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More than 200 House Democrats voted against banning Medicaid dollars from funding transgender treatments for minors.
The Do No Harm in Medicaid Act was introduced by Rep. Dan Crenshaw, R-Texas, and received support from all House Republicans when it was put to a vote on Thursday afternoon.
The measure passed 215-201, with all opposition coming from Democrats. All Republicans who voted approved the bill.
Four Democrats voted for the bill: Reps. Henry Cuellar, D-Texas, Vicente Gonzalez, D-Texas, Don Davis, D-N.C., and Marie Gluesenkamp Perez, D-Wash.
OBAMACARE IS THE LEFT’S TOOL TO PUSH TAXPAYER-FUNDED TRANSGENDER OPERATIONS
House Minority Leader Hakeem Jeffries speaks during a press conference on Capitol Hill in Washington, Nov. 3, 2025. (Roberto Schmidt/Getty Images)
Transgender issues, particularly related to minors, have been one of the topics driving a wedge between moderate and progressive Democrats.
It would block federal reimbursement for specific gender surgeries performed on minors, as well as treatments such as hormone therapies, according to the legislative text.
The legislation could also block Medicaid funding to states that do allow federal funds to be used for transgender medical treatments for minors.
OVER 200 HOUSE DEMS VOTE AGAINST CRIMINALIZING TRANSGENDER SURGERY FOR KIDS
But the bill provides exceptions for puberty blockers prescribed during precocious puberty and gender-related surgeries performed to fight injury, illness and the potential death of a child, among others.
Rep. Dan Crenshaw, a Republican from Texas, speaks during a news conference organized by House Republican veterans at the U.S. Capitol in Washington, Jan. 4, 2023. (Eric Lee/Bloomberg via Getty Images)
House Energy & Commerce Committee Chairman Brett Guthrie, R-Ky., said the legislation would save $445 million over a decade for the Medicaid program during debate on the bill on Thursday.
Guthrie said it did not prevent children from getting medically necessary treatment but that it “simply prohibits the use of Medicaid funding on specified procedures that are medically unnecessary.”
“I’m not sure my colleagues even believe what they’re saying,” Crenshaw said during his turn to speak. “Today’s great sin in medicine is perhaps one of the worst that we’ve seen in human history — a sick, twisted ideology parroted by social media, fueling social confusion.”
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But Rep. Frank Pallone, D-N.J., called it an “extreme attack on medically necessary treatment for children.”
“This is Congress seeking to ban healthcare for the most vulnerable among us,” Rep. Mark Takano, D-Calif., said. “The healthcare that trans youth receive is a decision that they should be able to make in consultation with their parents, therapists, and doctors, not politicians.”
“The hypocrisy of this legislation is staggering,” he continued, arguing that the medical procedures it bans “allows for the same exact care for non-transgender youth.”
