119-hr4244

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4244 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4244

 To amend title XIX of the Social Security Act to prohibit payments 
 under the Medicaid program for conversion therapy, and for other 
 purposes.

_______________________________________________________________________

 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.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Prohibition of Medicaid Funding for 
Conversion Therapy Act''.

SEC. 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) .''.
 <all>