The parliamentarian for the U.S. Senate (a non-partisan position) has struck down a Republican effort to to block the use of Medicaid funds for gender-affirming care.
The provision would ban gender-affirming care for transgender people through Medicaid and the Children’s Health Insurance Program. The measure was included in the House version of the bill passed on May 22 by a vote of 215-214.
Senate Parliamentarian Elizabeth MacDonough ruled the ban violated the Byrd Rule, which limits reconciliation bills to provisions with a clear budgetary impact.
MacDonough has also struck several other measures from Trump’s “Big Beautiful Bill” including proposed restrictions on the ability of federal courts to issue nationwide injunctions and temporary restraining orders and a proposal make gun silencers more easily accessible.
The nonpartisan arbiter of rules compliance rejected parts of the Republican so-called “Big Beautiful Bill.”
: bit.ly/3HZpKve [image or embed] — The Advocate (@advocate.com) June 26, 2025 at 8:52 AM
Not surprisingly, some Republican lawmakers are now calling on Senate Majority Leader John Thune to fire MacDonough saying she’s too “woke.”
The WOKE Senate Parliamentarian, who was appointed by Harry Reid and advised Al Gore, just STRUCK DOWN a provision BANNING illegals from stealing Medicaid from American citizens. This is a perfect example of why Americans hate THE SWAMP. Unelected bureaucrats think they know…
— Coach Tommy Tuberville (@SenTuberville) June 26, 2025
NEW: Dan Crenshaw is the first House Republican to call for the Senate parliamentarian to get fired
The parliamentarian disqualified a Medicaid gender-affirming care ban from the reconciliation bill — a provision that Crenshaw led in the House www.notus.org/congress/sen… [image or embed] — Oriana González (@oriana.bsky.social) June 26, 2025 at 9:33 AM
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