I don’t know. 7 years of free loading is enough and I don’t want to be on the hook for any more procedures.
Something tells me that Uncle Sam will be footing the bill for that sex change operation, one way or the other. Probably some loophole about any medical procedure that's begun while someone is behind bars has to be completed and and paid for by the taxpayer, even if the final stages of treatment occur post-release from prison.