,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #diec  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #ab1 #bjbe ,ms4
 ,mace introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ! ,judici>y   
,a ,,bill  ,to au?orize a civil "r (    
action = individuals on :om g5d]-relat$ 
m$ical treatm5t 0 p]=m$ :ile su*        
individual 0 a m9or1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,g5d]-,affirm+ ,*ild ,abuse ,prev5tion
 ,act4  #b4 ,civil "r ( action relat$ to
 g5d]-relat$ m$ical treatm5t  7a7 ,civil
 action  7#a7 ,"r ( action  7,a7 ,except
 z provid$ 9 p>agraph 7#d71 an          
individual on :om g5d]-affirm+ c>e 0    
p]=m$ :ile su* individual 0 a m9or1 9 a 
circum/ance describ$ 9 p>agraph 7#c7 may
 br+ a civil action 9 an appropriate    
di/rict c\rt ( ! ,unit$ ,/ates aga9/ ea*
 p]son :o p]=m$ ! g5d]-affirm+ c>e =    
relief set =? 9 p>agraph 7#b74  7,b7    
,rights on behalf ( c]ta9 individuals ,9
 ! case ( an individual :o is "u #ah    
ye>s ( age1 incompet5t1 incapacitat$1 or

 deceas$1 ! legal gu>dian ( ! individual
 or repres5tative ( ! individual's      
e/ate1 ano!r family memb]1 or any o!r   
p]son appo9t$ z suitable by ! c\rt1 may 
assume ! individual's rights "u ?is     
section4  7#b7 ,relief ,an individual   
may recov] ! actual damages su/a9$ by ! 
individual or liquidat$ damages 9 !     
am\nt ( #bej1jjj = ea* in/ance ( g5d]   
affirm+ c>e be+ p]=m$ on ! individual   
:ile su* individual 0 a m9or1 & ! co/ ( 
! action1 includ+ reasonable attorney's 
fees & o!r litigation co/s reasonably   
incurr$4  7#c7 ,circum/ances describ$ ,=
 ! purposes ( p>agraph 7#a71 !          
circum/ances describ$ 9 ?is p>agraph 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 p>agraph 7#a72    
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       
p>agraph 7#a72  7,c7 any paym5t ( any   
k9d 0 made1 directly or indirectly1 9   
fur!rance ( or 9 connection ) ! conduct 
describ$ 9 p>agraph 7#a7 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
 p>agraph 7#a7 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 p>agraph 7#a72  7,f7 !       
conduct describ$ 9 p>agraph 7#a7 occurr$
 )9 ! special m>itime & t]ritorial      
jurisdiction ( ! ,unit$ ,/ates1 or any  
t]ritory or possession ( ! ,unit$       

,/ates2 or  7,g7 ! conduct describ$ 9   
p>agraph 7#a7 o!rwise occurr$ 9 or      
affect$ int]/ate or =eign comm]ce4  7b7 
,def9itions ,9 ?is section-- 7#a7       
,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 ! ,secret>y ( ,heal? & ,human       
,s]vices1 t may be provid$ = purposes ( 
address+ ! p]ception ( su* individual t 
! g5d] or sex ( su* individual is n     
male4  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 ! 
,secret>y ( ,heal? & ,human ,s]vices1 t 
may be provid$ = purposes ( address+ !  
p]ception ( su* individual t ! g5d] or  
sex ( su* individual is n male4  7,b7   
does n include any m$ical treatm5t p]=m$
 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 
7#b7 ,sex ,! t]m sex means ! biological 

det]m9ation z to :e!r an individual is  
male or female1 z su* t]ms are def9$ 9  
?is section4  7#c7 ,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] roles4  7#d7 ,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#e7     
,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#f7     
,m9or ,! t]m m9or means an individual "u

 ! age ( #ah4