My policy is simple – Medicaid, the Affordable Care Act, and the Children’s Health Insurance Program will no longer cover life-altering and dangerous transgender medical procedures on kids once this bill becomes law. ... urge my colleagues in the Senate to act swiftly to pass this into law.
I will keep pushing to make federal law prohibit taxpayer funding for transgender medical procedures on minors, including through Medicaid, the ACA, and CHIP.
Occurrences
The bill ... ensures federal taxpayer dollars are not used to subsidize or shield such practices by states or municipalities characterizing themselves as "transgender sanctuaries."
Evidence
unverified · Source version 19774 · locator unknown
The enrolled H.R. 1 bill record on GovInfo shows the enacted reconciliation law (FEHB Protection Act of 2025) was enrolled on July 9, 2025. The bill text and Congressional Record excerpts identify sections prohibiting federal Medicaid and CHIP funding for specified gender transition procedures for minors, and a separate ACA-related section limiting essential health benefits from including gender transition procedures.
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GovInfo shows H.R. 498 was received in the Senate and referred to the Finance Committee on December 18, 2025. The full title states it would prohibit federal Medicaid funding for gender transition procedures for minors.
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GovInfo's enrolled bill record shows H.R. 1 was enacted on July 9, 2025, and the law includes the Medicaid, CHIP, and ACA funding restrictions tied to Crenshaw's transgender-care language.
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CMS published a final rule requiring state Medicaid plans not to pay for sex-rejecting procedures for children under 18 and separate CHIP plans not to pay for those procedures for children under 19; the rule is effective October 13, 2026.
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Congress.gov records H.R.1 as Public Law No. 119-21. Its summary says section 44125 prohibits federal payment under Medicaid or CHIP for specified gender transition procedures, and section 44201 prohibits coverage of gender transition procedures as an essential health benefit in ACA exchanges.
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The final rule ends the use of federal Medicaid and CHIP funds to pay for these procedures on children and youth.
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These regulations are effective on October 13, 2026.
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may not provide coverage for specified sex-trait modification procedures as an EHB beginning with PY 2026.
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Medicaid, CHIP, and Affordable Care Act funds from being used for ALL gender-transition procedures.
Assessments
The promised federal prohibition was enacted in H.R. 1/Public Law 119-21, which includes restrictions on federal Medicaid and CHIP payments for specified gender transition procedures and an ACA-related provision barring those procedures from essential health benefits. Crenshaw also materially advanced the policy through his amendment and related H.R. 498 Medicaid bill, so candidate credit is sufficient for full delivery. Timing is later_term based on the supplied federal context and evidence timing.
The promised outcome was achieved in federal law. The evidence indicates that the enacted 2025 reconciliation law, H.R. 1, included restrictions barring federal Medicaid and CHIP funding for specified transgender medical procedures for minors and also imposed an ACA-related coverage restriction, which matches the promise’s named programs. The record also ties this language to Crenshaw-backed provisions, so this is more than a general policy win by unrelated officials and supports full candidate credit rather than partial credit. Because the enactment came in 2025 rather than the original promise period, the best timing classification is later_term.
Official enrolled law evidence shows Crenshaw-backed restrictions on federal Medicaid, CHIP, and ACA-related coverage for gender transition procedures for minors were incorporated into H.R. 1 and enacted on July 9, 2025. That satisfies the promise to keep pushing federal law to prohibit taxpayer funding for those procedures.
The promise was to keep pushing for federal law barring taxpayer funding for transgender medical procedures for minors through Medicaid, the ACA, and CHIP. The evidence indicates enacted federal reconciliation legislation in 2025 included Medicaid and CHIP funding prohibitions plus an ACA-related restriction on essential health benefits. Because the outcome was incorporated into enacted federal law after the campaign context rather than necessarily in the same term, this counts as delivered with later_term timing. Crenshaw-backed or materially aligned efforts also support credit for the outcome.