After days of infighting over Trump’s “Big, Beautiful Bill,” the House GOP passed reconciliation legislation in the dead of the night — with one major giveaway to the far-right. Late Wednesday, Congressional Republicans amended the bill to prohibit the use of Medicaid funding for gender-affirming care, potentially ripping healthcare access away from hundreds of thousands of transgender Americans.

An earlier version of the legislation targeted Medicaid funding for gender-affirming care for minors. In a midnight-hour maneuver, Republicans removed the word “minors” from that provision, prohibiting the use of Medicaid funding for “gender-transition procedures” for children as well as adults.

The legislation broadly defines “gender-transition procedures” as everything from surgery to hormone therapy. It needs only a simple majority to pass the Senate.

Experts on transgender health care said that if this provision advances, it could make an already-dire landscape for transgender care significantly worse. They described devastating consequences for the hundreds of thousands of transgender Americans who rely........

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