China

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• China will impose a 13% value-added tax on contraceptive drugs and devices, including condoms, for the first time in three decades.
• The revision to the Value-Added Tax Law also exempts child-care services, elder-care institutions, disability service providers, and marriage-related services from the tax.
• The changes are part of China's efforts to reverse plunging birth rates and encourage people to have more children, as the population has shrunk for three consecutive years.

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China will impose a value-added tax on contraceptive drugs and devices — including condoms — for the first time in three decades, its latest bid to reverse plunging birth rates that threaten to further slow its economy.

Under the newly revised Value-Added Tax Law, consumers will pay a 13% levy on items that had been VAT-exempt since 1993, when China enforced a strict one-child policy and actively promoted birth control.

At the same time, the revision carves out new incentives for prospective parents by exempting child-care services — from nurseries to kindergartens — as well as elder-care institutions, disability service providers and marriage-related services. The changes take effect in January.

They reflect a broader policy pivot, as a rapidly aging China shifts from limiting births to encouraging people to have more children. The population has shrunk for three consecutive years, with just 9.54 million births in 2024 — barely half of the 18.8 million registered nearly a decade ago, when the one-child policy was lifted.

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