I 
119TH CONGRESS 
1ST SESSION H. R. 2107 
To amend title III of the Public Health Service Act to reauthorize the 
program of payments to children’s hospitals that operate graduate med-
ical education programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 14, 2025 
Mr. CRENSHAW (for himself, Mrs. MILLER of Illinois, Mrs. MILLER-MEEKS, 
Mr. PFLUGER, Mr. ELLZEY, Mr. VAN DREW, Mr. GREEN of Tennessee, 
Mr. ROUZER, Mrs. HARSHBARGER, Mr. GROTHMAN, Mr. JACKSON of 
Texas, and Mr. SCOTT FRANKLIN of Florida) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title III of the Public Health Service Act to 
reauthorize the program of payments to children’s hos-
pitals that operate graduate medical education programs, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Children’s Hospital 
GME Support Reauthorization Act of 2025’’. 
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SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN’S HOS-
PITALS THAT OPERATE GRADUATE MEDICAL 
EDUCATION PROGRAMS. 
Section 340E of the Public Health Service Act (42 
U.S.C. 256e) is amended— 
(1) in subsection (a), by striking ‘‘2023’’ and 
inserting ‘‘2030’’; 
(2) in subsection (b)(3)(D), by inserting ‘‘and 
the end of fiscal year 2030,’’ after ‘‘fiscal year 
2022,’’; 
(3) in subsection (e), by adding at the end the 
following new paragraph: 
‘‘(4) PROHIBITION
ON
PAYMENTS
TO
HOS-
PITALS FURNISHING SPECIFIED PROCEDURES AND 
DRUGS TO MINORS.— 
‘‘(A) IN GENERAL.—Notwithstanding any 
other provision of this section, no payment may 
be made under this section to a children’s hos-
pital for a fiscal year (beginning with fiscal year 
2026) if, at any point during the preceding fis-
cal year, such hospital furnished specified pro-
cedures and drugs (as defined in subsection (g)) 
to an individual under 18 years of age. 
‘‘(B) SPECIAL
RULE
FOR
FISCAL
YEAR 
2026.—In applying subparagraph (A) with re-
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spect to payments described in such subpara-
graph for fiscal year 2026— 
‘‘(i) the reference to ‘for a fiscal year’ 
shall be treated as a reference to ‘for any 
portion of fiscal year 2026 occurring after 
December 31, 2025’; and 
‘‘(ii) the reference to ‘the preceding 
fiscal year’ shall be treated as a reference 
to ‘the period beginning on September 1, 
2025, and ending on December 31, 2025’. 
‘‘(C) RULE OF CONSTRUCTION.—Nothing 
in this paragraph shall be construed as prohib-
iting payments for a fiscal year (or, in the case 
of payments for fiscal year 2026, during the 
portion of such fiscal year described in subpara-
graph (B)(i)) to a hospital that, during the pre-
ceding fiscal year (or, in the case of payments 
for fiscal year 2026, during the period de-
scribed in subparagraph (B)(ii)), furnished 
mental or behavioral health services to individ-
uals under 18 years of age for the treatment of 
gender dysphoria not consisting of specified 
procedures and drugs.’’; 
(4) in subsection (f)— 
(A) in paragraph (1)(A)— 
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(i) in clause (v), by striking ‘‘and’’ at 
the end; 
(ii) in clause (vi), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(vii) for each of fiscal years 2026 
through 2030, $124,000,000.’’; and 
(B) in paragraph (2)— 
(i) in subparagraph (E), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (F), by striking 
the period at the end and inserting ‘‘; 
and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(G) for each of fiscal years 2026 through 
2030, $261,000,000’’; and 
(5) in subsection (g), by adding at the end the 
following new paragraph: 
‘‘(4) SPECIFIED PROCEDURES AND DRUGS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), the term ‘specified proce-
dures and drugs’ means, with respect to an in-
dividual, any of the following: 
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