SEC. 2. PROHIBITION ON MEDICAID PAYMENTS FOR CON-
VERSION THERAPY. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)— 
(A) in paragraph (86), by striking ‘‘and’’ 
at the end; 
(B) in paragraph (87), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (87) the 
following new paragraph: 
‘‘(88) 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 ther-
apy (as defined in subsection (uu)) furnished to an 
individual enrolled under the plan (or a waiver of 
such plan).’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(uu) CONVERSION THERAPY; GENDER IDENTITY; 
PERSON; SEXUAL ORIENTATION.—For purposes of sub-
section (a)(88) and this subsection: 
‘‘(1) CONVERSION THERAPY.—The term ‘con-
version therapy’— 
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‘‘(A) means any practice or treatment by 
any person that seeks to change another indi-
vidual’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 individ-
uals of the same gender, if such person receives 
monetary compensation in exchange for any 
such practice or treatment; and 
‘‘(B) does not include any practice or 
treatment, which does not seek to change sexual 
orientation or gender identity, that— 
‘‘(i) provides assistance to an indi-
vidual undergoing a gender transition; or 
‘‘(ii) provides acceptance, support, 
and understanding of a client or facilita-
tion of a client’s coping, social support, 
and identity exploration and development, 
including sexual orientation-neutral inter-
ventions to prevent or address unlawful 
conduct or unsafe sexual practices. 
‘‘(2) GENDER
IDENTITY.—The term ‘gender 
identity’ means the gender-related identity, appear-
ance, mannerisms, or other gender-related character-
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istics of an individual, regardless of the individual’s 
designated sex at birth. 
‘‘(3) PERSON.—The term ‘person’ means any 
individual, partnership, corporation, cooperative, as-
sociation, or any other entity. 
‘‘(4) SEXUAL ORIENTATION.—The term ‘sexual 
orientation’ means homosexuality, heterosexuality, or 
bisexuality.’’. 
(b) CONFORMING AMENDMENT.—Section 1903(i) of 
the Social Security Act (42 U.S.C. 1396b(i)) is amend-
ed— 
(1) in paragraph (26), by striking ‘‘or’’ at the 
end; 
(2) in paragraph (27), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by inserting after paragraph (27) the fol-
lowing new paragraph: 
‘‘(28) with respect to any amount expended for 
conversion therapy (as defined in section 1902(uu)) 
on 
or 
after 
the 
date 
described 
in 
section 
1902(a)(88).’’. 
Æ 
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