding for gender transition procedures performed on individuals under 18 years old. It amends the Social Security Act to exclude these procedures from federal matching funds that states receive for their Medicaid programs.
Who Benefits and How
The federal government benefits through reduced Medicaid expenditures, as it will no longer provide matching funds for gender transition procedures for minors. Social conservatives and groups who oppose pediatric gender-affirming care view this as aligning federal policy with their position. State taxpayers in states that currently cover these procedures may see savings if their states choose to discontinue coverage.
Who Bears the Burden and How
Transgender youth and their families face the primary burden, as they lose federal Medicaid coverage for gender-affirming medical care including puberty blockers, hormone therapy, and surgical procedures. Healthcare providers specializing in pediatric gender medicine will lose a major reimbursement source for treating Medicaid-enrolled patients. Pharmaceutical companies producing puberty blockers and hormone therapies lose a market segment. States that wish to continue covering these procedures must do so entirely with state funds, without federal matching.
Key Provisions
- Adds a new exclusion to Medicaid federal matching funds for gender transition procedures for anyone under 18
- Defines "specified gender transition procedures" to include surgeries (castration, mastectomy, genital surgeries), implants, puberty blockers, and supraphysiologic hormone doses
- Exempts treatment of precocious puberty (early puberty) from the prohibition
- Exempts treatment of medically verified disorders of sex development (intersex conditions)
- Exempts procedures to address complications from previous gender transition procedures
- Defines "sex" as biological male or female based on reproductive function
Evidence Chain:
This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.
Primary Purpose
Prohibits federal Medicaid funding for gender transition procedures and treatments for individuals under 18 years of age, with specific medical exceptions.
Policy Domains
Legislative Strategy
"Amend the Social Security Act to add a new exclusion category to Medicaid federal matching funds, effectively prohibiting states from receiving federal reimbursement for gender transition procedures on minors."
Likely Beneficiaries
- Social conservatives and groups opposed to pediatric gender-affirming care
- Federal government (reduced Medicaid expenditures)
- State taxpayers in states that currently cover these procedures (if states discontinue coverage)
Likely Burden Bearers
- Transgender youth and their families seeking gender-affirming care
- Healthcare providers specializing in transgender medicine for minors
- States that want to cover these procedures (lose federal matching funds)
- Gender clinics and hospitals offering pediatric gender services
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "physician"
- → Licensed physicians certifying conditions
- "the_state"
- → State Medicaid agencies
- "health_care_provider"
- → Licensed medical providers furnishing care
Key Definitions
Terms defined in this bill
Surgeries (castration, sterilization, various genital surgeries, mastectomy, facial feminization/masculinization), implants (chest, testicular, gluteal), and medications (puberty blockers, supraphysiologic doses of hormones) performed to change the body to no longer correspond to the individual's sex.
Either male or female, as biologically determined. Female means an individual with a reproductive system that produces eggs for fertilization; male means an individual with a reproductive system that produces sperm for fertilization.
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology