In a narrow 215-214 vote, House Republicans passed a sweeping domestic policy package early Thursday, explicitly banning federally funded healthcare for transgender individuals of all ages. This legislation, which now moves to the Senate, also significantly cuts Medicaid and restricts food assistance.
A last-minute amendment specifically targeted transgender Americans, eliminating Medicaid and CHIP funding for gender-affirming care—including puberty blockers, hormone therapy, and surgeries—for transgender people of any age.
It also bans coverage for these services under the Affordable Care Act by excluding them from “essential health benefits.” This marks the first time Congress has effectively enacted a nationwide ban on gender-affirming care for those who can’t afford private options.
Medical experts across the country, including major professional associations like the American Academy of Pediatrics, affirm that gender-affirming care is safe, evidence-based, and life-saving. However, House Republicans disregarded this consensus.
Over one in five transgender adults currently relies on Medicaid. The Human Rights Campaign notes that approximately 25% of LGBTQ+ adults live in poverty, compared to 16% of straight, cisgender adults. This bill’s cuts disproportionately impact LGBTQ+ individuals, who also face higher rates of food insecurity and homelessness.
How to fight back: Advocates are urging immediate action to counter this discriminatory legislation.
- Contact your senators: Call or email your senators to express your opposition to this bill and demand they vote against it. Emphasize the harm it will cause to transgender individuals and the broader LGBTQ+ community.
- Support LGBTQ+ advocacy organizations: Organizations like the Human Rights Campaign (HRC), the ACLU, and trans-led groups are on the front lines fighting these attacks through litigation, advocacy, and public education.Your support helps fund their critical work.
- Vote: Participate in all upcoming elections, from local to federal, and support candidates who champion LGBTQ+ rights and oppose discriminatory policies.
- Spread awareness: Educate your friends, family, and community about the dangers of this bill and the importance of gender-affirming care. Share accurate information from medical experts and LGBTQ+ advocates.
