Is the following statement correct concerning Roth IRAs? If you have held your Roth IRA for 5 years, you will pay a capital gains rate on the distributions. If you have held your Roth IRA for 5 years, and are under 55 years old, you would not be taxed on the earnings if you are taking the funds to pay for qualified medical expenses. Contributions made to your Roth IRA are made with after-tax dollars