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HR6658FEDERALIN_COMMITTEE
High Impact

The SAFE Home Act (H.R. 6658)

Original title: SAFE Home Act

December 17, 2024

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

If enacted, this bill would change the eligibility requirements for federal foster care and adoption funding, potentially impacting the operations of child-placing agencies that currently consider a parent's stance on gender-affirming care or identity documentation in their placement decisions.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Foster care and adoption agencies receiving federal funds

These entities must adjust their placement policies to comply with the new federal requirements regarding parental consent for gender-related treatments and documentation.

Prospective foster or adoptive parents

These individuals are protected from being denied or delayed in placement decisions based on their views regarding a child's sex or gender-related medical/legal requests.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Background

  • The bill was introduced in the 118th Congress and referred to the House Committee on Ways and Means, which has jurisdiction over Social Security and federal foster care programs. context

Summary

This bill would prohibit organizations that receive federal funding for foster care or adoption from denying or delaying placements based on a parent's refusal to support a child's gender transition or identity changes. It mandates that states receiving federal foster care assistance must adopt these non-discrimination protections in their s.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Why It Matters

If enacted, this bill would change the eligibility requirements for federal foster care and adoption funding, potentially impacting the operations of child-placing agencies that currently consider a parent's stance on gender-affirming care or identity documentation in their placement decisions.

Frequently Asked Questions

Does this bill apply to all adoption agencies?
No, it applies specifically to entities that receive federal assistance and are involved in adoption or foster care placements.
What happens if a state needs to change its laws to comply?
If the Secretary of Health and Human Services determines state legislation is required, the state is granted a delay in compliance until the first calendar quarter after its next regular legislative session.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

AARP

$4,110,000

2026

HEALTH ISSUESMEDICARE/MEDICAIDLAW ENFORCEMENT/CRIME/CRIMINAL JUSTICEPHARMACY

P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology

NELSON MULLINS RILEY & SCARBOROUGH

on behalf of UNIFORM LAW COMMISSION (NAT'L CONFERENCE OF COMMISSIONERS ON UNIFORM STATE LAWS)

THE NICKLES GROUP, LLC

on behalf of BAXTER HEALTHCARE CORPORATION

CURE SMA

$75,000

The Cleveland Clinic Foundation

on behalf of Cleveland Clinic Foundation

$110,000

2025

HEALTH ISSUESMEDICARE/MEDICAID

Quantum computing 340B Enhanced Premium Tax Credits Immigration Issues Department of Education professional designation definition Alzheimer's Legislation Safe Act

Sponsors

Connected Entities

personGrothman, PaulCo-sponsor of the bill in the House of RepresentativesMap →
personMiller, GraceCo-sponsor of the bill in the House of RepresentativesMap →
personBanks, PatrickLead sponsor of the bill in the House of RepresentativesMap →
organizationSecretary of Health and Human ServicesResponsible for overseeing the implementation of the billMap →
organizationU.S. Government Publishing OfficeSource of the Congressional BillsMap →
personSteube, BillCo-sponsor of the bill in the House of RepresentativesMap →
bill_numberSocial Security ActThe Social Security Act is amended by this billMap →

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy90
    Intensity of disagreement among stakeholders
  • Entertainment20
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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