Conservative activists and at least one Republican lawmaker say the so-called Big Beautiful Bill moving through Congress would allow federal Medicaid dollars to cover gender-affirming treatments, including puberty blockers, cross-sex hormones and surgeries for minors as well as adults. Rep. Dan Crenshaw criticized Senate Republicans for declining to force a floor vote to strip the provision, contending the caucus “caved” rather than dare Democrats to openly back taxpayer funding for the procedures. Other commentators echoed the complaint, calling the language a breach of former president Donald Trump’s pledge to halt such spending. Supporters of the bill have not publicly responded to the allegation, and the full legislative text has yet to be released. The measure still requires passage by both chambers and the president’s signature before becoming law.