House Republicans quietly expanded their proposed Medicaid ban to include trans adults

An early version of House Republicans’ “big, beautiful” bill of President Donald Trump’s tax and spending priorities proposed eliminating federal Medicaid funding for gender-affirming health care for minors alone.

But in last-minute amendments, the provision changed to apply to transgender adults, too.

“Trump’s ‘Big, Beautiful’ reconciliation bill will yank lifesaving medical care for 150,000+ trans adults on Medicaid,” Media Matters for America’s Ari Drennen wrote May 21 on X. Drennen is the LGBTQ+ program director at the left-leaning organization, which monitors conservative media.