House Strengthens Budget Provision Blocking Medicaid Coverage for Sex Changes

House Republicans secured a provision in the “big, beautiful bill” prohibiting taxpayer funding for all gender-transition procedures.

The House Rules Committee’s Wednesday night markup strengthened a provision from the Energy and Commerce Committee preventing Medicaid, CHIP, and Affordable Care Act funding of gender transitions only for minors.

The Rules Committee markup struck “for minors” and “under 18” from the bill’s text.

The provision originated from Texas Rep. Dan Crenshaw’s Do No Harm in Medicaid Act.

The provision amends Section 1903(i) of the Social Security Act, halting federal payment for what the amendment calls medically unnecessary transition procedures.

A Cygnal poll conducted in April 2025 found that 66% of Americans oppose taxpayer funding for gender transitions.

A senior legislative official told The Daily Signal the original provision would save $1.4 billion, though the Congressional Budget Office scored the savings at half that.

The House of Representatives passed the budget reconciliation bill by a 215-214 margin early Thursday morning.

It will now go to the Senate.

House Speaker Mike Johnson said after the vote that he has asked Senate Republicans “to modify this as little as possible, because it will make it easier for us to get it over the line ultimately and finished and get it to the president’s desk by July 4.”