How Trump’s ‘big, beautiful’ bill targets transgender medical procedures nationally

The Supreme Court recently made a significant decision by upholding Tennessee’s ban on transgender medical procedures for minors. This controversial practice has been a topic of debate and could potentially become outlawed nationwide if President Trump’s proposed bill, known as the One Big Beautiful Bill Act, passes through the Senate successfully.

One of the key provisions in the bill, introduced by Rep. Dan Crenshaw, aims to prevent the use of taxpayer money to fund “gender-affirming care” for both children and adults. This includes prohibiting Medicaid, CHIP, and ACA funds from being allocated towards puberty blockers, cross-sex hormones, and irreversible surgeries like double mastectomies and genital reconstruction.

The provision, known as the “Crenshaw Amendment,” specifically amends the Social Security Act to halt federal payments for what is deemed as medically unnecessary procedures. According to Crenshaw’s office, this provision is estimated to save taxpayers approximately $2.5 billion over the next decade.

However, the provision must navigate the Senate’s strict reconciliation process, including the Byrd Rule, which prevents the inclusion of measures considered “extraneous” to the budget process. The Senate parliamentarian is responsible for interpreting and enforcing this rule.

Crenshaw has been vocal in his support for the provision, stating that “gender transition procedures are the lobotomy of our generation” and arguing that they pose significant risks without proven benefits. He believes that the provision is a necessary step to save money and protect lives.

The Supreme Court’s ruling, which upheld Tennessee’s ban on transgender puberty blockers and hormone therapy treatments for minors, was met with support from lawmakers like Sen. Roger Marshall. Marshall, a former doctor, emphasized the harmful effects of such treatments on children, including permanent scarring and sterilization.

Marshall has introduced the No Subsidies for Gender Transition Procedures Act in the Senate, which aligns with Crenshaw’s measure in the House. Both lawmakers are committed to eliminating taxpayer-funded transgender procedures for minors and adults, emphasizing the importance of human decency, sound medicine, and the safety of children.