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After House Republicans passed a settlement language that prohibits taxpayer funds from paying for gender-reversible treatments, Democrats have used the language to spark opposition that a conservative watchdog group has “intention to confuse people and make them sound like they’re trying to prohibit regular medical care, medically necessary care.”
The House Pass version of the One Big Beautiful Bill Act contains provisions that prohibit federal Medicaid and Affordable Care Act funding from being spent on “gender transition procedures for all ages” in all 50 states.
In response, Democrats and left-wing groups began to argue that the GOP spending package was trying to eliminate “medically unnecessary care.”
But according to APP president Terry Schilling, “That’s a lie,” an effort to combat the general notion among Americans that taxpayer funds should not be paid for transgender procedures.
“Just below the line”: Medicaid reforms in “Big, Beautifulville” divide lawmakers with parties
“They are deliberately obfuscating here, because they don’t have a good argument,” Schilling told Fox News Digital. “We shouldn’t pay for the cosmetic sex change procedure with taxes, that’s what we’re cutting here.
“But they’re introducing these very weaponized, powerful words to make people sound like they’re trying to confuse and ban normal medical care, medically necessary.”
Transgender activists take photos after a 2023 rally attracted hundreds of people in support of transgender youth at the Utah State Capitol.
After Republicans in the House of Representatives passed a version of the GOP spending package last month, Congress’ Equality Caucus pleaded that “Congress should work to make healthcare more affordable, rather than banning compensation for medically necessary care.”
“Hospital Republicans now cut off federal Medicaid and Affordable Care Act funding for medically unnecessary care for all transgender people as a result of altering previous anti-trans clauses.
GOP rail against “blatantly false” dems about Medicaid reform in Trump’s “big, beautiful bill”
As conservatives and progressives clash over “medically necessary care,” debate heats up over a bill that bans ACA funding for Medicaid and ACA gender transition. (Getty Images)
According to App’s Schilling, the claim that Republicans are robbing everyone of “medically necessary” health care “is simply not true.”
To state his point, App’s Shilling pointed to the World Professional Association of Transgender Health (WPATH), one of the left-frequent sources for medical advice for transgender people. Schilling pointed out that WPATH guidelines and standards explicitly state that there is no “one-size approach” to treat individuals with gender discomfort.
“These are not medically necessary [treatments]. That’s a lie. These are cosmetics, Shilling argued. “People who identify transgender people according to their standards don’t really need to transition medically. They say there’s no size that fits everything. Well, sorry, but what medically is, means you need it to survive. You need it for your health. And they say in their own writings that it’s not medically necessary, it’s not all-around.”
Schilling added that they are “discussing from both sides of the mouth.”
“We are calling for the transgender industry and we are trying to stop them from confusing more people as we pass on some very good and important bills,” he said.
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In a statement from Fox News Digital, the Human Rights Campaign argued that “gender-maintaining care” is considered “best practices” and “evidence-based” by all major medical associations across the country, indicating that research has significantly improved mental health outcomes for transgender youth.
“Medical decisions should be made by patients, families and doctors, not by American principles projects,” the HRC said.
Protesters fill the Iowa State Capitol to condemn a bill that strips the state’s civil rights protection laws on February 27, 2025, in Des Moines, Iowa. (AP Photo/Charlie Neighborgor)
Schilling said he runs a number of polls and focus groups on whether Americans agree to taxpayer funds to help individuals transition into gender, and he told Fox News Digital that overwhelming sentiment from people on the political spectrum should not.
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“This is where Americans are,” Schilling said. “They want to ban procedures for people under the age of 18, and those over the age of 18 want to pay you for it themselves. [APP is] And that’s where Donald Trump is. That’s where Republicans in the House and Senate are there. ”
The Congressional Equality Caucus did not respond to requests for comment on the article.
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