Congress Proposes Legislation to Block Federal Medicaid Funding for Minor Gender Transition Care

Fewer than 0.1% of U.S. adolescents received gender-affirming medications in a study of 5 million insured youth ages 8–17

Gender-affirming surgeries on minors were rare in national insurance data — nearly all were chest procedures on older teens, with zero genital surgeries on those under 12

27 states have enacted bans on gender-affirming care for minors; the U.S. Supreme Court upheld Tennessee's ban 6–3 on June 18, 2025

An estimated 300,000+ transgender youth ages 13–17 live in the U.S.; roughly 40% live in states with enacted care bans

Only 12 states and D.C. currently require Medicaid to cover gender-affirming care; 11 states explicitly exclude it for enrollees of all ages