HR5592-119

Introduced

To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes.

119th Congress Introduced Sep 26, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

Prohibits gender-related medical treatment for minors under federal criminal law, bars Medicare payment and provider participation for such treatment, and prohibits federal funding for it, subject to specified medical exceptions.

Who Benefits and How

Constituencies favoring a nationwide federal prohibition on these treatments for minors could gain criminal, payment, and funding restrictions with narrow medical exceptions.

Who Bears the Burden and How

Providers, hospitals, and affected minors and families could face criminal, payment, and funding barriers, while DOJ and HHS would need to enforce the new criminal and Medicare-related restrictions.

Key Provisions

  • Creates a new federal criminal prohibition on knowingly performing or attempting to perform covered gender-related medical treatment on a minor in specified interstate-commerce circumstances, with up to 10 years' imprisonment.
  • Defines covered treatments, male, female, sex, gender, and minor, and creates exceptions for certain disorders of sex development, ambiguous biological sex characteristics, and treatment of resulting injuries or disorders.
  • Bars Medicare payment for covered treatments furnished to minors beginning 90 days after enactment.
  • Requires termination or denial of Medicare enrollment for providers or suppliers that furnish covered treatments to minors and bars any federal funds from being spent on those treatments or coverage for them.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Prohibits gender-related medical treatment for minors under federal criminal law, bars Medicare payment and provider participation for such treatment, and prohibits federal funding for it, subject to specified medical exceptions.

Key Policy Areas

Healthcare, Criminal Justice, Government Operations

Primary Purpose

Prohibits gender-related medical treatment for minors under federal criminal law, bars Medicare payment and provider participation for such treatment, and prohibits federal funding for it, subject to specified medical exceptions.

Policy Domains

Healthcare Criminal Justice Government Operations

Main Provisions

Identified Gains
Contextual inference, no direct clause citation
  • Federal policymakers and constituencies seeking a nationwide prohibition on covered treatments for minors
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Providers, hospitals, affected minors and families, and DOJ and HHS administrators enforcing the prohibition
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Sep 26, 2025

Ms. Mace (for herself, Mr. Burchett, Mr. Weber of Texas, …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
7 mentions across 3 clauses
-7 negative

Gender-affirming care clinics and hospitals, Healthcare providers performing gender-affirming care on minors, Healthcare providers receiving federal funding for gender-affirming care

Pharmaceuticals
1 mention across 1 clause
-1 negative

Pharmaceutical companies producing puberty blockers and hormone therapies

Financial Services
1 mention across 1 clause
-1 negative

Health insurance plans offering gender-affirming coverage for minors

3/5
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Criminal Justice Government Operations
Actor Mappings
"secretary_hhs"
→ Secretary of Health and Human Services
"attorney_general"
→ Attorney General

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