On December 18, 2025, Mike Collins of Georgia voted for H.R. 498, a ban on Medicaid coverage of gender-affirming care for minors that the administration then imposed by rule in August 2026, and the day before he voted for H.R. 3492, a bill making that care a federal crime. In May 2025 he cast one of the votes that passed a House version of the One Big Beautiful Bill Act (roll call 145) that would have barred Medicaid coverage of the care at any age.
In July 2026, Collins voted for an amendment to write the transgender military ban into law, although 58% of Americans told Gallup in 2025 that they support letting openly transgender people serve. Georgia already bans the care for minors.
Mike Collins's Votes on Transgender Health Care and the Military Ban
- Collins Voted to Bar Medicaid From Covering Gender-Affirming Care for Minors, a Ban the Administration Then Adopted by Rule. On December 18, 2025, Mike Collins voted yes on H.R. 498, the Do No Harm in Medicaid Act, which passed the House 215 to 201 and would prohibit Federal Medicaid funding for gender transition procedures for minors. On August 11, 2026, the Centers for Medicare and Medicaid Services (CMS) issued a final rule doing the same thing by regulation. KFF counts about 130,000 young trans people with Medicaid or CHIP coverage in states without their own restrictions and reports that dozens of providers have ceased to offer services under federal pressure.
- Collins Cast One of the Votes for a House Bill That Would Have Barred Medicaid Coverage of Gender-Affirming Care at Any Age, in May 2025. On May 22, 2025, Collins voted yes on the House version of the One Big Beautiful Bill Act, which passed 215 to 214, so a switch by him alone would have defeated it. Its section PROHIBITING FEDERAL MEDICAID AND CHIP FUNDING FOR GENDER TRANSITION PROCEDURES applied to adults as well as minors. The Senate dropped that section, but the final law's Medicaid cuts, which Collins also voted for, still reach LGBTQ adults, who are twice as likely as non-LGBTQ+ adults to use Medicaid as their main insurance, according to the Williams Institute as cited by them.
- Collins Voted to Make Gender-Affirming Care for Minors a Federal Crime Punishable by 10 Years in Prison, in December 2025. On December 17, 2025, Collins voted yes on H.R. 3492, the Protect Children's Innocence Act, which passed the House 216 to 211. Under it, whoever knowingly chemically castrates a minor shall be fined under this title, imprisoned for up to 10 years, using the bill's term for puberty blockers and hormone treatment. The bill is pending in the Senate; if enacted, it would expose doctors who provide that care to minors anywhere in the country to federal prosecution.
- Collins Voted to Write the Ban on Transgender Troops Into Law, a Position Most Americans Oppose, in July 2026. On July 21, 2026, Collins voted yes on an amendment to the defense bill that Codifies Executive Order 14183 implements a ban on transgender service members; it failed 212 to 217. Under the order, Transgender service members once again face discharge, and new recruits are turned away, Lambda Legal reports. In a January 2025 Gallup poll, 58% of respondents said they support admitting openly transgender women and men into the U.S. military.
What the Votes Mike Collins Cast Mean for LGBTQ Georgians
- Youth health care. Georgia already Bans best practice medical care for transgender youth, according to the Movement Advancement Project, so H.R. 3492 would add federal criminal penalties on top of the state ban for any Georgia doctor who provides the care to a minor.
Frequently Asked Questions About Mike Collins on LGBTQ rights
What is Mike Collins's record on LGBTQ rights under Trump?
Mike Collins of Georgia voted to bar Medicaid from covering gender-affirming care for minors (roll call 362), a ban the administration then adopted by rule, and to make that care a federal crime (roll call 351). He voted for an amendment to write the ban on transgender troops into law, which failed, and for a House version of the 2025 tax-and-spending law that would have barred Medicaid coverage of the care at any age.
Did Mike Collins vote to criminalize gender-affirming care?
Yes. Mike Collins voted for H.R. 3492 on December 17, 2025, which would make providing puberty blockers or hormones to a minor a federal crime with prison terms of up to 10 years. The Senate has not taken it up.
How did Mike Collins vote on transgender people serving in the military?
Mike Collins voted on July 21, 2026 for an amendment to write the transgender military ban into law, though 58% of Americans told Gallup in 2025 that they support letting openly transgender people serve. The amendment failed.
Last updated: 2026-10-25