The accounting problems encountered in doing this arise in no small part from getting it allowed as a tax-deductible expense.

ECONOMIST: No soft option

While no prisoner has ever received court-ordered transgender surgery before, the U.S. Tax Court ruled in 2010 that treatment for gender identity disorder (GID) qualifies as a medical expense under the Tax Code, and is therefore deductible.

FORBES: Judge Orders Controversial Taxpayer Funded Transgender Surgery for Prisoner

This expense of dissemination of the message and of the lectures was paid for by tax-deductible contributions that were made to various 501(C)3 organizations that sponsored the course.

CNN: AllPolitics - Ethics Transcript