Taxpayers will now foot the bill for gender reassignment surgery for active military personnel and veterans, with some treatments costing upward of $200,000 under an executive order signed by President Biden.

Tucked inside Biden’s Jan. 25 transgender order, “Enabling All Qualified Americans to Serve Their Country in Uniform,” is a clause that repeals an Obama-era policy that prohibited federally funded reassignment surgery. This was followed up by memos from both Secretary of Defense Lloyd Austin and Veterans Affairs Secretary Denis McDonough specifically stating that surgery is now an added benefit.