Do No Harm in Medicaid Act

This bill would prohibit federal Medicaid payments for gender transition procedures, including specific surgeries and medications, for individuals under the age of 18. These procedures are defined as those intended to change a person's body so it no longer corresponds to their biological sex. The prohibition would not apply to procedures intended to treat genetic disorders, chromosomal abnormalities, or early puberty, nor would it apply to services necessary to reverse prior transitions or prevent imminent death or major bodily impairment.

This bill affects individuals under the age of 18 who are enrolled in Medicaid and seeking specified gender transition procedures, including surgeries, implants, and medications. It also impacts state Medicaid programs and healthcare providers who would no longer receive federal payment for these procedures unless they meet specific exceptions for genetic disorders, early puberty, or life-threatening conditions. Additionally, the legislation involves parents or legal guardians whose consent is required for the exempted medical procedures.

• Prohibition of Medicaid payments for youth gender transition procedures. The bill restricts federal Medicaid funding for procedures intended to change a minor's body to no longer correspond with their biological sex, including specific surgeries, implants, and medications.
• Exemptions for specific medical conditions and emergencies. The prohibition does not apply to procedures intended to treat early puberty, genetic disorders, or chromosomal abnormalities, provided there is parental or guardian consent.
• Exceptions for procedure reversal and life-saving care. Federal funding remains available for procedures meant to reverse prior gender transitions or to prevent imminent death or the impairment of a major bodily function in individuals under age 18.

This bill modifies the federal Medicaid program by establishing new prohibitions on federal payments for specific medical procedures and medications for minors.

The bill aims to prohibit the use of federal Medicaid funds for specific gender transition procedures—including surgeries, implants, and medications—for individuals under the age of 18. It establishes exceptions for procedures addressing genetic disorders, chromosomal abnormalities, early puberty, the reversal of prior transitions, or the prevention of imminent death or major bodily impairment.