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NEGATIVE LGBTQ+ Rights 118th Congress

H.Amdt.223 to H.R.2670 NDAA Amendment: Ban Transgender Healthcare for Military

NDAA amendment banning TRICARE (military health insurance) from covering gender-affirming healthcare for service members (118th Congress)

View on Congress.gov

Legal & Constitutional Grounding

AMA and DOD recognize gender-affirming care as medically necessary; RAND found costs are minimal ($2.4-8.4M/year).

DOD Medical Policy: TRICARE covers gender-affirming care consistent with AMA clinical guidelines for medically necessary treatment
  • AMA Policy H-185.950: gender-affirming care is medically necessary
  • RAND Corporation (2016): military transgender healthcare costs are minimal ($2.4-8.4M annually)

Bill activity

Offered Jul 13, 2023 by Rep. Matthew M. Rosendale Sr. (R-MT) to H.R.2670. Agreed to in the House Jul 13, 2023, 222-211.

Rep. Pat Ryan (D-NY-18) voted nay on the House roll call counted in grades (roll no. 301, Jul 13, 2023).

Amendment to H.R.2670, National Defense Authorization Act for Fiscal Year 2024

  1. OfferedJul 13, 2023
  2. Agreed toJul 13, 2023

Latest action Jul 13, 2023: On agreeing to the Rosendale amendment (A008) Agreed to by recorded vote: 222 - 211 (Roll no. 301).

Activity log

Source: Congress.gov actions
  1. House amendment offered/reported by: Amendment (A008) offered by Mr. Rosendale.
  2. House vote: Vote on an amendmentCounted in grades
    Agreed to, 222-211
    H.Amdt.223: Amendment prohibits TRICARE from covering and the Department of Defense from furnishing sex reassignment surgeries and gender hormone treatments for transgender individuals.
    Member breakdown · Official House roll call 301

Votes on this amendment

1 vote: 1 recorded roll call and 0 decided without a recorded vote, 1 of them on amendments. Votes counted in grades are marked.

Jul 13, 20235:36 pmHouseVote on an amendmentCounted in grades
H.Amdt.223: Amendment prohibits TRICARE from covering and the Department of Defense from furnishing sex reassignment surgeries and gender hormone treatments for transgender individuals.On agreeing to the Rosendale amendment (A008) Agreed to by recorded vote: 222 - 211 (Roll no. 301).Agreed to222-211Nay

Counted in grades

PartyYeaNayPresentNot voting
Democratic121004
Republican221103
Independent0000
Total22221107
Official House roll call

NDAA amendment restricting transgender military healthcare. Denying medically necessary care contradicts DOD medical standards and equal protection principles.