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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H226F37A5D70D43DA944738B2F05B3D03" key="H" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 1981 IH: Prohibition of Medicaid Funding for Conversion Therapy Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-03-28</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 1981</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20190328">March 28, 2019</action-date><action-desc><sponsor name-id="M001185">Mr. Sean Patrick Maloney of New York</sponsor> (for himself, <cosponsor name-id="L000582">Mr. Ted Lieu of California</cosponsor>, <cosponsor name-id="G000571">Ms. Gabbard</cosponsor>, <cosponsor name-id="T000472">Mr. Takano</cosponsor>, <cosponsor name-id="B001278">Ms. Bonamici</cosponsor>, <cosponsor name-id="N000147">Ms. Norton</cosponsor>, <cosponsor name-id="L000579">Mr. Lowenthal</cosponsor>, <cosponsor name-id="C001111">Mr. Crist</cosponsor>, <cosponsor name-id="E000297">Mr. Espaillat</cosponsor>, <cosponsor name-id="E000179">Mr. Engel</cosponsor>, <cosponsor name-id="C001072">Mr. Carson of Indiana</cosponsor>, <cosponsor name-id="G000551">Mr. Grijalva</cosponsor>, <cosponsor name-id="C001068">Mr. Cohen</cosponsor>, <cosponsor name-id="K000381">Mr. Kilmer</cosponsor>, <cosponsor name-id="D000482">Mr. Michael F. Doyle of Pennsylvania</cosponsor>, <cosponsor name-id="M001207">Ms. Mucarsel-Powell</cosponsor>, <cosponsor name-id="G000585">Mr. Gomez</cosponsor>, <cosponsor name-id="M001143">Ms. McCollum</cosponsor>, <cosponsor name-id="S000510">Mr. Smith of Washington</cosponsor>, <cosponsor name-id="M000312">Mr. McGovern</cosponsor>, <cosponsor name-id="G000559">Mr. Garamendi</cosponsor>, <cosponsor name-id="K000379">Mr. Kennedy</cosponsor>, <cosponsor name-id="V000081">Ms. Velázquez</cosponsor>, <cosponsor name-id="M001163">Ms. Matsui</cosponsor>, <cosponsor name-id="Q000023">Mr. Quigley</cosponsor>, <cosponsor name-id="R000577">Mr. Ryan</cosponsor>, <cosponsor name-id="C001084">Mr. Cicilline</cosponsor>, <cosponsor name-id="N000179">Mrs. Napolitano</cosponsor>, <cosponsor name-id="F000454">Mr. Foster</cosponsor>, <cosponsor name-id="P000614">Mr. Pappas</cosponsor>, <cosponsor name-id="B000574">Mr. Blumenauer</cosponsor>, <cosponsor name-id="S001193">Mr. Swalwell of California</cosponsor>, <cosponsor name-id="T000469">Mr. Tonko</cosponsor>, <cosponsor name-id="M001137">Mr. Meeks</cosponsor>, <cosponsor name-id="V000130">Mr. Vargas</cosponsor>, <cosponsor name-id="H001038">Mr. Higgins of New York</cosponsor>, <cosponsor name-id="R000486">Ms. Roybal-Allard</cosponsor>, <cosponsor name-id="S001175">Ms. Speier</cosponsor>, <cosponsor name-id="P000607">Mr. Pocan</cosponsor>, <cosponsor name-id="J000298">Ms. Jayapal</cosponsor>, <cosponsor name-id="H000324">Mr. Hastings</cosponsor>, <cosponsor name-id="M001196">Mr. Moulton</cosponsor>, <cosponsor name-id="T000468">Ms. Titus</cosponsor>, <cosponsor name-id="T000474">Mrs. Torres of California</cosponsor>, <cosponsor name-id="H001047">Mr. Himes</cosponsor>, <cosponsor name-id="R000515">Mr. Rush</cosponsor>, <cosponsor name-id="B001285">Ms. Brownley of California</cosponsor>, <cosponsor name-id="K000380">Mr. Kildee</cosponsor>, <cosponsor name-id="C001119">Mrs. Craig</cosponsor>, <cosponsor name-id="J000032">Ms. Jackson Lee</cosponsor>, <cosponsor name-id="W000797">Ms. Wasserman Schultz</cosponsor>, <cosponsor name-id="P000608">Mr. Peters</cosponsor>, <cosponsor name-id="O000173">Ms. Omar</cosponsor>, <cosponsor name-id="W000825">Ms. Wexton</cosponsor>, <cosponsor name-id="D000191">Mr. DeFazio</cosponsor>, <cosponsor name-id="N000002">Mr. Nadler</cosponsor>, <cosponsor name-id="D000216">Ms. DeLauro</cosponsor>, <cosponsor name-id="W000826">Ms. Wild</cosponsor>, <cosponsor name-id="H001064">Mr. Heck</cosponsor>, <cosponsor name-id="W000822">Mrs. Watson Coleman</cosponsor>, <cosponsor name-id="L000551">Ms. Lee of California</cosponsor>, <cosponsor name-id="P000613">Mr. Panetta</cosponsor>, <cosponsor name-id="K000385">Ms. Kelly of Illinois</cosponsor>, and <cosponsor name-id="B001304">Mr. Brown of Maryland</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XIX of the Social Security Act to prohibit payments under the Medicaid program for
			 conversion therapy, and for other purposes.</official-title></form>
	<legis-body id="H347453A002654FEABC73A123666C0C55" style="OLC">
 <section id="H1B1E938657244A3EBD4CB25C3DCAAFF1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Prohibition of Medicaid Funding for Conversion Therapy Act</short-title></quote>.</text> </section><section id="H4D60D809B8F54F8193B9C92E1675D45C" section-type="subsequent-section"><enum>2.</enum><header>Prohibition on Medicaid payments for conversion therapy</header> <subsection id="HC3883A15DAD94B2BA1B3D5C8E84282F0"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1902 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref>) is amended—</text>
 <paragraph id="H5AC3FB9E35D647069C4B769345A21D7A"><enum>(1)</enum><text>in subsection (a)—</text> <subparagraph id="H7D9D4A5214054F0EAE55C724C4F5881E"><enum>(A)</enum><text>in paragraph (85), by striking <quote>and</quote> at the end;</text>
 </subparagraph><subparagraph id="HA59A96BAB45E4B74A9D5F943A43E1405"><enum>(B)</enum><text>in paragraph (86), by striking the period at the end and inserting <quote>; and</quote>; and</text> </subparagraph><subparagraph id="HA7CC3A7F57044D09B739E0B5F3AAC1CB"><enum>(C)</enum><text>by inserting after paragraph (86) the following new paragraph:</text>
						<quoted-block display-inline="no-display-inline" id="HC864A66BFFE34E11B37FC2ACA4888A1A" style="OLC">
 <paragraph id="H8DA774623F88417F8D42DDD732E3BFB0"><enum>(87)</enum><text display-inline="yes-display-inline">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 (qq)) furnished to an individual enrolled under the plan (or a waiver of such plan).</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
 </subparagraph></paragraph><paragraph id="HC1DDC2777C4243C992C1D856A67F840D"><enum>(2)</enum><text>by adding at the end the following new subsection:</text> <quoted-block display-inline="no-display-inline" id="H8907DF08200541A8BD7DAF3DDD924A25" style="OLC"> <subsection id="H0759FD6E90F84CF8B15C103C6C9A3B22"><enum>(qq)</enum><header>Conversion therapy; Gender identity; Person; Sexual orientation</header><text display-inline="yes-display-inline">For purposes of subsection (a)(87) and this subsection:</text>
 <paragraph id="HC2BC3258FEFC4C69925BA7297FC06156"><enum>(1)</enum><header>Conversion therapy</header><text display-inline="yes-display-inline">The term <term>conversion therapy</term>—</text> <subparagraph id="H06D64F0427214B11BAC14EE189D0D7A4"><enum>(A)</enum><text>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</text>
 </subparagraph><subparagraph id="HD78DAFE8C83D4EE2B1F0A0E8B6BBFE2E"><enum>(B)</enum><text>does not include any practice or treatment, which does not seek to change sexual orientation or gender identity, that—</text>
 <clause id="H95E02C21D6704D1C84FD41901D786031"><enum>(i)</enum><text>provides assistance to an individual undergoing a gender transition; or</text> </clause><clause id="H5A6840BD007142CCB62CFB1DC41546A5"><enum>(ii)</enum><text>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.</text>
 </clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD12D1ADE03D04281ACB983B935A1B859"><enum>(2)</enum><header display-inline="yes-display-inline">Gender identity</header><text display-inline="yes-display-inline">The term <term>gender identity</term> means the gender-related identity, appearance, mannerisms, or other gender-related characteristics of an individual, regardless of the individual’s designated sex at birth.</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC720CD71E8DA43C580D424A238CF1093"><enum>(3)</enum><header display-inline="yes-display-inline">Person</header><text>The term <term>person</term> means any individual, partnership, corporation, cooperative, association, or any other entity.</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H2B94DEBDF01645319B986BF947761897"><enum>(4)</enum><header display-inline="yes-display-inline">Sexual orientation</header><text display-inline="yes-display-inline">The term <term>sexual orientation</term> means homosexuality, heterosexuality, or bisexuality.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="H7346D4860FAB4CA7A3B4F0FEDE5BE54E"><enum>(b)</enum><header>Conforming amendment</header><text display-inline="yes-display-inline">Section 1903(i) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(i)</external-xref>) is amended by inserting after paragraph (8) the following new paragraph:</text>
				<quoted-block display-inline="no-display-inline" id="HDB1A8D5D7D134DEAB23D3440DBD7A11D" style="OLC">
 <paragraph id="H517FB51628C245C8B4B6EB80C92C0970"><enum>(9)</enum><text display-inline="yes-display-inline">with respect to any amount expended for conversion therapy (as defined in section 1902(qq)) on or after the date described in section 1902(a)(87); or</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection></section></legis-body></bill>


