,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #iejg  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ac1       
#bjbb,ms4 ,foxx introduced the following
 bill2 which was referred to the        
,committee on ,education and ,labor  ,a 
,,bill  ,to amend the ,child ,abuse     
,prevention and ,treatment ,act to      
prevent ,state child protective services
 systems from removing a child from the 
custody of the child's parent or legal  
guardian due to the parent's or legal   
guardian's reluctance or refusal to     
consent to the child receiving a        
gender-transition intervention1 and for 
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,parental      
,right to ,protect ,act4  #b4 ,general  
definitions ,section #c of the ,child   
,abuse ,prevention and ,treatment ,act  
7#db ,u4,s4,c4 #eaja note7 is amended-- 
7#a7 in the matter preceding paragraph  
7#a71 by striking ,act-- and inserting  
,act32  7#b7 in paragraph 7#a7-- 7,a7 by
 striking the term and inserting        

,child4--,the term2  7,b7 in            
subparagraph 7,b71 by inserting or as   
provided in section #aae after abuse2   
and  7,c7 by striking the semicolon at  
the end and inserting a period2  7#c7 in
 paragraph 7#b7-- 7,a7 by striking the  
term and inserting ,child abuse and     
neglect4--,the term2 and  7,b7 by       
striking the semicolon at the end and   
inserting a period2  7#d7 in paragraph  
7#c7-- 7,a7 by striking the term and    
inserting ,child with a                 
disability4--,the term2 and  7,b7 by    
striking the semicolon at the end and   
inserting a period2  7#e7 in paragraph  
7#d7-- 7,a7 by striking the term and    
inserting ,governor4--,the term2 and    
7,b7 by striking the semicolon at the   
end and inserting a period2  7#f7 in    
paragraph 7#e7-- 7,a7 by striking the   
terms and inserting ,indian2 ,indian    
tribe2 tribal organization4--,the terms2
 and  7,b7 by striking the semicolon at 
the end and inserting a period2  7#g7 in
 paragraph 7#f7-- 7,a7 by striking the  

term and inserting ,secretary4--,the    
term2 and  7,b7 by striking the         
semicolon at the end and inserting a    
period2  7#h7 in paragraph 7#g7-- 7,a7  
by striking except as provided in       
section #ajf7;f71 the term and inserting
 ,state4--,except as provided in section
 #ajf7;f71 the term2 and  7,b7 by       
striking 2 and and inserting a period2  
7#i7 in paragraph 7#h71 by striking the 
term and inserting ,unaccompanied       
homeless youth4--,the term2  7#aj7 by   
adding at the end the following3  7#i7  
,biological sex ,the term biological sex
 means the genetic classification of an 
individual as male or female1 as        
reflected in the organization of the    
body of such individual for a           
reproductive role or capacity1 such as  
through sex chromosomes1 naturally      
occurring sex hormones1 and internal and
 external genitalia present at birth1   
without regard to the subjective sense  
of identity of the individual4  7#aj7   
,gender-transition intervention  7,a7   

,in general ,except as provided in      
subparagraph 7,b71 the term             
gender-transition intervention means--  
7i7 the changing of an individual's     
social presentation 7including pronouns1
 first name1 hairstyle1 or clothing7 to 
conform to the subjective sense of      
identity of the individual1 which is    
incongruent with the biological sex of  
the individual2  7ii7 the prescription  
or administration of ,gn,r,h agonists or
 other puberty-blocking drugs to stop or
 delay normal puberty in order to       
prevent bodily changes that do not      
conform to the subjective sense of      
identity of the individual1 which is    
incongruent with the biological sex of  
the individual2  7iii7 the prescription 
or administration of medications for the
 purpose of changing the body of an     
individual so that the individual's body
 conforms to the subjective sense of    
identity of the individual1 which is    
incongruent with the biological sex of  
the individual1 including prescribing or

 administering-- 7,i7 testosterone or   
other androgens to biological females at
 doses that are supraphysiologic to the 
female sex2 or  7,,ii7 estrogen to      
biological males at doses that are      
supraphysiologic to the male sex2  7iv7 
performing a surgery that sterilizes an 
individual 7including castration1       
vasectomy1 hysterectomy1 oophorectomy1  
metoidioplasty1 penectomy1 phalloplasty1
 and vaginoplasty7 for the purpose of   
changing the body of the individual so  
that the individual's body conforms to  
the subjective sense of identity of the 
individual1 which is incongruent with   
the biological sex of the individual2 or
  7v7 performing a mastectomy on an     
individual for the purpose of changing  
the body of the individual so that the  
individual's body conforms to the       
subjective sense of identity of the     
individual1 which is incongruent with   
the biological sex of the individual4   
7,b7 ,exception ,the term               
gender-transition intervention does not 

include-- 7i7 an intervention described 
in subparagraph 7,a7 that is performed  
on-- 7,i7 an individual with biological 
sex characteristics that are inherently 
ambiguous1 such as those born with #df  
,,xx chromosomes with virilization1 #df 
,,xy chromosomes with undervirilization1
 or having both ovarian and testicular  
tissue2 or  7,,ii7 an individual with   
respect to whom a physician has         
determined through genetic or           
biochemical testing that the individual 
does not have normal sex chromosome     
structure1 sex steroid hormone          
production1 or sex steroid hormone      
action1 for a biological male or        
biological female2  7ii7 the treatment  
of any infection1 injury1 disease1 or   
disorder that has been caused or        
exacerbated by the performance of an    
intervention described in subparagraph  
7,a72 or  7iii7 any procedure undertaken
 because the individual suffers from a  
physical disorder1 physical injury1 or  
physical illness that would1 as         

certified by a physician1 place the     
individual in imminent danger of death  
or impairment of major bodily function  
unless the procedure is performed4  2   
and  7#aa7 by reordering paragraphs 7#a7
 through 7#h7 7as amended by paragraphs 
7#b7 through 7#i7 of this section71 and 
the paragraphs added by paragraph 7#aj7 
of this section in alphabetical order1  
and renumbering such paragraphs as so   
reordered4  #c4 ,funding prohibition    
7a7 ,in general ,title ,i of the ,child 
,abuse ,prevention and ,treatment ,act  
7#db ,u4,s4,c4 #eaja et seq47 is amended
 by adding at the end the following3    
#aae4 ,ineligibility for funding  7a7   
,in general ,a ,state shall be          
ineligible to receive funds under this  
title if the laws of the ,state permit  
the child protective services system of 
the ,state-- 7#a7 to remove a child from
 the custody of the parent or legal     
guardian of the child due to the        
parent's or legal guardian's reluctance 
or refusal to consent to a              

gender-transition intervention for such 
child2 or  7#b7 to use such reluctance  
or refusal as evidence of abuse or      
neglect by such parent or legal         
guardian4  7b7 ,child defined ,in this  
section1 the term child means a person  
who has not attained the age of #ah4  4 
7b7 ,conforming amendment ,the table of 
contents for the ,child ,abuse          
,prevention and ,treatment ,act 7#db    
,u4,s4,c4 #eaja et seq47 is amended by  
inserting after the item relating to    
section #aad the following3  ,sec4 #aae4
 ,ineligibility for funding4  4