,,ii #aah? ,,congress #a/ ,session ,s4 #fce ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #b1 #bjbc,mr4 ,cotton 7= himself1 ,mr4 ,braun1 ,mr4 ,cruz1 ,mr4 ,da9es1 ,mr4 ,lank=d1 ,mr4 ,mull91 ,mr4 ,rubio1 & ,mr4 ,vance7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to protect *ildr5 f m$ical malpractice 9 ! =m ( g5d] transition proc$ures4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,m9ors f ,m$ical ,malpractice ,act ( #bjbc4 #b4 ,private "r ( action = a g5d]-transition proc$ure p]=m$ on a m9or 7a7 ,9 g5]al ,a m$ical practition]1 9 any circum/ance describ$ 9 subsection 7c71 :o p]=ms a g5d]-transition proc$ure on an individual :o is less ?an #ah ye>s ( age %all1 z describ$ 9 subsection 7b71 be liable to ! individual if injur$ 7includ+ any physical1 psy*ological1 emotional1 or physiological h>ms7 by su* proc$ure1 relat$ treatm5t1 or ! aft]effects ( ! proc$ure or treatm5t4 7b7 ,private "r ( action ,an individual cov]$ by subsection 7a7 :o receives a g5d]-transition proc$ure f a m$ical practition] 7or a repres5tative1 includ+ a legal gu>dian1 on behalf ( su* individual7 may1 n lat] ?an ! day t is #cj ye>s aft] ! date on :i* ! individual turns #ah ye>s ( age1 br+ a civil action aga9/ su* m$ical practition] 9 a c\rt ( compet5t jurisdiction =-- 7#a7 decl>atory or injunctive relief2 7#b7 comp5satory damages2 7#c7 punitive damages2 & 7#d7 attorney's fees & co/s4 7c7 ,circum/ances ,= ! purposes ( subsection 7a71 ! circum/ances describ$ 9 ?is subsection are t-- 7#a7 ! m$ical practition] or ! individual receiv+ ! g5d]-transition proc$ure travel$ 9 int]/ate or =eign comm]ce1 or travel$ us+ a means1 *annel1 facility1 or in/rum5tality ( int]/ate or =eign comm]ce1 9 fur!rance ( or 9 connection ) ! conduct describ$ 9 subsection 7a72 7#b7 ! m$ical practition] us$ a means1 *annel1 facility1 or in/rum5tality ( int]/ate or =eign comm]ce 9 fur!rance ( or 9 connection ) ! conduct describ$ 9 subsection 7a72 7#c7 any paym5t ( any k9d 0 made1 directly or indirectly1 9 fur!rance ( or 9 connection ) ! conduct describ$ 9 subsection 7a7 us+ any means1 *annel1 facility1 or in/rum5tality ( int]/ate or =eign comm]ce or 9 or affect+ int]/ate or =eign comm]ce2 7#d7 ! m$ical practition] transmitt$ 9 int]/ate or =eign comm]ce any communication relat+ to or 9 fur!rance ( ! conduct describ$ 9 subsection 7a7 us+ any means1 *annel1 facility1 or in/rum5tality ( int]/ate or =eign comm]ce or 9 or affect+ int]/ate or =eign comm]ce by any means or 9 any mann]1 includ+ by comput]1 mail1 wire1 or electromagnetic transmission2 7#e7 any in/rum5t1 item1 sub/ance1 or o!r object t has travel$ 9 int]/ate or =eign comm]ce 0 us$ to p]=m ! conduct describ$ 9 subsection 7a72 7#f7 ! conduct describ$ 9 subsection 7a7 occurr$ )9 ! special m>itime & t]ritorial jurisdiction ( ! ,unit$ ,/ates1 or any t]ritory or possession ( ! ,unit$ ,/ates2 or 7#g7 ! conduct describ$ 9 subsection 7a7 o!rwise occurr$ 9 or affect$ int]/ate or =eign comm]ce4 #c4 ,pres]v+ fre$om ( consci5ce & m$ical judgem5t = m$ical provid]s ,not)/&+ any o!r provision ( law1 no provision ( ,f$]al law %all require1 or be con/ru$ to require1 a m$ical practition] to p]=m a g5d]-transition proc$ure4 #d4 ,prohibition on fund+ = c]ta9 ,/ates ,not)/&+ any o!r provision ( law1 any ,/ate t requires m$ical practition]s to p]=m any g5d]-transition proc$ure on an individual 9 ! ,/ate %all be ineligible to receive any ,f$]al fund+ f ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 #e4 ,def9itions ,9 ?is ,act3 7#a7 ,biological sex ,! t]m biological sex means ! g5etic classification ( an individual z male or female1 z reflect$ 9 ! organization ( ! body ( su* individual = a reproductive role or capacity1 su* z ?r\gh sex *romosomes1 naturally occurr+ sex hormones1 & int]nal & ext]nal g5italia pres5t at bir?1 )\t reg>d to ! subjective s5se ( id5tity ( ! individual4 7#b7 ,g5d]-transition proc$ure 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ! t]m g5d]-transition proc$ure means-- 7i7 ! prescription or adm9i/ration ( pub]ty-block+ drugs = ! purpose ( *ang+ ! body ( an individual s t x con=ms to ! subjective s5se ( id5tity ( ! individual1 9 ! case su* id5tity is at odds ) ! individual's biological sex2 7ii7 ! prescription or adm9i/ration ( cross-sex hormones = ! purpose ( *ang+ ! body ( an individual s t x con=ms to ! subjective s5se ( id5tity ( ! individual1 9 ! case su* id5tity is at odds ) ! individual's biological sex2 or 7iii7 a surg]y to *ange ! body ( an individual s t x con=ms to ! subjective s5se ( id5tity ( ! individual1 9 ! case su* id5tity is at odds ) ! individual's biological sex4 7,b7 ,exception ,! t]m g5d]-transition proc$ure does n include-- 7i7 an int]v5tion describ$ 9 subp>agraph 7,a7 t is p]=m$ on-- 7,i7 an individual ) biological sex *>act]i/ics t are inh]5tly ambigu\s1 su* z ^? born ) #df ,,xx *romosomes ) virilization1 #df ,,xy *romosomes ) und]virilization1 or hav+ bo? ov>ian & te/icul> tissue2 or 7,,ii7 an individual ) respect to :om a 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 action1 = a biological male or biological female2 7ii7 ! treatm5t ( any infection1 injury1 disease1 or disord] t has be5 caus$ or exac]bat$ by ! p]=mance ( an int]v5tion describ$ 9 subp>agraph 7,a7 )\t reg>d to :e!r ! int]v5tion 0 p]=m$ 9 accordance ) ,/ate or ,f$]al law or :e!r ! int]v5tion is cov]$ by ! private "r ( action "u section #b2 or 7iii7 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 ! proc$ure is p]=m$4 7#c7 ,m$ical practition] ,! t]m m$ical practition] means a p]son :o is lic5s$1 c]tifi$1 or o!rwise au?oriz$ by ! laws ( a ,/ate to adm9i/] heal? c>e 9 ! ord9>y c\rse ( ! practice ( ! p]son's pr(ession4 #f4 ,effective date ,?is ,act %all take effect on ! date ( enactm5t ( ?is ,act4