Rep. Brett Guthrie

R

Kentucky – District 2
representative

Leadership

Chairman

119th Congress

News & Announcements

Dec 18, 2025
Health

Chairman Guthrie Delivers Floor Remarks on the Do No Harm in Medicaid Act

WASHINGTON, D.C. – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, delivered remarks on the House floor regarding H.R. 498, the Do No Harm in Medicaid Act, legislation that prohibits federal Medicaid funds from being used toward gender transition procedures for individuals under the age of 18.

Chairman Guthrie’s remarks on H.R. 498, the Do No Harm in Medicaid Act:

“I rise today in strong support of H.R. 498, the Do No Harm in Medicaid Act.

“This bill helps support our fellow hard-working Americans, whose valuable—and finite—taxpayer dollars should not continue to fund medically unnecessary care under the Medicaid Program.

“It is our duty as members of Congress to focus hard-earned taxpayer dollars on care that is medically necessary to improve the health of Americans.

“H.R. 498, the Do No Harm in Medicaid Act, does just that—prohibiting federal Medicaid dollars from going toward specified gender transition procedures for individuals under the age of 18.

“My fellow House Republicans, and particularly my colleagues on the Energy and Commerce Committee, have worked diligently this Congress to eliminate waste, fraud, and abuse in the Medicaid program through the Working Families Tax Cuts Act.

“Our goal is to eliminate unnecessary and improper spending to strengthen, secure, and sustain the Medicaid program for those who are truly among the most vulnerable populations: expectant mothers, their children, low-income seniors, and individuals with disabilities.

“CBO estimates that this bill would save taxpayers $445 million over a decade.

“I want to make it abundantly clear that this legislation, in no way, prevents minors from accessing medical care that they truly need.

“It simply prohibits the use of federal Medicaid funding on specified gender transition procedures that are medically unnecessary.

“This critical legislation builds upon our work in the Working Families Tax Cuts Act to create a more sustainable financial future for Medicaid and preserve the program for the times when people truly need to lean on it.”

Dec 18, 2025
Press Release

House Passes Energy and Commerce Bill to Stop Federal Medicaid Dollars from Funding Medically Unnecessary Care for Minors

WASHINGTON, D.C. – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Dan Crenshaw (TX-02), issued a statement following House passage of H.R. 498, the Do No Harm in Medicaid Act—legislation that prohibits federal Medicaid dollars from going toward specified gender transition procedures for individuals under the age of 18.

“The Do No Harm in Medicaid Act helps strengthen, sustain, and secure our Medicaid program by ensuring federal Medicaid funding is not used for medically unnecessary care for minors,” said Chairman Guthrie. “I’m thankful to my colleague, Representative Dan Crenshaw, for his diligent work in protecting our nation’s children. It’s our duty as members of Congress to support our fellow Americans—especially our most vulnerable—by prohibiting valuable and finite taxpayer dollars from continuing to fund controversial, life-altering gender transition procedures for individuals under the age of 18.”

“Using Medicaid for unscientific, irreversible procedures on minors is an abominable betrayal of our most vulnerable,” said Rep. Crenshaw. “This is a crucial step in protecting our children from the depraved actors that would do them harm.”

Background on H.R. 498:

  • H.R. 498, the Do No Harm in Medicaid Act, prohibits federal Medicaid funding for specified gender transition procedures for individuals under the age of 18.
  • The House also passed this bill as a provision within H.R. 1, the budget reconciliation bill, on May 22, 2025.
  • The Congressional Budget Office estimates that H.R. 498 would reduce direct spending for Medicaid and CHIP by $445 million over the 2026-2035 period.
  • Publicly available polling has consistently indicated that Americans oppose providing children with puberty blockers and irreversible surgeries.
  • The U.S. Department of Health and Human Services (HHS) announced today a series of proposed regulatory actions to carry out President Trump’s Executive Order directing HHS to end the practice of sex-rejecting procedures on children that expose young people to irreversible harm, including pharmaceutical or surgical interventions that attempt to align a child’s physical appearance or body with an asserted identity different from their sex.

Dec 17, 2025
Press Release

GOP Leaders Applaud Passage of Health Package to Boost Affordability

WASHINGTON, D.C. – Marking a milestone in delivering affordable coverage to the American people, Members of House Republican Leadership, Committee Chairmen Brett Guthrie (KY-02), Jason Smith (MO-08), and Tim Walberg (MI-05), join Congresswoman Mariannette Miller-Meeks (IA-01) in applauding the passage of her bill, H.R. 6703, the Lower Health Care Premiums for All Americans Act.

Quote Attributable to Speaker Johnson, Majority Leader Scalise, Majority Whip Emmer, Conference Chairwoman McClain, and Congresswoman Miller-Meeks:

“Today, every House Republican voted to lower health care costs for all Americans. Every House Democrat voted against it. After months of empty ‘affordability’ rhetoric and forcing the longest government shutdown in American history, Democrats once again rejected a valuable, common-sense solution to address the unaffordability they created with their own health insurance law – the Unaffordable Care Act.

“House Republicans are taking meaningful action to fix what Democrats broke. For too long, Democrats have forced hardworking American taxpayers to bail out big health insurance companies for hundreds of billions of dollars. Meanwhile, Americans are left paying for increasingly expensive care with fewer choices, lower quality, and worse health outcomes. They broke America’s health care system and with today’s vote, Democrats have abandoned a critical opportunity to fix their own failed law.

“The Lower Health Care Premiums for All Americans Act puts patients first. It does exactly what its title promises and more: lowers premium costs, expands access to affordable, quality care, gives every American more options and flexibility to choose coverage that is best for their needs, and brings greater transparency to the health care system. It delivers twice the cost reduction of the Democrats’ temporary, COVID-era enhanced subsidies and brings those costs down for ALL Americans – not just some. House Republicans are working to fix what is broken, restore integrity in our nation’s health care system, and lower the cost of health care for every citizen.”

Quote Attributable to Energy and Commerce Committee Chairman Guthrie, Ways and Means Committee Chairman Smith, and Education and Workforce Committee Chairman Walberg:

“By passing the Lower Health Care Premiums for All Americans Act, the House is putting the wellbeing of all American patients at the forefront of our health care system. This is the product of our longstanding effort to make health insurance affordable for the American people. Families and small businesses benefit from commonsense measures like funding cost sharing reductions, which would lower health care premiums by 11 percent, while expanding choices for American patients, and bringing transparency to how pharmacy benefit managers (PBMs) operate.

“Republicans reject the waste, fraud, and abuse in Obamacare and know that Democrats’ temporary COVID-era subsidies aren’t a long-term answer. Americans would be worse off with Democrats’ plot to subsidize very high-income earners and to stuff big health insurance companies’ pockets with an additional $400 billion.

“Republicans are empowering patients while Democrats seek simply to write larger and larger checks to big insurance companies. Providing access to quality care at affordable prices begins with the Lower Health Care Premiums for All Americans Act. Democrats must stop rejecting solutions merely because they are Republican ones and should work with us to lower the cost of care for all Americans.”

Background on the Lower Health Care Premiums for All Americans Act:

  • H.R. 6703, the Lower Health Care Premiums for All Americans Act, sponsored by Rep. Miller-Meeks (IA-01), would establish new rules for association health plans, modify requirements for individual and group health coverage, require contracts between plan sponsors and PBMs to meet certain standards, and appropriate funding for reductions in cost sharing.
  • The Congressional Budget office (CBO) and the Joint Committee on Taxation estimate that enacting the bill would reduce the deficit by $35.6 billion over the 2026-2035 period.
  • CBO also estimates that enacting the bill would reduce gross benchmark premiums by 11 percent, on average, through 2035.

Letters

Nov 17, 2025
Health

Chairmen Guthrie and Joyce Pen Letter to CMS Following HHS Announcement Decertifying South Florida OPO and Implementing Further Safety Guidelines for the Organ Procurement and Transplant System

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, sent a letter to the Centers for Medicare and Medicaid Services (CMS) requesting a briefing to better understand the Department of Health and Human Services’ (HHS) recent actions and ongoing work to enhance safety within the organ procurement and transplantation system. On Thursday, September 18, 2025, the Department of Health and Human Services (HHS) announced major efforts to improve safety, transparency, and efficiency within the organ procurement and transplantation system, including the decertification of an organ procurement organization (OPO) for the first time in U.S. history. According to the announcement , the decision was made “after an investigation uncovered years of unsafe practices, poor training, chronic underperformance, understaffing, and paperwork errors.” The Committee has a history of ensuring patient safety remains the highest priority in our organ procurement and transplantation system, as evident from the Committee’s work last Congress on organ transplantation and donation issues as well as its oversight this Congress. As a part of its ongoing investigation, the Committee requests that CMS respond to questions, including those related to the decertification of the OPO in South Florida and the prevalence of incidents similar to those outlined in the Health Resources and Services Administration’s (HRSA) investigative report, to ensure patient safety remains a top priority. Read the full letter HERE . “While the Committee applauds efforts taken by CMS to uphold the highest standards of care to which all OPOs are expected to adhere, HHS’s announcement decertifying the Life Alliance Organ Recovery Agency illustrates the urgency of this moment and why the subcommittee is not finished with our oversight of the organ transplant system,” said Chairmen Guthrie and Joyce. “It is our moral obligation as members of Congress to establish safeguards and prevent these harmful practices from persisting further, and we look forward to obtaining answers from the agency about the prevalence of these incidents, as well as how CMS plans to proceed with prioritizing patient safety first and foremost.” Background: During the 118th Congress, the Committee on Energy and Commerce led the passage of the Securing the U.S. Organ Procurement and Transplantation Network Act to both modernize the Organ Procurement and Transplantation Network (OPTN) and allow HRSA to institute a competitive contracting process to find the best contractors for various OPTN functions. This legislation was signed into law on September 22, 2023.  On March 20, 2024, the Committee launched an investigation into the organ procurement and transplantation system by sending a letter to United Network for Organ Sharing (UNOS) requesting information related to concerns surrounding data security and operability, patient safety and equity, and conflicts of interest.   On March 20, 2024, the Committee also sent a letter to HRSA requesting information related to implementation of the Securing the U.S. Organ Procurement and Transplantation Network Act as well as other concerns related to effective oversight and management.  On September 11, 2024, the Subcommittee on Oversight and Investigations held a hearing that focused on the implementation of reforms at the OPTN, including the need for stronger oversight and accountability as well as ongoing patient safety concerns.  During the hearing, questions were raised related to allegations of mismanagement and patient safety concerns after patients began exhibiting signs of increased neurologic function after being previously deemed suitable as an organ donation candidate. Several of these allegations, particularly those related to patient safety, were later substantiated through the findings contained in HRSA’s March 2025 report.  On March 24, 2025, HRSA’s Division of Transplantation issued a report that summarized the findings of its investigation into KYDA, the OPO now known as Network for Hope, which serves Kentucky and parts of Ohio, West Virginia, and Indiana.   HRSA’s investigation examined an “index case” and an additional 351 unique cases of authorized, not recovered (ANR) patients. This means that the patients were considered for donation after circulatory death recovery, but no organs were transplanted. The report showed that nearly 30 percent of the cases “had concerning features.” The concerning features included problems with patient-family interactions, medical assessments and team interactions, recognition of high neurologic function, and recognition and documentation of drugs in records.  On May 28, 2025, HRSA issued a corrective action plan to the OPTN, which directed the OTPN to take specific actions within a specified period of time, including developing a 12-month OPTN monitoring plan for KYDA to address concerns identified. The corrective action plan also requires the OPTN to propose policies for public comment to improve safeguards for potential donation after circulatory death (DCD) patients in the organ procurement process and increase information shared with patient families regarding DCD organ procurement.  On July 22, 2025, the House Committee on Energy and Commerce’s Subcommittee on Oversight and Investigations held a hearing examining concerning practices within our nation’s organ procurement and transplant system that were identified by HRSA’s investigation.  On September 12, 2025, the Committee sent a bipartisan letter to HRSA requesting a briefing on its ongoing oversight of patient safety in our nation’s organ procurement and transplant system. ###

Oct 31, 2025
Commerce, Manufacturing, and Trade

Chairmen Guthrie, Joyce, and Bilirakis Send Letter to NCAA Over Decision to Let Student Athletes Gamble on Professional Sports

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, and Congressman Gus Bilirakis (FL-12), Chairman of the Subcommittee on Commerce, Manufacturing, and Trade, sent a letter to National Collegiate Athletic Association (NCAA) President Charlie Baker following the recent announcement that student athletes and athletic department staff will be allowed to bet on professional sports. KEY EXCERPTS: “The Committee on Energy and Commerce is examining the NCAA’s recent policy change permitting student athletes and athletic department staff to bet on professional sports.” [...] To assist the Committee in its oversight, we request a briefing by no later than November 13, 2025, that addresses the following: Why is the NCAA changing its policy allowing student athletes to bet on professional sports? Has the NCAA conducted any studies, analyses, or reviews of the impact of gambling on student athletes? If so, what are the results? What role did they play in the NCAA’s decision to allow student athletes to bet on professional sports? How does this change allow the NCAA, the conferences, and the member schools to better protect the integrity of college games and encourage healthy habits for student-athletes who choose to engage in betting activities on professional sports? How is the NCAA engaging with athletic conferences, member institutions, and teams to address questions and concerns about this rule change? Amid recent allegations of illegal sports betting among student athletes and concerns expressed by member institutions, is NCAA reconsidering implementation of the policy? What guardrails are in place to prevent the type of illegal sports betting activity that is allegedly occurring in the NCAA and NBA, considering that some student athletes will go on to become professional athletes? Please provide details about any fraudulent, illegal, and alleged betting practices in connection with NCAA players, coaches, and officials, including the actions of NCAA players identified in recent infraction decisions; as well as prior instances, some of which are identified above. Please describe the NCAA’s “layered integrity monitoring program,” for maintaining competition integrity and pursuing sports betting violations. What gaps, if any, are in existing regulations that allow illegal betting schemes to occur in college sports? BACKGROUND: On October 24, 2025, the Committee on Energy and Commerce launched its investigation into sports fixing and illegal gambling after the Federal Bureau of Investigation (FBI) unsealed indictments of current and former NBA players and coaches. An initial announcement stated that, effective November 1, 2025, student athletes and athletic department staff in all three NCAA divisions would be permitted to bet on professional sports. A few days before the policy change was supposed to take effect, the Division I Board of Directors voted to delay implementation of the rule change across all three divisions to November 22, 2025. A recent NCAA press release stated that “enforcement staff has opened investigations into potential sports betting violations by approximately 30 current or former men's basketball student-athletes.” CLICK HERE to read the full letter.

Oct 24, 2025
Commerce, Manufacturing, and Trade

Bipartisan E&C Leaders Request Briefing from NBA Commissioner Adam Silver Following Allegations of Sports Fixing and Illegal Gambling

WASHINGTON, D.C. – Today, House Committee on Energy and Commerce Chairman Brett Guthrie (KY-02) and Ranking Member Frank Pallone Jr., (NJ-06), along with Energy and Commerce Subcommittee on Oversight and Investigations Chairman John Joyce, M.D. (PA-13) and Ranking Member Yvette D. Clarke (NY-09), and Energy and Commerce Subcommittee on Commerce, Manufacturing, and Trade Chairman Gus Bilirakis (FL-12) and Ranking Member Jan Schakowsky (IL-09), sent a letter to National Basketball Association (NBA) Commissioner Adam Silver following the recent announcement that current and former NBA players and coaches have been indicted on charges relating to sports fixing and illegal gambling. KEY EXCERPT: These allegations raise serious concerns about sports betting and the integrity of sport in the NBA, which harms fans and legal sports bettors. [...] To assist the Committee in its oversight, we request a briefing by no later than October 31, 2025, that addresses the following:  Details about the fraudulent, illegal, and alleged betting practices in connection with NBA players, coaches, and officials, including the actions of NBA players and coaches identified in the recent indictment; as well as prior instances, some of which are identified above.  Actions the NBA intends to take to limit the disclosure of nonpublic information for illegal purposes. Whether the NBA’s Code of Conduct for players and coaches effectively prohibits illegal activity, including the disclosure of non-public information for the purposes of illegal betting schemes. An explanation of the gaps, if any, in existing regulations that allow illegal betting schemes to occur. Whether and how the NBA is reevaluating the terms of its partnerships with sports betting companies. BACKGROUND: According to the unsealed indictment, current and former NBA players and coaches allegedly used insider information to place or profit from bets on NBA games. The federal indictment’s allegations of illegal betting span incidents of fraudulent wagering from December 2022 to March 2024 and involve defendants and co-conspirators residing across the United States. In 2023, it is alleged that Miami Heat player Terry Rozier left a game early to facilitate a co-conspirator’s winning bet, which produced hundreds of thousands of dollars in winnings to be split with Mr. Rozier. Another co-conspirator, former NBA player Damon Jones, is alleged to have gained access to non-public information on NBA players and teams, which he then sold to professional gamblers. Other unnamed co-conspirators are alleged to have passed along insider information as well, such as which players would not be playing in an upcoming game. In 2007, former NBA referee Tim Donaghy pleaded guilty to federal charges for using insider information to bet on games he officiated. Last year, Toronto Raptors player Jontay Porter was banned from the NBA for life after pleading guilty to wire fraud conspiracy due to his involvement in a sports betting scandal. CLICK HERE to read the full letter. CLICK HERE to read ESPN's exclusive coverage of the letter.