End Taxpayer Funding of Gender Experimentation Act of 2025

This bill would block the use of federal money for gender transition procedures. Federal programs could not pay for these services, and federal hospitals and clinics could not provide them. Federal funds also could not be used for any health plan that covers these procedures. People, employers, and states could still buy separate coverage using only non‑federal dollars. Care for infections or injuries caused by a prior procedure would still be allowed .

It would also apply to Affordable Care Act subsidies. Premium tax credits and cost‑sharing help could not be used for plans that cover gender transition procedures. Small employers could not claim the small‑employer health insurance tax credit for plans that include this coverage. Multi‑State plans on the exchanges would have to follow the same rule. These changes would start for plan years and tax years beginning one year after the bill becomes law. The bill also includes definitions for terms like “gender transition” and “sex” to set its scope .

Key points

• Who is affected: People using federal health programs; patients at federal facilities; ACA enrollees who use subsidies; small employers seeking the health insurance tax credit .
• What changes: No federal funds for gender transition procedures or for health plans that cover them; federal facilities and staff cannot provide them; separate, non‑federal coverage is allowed; treatment of complications remains covered .
• When: Tax credit and exchange plan changes would take effect for plan years and tax years starting one year after enactment.