,i #aaith ,,congress #ast ,session ,h4 ,r4 #fhgf ,,in ,,the ,,house ,,of ,,representatives ,december #ah1 #bjbe,mr4 ,mc,dowell 7for himself1 ,mr4 ,brecheen1 ,mr4 ,weber of ,texas1 ,mr4 ,stutzman1 ,mr4 ,taylor1 ,mr4 ,moore of ,north ,carolina1 and ,mr4 ,hamadeh of ,arizona7 introduced the following bill2 which was referred to the ,committee on the ,judiciary ,a ,,bill ,to require the imposition of visa sanctions with respect to each foreign person the ,president determines has performed or otherwise facilitated chemical or surgical mutilations of ,united ,states minors1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,protecting ,children from ,foreign ,mutilation ,act4 #b4 ,imposition of sanctions 7a7 ,in general ,the ,president shall impose the sanction described in subsection 7b7 with respect to each person the ,president determines1 including through information submitted in accordance with subsection 7d71 is a foreign person who-- 7#a7 is a member of the ,world ,professional ,association for ,transgender ,health2 7#b7 has1 in the capacity of such individual as a duly licensed physician1 in any way performed1 prescribed1 or otherwise facilitated chemical or surgical mutilations of ,united ,states persons2 or 7#c7 owns or operates a clinic1 hospital1 pharmacy1 or other medical institution that performs1 prescribes1 or otherwise facilitates chemical or surgical mutilations of ,united ,states persons4 7b7 ,visa sanctions ,the sanction described in this subsection is the following3 7#a7 ,visas1 admission1 or parole ,a foreign person described in subsection 7a7 is-- 7,a7 inadmissible to the ,united ,states2 7,b7 ineligible to receive a visa or other documentation to enter the ,united ,states2 and 7,c7 otherwise ineligible to be admitted or paroled into the ,united ,states or to receive any other benefit under the ,immigration and ,nationality ,act 7#h ,u4,s4,c4 #aaja et seq474 7#b7 ,current visas revoked 7,a7 ,in general ,a foreign person described in subsection 7a7 shall be subject to revocation of any visa or other entry documentation regardless of when the visa or other entry documentation is or was issued4 7,b7 ,immediate effect ,a revocation under subparagraph 7,a7 shall take effect immediately and automatically cancel any other valid visa or entry documentation that is in the alien's possession4 7c7 ,information submitted to ,secretary of ,state ,the ,secretary of ,state shall establish procedures to enable individuals to submit to the ,secretary information relating to foreign persons that may qualify for the imposition of sanctions under this ,act4 7d7 ,exception2 waiver 7#a7 ,exception to comply with international obligations ,sanctions under this section shall not apply with respect to the admission of an alien if admitting or paroling the alien into the ,united ,states is necessary to permit the ,united ,states to comply with-- 7,a7 the ,agreement regarding the ,headquarters of the ,united ,nations1 signed at ,lake ,success ,june #bf1 #aidg1 and entered into force ,november #ba1 #aidg1 between the ,united ,nations and the ,united ,states2 or 7,b7 other applicable international obligations4 7#b7 ,exception with respect to whistleblowers ,sanctions under this section shall not be imposed with respect to a foreign person described in subsection 7a77#b7 if the ,secretary of ,state determines that such foreign person-- 7,a7 no longer works for an entity performing any of the acts described in subsection 7c72 and 7,b7 7i7 has provided information to the ,secretary of ,state sufficient to identify at least one other foreign person meeting the criteria for the imposition of sanctions under this section2 or 7ii7 has provided information to any other ,federal official relating to a violation of law or regulation in the practices of the entity described in subparagraph 7,a74 7#c7 ,waiver ,the ,president may waive the application of sanctions under this section with respect to a foreign person if the ,president determines that such a waiver is in the national security interests of the ,united ,states4 7e7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,state shall submit to ,congress a report that includes-- 7#a7 a description of the actions taken to carry out this ,act2 7#b7 the number of people who have been sanctioned pursuant to the authorities provided by this ,act2 and 7#c7 any additional measures the ,secretary would recommend to be taken to discourage foreign persons from providing gender transitions to ,united ,states persons4 7f7 ,definitions ,in this section3 7#a7 ,admission2 admitted2 alien ,the terms admission1 admitted1 and alien have the meanings given such terms in section #aja of the ,immigration and ,nationality ,act 7#h ,u4,s4,c4 #aaja74 7#b7 ,chemical or surgical mutilation 7,a7 ,in general ,the term chemical or surgical mutilation means engaging in any one or more of the following for the purpose of intentionally halting the natural development of the individual's body so that it no longer corresponds to the individual's sex or intentionally changing the individual's body1 including the individual's external appearance or biological functions1 to no longer correspond to the individual's sex3 7i7 ,the use of puberty blockers1 including gonadotropin releasing hormone agonists and other interventions1 to delay the onset or progression of normally timed puberty in an individual4 7ii7 ,the use of sex hormones1 such as androgen blockers1 estrogen1 progesterone1 or testosterone4 7iii7 ,surgical procedures that attempt to transform an individual's physical appearance or that attempt to alter or remove an individual's sexual organs4 7,b7 ,exclusions ,such term does not include any of the following3 7i7 ,appropriate and medically necessary procedures to treat a verifiable disorder of sexual development1 including an individual born with #df ,,xx chromosomes with virilization1 with #df ,,xy chromosomes with undervirilization1 or having both ovarian and testicular tissue4 7ii7 ,the treatment of any infection1 injury1 disease1 or disorder that has been caused or exacerbated by the performance of an intervention described in subparagraph 7,a7 without regard to whether the intervention was performed in accordance with ,state or ,federal law or whether the intervention is covered by the private right of action under section #d4 7iii7 ,any intervention undertaken because the individual suffers from any diagnosed and verifiable condition of the body's organ systems1 including the following3 7,i7 ,traumatic bodily injuries 7such as fractures1 organ rupture1 or penetrating trauma74 7,,ii7 ,congenital structural anomalies of major organs or systems1 including the cardiovascular1 respiratory1 renal1 hepatic1 neurological1 or musculoskeletal systems4 7,,iii7 ,acute illnesses with a high probability of rapid mortality4 7iv7 ,detransition treatment4 7#c7 ,detransition treatment ,the term detransition treatment means any treatment1 including a mental health treatment1 medical intervention1 or surgery1 that does either or both of the following3 7,a7 ,stops or reverses the effects of a prior chemical or surgical mutilation4 7,b7 ,helps an individual cope with the effects of a prior chemical or surgical mutilation4 7#d7 ,foreign person ,the term foreign person means an individual who is not a citizen or national of the ,united ,states4 7#e7 ,sex ,the term sex means a person's immutable biological classification1 determined at the moment of conception1 as either male or female4 7#f7 ,united ,states person ,the term ,united ,states person means an individual who-- 7,a7 is a ,united ,states citizen or national1 or an alien lawfully admitted for permanent residence to the ,united ,states2 and 7,b7 has not attained the age of #ah years4 #c4 ,severability ,if any provision of this ,act or the application of such provision to any person1 entity1 government1 or circumstance1 is held to be unconstitutional1 the remainder of this ,act1 or the application of such provision to all other persons1 entities1 governments1 or circumstances1 shall not be affected thereby4