Next year we will be paying $19,200 for two of us to have health care. I am on Medicare, my wife has 18 months till she is on Medicare. As a result, she needs to use the ACA. We are both retired.

If my wife actually needs medical help, as her ACA plan will be more, as it has a $6,000 deductible.

Healthcare should be based on medical need, not identity.

This bill targets trans people by denying them the same care others get.

It sets a dangerous precedent: if care can be denied based on identity now, who’s next?

A cis man with low testosterone? Covered.
A trans man needing the same treatment? Banned.

That’s not about medicine—it’s about discrimination.

t’s about excluding a specific group from care that others still receive under the same system.

⚖️ What It Means in Practice
A cis woman who needs estrogen after surgery? Covered.
A trans woman who needs estrogen to live as herself? Banned.

🧬 Medical Need vs. Political Targeting
Gender-affirming care is evidence-based, supported by every major medical association, and often life-saving.

This ban is not about cost, since gender-affirming care accounts for a tiny fraction of Medicaid spending.

It does not ban medications for erectile dysfunction in cisgender men.

These treatments are allowed because they are not labeled as gender-affirming.

Same medications, same procedures—but different coverage depending on whether the patient is trans.

Care banned includes puberty blockers, hormone therapy, surgeries, and related mental health support for the purpose of gender transition.

🚨 Double Standard in Medical Coverage
The bill does not ban hormone therapy for cisgender women after a hysterectomy.

Gender-Affirming Care Restrictions in H.R.1
🎯 What the Bill Does
H.R.1 bans all federal funding—including Medicaid, CHIP, and ACA subsidies—for gender-affirming care, starting in 2027.

This applies to all ages, not just minors.

• Adds over $3 trillion to the national deficit despite major social spending cuts.
• Critics say it rewards the wealthy and dismantles safeguards for working-class Americans.
• Proponents claim it promotes liberty, deregulation, and growth—but at what cost?

TALKING POINTS
• H.R. 1 delivers large tax cuts for the wealthy and corporations while cutting Medicaid and SNAP.
• Over 10 million Americans are projected to lose health insurance coverage by 2034.
• The bill undermines federal regulatory agencies and shifts power to Congress and states.

POWER SHIFTS:
• Weakens executive branch by requiring congressional approval of regulations.
• Transfers program control to states, shifting benefit outcomes by geography.
• Increases income inequality through regressive redistribution.

FISCAL IMPACT (CBO ESTIMATES):
• Adds $3.0 trillion to deficit (2025–2034); $4.5 trillion if tax provisions are made permanent.
• Raises debt-to-GDP to 123.8% by 2034 (or 127.7% with permanent cuts).

WHO LOSES:
• Low-income households: Lose $1,500/year in average resources (CBO).
• Uninsured population grows by 10.9 million (CBO projection).
• Clean energy sectors: Lose all federal support.
• Federal regulatory agencies: Power curtailed dramatically.

WHO BENEFITS:
• High-income households and corporations: Receive largest tax breaks and regulatory rollbacks.
• States with conservative governments: Gain flexibility in program management (e.g., Medicaid).
• Defense and immigration enforcement sectors: Benefit from increased appropriations.

• Limits agency rulemaking power; mandates congressional approval for major regulations.
• Repeals climate-related regulations and clean energy incentives.
• Increases funding for border security and restricts asylum eligibility.

Also: a one page summary with talking points
H.R. 1 –One-Page Summary & Talking Points
KEY PROVISIONS:
• Permanently extends Trump-era tax cuts (TCJA) and eliminates taxes on tips, overtime, and car loans.
• Slashes ACA subsidies, Medicaid, SNAP, and student loan forgiveness programs.

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