End Taxpayer Funding of Gender Experimentation Act of 2025
Sponsored By: Senator Roger Marshall
Introduced
Summary
This bill would prohibit taxpayer funding for gender transition procedures and related coverage. It would create a new federal chapter that lists hormonal, surgical, and related interventions covered by the ban and defines limited medical exclusions and exceptions.
Show full summary
- People and families seeking gender transition care would be barred from receiving those procedures paid for by federal funds or from having them covered in plans that get Affordable Care Act premium tax credits or cost‑sharing reductions. The bill allows separate private plans for those procedures only if no federal subsidies pay any premiums.
- Health plans and marketplace rules would change so qualified health plans and multi‑State plans on Exchanges cannot include coverage the bill bars if federal subsidies would apply. The bill amends ACA rules to deny premium tax credits and cost‑sharing reductions for plans that include such coverage.
- Employers and federal health providers would be affected because the small employer health insurance credit excludes plans that cover these procedures, though employers may offer separate unsubsidized coverage. Federal facilities and federal employees would not furnish or pay for the listed procedures, while treatment for complications is addressed as allowed.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
No federal funding for gender care
If enacted, this would bar any federal money from paying for gender transition procedures or for plans that cover them. It would stop federally funded plans like Medicare, Medicaid, VA/Tricare, and federal employee plans from covering those procedures. Federal hospitals and federal doctors would not be allowed to provide gender transition procedures. The bill defines many hormones, surgeries, implants, and sterilizing procedures as gender transition procedures. Care for complications, emergency life‑saving care, disorders of sex development, and puberty blockers for precocious puberty would still be allowed.
Private coverage allowed without federal funds
If enacted, this would let people, insurers, states, and localities buy or offer separate private plans for gender transition procedures. That separate coverage must be paid only with non‑federal funds. Premiums for those plans could not use federal subsidies or ACA premium tax credits. States could not use Medicaid matching funds to pay for that separate coverage.
Sponsors & CoSponsors
Sponsor
Roger Marshall
KS • R
Cosponsors
Cindy Hyde-Smith
MS • R
Sponsored 3/12/2025
Kevin Cramer
ND • R
Sponsored 3/12/2025
Josh Hawley
MO • R
Sponsored 3/12/2025
Ted Budd
NC • R
Sponsored 3/12/2025
Lindsey Graham
SC • R
Sponsored 3/12/2025
Tim Sheehy
MT • R
Sponsored 3/12/2025
Marsha Blackburn
TN • R
Sponsored 3/12/2025
Jim Banks
IN • R
Sponsored 3/12/2025
Roger Wicker
MS • R
Sponsored 3/12/2025
Mike Lee
UT • R
Sponsored 3/12/2025
Cynthia Lummis
WY • R
Sponsored 3/12/2025
James Risch
ID • R
Sponsored 3/12/2025
Roll Call Votes
No roll call votes available for this bill.
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