,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cfhh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #c1 #bjbe,mr4   
,la,malfa 7= himself1 ,mr4 ,gro?man1    
,mrs4 ,mill] ( ,ill9ois1 ,mr4 ,gos>1    
,mr4 ,nehls1 ,ms4 ,t5ney1 ,ms4 ,boeb]t1 
,mr4 ,r\z]1 ,mr4 ,arr+ton1 ,mr4 ,web] ( 
,texas1 ,mr4 ,palm]1 & ,mr4 ,bo/7       
introduc$ ! foll[+ bill2 :i* 0 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 ( #bjbe4  #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 
:o1 "u ! circum/ances describ$ 9        
subsection 7d71 kn[+ly p]=ms or o!rwise 
aids & abets ! p]=mance ( a 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$ure4  7d7 ,circum/ances 
describ$ ,= purposes ( subsection 7a71 !
 circum/ances describ$ 9 ?is subsection 
are t-- 7#a7 ! def5dant or m9or 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 ! 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 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
 ! def5dant 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      
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  7e7 ,def9itions ,9 ?is        
section3 7#a7 ,female ,! t]m female1 :5 
us$ to ref] to a natural p]son1 means an
 individual :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  7#b7  
,g5d] transition ,! t]m g5d] transition 
means ! process 9 :i* an individual goes
 f id5tify+ ) or pres5t+ z 8 or h] sex  
to id5tify+ ) or pres5t+ a              
self-proclaim$ id5tity t does n         
correspond ) or is diff]5t f 8 or h]    
sex1 & may be accompani$ ) social1      
legal1 or physical *anges4  7#c7 ,g5d]  
transition proc$ure  7,a7 ,9 g5]al ,!   
t]m g5d] transition proc$ure means any  
hormonal or surgical int]v5tion = !     
purpose ( g5d] transition1 includ+--    
7i7 gonadotrop9-releas+ hormone         
7,gn,r,h7 agoni/s or o!r pub]ty-block+  

or suppress+ drugs to /op or delay      
normal pub]ty2  7ii7 te/o/]one1 e/rog51 
proge/]one1 or o!r &rog5s to an         
individual at doses t are               
supraphysiologic to :at w\ld normally be
 produc$ endog5\sly 9 a heal?y          
individual ( ! same age & sex2  7iii7   
ca/ration2  7iv7 or*iectomy2  7v7       
scrotopla/y2  7vi7 implantation (       
erection or te/icul> pro/heses2  7vii7  
vasectomy2  7viii7 hy/]ectomy2  7ix7    
oophorectomy2  7x7 ov>iectomy2  7xi7    
recon/ruction ( ! fix$ "p ( ! ure?ra )  
or )\t a metoidiopla/y or a phallopla/y2
  7xii7 metoidiopla/y2  7xiii7 p5ectomy2
  7xiv7 phallopla/y2  7xv7 vag9opla/y2  
7xvi7 clitoropla/y2  7xvii7 vag9ectomy2 
7xviii7 vulvopla/y2  7xix7 r$uction     
?yro*ondropla/y2  7xx7                  
*ondrol>yngopla/y2  7xxi7 ma/ectomy2    
7xxii7 tubal ligation2  7xxiii7         
/]ilization2  7xxiv7 any pla/ic1        
cosmetic1 or ae/hetic surg]y t fem9izes 
or mascul9izes ! facial or o!r          
physiological features ( an individual2 

7xxv7 any placem5t ( *e/ implants to    
create fem99e brea/s2  7xxvi7 any       
placem5t ( fat or artificial implants 9 
! gluteal region2  7xxvii7 augm5tation  
mammopla/y2  7xxviii7 liposuction2      
7xxix7 lip(ill+2  7xxx7 voice surg]y2   
7xxxi7 hair recon/ruction2  7xxxii7     
pectoral implants2 &  7xxxiii7 ! removal
 ( any o!rwise heal?y or non-diseas$    
body "p or tissue4  7,b7 ,exclusions ,! 
t]m g5d] transition proc$ure does n     
include ! foll[+ :5 furni%$ to an       
individual by a heal? c>e provid] ) !   
cons5t ( su* individual or1 if          
applicable1 su* individual's p>5ts or   
legal gu>dian3  7i7 ,s]vices to         
individuals born ) a m$ically v]ifiable 
disord] ( sex developm5t1 includ+ an    
individual ) ext]nal sex *>act]i/ics t  
are irresolvably ambigu\s1 su* z an     
individual born ) #df ,,xx *romosomes ) 
virilization1 an individual born ) #df  
,,xy *romosomes ) und]virilization1 or  
an individual born hav+ bo? ov>ian &    
te/icul> tissue4  7ii7 ,s]vices provid$ 

: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 heal?y individual ( !
 same sex & age4  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  7iv7 ,any proc$ure und]tak5  
because ! individual suff]s f a physical
 disord]1 physical injury1 or physical  
illness 7b n m5tal1 behavioral1 or      
emotional di/ress or a m5tal1           
behavioral1 or emotional disord]7 t     
w\ld1 z c]tifi$ by a physician1 place ! 
individual 9 imm95t dang] ( dea? or     
impairm5t ( major bodily function1      
unless ! proc$ure is p]=m$4  7v7 ,pub]ty

 suppression or block+ prescription     
drugs = ! purpose ( normaliz+ pub]ty = a
 m9or exp]i5c+ precoci\s pub]ty4  7vi7  
,male circumcision4  7#d7 ,male ,! t]m  
male1 :5 us$ to ref] to a natural p]son1
 means an individual :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#e7 ,m9or ,! t]m m9or   
means an individual "u ! age ( #ah4     
7#f7 ,sex ,! t]m sex1 :5 ref]r+ to an   
individual's sex1 means to ref] to ei!r 
male or female1 z biologically det]m9$4 
2 &  7#b7 by am5d+ ! table ( sections = 
su* *apt] by add+ at ! end ! foll[+3    
#bbfj;,b4 ,g5d] transition proc$ures on 
m9ors4  4