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H.R. 2197
U.S. House•In House Committee
Summary
H.R. 2197, the No 340B Savings for Transgender Care Act, was introduced in the House on Mar 18, 2025 by Rep. Dusty Johnson (R) with 10 co-sponsors. It was referred to Energy And Commerce, and last saw action on Mar 18, 2025: Referred to the House Committee on Energy and Commerce.
Record
Text
H.R. 2197 has 10 co-sponsors.
hb2197/introduced-in-house.txt119 HR 2197 IH: No 340B Savings for Transgender Care ActU.S. House of Representatives2025-03-18text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 2197 IN THE HOUSE OF REPRESENTATIVES March 18, 2025 Mr. Johnson of South Dakota (for himself, Mr. Austin Scott of Georgia , Mr. Crenshaw , Mr. Rulli , Mr. Ezell , Mrs. Bice , Mr. Moore of Alabama , and Mr. Rose ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILLTo prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes.1.Short titleThis Act may be cited as the No 340B Savings for Transgender Care Act .2.Prohibition on use of 340b savings for services described for transgender individuals(a)Prohibition on use of 340B savings for services describedSection 340B(a)(4) of the Public Health Service Act ( 42 U.S.C. 256b(a)(5) ) is amended by adding at the end the following:(E)Prohibition on use of 340b savings for services describedA covered entity participating in the program under this section may not use any funds derived from the difference between the 340B ceiling price and the actual acquisition cost of covered outpatient drugs to pay for services described.(i)DefinitionsFor purposes of this subsection—(I)Covered entityThe term covered entities has the meaning given such term in section 340B(a)(4).(II)Services describedThe term services described means—(aa)sex reassignment surgeries furnished for the purpose of the gender alteration of a transgender individual; and(bb)hormone treatments furnished for the purpose of the gender alteration of a transgender individual..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-03-18
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes.
Sponsors
Rep. Dusty Johnson (R) sponsors H.R. 2197, and 10 members have co-sponsored it, 7 of them from the day it was introduced.

Rep. · R–SD · Sponsor
Introduced Mar 18, 2025

Rep. · R–OK-5 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–TX-2 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–MS-4 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–AL-1 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–TN-6 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–OH-6 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–GA-8 · Co-sponsor
Joined Mar 18, 2025 · Original

Rep. · R–TX-25 · Co-sponsor
Joined Mar 24, 2025

Rep. · R–MN-1 · Co-sponsor
Joined Jun 10, 2025
Committees
H.R. 2197 went before 1 committee: Energy and Commerce.
Actions
H.R. 2197 has taken 2 actions since Mar 18, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Mar 18, 2025 | House | Introduced in House | ||
Mar 18, 2025 | House | Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee |
Votes
H.R. 2197 has not gone to a roll call.
Titles
H.R. 2197 goes by 3 titles, 1 of them short titles.
- No 340B Savings for Transgender Care Act — Display Title
- No 340B Savings for Transgender Care Act — Short Title(s) as Introduced
- To prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes. — Official Title as Introduced
Lobbying
2 clients hired 2 firms and 9 registered lobbyists who named H.R. 2197 in 14 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Pharmacy, Civil Rights/Civil Liberties, Defense, Education, Family issues/Abortion/Adoption, Foreign Relations, Health Issues, Housing.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| 340B HEALTH | — | District of Columbia | 1 | 8 | — |
| HUMAN RIGHTS CAMPAIGN | — | District of Columbia | 1 | 6 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| 340B HEALTH | 1 | 8 | — |
| HUMAN RIGHTS CAMPAIGN | 1 | 6 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| GARRETT EBERHARDT | 1 | 1 | 8 |
| MAUREEN TESTONI | 1 | 1 | 8 |
| THOMAS O'DONNELL | 1 | 1 | 7 |
| DAVID STACY | 1 | 1 | 6 |
| JENNIFER BAILEY | 1 | 1 | 6 |
| MATTHEW ROSE | 1 | 1 | 6 |
| GREG DOGGETT | 1 | 1 | 3 |
| MATTHEW SNIDER | 1 | 1 | 2 |
| SARAH WARBELOW | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| 340B HEALTH | 340B HEALTH | 2025 first_quarter | $387.1K | 1st Quarter - Amendme… |
| 340B HEALTH | 340B HEALTH | 2025 first_quarter | $387.1K | 1st Quarter - Amendme… |
| 340B HEALTH | 340B HEALTH | 2025 first_quarter | $387.1K | 1st Quarter - Report |
| 340B HEALTH | 340B HEALTH | 2025 second_quarter | $371.5K | 2nd Quarter - Amendme… |
| 340B HEALTH | 340B HEALTH | 2025 second_quarter | $371.5K | 2nd Quarter - Report |
| 340B HEALTH | 340B HEALTH | 2025 third_quarter | $364.6K | 3rd Quarter - Report |
| 340B HEALTH | 340B HEALTH | 2026 first_quarter | $337.2K | 1st Quarter - Report |
| 340B HEALTH | 340B HEALTH | 2025 fourth_quarter | $285.3K | 4th Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2026 second_quarter | $223.7K | 2nd Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2025 fourth_quarter | $216.2K | 4th Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2025 second_quarter | $204K | 2nd Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2025 first_quarter | $193.9K | 1st Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2026 first_quarter | $174.3K | 1st Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2025 third_quarter | $155.6K | 3rd Quarter - Report |
Classification
The Congressional Research Service files H.R. 2197 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 2197’s is Health.
hr2197/policy-areas.txtSource: congress.gov · legiscan.com