The prohibition abruptly expanded to include adults hours before the House passed the bill, escalating the crackdown on transgender care once focused on children.

She met with surgeons, therapists and case managers at Amida Care, a nonprofit health plan for LGBTQ+ Medicaid recipients and those living with HIV. Her surgery, which was fully covered under Medicaid,

The provision is a result of a last-minute change to the bill before its passage out of the House early Thursday.