An anti-trans provision in Donald Trump's One Big Beautiful Bill Act has been removed, benefiting the LGBTQ+ community. The Senate parliamentarian ruled the ban on Medicaid coverage for gender-affirming care did not align with the Byrd Rule, which prevents unrelated matters in budget reconciliation. Originally, the House version posed risks to transgender healthcare and civil rights with strict definitions of 'male' and 'female.' However, the final bill maintains inclusive definitions and healthcare access for transgender individuals, avoiding restrictive measures that threatened their rights.
The legislation struck the ban on Medicaid coverage for gender-affirming care after the Senate parliamentarian found it did not comply with the Byrd Rule.
After Senate revisions, these anti-trans provisions were removed from the final bill. Medicaid continues to cover gender-affirming care, preserving crucial healthcare access.
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