In the 119th Congress, a bill designated as S. 1774 was introduced on May 15, 2025, by Senator Mike Risch and co-sponsored by Senators Cynthia Lummis, Pete Ricketts, and Kevin Cramer. This bill aims to amend Title 5 of the United States Code, specifically addressing the health insurance program under Chapter 89.

The legislation is titled the "Protecting Minors in Federal Health Plans Act" and proposes to prohibit coverage for gender-affirming care or services for individuals under the age of 18. The bill defines gender-affirming care as medical interventions intended to treat gender dysphoria, which includes hormone therapy, puberty blockers, and surgical procedures related to gender transition.

However, the bill specifies certain exceptions where coverage may still be applicable. These exceptions include treatments for individuals with medically verifiable disorders of sexual development, as well as procedures addressing physical disorders that pose imminent risks to health. Additionally, it allows for hormone therapy related to precocious puberty or delayed puberty, provided that the treatment aligns with the individual's biological sex.

The proposed changes would apply to any contracts entered into or renewed after the enactment of the bill, thereby impacting the health coverage available to federal employees and their dependents. The implications of this legislation raise questions about access to healthcare for minors and the broader societal context of gender-affirming treatments.