#aai? ,,congress  #a/ ,session  ,h4 ,r4 
#cdib  ,,an ,,act  ,to am5d section #aaf
 ( title #ah1 ,unit$ ,/ates ,code1 )    
respect to g5ital & bodily mutilation & 
*emical ca/ration ( m9ors4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,protect
 ,*ildr5's ,innoc5ce ,act4  #b4 ,g5ital 
& bodily mutilation ( a m9or2 *emical   
ca/ration ( a m9or  7a7 ,9 g5]al        
,section #aaf ( title #ah1 ,unit$ ,/ates
 ,code1 is am5d$ to read z foll[s3      
#aaf4 ,g5ital & bodily mutilation ( a   
m9or2 *emical ca/ration ( a m9or  7a7   
,g5ital or bodily mutilation ,except z  
provid$ 9 subsection 7g71 :oev]1 9 any  
circum/ance describ$ 9 subsection 7d71  
kn[+ly p]=ms1 or attempts to p]=m1      
g5ital or bodily mutilation on ano!r    
p]son :o is a m9or1 %all be f9$ "u ?is  
title1 imprison$ n m ?an #aj ye>s1 or   
bo?4  7b7 ,*emical ca/ration ( a m9or   
,except z provid$ 9 subsection 7g71     
:oev]1 9 any circum/ance describ$ 9     
subsection 7d71 kn[+ly *emically        
ca/rates a m9or %all be f9$ "u ?is      

title1 imprison$ n m ?an #aj ye>s1 or   
bo?4  7c7 ,c]ta9 (f5se relat$ to female 
g5ital mutilation ,except z provid$ 9   
subsection 7g71 :oev]1 9 any circum/ance
 describ$ 9 subsection 7d71 kn[+ly--    
7#a7 facilitates or cons5ts to female   
g5ital mutilation ( a m9or2 or  7#b7    
transports a m9or = ! purpose ( !       
p]=mance ( female g5ital mutilation on  
su* m9or1  %all be f9$ "u ?is title1    
imprison$ n m ?an #aj ye>s1 or bo?4  7d7
 ,circum/ances describ$ ,= ! purposes ( 
subsections 7a7 & 7b71 ! circum/ances   
describ$ 9 ?is subsection are t--  7#a7 
! def5dant or victim 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 7a7 or 
7b72  7#b7 ! def5dant us$ a means1      
*annel1 facility1 or in/rum5tality (    
int]/ate or =eign comm]ce 9 fur!rance ( 
or 9 connection ) ! conduct describ$ 9  
subsection 7a7 or 7b72  7#c7 any paym5t 

( any k9d 0 made1 directly or           
indirectly1 9 fur!rance ( or 9          
connection ) ! conduct describ$ 9       
subsection 7a7 or 7b7 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
 ! def5dant transmitt$ 9 int]/ate or    
=eign comm]ce any communication relat+  
to or 9 fur!rance ( ! conduct describ$ 9
 subsection 7a7 or 7b7 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 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 7a7 or  
7b72  7#f7 ! conduct describ$ 9         
subsection 7a7 or 7b7 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 or 7b7 o!rwise occurr$ 9 
or affect$ int]/ate or =eign comm]ce4   
7e7 ,prohibition on c]ta9 def5se ,x %all
 n be a def5se to a prosecution "u      
subsection 7a7 t female g5ital          
mutilation is requir$ z a matt] (       
religion1 cu/om1 tradition1 ritual1 or  
/&>d practice4  7f7 ,prohibition on     
prosecution ( victim ,no p]son :o is    
*emically ca/rat$ or on :om g5ital or   
bodily mutilation is p]=m$ may be arre/$
 or prosecut$ = an (f5se "u ?is section4
  7g7 ,exceptions  7#a7 ,proc$ures  7,a7
 ,9 g5]al ,g5ital or bodily mutilation  
or *emical ca/ration is n a violation ( 
?is section if su* g5ital or bodily     
mutilation or *emical ca/ration is--    
7i7 necess>y to ! heal? ( ! m9or on :om 
x is conduct$1 & is conduct$ by a p]son 
lic5s$ 9 ! place ( su* conduct z a      
m$ical practition]2 or  7ii7 9 ! case ( 
female g5ital mutilation1 p]=m$ on a    
m9or 9 labor or :o has j giv5 bir? & is 
p]=m$ = m$ical purposes connect$ ) t    

labor or bir? by a p]son lic5s$ 9 !     
place x is p]=m$ z a m$ical practition]1
 midwife1 or p]son 9 tra9+ to become su*
 a practition] or midwife4  7,b7 ,heal? 
( a m9or ,= ! purposes ( subp>agraph    
7,a71 ! heal? ( a m9or does n include-- 
7i7 m5tal1 behavioral1 or emotional     
di/ress2 or  7ii7 a m5tal1 behavioral1  
or emotional disord]4  7#b7 ,exemption  
,g5ital or bodily mutilation or *emical 
ca/ration is n a violation ( ?is section
 if su* g5ital or bodily mutilation or  
*emical ca/ration is conduct$ ) respect 
to any ( ! foll[+ individuals3  7,a7 ,an
 individual ) bo? ov>ian & te/icul>     
tissue4  7,b7 ,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 action4  7,c7 ,an         
individual exp]i5c+ infection1 disease1 
injury1 or disord] caus$ or exac]bat$ by
 a previ\s g5ital or bodily mutilation  
proc$ure or *emical ca/ration4  7,d7 ,an

 individual suff]+ f a physical disord]1
 physical injury1 or physical illness t 
w\ld1 z c]tifi$ by a physician1 place ! 
individual 9 imm95t dang] ( impairm5t ( 
a major bodily function unless !        
proc$ure is p]=m$4  7,e7 ,an individual 
diagnos$ ) precoci\s pub]ty1 to ! ext5t 
su* g5ital or bodily mutilation or      
*emical ca/ration is = ! purpose (      
normaliz+ pub]ty4  7h7 ,def9itions ,9   
?is section3  7#a7 ,g5ital or bodily    
mutilation ,! t]m g5ital or bodily      
mutilation means1 ) respect to an       
individual1 any ( ! foll[+3 7,a7 ,female
 g5ital mutilation4  7,b7 ,any surg]y   
p]=m$ = ! purpose ( *ang+ ! body ( su*  
individual to correspond to a sex t     
diff]s f _! biological sex1 includ+--   
7i7 ca/ration2  7ii7 or*iectomy2  7iii7 
scrotopla/y2  7iv7 vasectomy2  7v7      
hy/]ectomy2  7vi7 oophorectomy2  7vii7  
ov>iectomy2  7viii7 metoidiopla/y2  7ix7
 p5ectomy2  7x7 phallopla/y2  7xi7      
vag9opla/y2  7xii7 vag9ectomy2  7xiii7  
vulvopla/y2  7xiv7 r$uction             

?yro*ondropla/y2  7xv7                  
*ondrol>yngopla/y2 &  7xvi7 ma/ectomy4  
7,c7 ,any pla/ic surg]y t fem9izes or   
mascul9izes ! facial or o!r             
physiological features = ! purposes     
describ$ 9 subp>agraph 7,b74  7,d7 ,any 
placem5t ( *e/ implants to create fem99e
 brea/s = ! purposes describ$ 9         
subp>agraph 7,b74  7,e7 ,any placem5t ( 
fat or artificial implants 9 ! gluteal  
region = ! purposes describ$ 9          
subp>agraph 7,b74  7,f7 ,any surg]y to  
recon/ruct ! fix$ "p ( ! ure?ra1 :e!r or
 n su* surg]y includes a metoidiopla/y  
or a phallopla/y1 = ! purposes describ$ 
9 subp>agraph 7,b74  7#b7 ,*emical      
ca/ration ,! t]m *emical ca/ration means
 adm9i/]+1 supply+1 prescrib+1 disp5s+1 
di/ribut+1 or o!rwise convey+ to an     
individual m$ications = ! purposes      
describ$ 9 p>agraph 7#a77;,b71 includ+--
  7,a7 gonadotrop9-releas+ hormone      
7,gn,r,h7 analogues or o!r pub]ty-block+
 drugs to /op or delay normal pub]ty2   
7,b7 te/o/]one or o!r &rog5s to         

biological females at doses t are       
supraphysiologic to ! female sex2 &     
7,c7 e/rog5 to biological males at doses
 t are supraphysiologic to ! male sex4  
7#c7 ,biological sex ,! t]m biological  
sex means1 ) respect to a p]son1 !      
classification ( ! p]son z male or      
female at bir?4  7#d7 ,female g5ital    
mutilation ,! t]m female g5ital         
mutilation means any proc$ure p]=m$ =   
non-m$ical reasons t involves p>tial or 
total removal (1 or o!r injury to1 !    
ext]nal female g5italia1 & includes--   
7,a7 a clitoridectomy or ! p>tial or    
total removal ( ! clitoris or ! prepuce 
or clitoral hood2  7,b7 excision or !   
p>tial or total removal 7) or )\t       
excision ( ! clitoris7 ( ! labia m9ora  
or ! labia majora1 or bo?2  7,c7        
infibulation or ! n>r[+ ( ! vag9al op5+ 
7) or )\t excision ( ! clitoris72 or    
7,d7 o!r proc$ures t are h>mful to !    
ext]nal female g5italia1 includ+ prick+1
 incis+1 scrap+1 or caut]iz+ ! g5ital   
area4  7#e7 ,m9or ,! t]m m9or means any 

p]son "u ! age ( eighte5 ye>s4  7#f7    
,male ,! t]m male means a p]son :o      
naturally has1 _h1 w h1 or w\ld h1 b = a
 cong5ital anomaly1 hi/orical accid5t1  
or int5tional or un9t5tional disruption1
 ! reproductive sy/em t at "s po9t      
produces1 transports1 & utilizes sp]m = 
f]tilization4  7#g7 ,female ,! t]m      
female means a p]son :o naturally has1  
_h1 w h1 or w\ld h1 b = a cong5ital     
anomaly1 hi/orical accid5t1 or          
int5tional or un9t5tional disruption1 ! 
reproductive sy/em t at "s po9t         
produces1 transports1 & utilizes eggs = 
f]tilization4  4  7b7 ,cl]ical am5dm5t  
,! table ( sections = *apt] #g ( title  
#ah1 ,unit$ ,/ates ,code1 is am5d$ by   
/rik+ ! item relat$ to section #aaf &   
ins]t+ ! foll[+3  #aaf4 ,g5ital & bodily
 mutilation ( a m9or2 *emical ca/ration 
( a m9or4  4  ,pass$ ! ,h\se (          
,repres5tatives ,decemb] #ag1           
#bjbe4;,cl]k4