,,ii  #aah? ,,congress  #a/ ,session    
,s4 #aeig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ae1 #bjbc,mr4    
,m>%all 7= himself1 ,mrs4 ,blackburn1   
,mr4 ,cram]1 ,mr4 ,braun1 ,mr4 ,da9es1  
,mrs4 ,hyde-,smi?1 ,mr4 ,mull91 & ,mr4  
,wick]7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on !
 ,judici>y  ,a ,,bill  ,to am5d *apt]   
#aaj ( title #ah1 ,unit$ ,/ates ,code1  
to prohibit g5d] transition proc$ures on
 m9ors1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,protect+ ,*ildr5 ,f ,exp]im5tation ,act
 ( #bjbc4  #b4 ,g5d] transition         
proc$ures on m9ors prohibit$ ,*apt] #aaj
 ( title #ah1 ,unit$ ,/ates ,code1 is   
am5d$-- 7#a7 by add+ at ! end ! foll[+3 
#bbfj;,b4 ,g5d] transition proc$ures on 
m9ors  7a7 ,9 g5]al ,any physical or    
m5tal heal?c>e pr(essional :o kn[+ly    
p]=ms or provides a ref]ral = any g5d]  
transition proc$ure on a m9or %all be   
f9$ "u ?is title1 imprison$ n m ?an #e  
ye>s1 or bo?4  7b7 ,prohibition on      

prosecution ( p]son on :om proc$ures are
 p]=m$ ,no p]son on :om ! g5d]          
transition proc$ure "u subsection 7a7 is
 p]=m$ may be arre/$ or prosecut$ = an  
(f5se "u ?is section4  7c7 ,civil action
 ,a p]son on :om a g5d] transition      
proc$ure is p]=m$ "u ?is section may br+
 a civil action = appropriate relief    
aga9/ ea* p]son :o p]=m$ ! g5d]         
transition proc$ure4  7d7 ,def9itions ,9
 ?is section3 7#a7 ,biological sex ,!   
t]m biological sex means ! biological   
indication ( male & female 9 ! context (
 reproductive pot5tial or capacity1 su* 
z sex *romosomes1 naturally occurr+ sex 
hormones1 gonads1 & nonambigu\s int]nal 
& ext]nal g5italia pres5t at bir?1 )\t  
reg>d to ! psy*ological1 *os51 or       
subjective exp]i5ce ( ! g5d] ( an       
individual4  7#b7 ,cross-sex hormones ,!
 t]m cross-sex hormones means-- 7,a7    
te/o/]one or o!r &rog5s giv5 to         
biological females at doses t are       
pr(\ndly l>g] or m pot5t ?an w\ld       
normally occur naturally 9 heal?y       

biological females2 &  7,b7 e/rog5 giv5 
to biological males at doses t are      
pr(\ndly l>g] or m pot5t ?an w\ld       
normally occur naturally 9 heal?y       
biological males4  7#c7 ,g5d] ,! t]m    
g5d] means ! psy*ological1 behavioral1  
social1 & cultural aspects ( be+ male or
 female4  7#d7 ,g5d] transition ,! t]m  
g5d] transition means ! process 9 :i* an
 individual goes f id5tify+ ) & liv+ z a
 g5d] t corresponds to 8 or h]          
biological sex to id5tify+ ) & liv+ z a 
g5d] diff]5t f 8 or h] biological sex1 &
 may involve social1 legal1 or physical 
*anges4  7#e7 ,g5d] transition proc$ure 
7,a7 ,9 g5]al ,! t]m g5d] transition    
proc$ure means any m$ical or surgical   
s]vice t seeks-- 7i7 to alt] or remove  
physical or anatomical *>act]i/ics or   
features t are typical = ! individual's 
biological sex2 or  7ii7 to in/ill or   
create physiological or anatomical      
*>act]i/ics t resemble a sex diff]5t f !
 individual's bir? sex4  7,b7           
,inclusions ,= purposes ( subp>agraph   

7,a71 ! t]m m$ical or surgical s]vice   
includes-- 7i7 physician's s]vices2     
7ii7 inpati5t & outpati5t hospital      
s]vices2  7iii7 prescrib$ drugs relat+  
to g5d] transition2  7iv7 a m$ical      
s]vice t provides-- 7,i7 pub]ty-block+  
drugs2  7,,ii7 cross-sex hormones2 or   
7,,iii7 o!r me*anisms to promote !      
developm5t ( fem9iz+ or mascul9iz+      
features 79 ! opposite sex72 &  7v7 g5d]
 transition surg]y4  7,c7 ,exclusions ,!
 t]m g5d] transition proc$ure does n    
include-- 7i7 s]vices to individuals    
born ) a m$ically v]ifiable disord] (   
sex developm5t1 includ+ an individual ) 
ext]nal biological sex *>act]i/ics t are
 irresolvably ambigu\s1 su* z an        
individual born ) #df ,,xx *romosomes ) 
virilization1 an individual born ) #df  
,,xy *romosomes ) und]virilization1 or  
an individual born hav+ bo? ov>ian &    
te/icul> tissue2  7ii7 s]vices provid$  
:5 a physician has o!rwise diagnos$ a   
disord] ( sexual developm5t 9 :i* !     
physician has det]m9$ ?r\gh g5etic or   

bio*emical te/+ t ! individual does n h 
normal sex *romosome /ructure1 sex /]oid
 hormone production1 or sex /]oid       
hormone action = a biological male or   
biological female2 or  7iii7 ! treatm5t 
( any infection1 injury1 disease1 or    
disord] t has be5 caus$ by or exac]bat$ 
by ! p]=mance ( g5d] transition         
proc$ures1 :e!r or n ! g5d] transition  
proc$ure 0 p]=m$ 9 accordance ) ,/ate & 
,f$]al law or :e!r or n fund+ = ! g5d]  
transition proc$ure is p]missible "u ?is
 section4  7#f7 ,g5d] transition surg]y 
7,a7 ,9 g5]al ,! t]m g5d] transition    
surg]y means any m$ical or surgical     
s]vice t seeks to surgically alt] or    
remove heal?y physical or anatomical    
*>act]i/ics or features t are typical = 
! individual's biological sex 9 ord] to 
in/ill or create physiological or       
anatomical *>act]i/ics t resemble a sex 
diff]5t f ! individual's bir? sex4  7,b7
 ,inclusions ,! t]m g5d] transition     
surg]y includes g5ital g5d] transition  
surg]y & non-g5ital g5d] transition     

surg]y4  7,c7 ,exclusions ,! t]m g5d]   
transition surg]y does n include any    
proc$ure und]tak5 because ! individual  
suff]s f a physical disord]1 physical   
injury1 or physical illness t w\ld1 z   
c]tifi$ by a physician1 place !         
individual 9 imm95t dang] ( dea? or     
impairm5t ( major bodily function unless
 surg]y is p]=m$ = ! purpose ( a g5d]   
transition or = ! alleviation (         
psy*ological or m5tal di/ress4  7#g7    
,g5ital g5d] transition surg]y ,! t]m   
g5ital g5d] transition surg]y means a   
surgical proc$ure p]=m$ = ! purpose (   
assi/+ an individual ) a g5d]           
transition1 includ+-- 7,a7 =            
biologically male pati5ts1 a p5ectomy1  
or*iectomy1 vag9opla/y1 clitoropla/y1 & 
vulvopla/y2 &  7,b7 = biologically      
female pati5ts1 a                       
hy/]ectomy_/ov>iectomy1 recon/ruction ( 
! fix$ "p ( ! ure?ra ) or )\t a         
metoidiopla/y or a phallopla/y1         
vag9ectomy1 scrotopla/y1 & implantation 
( erection or te/icul> pro/heses4  7#h7 

,m9or ,! t]m m9or means an individual "u
 ! age ( #ah4  7#i7 ,non-g5ital g5d]    
transition surg]y ,! t]m non-g5ital g5d]
 transition surg]y means a surgical     
proc$ure p]=m$ = ! purpose ( assi/+ an  
individual ) a g5d] transition1         
includ+-- 7,a7 = biologically male      
pati5ts1 augm5tation mammopla/y1 facial 
fem9ization surg]y1 liposuction1        
lip(ill+1 voice surg]y1 ?yroid c>tilage 
r$uction1 gluteal augm5tation           
7implants_/lip(ill+71 hair              
recon/ruction1 & v>i\s ae/hetic         
proc$ures2 &  7,b7 = biologically female
 pati5ts1 subcutane\s ma/ectomy1 voice  
surg]y1 liposuction1 lip(ill+1 pectoral 
implants1 & v>i\s ae/hetic proc$ures4   
7#aj7 ,pub]ty-block+ drugs ,! t]m       
pub]ty-block+ drugs means-- 7,a7        
,gonadotrop9-releas+ hormone 7,gn,r,h7  
analogues or o!r syn!tic drugs us$ 9    
biological males to /op lute9iz+ hormone
 secretion & !re=e te/o/]one secretion2 
&  7,b7 syn!tic drugs us$ 9 biological  
females t /op ! production ( e/rog5 &   

proge/]one1 :5 us$ to delay or suppress 
pub]tal developm5t 9 *ildr5 = ! purpose 
( assi/+ an individual ) a g5d]         
transition4  2 &  7#b7 by am5d+ ! table 
( sections = su* *apt] by add+ at ! end 
! foll[+3  #bbfj;,b4 ,g5d] transition   
proc$ures on m9ors4  4