,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ajae  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #e1 #bjbe,ms4
 ,mace 7= h]self1 ,mr4 ,nehls1 ,mr4     
,donalds1 & ,ms4 ,boeb]t7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ! ,judici>y  ,a ,,bill    
,to am5d title #ah1 ,unit$ ,/ates ,code1
 to provide = c]ta9 rules = h\s+ or     
transportation bas$ on g5d] & to provide
 = a limitation on g5d]-relat$ m$ical   
treatm5t4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,prison ,rape ,prev5tion   
,act ( #bjbe4  #b4 ,rules = h\s+ or     
transportation bas$ on g5d]2 limitation 
on g5d]-affirm+ c>e ,section #cfba (    
title #ah1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+3  7j7 ,rules 
= h\s+ or transportation bas$ on g5d]2  
limitation on g5d]-,affirm+ c>e ,not)/&+
 any o!r provision ( law1 ! ,bureau (   
,prisons-- 7#a7 %all ensure t a prison] 
is plac$1 dur+ t prison]'s t]m (        
imprisonm5t1 only among prison]s ( !    
same biological sex z ! prison]2  7#b7  

%all ensure t a prison]1 :5 transport$ 9
 ! company ( o!r prison]s1 is only      
transport$ among prison]s ( ! same      
biological sex z ! prison]2 &  7#c7 may 
n furni% or pay = any g5d]-relat$ m$ical
 treatm5t4  7k7 ,def9itions ,= purposes 
( subsection 7j73 7#a7 ,biological sex  
,! t]m biological sex means ! biological
 det]m9ation z to :e!r an individual is 
male or female4  7#b7 ,female ,! t]m    
female means an individual :o naturally 
has1 _h1 w h1 or w\ld h1 b = a          
developm5tal or g5etic anomaly or       
hi/orical accid5t1 ! reproductive sy/em 
t at "s po9t produces1 transports1 &    
utilizes eggs = f]tilization4  7#c7     
,male ,! t]m male means an individual :o
 naturally has1 _h1 w h1 or w\ld h1 b = 
a developm5tal or g5etic anomaly or     
hi/orical accid5t1 ! reproductive sy/em 
t at "s po9t produces1 transports1 &    
utilizes sp]m = f]tilization4  7#d7     
,g5d] ,! t]m g5d]-- 7,a7 means-- 7i7    
males1 females1 or ! natural diff]5ces  
betwe5 males & females1 unless su* t]m  

is o!rwise specifi$ or us$ alone 7r ?an 
) or z an adjective modify+ o!r words72 
&  7ii7 a synonym = sex2 &  7,b7 does n 
mean a synonym = t]ms or ideas su* z    
g5d] id5tity1 exp]i5c$ g5d]1 g5d]       
expression1 or g5d] roles  7#e7         
,g5d]-relat$ m$ical treatm5t ,! t]m     
g5d]-relat$ m$ical treatm5t-- 7,a7      
means-- 7i7 ) respect to a female       
individual1 m$ical treatm5ts provid$ =  
purposes ( address+ ! p]ception ( su*   
individual t ! g5d] or sex ( su*        
individual is n female1 includ+-- 7,i7  
surgical proc$ures1 includ+-- 7aa7      
vag9ectomy2  7bb7 hy/]ectomy2  7cc7     
oophorectomy2  7dd7 recon/ruction ( !   
ure?ra2  7ee7 metoidiopla/y2  7ff7      
phallopla/y2  7gg7 salp+o-oophorectomy2 
7hh7 scrotopla/y2  7ii7 implantation (  
erection or te/icul> pro!ses2  7jj7     
subcutane\s ma/ectomy2  7kk7 vocal cord 
surg]y2  7ll7 pectoral implants2 &  7mm7
 p5ile transplantation2  7,,ii7 exog5\s 
doses ( te/o/]one or o!r &rog5s2        
7,,iii7 pub]ty block]s1 includ+-- 7aa7  

,gn,r,h agoni/s2 &  7bb7 syn!tic drugs t
 suppress ! production ( e/rog5 &       
proge/]one or delay or suppress pub]tal 
developm5t 9 female individuals2 &      
7,,iv7 su* o!r m$ical treatm5t1 id5tifi$
 by ! ,director ( ! ,f$]al ,bureau (    
,prisons1 t may be provid$ = purposes ( 
address+ ! p]ception ( su* individual t 
! g5d] or sex ( su* individual is n     
female2 &  7ii7 ) respect to a male     
individual1 m$ical treatm5ts provid$ =  
purposes ( address+ ! p]ception ( su*   
individual t ! g5d] or sex ( su*        
individual is n male1 includ+-- 7,i7    
surgical proc$ures1 includ+-- 7aa7      
p5ectomy2  7bb7 or*iectomy2  7cc7       
vag9opla/y2  7dd7 clitoropla/y2  7ee7   
vulvopla/y2  7ff7 augm5tation           
mammopla/y2  7gg7 facial fem9ization    
surg]y2  7hh7 vocal cord surg]y2  7ii7  
*ondrol>yngopla/y2  7jj7 gluteal        
augm5tation2 &  7kk7 ut]9e              
transplantation2  7,,ii7 exog5\s doses (
 e/rog52  7,,iii7 pub]ty block]s1       
includ+-- 7aa7 ,gn,r,h agoni/s2 &  7bb7 

syn!tic drugs t suppress ! production ( 
te/o/]one or delay or suppress pub]tal  
developm5t 9 male individuals2 &  7,,iv7
 su* o!r m$ical treatm5t1 id5tifi$ by ! 
,director ( ! ,f$]al ,bureau ( ,prisons1
 t may be provid$ = purposes ( address+ 
! p]ception ( su* individual t ! g5d] or
 sex ( su* individual is n male2 &  7,b7
 does n include any m$ical tream5t p]=m$
 on an individual = ! purposes (        
treat+-- 7i7 a disord] ( sex developm5t1
 diagnos$ by a physician aft] su*       
physician has det]m9$ ?r\gh g5etic or   
bio*emical te/+ t su* individual does n 
h normal sex *romosome /ructure1 sex    
/]oid hormone production1 or sex /]oid  
hormone action2  7ii7 irresolvably      
ambigu\s biological sex *>act]i/ics (   
su* individual1 includ+ ! pres5ce (--   
7,i7 #df ,,xx *romosomes ) virilization2
  7,,ii7 #df ,,xy *romosomes )          
und]virilization2 or  7,,iii7 bo? ov>ian
 & te/icul> tissue2 or  7iii7 an        
infection1 injury1 disease1 or disord]  
caus$ or exac]bat$ by g5d]-relat$ m$ical

 treatm5t t 0 furni%$ to an individual4 
4