Do No Harm in Medicaid Act
Sponsored by Dan Crenshaw
Received in the Senate and Read twice and referred to the Committee on Finance.
Dec 18, 2025
This bill prohibits federal Medicaid funding for gender transition procedures on individuals under 18. The bill defines gender transition procedures as those intended to change a person's body to no longer correspond to their biological sex, including specified surgeries, implants, and medications like hormones. The prohibition does not apply to procedures for rectifying early puberty, genetic disorders, chromosomal abnormalities, reversing prior transition procedures, or preventing imminent death or major bodily function impairment, provided parental or legal guardian consent is obtained for individuals under 18.
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Do No Harm in Medicaid Act This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including specified surgeries, implants, and medications (e.g., hormones). The bill excludes procedures that are provided to an individual under the age of 18 with the consent of a parent or legal guardian and that are intended to (1) rectify early puberty, genetic disorders, or chromosomal abnormalities; (2) reverse prior gender transition procedures; or (3) prevent imminent death or impairment of a major bodily function.