Minors on Medicaid could lose federal coverage for most gender transition surgeries and medicines. The bill allows some exceptions for early puberty, certain medical conditions, serious complications, and reversal care.
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Do No Harm in Medicaid Act is a Senate bill in committee. The latest recorded action: Received in the Senate and Read twice and referred to the Committee on Finance.
Latest action on H.R. 498: Received in the Senate and Read twice and referred to the Committee on Finance.
Who this affects: This bill mainly affects minors on Medicaid who seek gender transition-related medical care. It also affects their families, doctors, hospitals, and state Medicaid programs. States that now cover some of this care for minors could lose federal matching funds for those services and may change their coverage rules.
Why this matters: This bill could change what gender transition care minors on Medicaid can get paid for. Federal Medicaid money helps states cover care, so losing that funding may change state coverage rules. The bill also writes detailed definitions of sex and gender transition procedures into Medicaid law. That could affect future Medicaid disputes or rules, though the bill does not say exactly how states would respond.
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