# 119-s-1551: No Subsidies for Gender Transition Procedures Act

119-s-1551, No Subsidies for Gender Transition Procedures Act, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-08-10).

- Canonical: https://policyrisk.com/legislation/119-s-1551
- As of: 2026-08-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1551
- Congress: 119
- Title: No Subsidies for Gender Transition Procedures Act
- Status: introduced
- Introduced: 2025-05-01
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-10

## Summary

**Blocks federal funding and tax deductions for gender transition procedures.** This bill would ban federal payments and tax breaks for a broad set of gender transition services across tax law, Medicaid, the Children’s Health Insurance Program, Medicare, and Essential Health Benefits under the Affordable Care Act. - People seeking gender transition care: Would not be able to deduct expenses for defined transition procedures and therapies. The bill defines a wide range of services as transition-related, while listing specific exceptions such as disorders of sexual development and treatment of infections or related complications. - Federal health programs and providers: Would be prohibited from using federal Medicaid, CHIP, or Medicare funds to pay for the listed transition procedures for services furnished after enactment. Each program would receive new statutory definitions and payment limits to enforce the ban. - Health insurance coverage rules: Would exclude specified transition procedures from the Essential Health Benefits category, which would allow plans governed by those requirements to omit coverage for those procedures. The bill would take effect on the date of enactment.

## Cosponsors (4)

- Sen. Ricketts, Pete [R-NE] (R-NE), 2025-05-01T00:00:00.000Z
- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-05-01T00:00:00.000Z
- Sen. Lee, Mike [R-UT] (R-UT), 2025-05-01T00:00:00.000Z
- Sen. McCormick, David [R-PA] (R-PA), 2026-08-06T00:00:00.000Z

## Provisions PRIA read

- Medicare, Medicaid, CHIP stop transition payments: cost, high. If enacted, the bill would prohibit Federal payment under Medicare and Federal matching payments for Medicaid, and would bar CHIP payments, for items the bill defines as specified gender transition procedures. The ban would apply to items and services furnished on or after enactment and would also…
- No medical tax deduction for transition: cost, high. If enacted, the bill would bar the federal medical-expense tax deduction for expenses the bill defines as gender transition procedures. The ban would apply for taxable years beginning after enactment. Certain narrow exceptions remain, like treatment for verified disorders of sex development, emerge…
- Marketplace plans may exclude transition care: cost, medium. If enacted, the bill would tell the Health and Human Services Secretary not to include gender transition procedures when defining essential health benefits. That could let ACA marketplace and small-group plans leave those services out of required coverage. The exact scope follows the bill's definit…

## Related bills

- 119-s-3752: SAVE America Act
- 119-s-186: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025
- 119-s-6: Born-Alive Abortion Survivors Protection Act
- 119-s-3697: SAVE Moms and Babies Act of 2026
- 119-s-1715: Protecting Privacy in Purchases Act
- 119-s-331: HALT Fentanyl Act

## Sources
- [119-s-1551 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1551)

## Related
- [119-s-3752: SAVE America Act](https://policyrisk.com/legislation/119-s-3752)
- [119-s-186: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of…](https://policyrisk.com/legislation/119-s-186)
- [119-s-6: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-s-6)
- [119-s-3697: SAVE Moms and Babies Act of 2026](https://policyrisk.com/legislation/119-s-3697)
- [119-s-1715: Protecting Privacy in Purchases Act](https://policyrisk.com/legislation/119-s-1715)
- [119-s-331: HALT Fentanyl Act](https://policyrisk.com/legislation/119-s-331)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1551 (as of 2026-08-10).