
The One Big Beautiful Bill Act is a sweeping budget and spending package passed by Congress aimed at funding various government programs and addressing economic priorities.
The original House version included provisions that threatened transgender healthcare access by banning Medicaid coverage for gender-affirming treatments such as hormone therapy and surgeries. It also proposed strict, biologically based definitions of “male” and “female,” which risked undermining legal recognition and protections for transgender people.
These measures alarmed LGBTQ+ advocates who warned that such restrictions would significantly harm the community’s healthcare and civil rights. However, after Senate revisions, these anti-trans provisions were removed from the final bill.
Medicaid continues to cover gender-affirming care, and the federal definitions of sex remain broader and more inclusive. As a result, the final legislation preserves crucial healthcare access and legal protections for LGBTQ+ and transgender individuals, avoiding the restrictive and harmful measures that were initially proposed in the House version.
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