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119-hr-2107119th CongressWALLET
Children’s Hospital GME Support Reauthorization Act of 2025
Sponsored By: Representative Crenshaw, Dan [R-TX-2]
Introduced
Summary
This bill would reauthorize and condition children's hospital graduate medical education (GME) payments through 2030. It would block program payments starting in FY2026 to any children's hospital that, during the prior fiscal year, furnished certain listed sex‑altering surgeries or provided specified puberty‑blocking or cross‑sex hormones to people under 18, while adding new funding and narrow medical exceptions.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
More funding for children's doctor training
This bill would extend the children’s hospital GME program through the end of fiscal year 2030. It would also provide $124 million each year and $261 million each year for fiscal years 2026–2030, totaling $385 million per year. The money would support payments to children’s hospitals that run doctor training programs. If enacted, these changes would take effect upon enactment and would not change other program rules.
Funding ban for hospitals providing listed care to minors
Starting in fiscal year 2026, a children’s hospital would lose these GME payments for a fiscal year if it gave certain listed surgeries or drugs to anyone under 18 during the prior fiscal year. For FY 2026 only, the look-back would be Sept 1–Dec 31, 2025, and the ban would apply only to the part of FY 2026 after Dec 31, 2025. The listed care includes surgeries to change sex characteristics (for example, hysterectomy, phalloplasty, or vaginoplasty) and medications such as puberty blockers or estrogen/testosterone given above natural levels. Exceptions would allow care for precocious puberty with parental consent; medically necessary care for disorders of sex development; treatment of complications from prior procedures; or care a physician certifies is needed to prevent imminent death or major loss of function. The bill says hospitals would still get payments for mental or behavioral health services that do not include the listed procedures or drugs.
Sponsors & CoSponsors
Sponsor
Crenshaw, Dan [R-TX-2]
TX • R
Cosponsors
Rep. Miller, Mary E. [R-IL-15]
IL • R
Sponsored 3/14/2025
Rep. Miller-Meeks, Mariannette [R-IA-1]
IA • R
Sponsored 3/14/2025
Rep. Pfluger, August [R-TX-11]
TX • R
Sponsored 3/14/2025
Rep. Ellzey, Jake [R-TX-6]
TX • R
Sponsored 3/14/2025
Rep. Van Drew, Jefferson [R-NJ-2]
NJ • R
Sponsored 3/14/2025
Rep. Green, Mark E. [R-TN-7]
TN • R
Sponsored 3/14/2025
Rep. Rouzer, David [R-NC-7]
NC • R
Sponsored 3/14/2025
Rep. Harshbarger, Diana [R-TN-1]
TN • R
Sponsored 3/14/2025
Rep. Grothman, Glenn [R-WI-6]
WI • R
Sponsored 3/14/2025
Rep. Jackson, Ronny [R-TX-13]
TX • R
Sponsored 3/14/2025
Rep. Franklin, Scott [R-FL-18]
FL • R
Sponsored 3/14/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov