This legislation poses a grave threat to the health and well-being of transgender individuals across the nation. By prohibiting gender-affirming care through Medicaid and the Affordable Care Act exchanges, it denies access to essential medical services for a vulnerable population. Estimates indicate that 276,000 transgender adults rely on Medicaid, many residing in states that already restrict such care. Depriving them of necessary treatment is not only unethical but will undoubtedly lead to adverse mental and physical health outcomes, potentially endangering lives. Furthermore, the proposed ban disregards the overwhelming consensus within the medical community regarding the efficacy and importance of gender-affirming care. This legislation represents a blatant disregard for human rights and evidence-based healthcare practices. It is imperative that this harmful measure be opposed to uphold the principles of compassion, equality, and scientific integrity. The lives and dignity of transgender individuals must be protected, not compromised for political agendas.