Bill · S. 1551· Senate(119-S-1551)
No Subsidies for Gender Transition Procedures Act
- Introduced
- 5/1/2025
- Last activity
- 5/1/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Roger Marshall
- Cosponsors
- - 4 - 0
- Introduced
- In Committee
What this bill would do
The "No Subsidies for Gender Transition Procedures Act" aims to stop federal funding and tax benefits for gender transition procedures. It removes these procedures from the definition of "medical care" for tax deduction purposes. The bill also prohibits the use of Medicaid, Medicare, and Children's Health Insurance Program (CHIP) funds for these services. Additionally, it excludes gender transition procedures from being listed as essential health benefits under the Affordable Care Act.
Yes· 3 of 5
Does this reduce what the federal government spends?+3
Prohibits the use of Medicaid, Medicare, and CHIP funds for gender transition procedures.
Does this make the government pay for what it commits to?+2
Limits federal expenditures on specific medical services.
Does this give the federal government more power?+2
Increases federal control over how Medicaid and Medicare funds are utilized by states.
The opposite· 3 of 22
Would LGBTQ people be better off under this?-10
Systematically removes financial and medical access to gender-affirming care.
Does this expand the rights of LGBTQ people?-9
Directly removes financial and medical support for gender transition procedures.
Would households on low incomes be better off under this?-8
Eliminates Medicaid and CHIP coverage, making care unaffordable for low-income individuals.
Who it would affect, and how
Potential Positive Impacts for People
- Protection for Disorders of Sex Development: Individuals born with medically verifiable disorders of sex development or those with ambiguous sex characteristics can still receive services (Section 2(a)(B)(i)(II)(aa) and Section 3(b)(2)(A)).
- Emergency Medical Care: People who need procedures to treat physical disorders, injuries, or illnesses that place them in imminent danger of death or major bodily impairment can still receive care (Section 2(a)(B)(i)(II)(dd) and Section 3(b)(2)(D)).
- Treatment of Complications: The bill allows for the treatment of infections, injuries, or diseases caused by gender transition procedures, regardless of whether the original procedure was legal (Section 2(a)(B)(i)(II)(cc) and Section 3(b)(2)(C)).
- Reconstructive Care: People can still receive procedures to restore or reconstruct their bodies to correspond to their biological sex after previous transition procedures (Section 2(a)(B)(i)(II)(ee) and Section 3(b)(2)(E)).
- Precocious Puberty Treatment: Minors experiencing precocious puberty can still use puberty-blocking drugs to normalize their puberty (Section 2(a)(B)(i)(II)(ff) and Section 3(b)(2)(F)).
Potential Negative Impacts for People
- Loss of Tax Benefits: Individuals will no longer be able to claim tax deductions for expenses related to gender transition procedures (Section 2(a)).
- Loss of Medicaid Coverage: Federal Medicaid funding will be denied for specified gender transition procedures, including hormonal and surgical interventions (Section 3).
- Loss of Medicare Coverage: Medicare will no longer pay for specified gender transition procedures (Section 5).
- Loss of CHIP Funding for Minors: Federal funding through the Children's Health Insurance Program will not be used for gender transition procedures for minors (Section 4).
- Removal from Essential Health Benefits: Gender transition procedures will be excluded from the category of essential health benefits under the Affordable Care Act (Section 6).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For People With Disabilities+1Good For L G B T Q Community-10Good For Low Income Households-8Good For Children-7Good For Young Adults-6Good For Middle Aged-5Good For Middle Class Households-5Good For Retirees-5Good For Seniors-5Good For Students-4Good For Billionaires-2Good For High Income Households-2Good For High Net Worth Individuals-2Good For Ultra High Net Worth Individuals-2
- Healthcare
- Improves Healthcare Access-7Improves Mental Health Access-5Increases Affordable Care Act Support-5Increases Medicaid Funding-2Increases Medicare Funding-2
- Social Issues And Justice
- Improves L G B T Q Rights-9Improves Gender Equality-5Improves Poverty Reduction-3
- Economy And Finance
- Reduces Government Spending+3Improves Fiscal Responsibility+2Reduces National Debt+1
- Governance And Ideology
- Increases Federal Power+2Increase States Rights-2
- 8/6/2026
- 1 Cosponsor added.
- 5/1/2025
- Read twice and referred to the Committee on Finance.
- 3 Cosponsors added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Bill CassidyRepublican · Louisiana
Mike LeeRepublican · Utah
David McCormickRepublican · Pennsylvania
Pete RickettsRepublican · Nebraska