On December 17th, 2025, in a nearly 216-211 party-line vote, the U.S. House of Representatives passed the most extreme anti-trans bill to date, which criminalizes and restricts gender affirming care for youth. 

If passed in the Senate and signed by the president, medical providers could be heavily fined and jailed for up to 10 years for providing gender affirming care to minors. The same 10-year sentence and fines would be applied to families who are simply supporting youth to access care. The legislation also halts gender affirming surgeries, while also endorsing non-consensual, harmful surgeries on intersex youth.

To be clear, gender affirming care is evidence-based, life-saving health care. This legislation is yet another hateful attempt to sow fear among the trans community and would only harm the very children it purports to protect.

Pride Action Tank stands strong with trans and intersex communities. We urge our community to fight back with us and demand your senator vote NO on this damaging piece of legislation and oppose any attempts to discriminate against the trans community.

Immediate Call to Action: The U.S. House is also voting on another harmful anti-trans bill (H.R. 498) that would prevent low-income trans youth from accessing gender-affirming care through Medicaid. Tell your members of Congress to defend our rights to access medically necessary care and vote NO on H.R. 498.