Senator Marshall, Rep. Tenney Introduce the No Subsidies for Gender Transition Procedures Act

Washington – U.S. Senator Roger Marshall, M.D. (R-Kansas) today introduced the No Subsidies for Gender Transition Procedures Act,a bill that would prohibit taxpayer funding for gender transition procedures covered by Medicaid, Medicare, the Children’s Health Insurance Program, and the Affordable Care Act. The bill also would deny the medical expense tax deduction for gender transition procedures. U.S. Representative Claudia Tenney (R-New York-24) introduced the House companion version of this bill.

Due to the bill’s targeted approach toward altering the tax code and mandatory spending, Senator Marshall is advocating for this legislation to be included in the FY2025 budget reconciliation package. 

“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.” 

“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.”

This legislation is cosponsored by U.S. Senators Bill Cassidy (R-Louisiana), Mike Lee (R-Utah), and Pete Ricketts (R-Nebraska).

“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.”

“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.”

The legislation is supported by the American Principles Project and Heritage Action.

“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.”

“Heritage Action commends Senator Marshall and Representative Tenney for their commitment to eliminating the use of taxpayer funding for transgender procedures. The No Subsidies for Gender Transition Procedures Act is a bold step towards defending our nation’s values and restoring fiscal integrity,” said Executive Vice President of Heritage Action Ryan Walker. “Hard-working American taxpayer dollars should never be funneled to the transgender medical industry to facilitate gender transition surgeries. Heritage Action’s army of grassroots conservatives urges Congress to pass this vital piece of legislation to bar blatant misuse of federal funding.”

Click HERE to read the full bill text.

Background:

• By eliminating federal spending on transgender procedures, we can save American taxpayers $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 of 2025, Senator Marshall introduced the End Taxpayer Funding of Gender Experimentation Act – similar legislation that prohibits the use of federal funding for gender transition procedures and bars federal healthcare facilities, physicians, and providers from providing such procedures.

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