United States 119th Congress Status: In Committee 41 D cosponsors
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HR 4244 — Prohibition of Medicaid Funding for Conversion Therapy Act

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced June 27, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 28% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 41 sponsors

    1 primary, 40 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (41 D).

  • Spreading across states

    Near-identical bills in 1 other state — cross-state momentum.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill prohibits Medicaid funding for conversion therapy.

The bill aims to prevent Medicaid from making payments for conversion therapy services. It defines conversion therapy and clarifies the exceptions for certain support practices.

Summary

Prohibition of Medicaid Funding for Conversion Therapy Act This bill prohibits state Medicaid programs from covering conversion therapy. The bill defines conversion therapy as any practice or treatment that seeks to change a person's sexual orientation or gender identity in exchange for monetary compensation.

Bill Text

How this bill changes current law

3 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

This bill prohibits Medicaid payments for conversion therapy.

  • 42 U.S.C. 1396a

    88) provide that, beginning with the first day of the first quarter that begins on or after the date of enactment of this paragraph, no payment may be made under the plan with respect to conversion therapy (as defined in subsection (uu)) furnished to an individual enrolled under the plan (or a waiver of such plan).

    It establishes a new prohibition on Medicaid payments for conversion therapy.

  • 42 U.S.C. 1396a

    uu) Conversion Therapy; Gender Identity; Person; Sexual Orientation.--For purposes of subsection (a)(88) and this subsection: (1) Conversion therapy.--The term `conversion therapy' means any practice or treatment by any person that seeks to change another individual's sexual orientation or gender identity, including efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender, if such person receives monetary compensation in exchange for any such practice or treatment; and (B) does not include any practice or treatment, which does not seek to change sexual orientation or gender identity, that-- (i) provides assistance to an individual undergoing a gender transition; or (ii) provides acceptance, support, and understanding of a client or facilitation of a client's coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices.

    It defines 'conversion therapy' and clarifies its exclusions.

  • 42 U.S.C. 1396b(i)

    28) with respect to any amount expended for conversion therapy (as defined in section 1902(uu)) on or after the date described in section 1902(a)(88).

    It prohibits federal reimbursement for any Medicaid expenses related to conversion therapy.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 40 co-sponsors · 506 not signed on

Sponsors (1)

Co-sponsors (40)

Not signed on (506)

506 members have not signed on to this bill.

Show all 506 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

civil-rights healthcare health-insurance

Similar bills in other states

Bills in other jurisdictions that match this one by MEANING — title, summary and subject, compared across every state we track. A strong signal the same policy is moving elsewhere.

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Frequently asked questions

What does HR 4244 do?
Prohibition of Medicaid Funding for Conversion Therapy Act This bill prohibits state Medicaid programs from covering conversion therapy. The bill defines conversion therapy as any practice or treatment that seeks to change a person's sexual orientation or gender identity in exchange for monetary compensation.
Who sponsors HR 4244?
HR 4244 is sponsored by Brownley, Julia (Democratic), Casten, Sean (Democratic), Davids, Sharice (Democratic), DelBene, Suzan K. (Democratic), Deluzio, Christopher R. (Democratic), Fields, Cleo (Democratic), Frost, Maxwell (Democratic), Gottheimer, Josh (Democratic), Jayapal, Pramila (Democratic), Johnson, Henry C. "Hank" (Democratic), Krishnamoorthi, Raja (Democratic), Lee, Summer L. (Democratic), Lieu, Ted (Democratic), Lynch, Stephen F. (Democratic), Moskowitz, Jared (Democratic), Moulton, Seth (Democratic), Norton, Eleanor Holmes (Democratic), Peters, Scott H. (Democratic), Pocan, Mark (Democratic), Scanlon, Mary Gay (Democratic), Simon, Lateefah (Democratic), Soto, Darren (Democratic), Tonko, Paul (Democratic), Vargas, Juan (Democratic), Balint, Becca (Democratic), Schakowsky, Janice D. (Democratic), Moore, Gwen (Democratic), Bell, Wesley (Democratic), Dingell, Debbie (Democratic), Quigley, Mike (Democratic), Cohen, Steve (Democratic), Goldman, Daniel S. (Democratic), Chu, Judy (Democratic), Wasserman Schultz, Debbie (Democratic), Torres, Ritchie (Democratic), McGarvey, Morgan (Democratic), Craig, Angie (Democratic), Latimer, George (Democratic), Watson Coleman, Bonnie (Democratic), Wilson, Frederica S. (Democratic), and Thanedar, Shri (Democratic).
What is the current status of HR 4244?
This bill is in committee in the House. Introduced June 27, 2025. It must pass committee before a floor vote.
Where can I track HR 4244?
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Last checked for changes 3 months ago · updated continuously

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