House Republicans block pediatric care funding as war on gender-affirming care for transgender Americans escalates

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Credit: Ted Eytan (CC BY-SA 4.0)

House Republicans who waged fierce political battles over Obamacare and abortion after that have found a new focus as the lead-up to the 2024 elections: gender-affirming care for transgender Americans.

Theyโ€™ve added riders on seven of the 12 House fiscal 2024 appropriations bills that would put restrictions on gender-affirming care, which can be anything from hormone therapy to surgical care to insurance coverage of either.

The fight has extended beyond spending bills into policy measures as well: Theyโ€™ve held up traditionally bipartisan programs to pay for pediatrician training over hospitalsโ€™ decisions to provide such care.

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The Childrenโ€™s Hospitals Graduate Medical Education program, which pays for residencies and fellowships for medical students training to be pediatricians, is typically a noncontroversial, highly bipartisan health care reauthorization that sails out of the House Energy and Commerce Committee.

But this year, the bill may be held up by a fight over a provision related to gender-affirming care for minors.

Rep. Daniel Crenshaw, R-Texas, introduced a version of the legislation that would bar any federal funds to hospitals that provide gender-affirming care, including hormone therapy and 19 specific procedures for transgender youth. The House Energy and Commerce Committee approved the bill along party lines in July.

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