Bills of Congress by U.S. Congress

H.R.2107 - Children’s Hospital GME Support Reauthorization Act of 2025 (119th Congress)

Summary

H.R.2107, the Children’s Hospital GME Support Reauthorization Act of 2025, aims to reauthorize the program providing payments to children's hospitals that operate graduate medical education (GME) programs. The bill amends the Public Health Service Act to extend the program through 2030. It also introduces a provision prohibiting payments to hospitals that furnish specified procedures and drugs related to gender transition to minors, with certain exceptions for medically necessary treatments and mental health services.

Expected Effects

The bill's reauthorization will ensure continued financial support for children's hospitals' GME programs, potentially improving the quality and availability of pediatric medical training. However, the restrictions on funding for hospitals providing gender-affirming care to minors could lead to reduced access to such services. This could disproportionately affect transgender and gender-diverse youth.

Potential Benefits

  • Continued funding for children's hospitals' graduate medical education programs.
  • Potential improvement in the quality of pediatric medical training.
  • Focus on medically necessary procedures and treatments.
  • Addresses concerns related to gender-affirming care for minors.
  • Supports mental and behavioral health services for gender dysphoria.

Potential Disadvantages

  • Potential reduction in access to gender-affirming care for transgender and gender-diverse youth.
  • Possible legal challenges related to discrimination and equal protection.
  • Increased administrative burden for hospitals to comply with the new restrictions.
  • May create a chilling effect on medical providers offering gender-affirming care.
  • Could lead to disparities in healthcare access based on gender identity.

Constitutional Alignment

The bill's constitutionality is complex. While Congress has the power to appropriate funds under the General Welfare Clause (Article I, Section 8), the restrictions on funding based on the provision of specific medical procedures could raise concerns under the Equal Protection Clause of the Fourteenth Amendment. The bill also touches on issues of parental rights and medical decision-making, which have been subjects of constitutional interpretation.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).