[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3688 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 3688
To amend chapter 110 of title 18, United States Code, to prohibit
gender transition procedures on minors, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 3, 2025
Mr. LaMalfa (for himself, Mr. Grothman, Mrs. Miller of Illinois, Mr.
Gosar, Mr. Nehls, Ms. Tenney, Ms. Boebert, Mr. Rouzer, Mr. Arrington,
Mr. Weber of Texas, Mr. Palmer, and Mr. Bost) introduced the following
bill; which was referred to the Committee on the Judiciary
_______________________________________________________________________
A BILL
To amend chapter 110 of title 18, United States Code, to prohibit
gender transition procedures on minors, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Protecting Children from
Experimentation Act of 2025''.
SEC. 2. GENDER TRANSITION PROCEDURES ON MINORS PROHIBITED.
Chapter 110 of title 18, United States Code, is amended--
(1) by adding at the end the following:
``Sec. 2260B. Gender transition procedures on minors
``(a) In General.--Any physical or mental health care professional
who, under the circumstances described in subsection (d), knowingly
performs or otherwise aids and abets the performance of a gender
transition procedure on a minor shall be fined under this title,
imprisoned not more than 5 years, or both.
``(b) Prohibition on Prosecution of Person on Whom Procedures Are
Performed.--No person on whom the gender transition procedure under
subsection (a) is performed may be arrested or prosecuted for an
offense under this section.
``(c) Civil Action.--A person on whom a gender transition procedure
is performed under this section may bring a civil action for
appropriate relief against each person who performed the gender
transition procedure.
``(d) Circumstances Described.--For purposes of subsection (a), the
circumstances described in this subsection are that--
``(1) the defendant or minor traveled in interstate or
foreign commerce, or traveled using a means, channel, facility,
or instrumentality of interstate or foreign commerce, in
furtherance of or in connection with the conduct described in
subsection (a);
``(2) the defendant used a means, channel, facility, or
instrumentality of interstate or foreign commerce in
furtherance of or in connection with the conduct described in
subsection (a);
``(3) any payment of any kind was made, directly or
indirectly, in furtherance of or in connection with the conduct
described in subsection (a) using any means, channel, facility,
or instrumentality of interstate or foreign commerce or in or
affecting interstate or foreign commerce;
``(4) the defendant transmitted in interstate or foreign
commerce any communication relating to or in furtherance of the
conduct described in subsection (a) using any means, channel,
facility, or instrumentality of interstate or foreign commerce
or in or affecting interstate or foreign commerce by any means
or in manner, including by computer, mail, wire, or
electromagnetic transmission;
``(5) any instrument, item, substance, or other object that
has traveled in interstate or foreign commerce was used to
perform the conduct described in subsection (a);
``(6) the conduct described in subsection (a) occurred
within the special maritime and territorial jurisdiction of the
United States, or any territory or possession of the United
States; or
``(7) the conduct described in subsection (a) otherwise
occurred in or affected interstate or foreign commerce.
``(e) Definitions.--In this section:
``(1) Female.--The term `female', when used to refer to a
natural person, means an individual who naturally has, had,
will have, or would have, but for a congenital anomaly,
historical accident, or intentional or unintentional
disruption, the reproductive system that at some point
produces, transports, and utilizes eggs for fertilization.
``(2) Gender transition.--The term `gender transition'
means the process in which an individual goes from identifying
with or presenting as his or her sex to identifying with or
presenting a self-proclaimed identity that does not correspond
with or is different from his or her sex, and may be
accompanied with social, legal, or physical changes.
``(3) Gender transition procedure.--
``(A) In general.--The term `gender transition
procedure' means any hormonal or surgical intervention
for the purpose of gender transition, including--
``(i) gonadotropin-releasing hormone (GnRH)
agonists or other puberty-blocking or
suppressing drugs to stop or delay normal
puberty;
``(ii) testosterone, estrogen,
progesterone, or other androgens to an
individual at doses that are supraphysiologic
to what would normally be produced endogenously
in a healthy individual of the same age and
sex;
``(iii) castration;
``(iv) orchiectomy;
``(v) scrotoplasty;
``(vi) implantation of erection or
testicular prostheses;
``(vii) vasectomy;
``(viii) hysterectomy;
``(ix) oophorectomy;
``(x) ovariectomy;
``(xi) reconstruction of the fixed part of
the urethra with or without a metoidioplasty or
a phalloplasty;
``(xii) metoidioplasty;
``(xiii) penectomy;
``(xiv) phalloplasty;
``(xv) vaginoplasty;
``(xvi) clitoroplasty;
``(xvii) vaginectomy;
``(xviii) vulvoplasty;
``(xix) reduction thyrochondroplasty;
``(xx) chondrolaryngoplasty;
``(xxi) mastectomy;
``(xxii) tubal ligation;
``(xxiii) sterilization;
``(xxiv) any plastic, cosmetic, or
aesthetic surgery that feminizes or
masculinizes the facial or other physiological
features of an individual;
``(xxv) any placement of chest implants to
create feminine breasts;
``(xxvi) any placement of fat or artificial
implants in the gluteal region;
``(xxvii) augmentation mammoplasty;
``(xxviii) liposuction;
``(xxix) lipofilling;
``(xxx) voice surgery;
``(xxxi) hair reconstruction;
``(xxxii) pectoral implants; and
``(xxxiii) the removal of any otherwise
healthy or non-diseased body part or tissue.
``(B) Exclusions.--The term `gender transition
procedure' does not include the following when
furnished to an individual by a health care provider
with the consent of such individual or, if applicable,
such individual's parents or legal guardian:
``(i) Services to individuals born with a
medically verifiable disorder of sex
development, including an individual with
external sex characteristics that are
irresolvably ambiguous, such as an individual
born with 46 XX chromosomes with virilization,
an individual born with 46 XY chromosomes with
undervirilization, or an individual born having
both ovarian and testicular tissue.
``(ii) Services provided when a physician
has otherwise diagnosed a disorder of sexual
development in which the physician has
determined through genetic or biochemical
testing that the individual does not have
normal sex chromosome structure, sex steroid
hormone production, or sex steroid hormone
action for a healthy individual of the same sex
and age.
``(iii) The treatment of any infection,
injury, disease, or disorder that has been
caused by or exacerbated by the performance of
gender transition procedures, whether or not
the gender transition procedure was performed
in accordance with State and Federal law or
whether or not funding for the gender
transition procedure is permissible under this
section.
``(iv) Any procedure undertaken because the
individual suffers from a physical disorder,
physical injury, or physical illness (but not
mental, behavioral, or emotional distress or a
mental, behavioral, or emotional disorder) that
would, as certified by a physician, place the
individual in imminent danger of death or
impairment of major bodily function, unless the
procedure is performed.
``(v) Puberty suppression or blocking
prescription drugs for the purpose of
normalizing puberty for a minor experiencing
precocious puberty.
``(vi) Male circumcision.
``(4) Male.--The term `male', when used to refer to a
natural person, means an individual who naturally has, had,
will have, or would have, but for a congenital anomaly,
historical accident, or intentional or unintentional
disruption, the reproductive system that at some point
produces, transports, and utilizes sperm for fertilization.
``(5) Minor.--The term `minor' means an individual under
the age of 18.
``(6) Sex.--The term `sex', when referring to an
individual's sex, means to refer to either male or female, as
biologically determined.''; and
(2) by amending the table of sections for such chapter by
adding at the end the following:
``2260B. Gender transition procedures on minors.''.
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