May 2, 2025

Cassidy, Colleagues Introduce Bill to Ban Federal Funding for Gender Transition Procedures

WASHINGTON – U.S. Senators Bill Cassidy, M.D. (R-LA), Roger Marshall, M.D. (R-KS), Mike Lee (R-UT), and Pete Ricketts (R-NE) introduced the No Subsidies for Gender Transition Procedures Act to prohibit taxpayer funded gender transition procedures under Medicaid, Medicare, the Children’s Health Insurance Program, and the Affordable Care Act. The bill would also prohibit the use of the medical expense tax deduction for gender transition procedures.

“Americans don’t want tax dollars funding sex change operations for children,” said Dr. Cassidy. “Let’s use that money for real medical treatment, not to prop up gender ideology.”

“Americans overwhelmingly agree that hard-earned taxpayer dollars should not go toward paying for harmful gender transition procedures,” said Senator Marshall. “This legislation delivers on President Trump’s promise, eliminates taxpayer-funded transgender procedures on both minors and adults, and defends our nation’s values. As the reconciliation process continues, I urge my colleagues to support this commonsense legislation and ensure it is included in the One, Big, Beautiful Bill.”

“Trans ideology is anti-science, anti-truth, and anti-child – our government cannot make American families complicit in these controversial medical procedures, especially against young and vulnerable people in our society,” said Senator Lee. “Our necessary legislation prevents taxpayer dollars from funding the gender transition regime through reimbursements, Medicare, Medicaid, and other avenues.”

“American tax dollars should not fund gender reassignment surgery,” said Senator Ricketts. “This bill ends the misuse of tax dollars on these procedures. It also stops federal healthcare facilities from providing these procedures.”

U.S. Representative Claudia Tenney (R-NY-24) introduced the companion version of this bill in the U.S. House of Representatives.

“Taxpayers should never be forced to fund dangerous and irreversible gender transition surgeries. The No Subsidies for Gender Transition Procedures Act sets a sweeping precedent by applying to both adults and minors and applying to as many federal funding streams as possible,” said Representative Tenney. “This will ensure that regardless of the age of the individual looking to mutilate themself, the American taxpayer will not be forced to subsidize it. We are working to ensure that not a dime of federal funds can be used to pay for gender transition procedures.”

The legislation is supported by the American Principles Project.

“Every year, the federal government subsidizes the transgender medical industry with our tax dollars, despite the vast majority of Americans opposing this horrific waste of taxpayer funding,” said Terry Schilling, President of American Principles Project. “The No Subsidies for Gender Transition Procedures Act would deal a serious blow to the woke trans agenda’s biological and fiscal insanity, and I am grateful for Senator Marshall’s leadership on this problem. It’s time for Congress to pass this important legislation.”

Background

By eliminating federal spending on transgender procedures, American taxpayers will save nearly $200 million. 25 states and D.C. have Medicaid policies that explicitly cover transgender-related health care. Over 276,000 of the 1.3 million transgender adults are enrolled in Medicaid.

In March, Cassidy introduced the Defining Male and Female Act to codify President Trump’s executive order establishing legal definitions of male, female, and sex to ensure they are based on biological reality rather than radical, left-wing ideology.

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