President Donald Trump’s sweeping tax and spending budget, lovingly dubbed the “one big, beautiful, bill,” strips Medicaid’s funding for transgender surgeries — a move that will impact a large portion of such procedures if it passes the Senate.
The reconciliation budget, which narrowly passed the House of Representatives early Thursday morning in a 215-214-1 vote, would have initially prohibited Medicaid from covering “gender transition procedures” for children, until a late Wednesday amendment struck the words “minors” and “under 18 years of age” from that section, the Independent reported.
Gender transition treatments that would no longer be covered include puberty blockers, hormone therapy, and surgeries.
A 2023 study by gynecologists from Columbia University and the University of Southern California, Los Angeles, revealed that a staggering 25 percent of so-called “gender-affirming” surgeries in the United States are covered by Medicaid.
Out of the 48,019 patients identified in the report who underwent such surgeries, over 12,000 were Medicaid recipients.
American Principles Project president Terry Schilling praised the bill as a “major victory,” citing abysmal approval statistics on taxpayer-funded gender transitions:
🚨 MAJOR VICTORY 🚨
— Terry Schilling 🇺🇸 (@Schilling1776) May 22, 2025
President Trump’s BIG BEAUTIFUL BILL fully defunds all sex change procedures for adults AND minors!
This is the right policy and it’s incredibly popular — only 23% of Americans think gender transitions should be funded for adults and only 16% for kids! pic.twitter.com/Ffkq2KPL2j
Transgender comedian Stacy Cay called the move an “attempt of genocide”:
Republicans in the house have passed a bill to ban all gender healthcare for all adults with healthcare plans either bought through the ACA Marketplace or on Medicaid.
— stacy (@stacycay) May 22, 2025
Hundreds of thousands, if not millions, of trans people will lose coverage. This is an attempt of genocide.
Olivia Rondeau is a politics reporter for Breitbart News based in Washington, DC. Find her on X/Twitter and Instagram.