H.R. 4244

119 HR 4244 IH: Prohibition of Medicaid Funding for Conversion Therapy Act
 U.S. House of Representatives
 2025-06-27
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 EN
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 I  119th CONGRESS  1st Session  H. R. 4244  IN THE HOUSE OF REPRESENTATIVES   June 27, 2025   Mr. Thanedar  (for himself,  Ms. Brownley ,  Mr. Casten ,  Ms. Davids of Kansas ,  Ms. DelBene ,  Mr. Deluzio ,  Mr. Fields ,  Mr. Frost ,  Mr. Gottheimer ,  Ms. Jayapal ,  Mr. Johnson of Georgia ,  Mr. Krishnamoorthi ,  Ms. Lee of Pennsylvania ,  Mr. Lieu ,  Mr. Lynch ,  Mr. Moskowitz ,  Mr. Moulton ,  Ms. Norton ,  Mr. Peters ,  Mr. Pocan ,  Ms. Scanlon ,  Ms. Simon ,  Mr. Soto ,  Mr. Tonko ,  Mr. Vargas ,  Ms. Balint ,  Ms. Schakowsky , and  Ms. Moore of Wisconsin ) introduced the following bill; which was referred to the  Committee on Energy and Commerce    A BILL
To amend title XIX of the Social Security Act to prohibit payments under the Medicaid program for conversion therapy, and for other purposes.
1.
Short title
This Act may be cited as the   Prohibition of Medicaid Funding for Conversion Therapy Act  .
2.
Prohibition on Medicaid payments for conversion therapy
(a)
In general
Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended—
(1)
in subsection (a)—
(A)
in paragraph (86), by striking  and  at the end;
(B)
in paragraph (87), by striking the period at the end and inserting  ; and ; and
(C)
by inserting after paragraph (87) the following new paragraph:
(88)
provide that, beginning with the first day of the first quarter that begins on or after the date of enactment of this paragraph, no payment may be made under the plan with respect to conversion therapy (as defined in subsection (uu)) furnished to an individual enrolled under the plan (or a waiver of such plan).
 ; and
(2)
by adding at the end the following new subsection:
(uu)
Conversion therapy; Gender identity; Person; Sexual orientation
For purposes of subsection (a)(88) and this subsection:
(1)
Conversion therapy
The term  conversion therapy —
(A)
means any practice or treatment by any person that seeks to change another individual’s sexual orientation or gender identity, including efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender, if such person receives monetary compensation in exchange for any such practice or treatment; and
(B)
does not include any practice or treatment, which does not seek to change sexual orientation or gender identity, that—
(i)
provides assistance to an individual undergoing a gender transition; or
(ii)
provides acceptance, support, and understanding of a client or facilitation of a client’s coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices.
(2)
Gender identity
The term  gender identity  means the gender-related identity, appearance, mannerisms, or other gender-related characteristics of an individual, regardless of the individual’s designated sex at birth.
(3)
Person
The term  person  means any individual, partnership, corporation, cooperative, association, or any other entity.
(4)
Sexual orientation
The term  sexual orientation  means homosexuality, heterosexuality, or bisexuality.
 .
(b)
Conforming amendment
Section 1903(i) of the Social Security Act ( 42 U.S.C. 1396b(i) ) is amended—
(1)
in paragraph (26), by striking  or  at the end;
(2)
in paragraph (27), by striking the period at the end and inserting  ; or ; and
(3)
by inserting after paragraph (27) the following new paragraph:
(28)
with respect to any amount expended for conversion therapy (as defined in section 1902(uu)) on or after the date described in section 1902(a)(88).
 .