Text of US SB 2008 (2025)

II 119TH CONGRESS 1ST SESSION S. 2008 To amend title XIX of the Social Security Act to prohibit Medicaid and CHIP funding for gender transition procedures. IN THE SENATE OF THE UNITED STATES JUNE 10, 2025 Mr. CORNYN (for himself and Mr. LANKFORD) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XIX of the Social Security Act to prohibit Medicaid and CHIP funding for gender transition proce- dures. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Stop Funding Genital 4 Mutilation Act’’. 5 SEC. 2. PROHIBITING FEDERAL MEDICAID AND CHIP FUND- 6 ING FOR GENDER TRANSITION PROCEDURES. 7 (a) MEDICAID.—Section 1903(i) of the Social Secu- 8 rity Act (42 U.S.C. 1396b(i)) is amended— 9 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •S 2008 IS (1) in paragraph (26), by striking ‘‘; or’’ and 1 inserting a semicolon; 2 (2) in paragraph (27), by striking the period at 3 the end and inserting ‘‘; or’’; 4 (3) by inserting after paragraph (27) the fol- 5 lowing new paragraph: 6 ‘‘(28) with respect to any amount expended for 7 specified gender transition procedures (as defined in 8 section 1905(kk)) furnished to an individual enrolled 9 in a State plan (or waiver of such plan).’’; and 10 (4) in the flush left matter at the end, by strik- 11 ing ‘‘and (18),’’ and inserting ‘‘(18), and (28)’’. 12 (b) CHIP.—Section 2107(e)(1)(N) of the Social Se- 13 curity Act (42 U.S.C. 1397gg(e)(1)(N)) is amended by 14 striking ‘‘and (17)’’ and inserting ‘‘(17), and (28)’’. 15 (c) SPECIFIED GENDER TRANSITION PROCEDURES 16 DEFINED.—Section 1905 of the Social Security Act (42 17 U.S.C. 1396d) is amended by adding at the end the fol- 18 lowing new subsection: 19 ‘‘(kk) SPECIFIED GENDER TRANSITION PROCE- 20 DURES.— 21 ‘‘(1) IN GENERAL.—For purposes of section 22 1903(i)(28), except as provided in paragraph (2), 23 the term ‘specified gender transition procedure’ 24 means, with respect to an individual, any of the fol- 25 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •S 2008 IS lowing when performed for the purpose of inten- 1 tionally changing the body of such individual (in- 2 cluding by disrupting the body’s development, inhib- 3 iting its natural functions, or modifying its appear- 4 ance) to no longer correspond to the individual’s sex: 5 ‘‘(A) Performing any surgery, including— 6 ‘‘(i) castration; 7 ‘‘(ii) sterilization; 8 ‘‘(iii) orchiectomy; 9 ‘‘(iv) scrotoplasty; 10 ‘‘(v) vasectomy; 11 ‘‘(vi) tubal ligation; 12 ‘‘(vii) hysterectomy; 13 ‘‘(viii) oophorectomy; 14 ‘‘(ix) ovariectomy; 15 ‘‘(x) metoidioplasty; 16 ‘‘(xi) clitoroplasty; 17 ‘‘(xii) reconstruction of the fixed part 18 of the urethra with or without a 19 metoidioplasty or a phalloplasty; 20 ‘‘(xiii) penectomy; 21 ‘‘(xiv) phalloplasty; 22 ‘‘(xv) vaginoplasty; 23 ‘‘(xvi) vaginectomy; 24 ‘‘(xvii) vulvoplasty; 25 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •S 2008 IS ‘‘(xviii) reduction thyrochondroplasty; 1 ‘‘(xix) chondrolaryngoplasty; 2 ‘‘(xx) mastectomy; and 3 ‘‘(xxi) any plastic, cosmetic, or aes- 4 thetic surgery that feminizes or 5 masculinizes the facial or other body fea- 6 tures of an individual. 7 ‘‘(B) Any placement of chest implants to 8 create feminine breasts or any placement of 9 erection or testicular prostheses. 10 ‘‘(C) Any placement of fat or artificial im- 11 plants in the gluteal region. 12 ‘‘(D) Administering, prescribing, or dis- 13 pensing to an individual medications, includ- 14 ing— 15 ‘‘(i) gonadotropin-releasing hormone 16 (GnRH) analogues or other puberty-block- 17 ing drugs to stop or delay normal puberty; 18 and 19 ‘‘(ii) testosterone, estrogen, or other 20 androgens to an individual at doses that 21 are supraphysiologic than would normally 22 be produced endogenously in a healthy in- 23 dividual of the same age and sex. 24 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •S 2008 IS ‘‘(2) EXCEPTION.—Paragraph (1) shall not 1 apply to the following when furnished to an indi- 2 vidual by a health care provider with the consent of 3 such individual’s parent or legal guardian: 4 ‘‘(A) Puberty suppression or blocking pre- 5 scription drugs for the purpose of normalizing 6 puberty for an individual experiencing pre- 7 cocious puberty. 8 ‘‘(B) Medically necessary procedures or 9 treatments to correct for— 10 ‘‘(i) a medically verifiable disorder of 11 sex development, including— 12 ‘‘(I) 46,XX chromosomes with 13 virilization; 14 ‘‘(II) 46,XY chromosomes with 15 undervirilization; and 16 ‘‘(III) both ovarian and testicular 17 tissue; 18 ‘‘(ii) sex chromosome structure, sex 19 steroid hormone production, or sex hor- 20 mone action, if determined to be abnormal 21 by a physician through genetic or bio- 22 chemical testing; 23 ‘‘(iii) infection, disease, injury, or dis- 24 order caused or exacerbated by a previous 25 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •S 2008 IS procedure described in paragraph (1), or a 1 physical disorder, physical injury, or phys- 2 ical illness that would, as certified by a 3 physician, place the individual in imminent 4 danger of death or impairment of a major 5 bodily function unless the procedure is per- 6 formed, not including procedures per- 7 formed for the alleviation of mental dis- 8 tress; or 9 ‘‘(iv) procedures to restore or recon- 10 struct the body of the individual in order 11 to correspond to the individual’s sex after 12 one or more previous procedures described 13 in paragraph (1), which may include the 14 removal of a pseudo phallus or breast aug- 15 mentation. 16 ‘‘(3) SEX.—For purposes of paragraph (1), the 17 term ‘sex’ means either male or female, as bio- 18 logically determined and defined in paragraphs (4) 19 and (5), respectively. 20 ‘‘(4) FEMALE.—For purposes of paragraph (3), 21 the term ‘female’ means an individual who naturally 22 has, had, will have, or would have, but for a develop- 23 mental or genetic anomaly or historical accident, the 24 VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •S 2008 IS reproductive system that at some point produces, 1 transports, and utilizes eggs for fertilization. 2 ‘‘(5) MALE.—For purposes of paragraph (3), 3 the term ‘male’ means an individual who naturally 4 has, had, will have, or would have, but for a develop- 5 mental or genetic anomaly or historical accident, the 6 reproductive system that at some point produces, 7 transports, and utilizes sperm for fertilization.’’. 8 Æ VerDate Sep 11 2014 23:47 Jun 10, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6301 E:\BILLS\S2008.IS S2008 kjohnson on DSK7ZCZBW3PROD with $$_JOB