Why is an Elon Musk-backed PAC running an ad against Republican state legislators?

Contributing sentiments towards policy:

51% : It is one of the first signs since Trump returned to the White House of a group linked to Musk going after Republicans in individual states.
51% : Building America's Future posted a photo to X in February of a large truck outside the North Dakota Capitol in Bismarck, bearing the messages "Tell North Dakota Republicans: Stop subsidized gender transitions for kids," and "340B is subsidizing gender transitions for kids.
42% : The ad airing on local television says, "Some Republicans in your state are undermining Trump and trying to mandate expansion of 340B." The message goes on to say the program "helps fund gender transitions for kids, abortion procedures and health care for illegals.
15% : It focuses on the federal 340B program, saying it "is now a disaster" and to "let Trump fix 340B." The ad groups together five lawmakers in Kentucky, Nebraska, North Dakota, South Dakota and Tennessee whom it accuses of trying to mandate expansion of the program.

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