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Health CareCommentary

Will Taxpayers Foot the Bill for Abortion and ‘Gender-Affirming Care’ in 2026? 

(SAUL LOEB/AFP via Getty Images)

Hannah Lape is Legislative Strategist for Concerned Women for America, the nation’s largest public policy women’s organization. On X: @CWforA

On July 4, American taxpayers are set to resume funding one of the nation’s largest providers of so-called gender-affirming care for children, which also just happens to be the nation’s largest provider of abortion. If that’s not a killjoy for America’s 250th birthday, I don’t know what is.

Last year, President Donald Trump’s One Big Beautiful Bill Act defunded Big Abortion providers like Planned Parenthood of almost $800 million in taxpayer-funded Medicaid reimbursements, dealing a significant blow to the nation’s largest abortion franchise.  

In July 2025 alone, Planned Parenthood shuttered 25 clinics across the country, and the total number of closures has reached 47. Planned Parenthood cannot seem to survive on its own without a $792.2 million crutch from hard-working Americans who, by and large, do not want to be complicit in its practices.

While the one-year defunding of Big Abortion businesses in the “One Big, Beautiful Bill” demonstrated one of the largest legislative wins in pro-life history, the defunding is set to expire on July 4, 2026. Come America’s 250th, taxpayers will be footing the bill for the nation’s largest abortion franchise once again.  

Little do many realize, however, that funding Planned Parenthood also means propping up one of the nation’s leading providers of so-called gender-affirming care: cross-sex hormones, puberty blockers, and referrals for mastectomies and other sex-rejecting procedures.

In a 2025 study analyzing Planned Parenthood’s insurance claims, the American Principles Project found that 80% of Planned Parenthood clinics provide so-called gender-affirming care, while 70% provide abortions. That’s right—more Planned Parenthood clinics provide “gender-affirming care” services than provide abortions. 

In a similar expose, The Free Press published that from 2017-2023, Planned Parenthood filed 12,000 gender related insurance claims for children aged 12-17, and that 1 in 6 children and young adults who took cross-sex hormones received them via Planned Parenthood.

Concerned Women for America, drawing from Planned Parenthood’s annual reporting, also reported on a 1,514% increase in total “transgender services” 2021-2022, from 15,902 services to 256,550 services.

Planned Parenthood is not ashamed of its preeminence in so-called gender-affirming care nationwide—the franchise brags about being the “second largest provider of hormone therapy.”

Even as the cultural tide turns on the ills of chemical and surgical mutilation, the corporation’s business model is ever-increasingly centered on “transing” vulnerable children and adults.  In a 180-degree turn from the Biden administration, Trump has made historic strides in ending the chemical and surgical mutilation of children. In a single year, around 40 pediatric “gender-affirming care” clinics have closed nationwide, citing the president’s executive order “Protecting Children from Chemical and Surgical Mutilation” as their cause for closure.

The White House has also executed a historic clampdown on fraud, waste, and the abuse of government resources—namely, hard-earned American taxpayer dollars. The impending Independence Day refund will hand back upwards of $800 million in taxpayers’ money to a corporation that demonstrably exists to kill babies and sexually mutilate children—on the 250th birthday of our nation, no less.

American taxpayers should not be forced to float an ideology-driven gender-affirming care business, especially not in the wake of over a year of resounding successes against those very abuses. The American taxpayer dollar is to be stewarded, not wasted on testosterone for teenage girls.

The good news is that the July 4 refund is avoidable—Congress and the White House should do everything within their power to draw up a reconciliation bill that includes a provision to permanently defund Big Abortion providers.

Planned Parenthood should not be empowered by hundreds of millions of taxpayer dollars to dole out puberty blockers, cross-sex hormones, and sex-rejecting procedure referrals to American youths.

Any corporation neck deep in child mutilation—Planned Parenthood chief among them—should not receive a single cent from American taxpayers.

We publish a variety of perspectives. Nothing written here is to be construed as representing the views of The Daily Signal. 

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