This bill reauthorizes federal funding for children's hospitals that operate graduate medical education programs through fiscal year 2030, extending the current program's authorization and providing $124 million annually for direct graduate medical education costs and $261 million annually for indirect costs during fiscal years 2026–2030. The legislation affects all children's hospitals participating in the federal GME payment program. However, the bill includes a significant new condition: starting in fiscal year 2026, children's hospitals would lose federal GME funding if they provide certain gender-related surgical procedures or medications to patients under 18 years old, with exceptions carved out for treating disorders of sex development, precocious puberty, and certain medical emergencies. The provision also explicitly protects funding for mental and behavioral health services treating gender dysphoria that do not involve the specified procedures or medications.
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