I 119THCONGRESS 1 STSESSION H. R. 2197 To prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH18, 2025 Mr. J OHNSONof South Dakota (for himself, Mr. AUSTINSCOTTof Georgia, Mr. C RENSHAW, Mr. RULLI, Mr. EZELL, Mrs. BICE, Mr. MOOREof Ala- bama, and Mr. R OSE) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To prevent 340B covered entities from using savings derived for sex reassignment surgeries, hormonal therapies, and for other purposes. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘No 340B Savings for 4 Transgender Care Act’’. 5 VerDate Sep 11 2014 01:21 Mar 29, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2197.IH H2197 ssavage on LAPJG3WLY3PROD with BILLS 2 •HR 2197 IH SEC. 2. PROHIBITION ON USE OF 340B SAVINGS FOR SERV-1 ICES DESCRIBED FOR TRANSGENDER INDI-2 VIDUALS. 3 (a) P ROHIBITION ONUSE OF340B SAVINGS FOR 4 S ERVICESDESCRIBED.—Section 340B(a)(4) of the Public 5 Health Service Act (42 U.S.C. 256b(a)(5)) is amended by 6 adding at the end the following: 7 ‘‘(E) P ROHIBITION ON USE OF 340B SAV -8 INGS FOR SERVICES DESCRIBED .—A covered 9 entity participating in the program under this 10 section may not use any funds derived from the 11 difference between the 340B ceiling price and 12 the actual acquisition cost of covered outpatient 13 drugs to pay for services described. 14 ‘‘(i) D EFINITIONS.—For purposes of 15 this subsection— 16 ‘‘(I) C OVERED ENTITY .—The 17 term ‘covered entities’ has the mean-18 ing given such term in section 19 340B(a)(4). 20 ‘‘(II) S ERVICES DESCRIBED .— 21 The term ‘services described’ means— 22 ‘‘(aa) sex reassignment sur-23 geries furnished for the purpose 24 of the gender alteration of a 25 transgender individual; and 26 VerDate Sep 11 2014 01:21 Mar 29, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2197.IH H2197 ssavage on LAPJG3WLY3PROD with BILLS 3 •HR 2197 IH ‘‘(bb) hormone treatments 1 furnished for the purpose of the 2 gender alteration of a 3 transgender individual.’’. 4 Æ VerDate Sep 11 2014 01:21 Mar 29, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H2197.IH H2197 ssavage on LAPJG3WLY3PROD with BILLS