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Republicans and Trump Work to End Tax Advantages for “Gender Procedures”

Articles | September 30, 2025 | by Catholics for Catholics

‘We must ensure that this misguided acceptance does not result in Americans unknowingly and indirectly subsidizing the cost of these procedures.’

By Catholics for Catholics

Republicans and the Trump administration are pushing to put an end to taxpayer subsidies to pay for transgender medical surgeries and procedures, according to The Daily Wire.

Presently, the IRS assigns so-called gender procedures as a “qualifying medical expense,” which means patients can pay for these procedures with tax-advantaged Health Savings Accounts and subsidized Affordable Care Act insurance plans. 

In a letter first obtained by The Daily Wire, Missouri congressman Bob Onder is asking Treasury Secretary Scott Bessent to take a look at changing what qualifies.

“Hardworking American taxpayers across the country are unknowingly made complicit in underwriting these costly, dangerous, and deadly medical procedures,” Onder writes, urging Bessent to “remove sex-trait altering drug regimens, procedures, and related providers from tax-advantaged qualified medical expenses.”

“The tacit tolerance of a radical movement that has subjected thousands of American children to baseless medical treatments with grave consequences should be of serious concern to all of us,” Onder said. “We must ensure that this misguided acceptance does not result in Americans unknowingly and indirectly subsidizing the cost of these procedures.”

According to the letter, Bessent, who is the acting commissioner of the Internal Revenue Service, is able to define which procedures are qualified medical expenses. Gender-affirming care is now widely considered a qualified expense, which means patients, using tax-advantaged HSA and FSA accounts or Obamacare insurance plans, can pay for everything from chest binders and hormone therapy to surgeries

But the initiative to change all of this comes as the Trump administration intensifies its efforts to fight against radical gender ideology, especially after a series of deadly attacks by perpetrators who identified as transgender. Last week, the president told The Daily Wire that his administration is “very strongly” inspecting the outline of transgender violence, and White House Press Secretary Karoline Leavitt told The Daily Wire that transgender violence is “definitely something worth looking into.”

“Anyone who denies that at this point is being willfully ignorant,” Leavitt said.

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