,,ii  #aah? ,,congress  #a/ ,session    
,s4 #dce  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ae1 #bjbc,mr4
 ,rubio 7= himself1 ,mrs4 ,blackburn1   
,mr4 ,budd1 ,mr4 ,tub]ville1 & ,mr4     
,braun7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,arm$ ,s]vices  ,a ,,bill  ,to provide  
requirem5ts relat$ to ! eligibility (   
individuals :o id5tify z transg5d] f    
s]v+ 9 ! ,arm$ ,=ces4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,ensur+       
,milit>y ,read9ess ,act ( #bjbc4  #b4   
,limitations on milit>y s]vice by       
individuals :o id5tify z transg5d] ,n   
lat] ?an #ij days aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,secret>y (      
,def5se %all prescribe regulations      
reg>d+ s]vice ( individuals :o id5tify z
 transg5d] z foll[s3 7#a7 ,p]sons :o    
id5tify z transg5d] ) a hi/ory (        
diagnosis ( g5d] dysphoria are          
disqualifi$ f milit>y s]vice except "u !
 foll[+ limit$ circum/ances3 7,a7       
,individuals may s]ve 9 ! ,arm$ ,=ces if

 !y h be5 /able = #cf consecutive mon?s 
9 _! biological sex prior to accession4 
7,b7 ,memb]s ( ! ,arm$ ,=ces diagnos$ ) 
g5d] dysphoria aft] ent]+ into s]vice   
may be reta9$ if !y d n und]go g5d]     
transition proc$ures & rema9 deployable 
)9 applicable ret5tion /&>ds = _!       
biological sex4  7,c7 ,memb]s ( ! ,arm$ 
,=ces s]v+ z ( ! date ( ! enactm5t ( ?is
 ,act :o h be5 diagnos$ ) g5d] dysphoria
 may cont9ue to s]ve only 9 _!          
biological sex1 irrespective ( any      
*anges previ\sly made to _! g5d] m>k] 9 
! ,def5se ,enrollm5t ,eligibility       
,report+ ,sy/em 7,,de]s71 & receive     
m$ically necess>y treatm5t = g5d]       
dysphoria4 ,su* treatm5t may n include  
g5d] transition proc$ures4  7#b7 ,p]sons
 :o id5tify z transg5d] :o seek or h    
und]gone g5d] transition are disqualifi$
 f milit>y s]vice4  7#c7 ,p]sons :o     
id5tify z transg5d] )\t a hi/ory or     
diagnosis ( g5d] dysphoria1 :o are      
o!rwise qualifi$ = s]vice & meet all    
physical & m5tal requirem5ts1 may s]ve 9

 ! ,arm$ ,=ces 9 _! biological sex4  #c4
 ,revis$ regulations reg>d+ g5d] m>k+s  
,n lat] ?an #ij days aft] ! date ( !    
enactm5t ( ?is ,act1 ! ,secret>y (      
,def5se %all prescribe regulations      
updat+ ! ,def5se ,enrollm5t ,eligibility
 ,report+ ,sy/em 7,,de]s7 to require !  
g5d] m>k]s = memb]s ( ! ,arm$ ,=ces to  
mat* _! biological sex1 irrespective (  
any previ\s *anges all[$4  #d4          
,def9itions ,9 ?is ,act3 7#a7 ,cross-sex
 hormones ,! t]m cross-sex hormones     
means te/o/]one or o!r &rog5s giv5 to   
biological females at doses t are       
pr(\ndly l>g] or m pot5t ?an w\ld       
normally occur naturally 9 heal?y       
biological females1 or e/rog5 giv5 to   
biological males at doses t are pr(\ndly
 l>g] or m pot5t ?an w\ld normally occur
 naturally 9 heal?y biological males4   
7#b7 ,g5d] ,! t]m g5d] means !          
psy*ological1 behavioral1 social1 &     
cultural aspects ( be+ male or female4  
7#c7 ,g5d] dysphoria ,! t]m g5d]        
dysphoria means a m>k$ incongru5ce      

betwe5 "o's exp]i5c$ or express$ g5d] & 
biological sex4  7#d7 ,g5d] transition  
,! t]m g5d] transition means ! process  
by :i* a p]son 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$ures
 ,! t]m g5d] transition proc$ures-- 7,a7
 means-- 7i7 any m$ical or surgical     
int]v5tion1 includ+ physician's s]vices1
 inpati5t & outpati5t hospital s]vices1 
or prescrib$ drugs relat$ to g5d]       
transition1 t seeks to alt] or remove   
physical or anatomical *>act]i/ics or   
features t are typical = ! individual's 
biological sex or to in/ill or create   
physiological or anatomical *>act]i/ics 
t resemble a sex diff]5t f !            
individual's bir? sex1 includ+ m$ical   
s]vices t provide pub]ty-block+ drugs1  
cross-sex hormones1 or o!r me*anisms to 
promote ! developm5t ( fem9iz+ or       
mascul9iz+ features 79 ! opposite sex72 

&  7ii7 g5ital or non-g5ital g5d]       
transition surg]y p]=m$ = ! purpose (   
assi/+ an individual ) a g5d]           
transition2 &  7,b7 does n include-- 7i7
 s]vices to ^? born ) a m$ically        
v]ifiable disord] ( sex developm5t1     
includ+ a p]son ) ext]nal biological sex
 *>act]i/ics t are irresolvably         
ambigu\s1 su* z ^? born ) #df ,,xx      
*romosomes ) virilization1 #df ,,xy     
*romosomes ) und]virilization1 or hav+  
bo? ov>ian & te/icul> tissue2  7ii7     
s]vices provid$ :5 a physician has      
o!rwise diagnos$ a disord] ( sexual     
developm5t1 9 :i* ! physician has       
det]m9$ ?r\gh g5etic or bio*emical te/+ 
t ! p]son 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]missible4  7#f7 ,g5d] transition   
surg]y ,! t]m g5d] transition surg]y    
means any m$ical or surgical s]vice t   
seeks to surgically alt] or remove      
heal?y physical or anatomical           
*>act]i/ics or features t are typical = 
! individual's biological sex 9 ord] to 
in/ill or create physiological or       
anatomical *>act]i/ics t resemble a sex 
diff]5t f ! individual's bir? sex1      
includ+ g5ital or non-g5ital g5d]       
reassignm5t surg]y p]=m$ = ! purpose (  
assi/+ an individual ) a g5d]           
transition4  7#g7 ,g5ital g5d]          
transition surg]y ,! t]m g5ital g5d]    
transition surg]y includes surgical     
proc$ures su* z p5ectomy1 or*iectomy1   
vag9opla/y1 clitoropla/y1 or vulvopla/y 
= biologically male pati5ts or          
hy/]ectomy1 ov>iectomy1 recon/ruction ( 
! fix$ "p ( ! ure?ra ) or )\t a         
metoidiopla/y or a phallopla/y1         
vag9ectomy1 scrotopla/y1 or implantation

 ( erection or te/icul> pro/heses =     
biologically female pati5ts1 :5 p]=m$ = 
! purpose ( assi/+ an individual ) a    
g5d] transition4  7#h7 ,non-g5ital g5d] 
transition surg]y ,! t]m non-g5ital g5d]
 transition surg]y-- 7,a7 includes1 :5  
p]=m$ = ! purpose ( assi/+ an individual
 ) a g5d] transition-- 7i7 surgical     
proc$ures su* z augm5tation mammopla/y1 
facial fem9ization surg]y1 liposuction1 
lip(ill+1 voice surg]y1 ?yroid c>tilage 
r$uction1 gluteal augm5tation 7implants 
or lip(ill+71 hair recon/ruction1 or    
v>i\s ae/hetic proc$ures = biologically 
male pati5ts2 or  7ii7 subcutane\s      
ma/ectomy1 voice surg]y1 liposuction1   
lip(ill+1 pectoral implants or v>i\s    
ae/hetic proc$ures = biologically female
 pati5ts2 &  7,b7 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$1 unless ! proc$ure is =
 ! purpose ( a g5d] transition4  7#i7   
,pub]ty-block+ drugs ,! t]m             
pub]ty-block+ drugs means1 :5 us$ to    
delay or suppress pub]tal developm5t 9  
*ildr5 = ! purpose ( assi/+ an          
individual ) a g5d] transition-- 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/]one4  7#aj7 ,sex2 bir? sex2      
biological sex ,! t]ms sex1 bir? sex1 & 
biological sex ref] to ! biological     
indication ( male & female 9 ! context (
 reproductive pot5tial or capacity1 su* 
z sex *romosomes1 naturally occurr+ sex 
hormones1 gonads1 & non-ambigu\s int]nal
 & ext]nal g5italia pres5t at bir?1 )\t 
reg>d to an individual's psy*ological1  
*os51 or subjective exp]i5ce ( g5d]4