“A bill to prohibit taxpayer-funded gender transition procedures, and for other purposes.”
No CRS summary available for this bill.
This section designates the short title of the Act as the “End Taxpayer Funding of Gender Experimentation Act of 2025” and sets forth the table of contents.
This section establishes a new Chapter 4 in Title 1, United States Code, prohibiting the use of any federal funds—including those in trust funds—for gender transition procedures (Sec. 301) or health benefits coverage that includes such procedures (Sec. 302); and limiting federal health care facilities and employees from furnishing such procedures (Sec. 303). The chapter includes constructions permitting separate coverage for gender transition procedures using only non-federal funds (Secs. 304-305)—provided such coverage does not use matching funds required for federally subsidized programs, including state or local Medicaid contributions—and exempting treatment of complications caused or exacerbated by such procedures (Sec. 306). It defines "gender transition" as the process of changing from identifying with one's sex to a self-proclaimed identity that does not correspond with that sex; and "gender transition procedure" as any hormonal or surgical intervention for that purpose—including puberty blockers, supraphysiologic hormones, castration, hysterectomies, genital reconstructions (e.g., vaginoplasty, phalloplasty), mastectomies, and facial/cosmetic surgeries to masculinize or feminize features—but excluding services for individuals with medically verifiable disorders of sex development (Sec. 307).
This section disallows premium tax credits under IRC §36B(c)(3) and small employer health insurance expense credits under IRC §45R for qualified health plans that include coverage for gender transition procedures, as defined in 1 U.S.C. §307 (other than procedures described in §306). It permits individuals and employers to purchase or issuers to offer separate coverage for such procedures so long as no credit applies to premiums or contributions for that coverage. The section further requires the Director of the Office of Personnel Management, in contracting for multi-state qualified health plans (i.e., ACA plans offered through Exchanges in all states, administered like Federal Employees Health Benefits plans), to ensure no such plan provides coverage prohibited from federal funding under 1 U.S.C. chapter 4. The changes apply to plan years beginning after the date one year after enactment.