# 119-hr-2197: No 340B Savings for Transgender Care Act

119-hr-2197, No 340B Savings for Transgender Care Act, is a 119th Congress bill sponsored by Rep. Johnson, Dusty [R-SD-At Large] (R-SD); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-2197
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2197
- Congress: 119
- Title: No 340B Savings for Transgender Care Act
- Status: introduced
- Introduced: 2025-03-18
- Sponsor: Rep. Johnson, Dusty [R-SD-At Large] (R-SD)
- Cosponsors: 10
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Prohibits the use of 340B savings to fund sex reassignment surgeries and hormone treatments for transgender individuals.** The bill would add a new subsection to the Public Health Service Act that bars covered entities in the 340B drug discount program from using any funds derived from the difference between the 340B ceiling price and the actual acquisition cost of outpatient drugs to pay for those services.

## Cosponsors (10)

- Rep. Scott, Austin [R-GA-8] (R-GA), 2025-03-18T00:00:00.000Z
- Rep. Crenshaw, Dan [R-TX-2] (R-TX), 2025-03-18T00:00:00.000Z
- Rep. Rulli, Michael A. [R-OH-6] (R-OH), 2025-03-18T00:00:00.000Z
- Rep. Ezell, Mike [R-MS-4] (R-MS), 2025-03-18T00:00:00.000Z
- Rep. Bice, Stephanie I. [R-OK-5] (R-OK), 2025-03-18T00:00:00.000Z
- Rep. Moore, Barry [R-AL-1] (R-AL), 2025-03-18T00:00:00.000Z
- Rep. Rose, John W. [R-TN-6] (R-TN), 2025-03-18T00:00:00.000Z
- Rep. Williams, Roger [R-TX-25] (R-TX), 2025-03-24T00:00:00.000Z
- Rep. Finstad, Brad [R-MN-1] (R-MN), 2025-06-10T00:00:00.000Z
- Rep. Fry, Russell [R-SC-7] (R-SC), 2025-10-17T00:00:00.000Z

## Provisions PRIA read

- Blocks 340B savings for gender-affirming care: cost, medium. This bill would stop 340B clinics and hospitals from using their drug discount savings to pay for some transgender care. They would be barred from using those savings for sex reassignment surgeries and for hormone treatments when used for gender transition. The limit would apply only to money from…

## Related bills

- 119-hr-703: Main Street Tax Certainty Act
- 119-hr-45: FIND Act
- 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025
- 119-hr-3699: Energy Choice Act
- 119-hr-452: Miracle on Ice Congressional Gold Medal Act
- 119-hr-21: Born-Alive Abortion Survivors Protection Act

## Sources
- [119-hr-2197 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2197)

## Related
- [119-hr-703: Main Street Tax Certainty Act](https://policyrisk.com/legislation/119-hr-703)
- [119-hr-45: FIND Act](https://policyrisk.com/legislation/119-hr-45)
- [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38)
- [119-hr-3699: Energy Choice Act](https://policyrisk.com/legislation/119-hr-3699)
- [119-hr-452: Miracle on Ice Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-452)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2197 (as of 2026-04-21).