Civil rights organizations denounced the proposal as โone of the most extreme anti-transgender measures ever considered by Congress.โ Despite House approval, the bill is unlikely to advance in the Senate without bipartisan backing.
The vote underscored the influence of ultraconservative Republicans and closely aligned with President Donald Trumpโs agenda on gender-affirming care. Representative Marjorie Taylor Greene of Georgia pushed House Speaker Mike Johnson to bring the measure to the floor, arguing that Congress must codify Trumpโs executive order restricting such care and calling the effort โfulfilling a major campaign promise.โ

Supporters of the bill claimed that gender transition treatments for minors amount to โideological indoctrinationโ and cause harm to children. Republican lawmakers argued the care is โnot medically necessaryโ and accused Democrats of misleading families about its effects.
Democrats strongly opposed the legislation, warning it would replace medical judgment with political ideology. They argued the bill targets a small and vulnerable population, criminalizes doctors, infringes on parental rights, and exposes private family medical decisions to government oversight.
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