Overview

Title

To prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes.

ELI5 AI

H. R. 2197 is a bill that tries to stop certain health places from using special savings to pay for surgeries and treatments that help people change their bodies to match their gender. It wants these savings to be used for other things instead.

Summary AI

H. R. 2197, titled the “No 340B Savings for Transgender Care Act,” seeks to prohibit 340B covered entities from using funds saved through the 340B drug pricing program to pay for sex reassignment surgeries and hormone treatments for transgender individuals. The bill introduces amendments to the Public Health Service Act to clearly define these prohibitions, ensuring that the funds saved from the 340B program are not used for these specific transgender-related healthcare services.

Published

2025-03-18
Congress: 119
Session: 1
Chamber: HOUSE
Status: Introduced in House
Date: 2025-03-18
Package ID: BILLS-119hr2197ih

Bill Statistics

Size

Sections:
2
Words:
375
Pages:
3
Sentences:
13

Language

Nouns: 138
Verbs: 31
Adjectives: 10
Adverbs: 0
Numbers: 9
Entities: 29

Complexity

Average Token Length:
4.30
Average Sentence Length:
28.85
Token Entropy:
4.71
Readability (ARI):
16.52

AnalysisAI

Summary of the Bill

The bill titled "No 340B Savings for Transgender Care Act," introduced in the 119th Congress, seeks to amend the Public Health Service Act. Its primary aim is to prevent entities eligible for the 340B drug pricing program from using the savings they receive from reduced drug prices to fund specific healthcare services—namely sex reassignment surgeries and hormone treatments for transgender individuals.

Significant Issues

The bill raises several noteworthy concerns:

  1. Equity and Discrimination Concerns: A central issue is the bill's focus on restricting funds specifically for transgender-related care. This selective prohibition may appear discriminatory, as it specifically targets medical services that are vital to the transgender community. Equity in healthcare is a significant concern, and measures perceived as singling out marginalized groups can fuel debates about fairness and inclusiveness.

  2. Ambiguity in Language: The use of terms like "services described" and "gender alteration" within the bill introduces a lack of clarity. Such language can be interpreted broadly, potentially excluding not only specified services but other essential health services for transgender individuals.

  3. Lack of Enforcement Details: The bill does not include mechanisms for enforcement or outline consequences for non-compliance. This omission could lead to uncertainty in implementation and potentially limit the bill's effectiveness.

  4. Absence of Justification: The rationale for targeting these specific services is not explained in the bill. Without a clear justification, the bill may appear arbitrary, raising questions about its underlying intentions and the problem it seeks to address.

  5. Terminology Issues: The term "gender alteration" is seen by some as outdated and not reflective of modern understandings of gender identity and the transition process. Using more inclusive language could help align the bill with contemporary perspectives on gender diversity.

Impact on the Public and Stakeholders

Public Impact: If enacted, the bill could lead to broader debates about healthcare ethics and the appropriate allocation of medical resources. There is potential for public discourse on who decides how savings from public programs should be used and the extent to which personal identity and health decisions should be influenced by legislation.

Stakeholder Impact:

  • Transgender Individuals: By restricting funds for gender-related healthcare, the bill could significantly impact transgender individuals, limiting their access to necessary medical care which can lead to broader health disparities.

  • Healthcare Providers: This legislation could affect hospitals and clinics that rely on 340B savings to fund comprehensive care programs for transgender patients. It may limit their ability to provide such services, impacting their service offerings and potentially, their financial stability.

  • Policy Makers and Advocates: The bill could serve as a catalyst for further discussions about the role of government in healthcare funding and the protection of minority groups in society. Policymakers and advocates might need to address the implications of this bill to ensure an equitable healthcare system.

In conclusion, while the bill's intent is to manage the allocation of 340B savings, it raises significant concerns regarding discrimination, clarity, and implementation. Its potential impact on various stakeholders, particularly within the transgender community, highlights the complexities involved in legislating healthcare funding.

Issues

  • The prohibition on the use of 340B savings for services related to transgender individuals as outlined in Section 2 might raise concerns regarding the equitable provision of healthcare. It specifically targets transgender-specific healthcare services, which could be seen as discriminatory.

  • The short title 'No 340B Savings for Transgender Care Act' is potentially ambiguous and could be misleading without further context, as it might imply that the bill aims to restrict benefits specifically for transgender care, which could be seen as discriminatory. (Section 1)

  • The language 'services described' in Section 2 lacks clarity, and could potentially exclude other medically necessary services for transgender individuals if interpreted broadly.

  • The section may lead to ambiguity regarding the enforcement and monitoring of these prohibitions, as it does not specify mechanisms for ensuring compliance or consequences for violations. (Section 2)

  • There is no clear rationale provided for why these specific services are being targeted, which could make the legislation seem arbitrary or unjustified. (Section 2)

  • The term 'gender alteration' used in Section 2 might be considered outdated or not inclusive of the broader understanding of gender identity and transition processes.

  • The short title of the bill does not provide enough information about the contents or purpose of the Act, potentially requiring additional context or sections to understand its implications fully. (Section 1)

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of this bill states its official name, which is the "No 340B Savings for Transgender Care Act."

2. Prohibition on use of 340b savings for services described for transgender individuals Read Opens in new tab

Summary AI

The section amends the Public Health Service Act to prohibit covered entities from using savings obtained through the 340B drug pricing program to pay for sex reassignment surgeries and hormone treatments aimed at altering the gender of transgender individuals.