,i #aaith ,,congress #ast ,session ,h4 ,r4 #diec ,,in ,,the ,,house ,,of ,,representatives ,august #ab1 #bjbe ,ms4 ,mace introduced the following bill2 which was referred to the ,committee on the ,judiciary ,a ,,bill ,to authorize a civil right of action for individuals on whom gender-related medical treatment was performed while such individual was a minor1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,gender-,affirming ,child ,abuse ,prevention ,act4 #b4 ,civil right of action related to gender-related medical treatment 7a7 ,civil action 7#a7 ,right of action 7,a7 ,except as provided in paragraph 7#d71 an individual on whom gender-affirming care was performed while such individual was a minor1 in a circumstance described in paragraph 7#c7 may bring a civil action in an appropriate district court of the ,united ,states against each person who performed the gender-affirming care for relief set forth in paragraph 7#b74 7,b7 ,rights on behalf of certain individuals ,in the case of an individual who is under #ah years of age1 incompetent1 incapacitated1 or deceased1 the legal guardian of the individual or representative of the individual's estate1 another family member1 or any other person appointed as suitable by the court1 may assume the individual's rights under this section4 7#b7 ,relief ,an individual may recover the actual damages sustained by the individual or liquidated damages in the amount of #bej1jjj for each instance of gender affirming care being performed on the individual while such individual was a minor1 and the cost of the action1 including reasonable attorney's fees and other litigation costs reasonably incurred4 7#c7 ,circumstances described ,for the purposes of paragraph 7#a71 the circumstances described in this paragraph are that-- 7,a7 the defendant or victim traveled in interstate or foreign commerce1 or traveled using a means1 channel1 facility1 or instrumentality of interstate or foreign commerce1 in furtherance of or in connection with the conduct described in paragraph 7#a72 7,b7 the defendant used a means1 channel1 facility1 or instrumentality of interstate or foreign commerce in furtherance of or in connection with the conduct described in paragraph 7#a72 7,c7 any payment of any kind was made1 directly or indirectly1 in furtherance of or in connection with the conduct described in paragraph 7#a7 using any means1 channel1 facility1 or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce2 7,d7 the defendant transmitted in interstate or foreign commerce any communication relating to or in furtherance of the conduct described in paragraph 7#a7 using any means1 channel1 facility1 or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce by any means or in manner1 including by computer1 mail1 wire1 or electromagnetic transmission2 7,e7 any instrument1 item1 substance1 or other object that has traveled in interstate or foreign commerce was used to perform the conduct described in paragraph 7#a72 7,f7 the conduct described in paragraph 7#a7 occurred within the special maritime and territorial jurisdiction of the ,united ,states1 or any territory or possession of the ,united ,states2 or 7,g7 the conduct described in paragraph 7#a7 otherwise occurred in or affected interstate or foreign commerce4 7b7 ,definitions ,in this section-- 7#a7 ,gender-related medical treatment ,the term gender-related medical treatment-- 7,a7 means-- 7i7 with respect to a female individual1 medical treatments provided for purposes of addressing the perception of such individual that the gender or sex of such individual is not female1 including-- 7,i7 surgical procedures1 including-- 7aa7 vaginectomy2 7bb7 hysterectomy2 7cc7 oophorectomy2 7dd7 reconstruction of the urethra2 7ee7 metoidioplasty2 7ff7 phalloplasty2 7gg7 salpingo-oophorectomy2 7hh7 scrotoplasty2 7ii7 implantation of erection or testicular protheses2 7jj7 subcutaneous mastectomy2 7kk7 vocal cord surgery2 7ll7 pectoral implants2 and 7mm7 penile transplantation2 7,,ii7 exogenous doses of testosterone or other androgens2 7,,iii7 puberty blockers1 including-- 7aa7 ,gn,r,h agonists2 and 7bb7 synthetic drugs that suppress the production of estrogen and progesterone or delay or suppress pubertal development in female individuals2 and 7,,iv7 such other medical treatment1 identified by the ,secretary of ,health and ,human ,services1 that may be provided for purposes of addressing the perception of such individual that the gender or sex of such individual is not male4 7ii7 with respect to a male individual1 medical treatments provided for purposes of addressing the perception of such individual that the gender or sex of such individual is not male1 including-- 7,i7 surgical procedures1 including-- 7aa7 penectomy2 7bb7 orchiectomy2 7cc7 vaginoplasty2 7dd7 clitoroplasty2 7ee7 vulvoplasty2 7ff7 augmentation mammoplasty2 7gg7 facial feminization surgery2 7hh7 vocal cord surgery2 7ii7 chondrolaryngoplasty2 7jj7 gluteal augmentation2 and 7kk7 uterine transplantation2 7,,ii7 exogenous doses of estrogen2 7,,iii7 puberty blockers1 including-- 7aa7 ,gn,r,h agonists2 and 7bb7 synthetic drugs that suppress the production of testosterone or delay or suppress pubertal development in male individuals2 and 7,,iv7 such other medical treatment1 identified by the ,secretary of ,health and ,human ,services1 that may be provided for purposes of addressing the perception of such individual that the gender or sex of such individual is not male4 7,b7 does not include any medical treatment performed on an individual for the purposes of treating-- 7i7 a disorder of sex development1 diagnosed by a physician after such physician has determined through genetic or biochemical testing that such individual does not have normal sex chromosome structure1 sex steroid hormone production1 or sex steroid hormone action2 7ii7 irresolvably ambiguous biological sex characteristics of such individual1 including the presence of-- 7,i7 #df ,,xx chromosomes with virilization2 7,,ii7 #df ,,xy chromosomes with undervirilization2 or 7,,iii7 both ovarian and testicular tissue2 or 7iii7 an infection1 injury1 disease1 or disorder caused or exacerbated by gender-related medical treatment that was furnished to an individual4 7#b7 ,sex ,the term sex means the biological determination as to whether an individual is male or female1 as such terms are defined in this section4 7#c7 ,gender ,the term gender-- 7,a7 means-- 7i7 males1 females1 or the natural differences between males and females1 unless such term is otherwise specified or used alone 7rather than with or as an adjective modifying other words72 and 7ii7 a synonym for sex2 and 7,b7 does not mean a synonym for terms or ideas such as gender identity1 experienced gender1 gender expression1 or gender roles4 7#d7 ,female ,the term female means an individual who naturally has1 had1 will have1 or would have1 but for a developmental or genetic anomaly or historical accident1 the reproductive system that at some point produces1 transports1 and utilizes eggs for fertilization4 7#e7 ,male ,the term male means an individual who naturally has1 had1 will have1 or would have1 but for a developmental or genetic anomaly or historical accident1 the reproductive system that at some point produces1 transports1 and utilizes sperm for fertilization4 7#f7 ,minor ,the term minor means an individual under the age of #ah4