,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fhgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ah1         
#bjbe,mr4 ,mc,dowell 7= himself1 ,mr4   
,bre*e51 ,mr4 ,web] ( ,texas1 ,mr4      
,/utzman1 ,mr4 ,taylor1 ,mr4 ,moore (   
,nor? ,c>ol9a1 & ,mr4 ,hamadeh (        
,arizona7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ! ,judici>y  
,a ,,bill  ,to require ! imposition (   
visa sanctions ) respect to ea* =eign   
p]son ! ,presid5t det]m9es has p]=m$ or 
o!rwise facilitat$ *emical or surgical  
mutilations ( ,unit$ ,/ates m9ors1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,protect+ ,*ildr5 f    
,=eign ,mutilation ,act4  #b4           
,imposition ( sanctions  7a7 ,9 g5]al ,!
 ,presid5t %all impose ! sanction       
describ$ 9 subsection 7b7 ) respect to  
ea* p]son ! ,presid5t det]m9es1 includ+ 
?r\gh in=mation submitt$ 9 accordance ) 
subsection 7d71 is a =eign p]son :o--   
7#a7 is a memb] ( ! ,_w ,pr(essional    
,association = ,transg5d] ,heal?2  7#b7 

has1 9 ! capacity ( su* individual z a  
duly lic5s$ physician1 9 any way p]=m$1 
prescrib$1 or o!rwise facilitat$ *emical
 or surgical mutilations ( ,unit$ ,/ates
 p]sons2 or  7#c7 owns or op]ates a     
cl9ic1 hospital1 ph>macy1 or o!r m$ical 
in/itution t p]=ms1 prescribes1 or      
o!rwise facilitates *emical or surgical 
mutilations ( ,unit$ ,/ates p]sons4  7b7
 ,visa sanctions ,! sanction describ$ 9 
?is subsection is ! foll[+3 7#a7 ,visas1
 admission1 or p>ole ,a =eign p]son     
describ$ 9 subsection 7a7 is-- 7,a7     
inadmissible to ! ,unit$ ,/ates2  7,b7  
ineligible to receive a visa or o!r     
docum5tation to ent] ! ,unit$ ,/ates2 & 
7,c7 o!rwise ineligible to be admitt$ or
 p>ol$ into ! ,unit$ ,/ates or to       
receive any o!r b5efit "u ! ,immigration
 & ,nationality ,act 7#h ,u4,s4,c4 #aaja
 et seq474  7#b7 ,curr5t visas revok$   
7,a7 ,9 g5]al ,a =eign p]son describ$ 9 
subsection 7a7 %all be subject to       
revocation ( any visa or o!r entry      
docum5tation reg>dless ( :5 ! visa or   

o!r entry docum5tation is or 0 issu$4   
7,b7 ,imm$iate effect ,a revocation "u  
subp>agraph 7,a7 %all take effect       
imm$iately & automatically cancel any   
o!r valid visa or entry docum5tation t  
is 9 ! ali5's possession4  7c7          
,in=mation submitt$ to ,secret>y ( ,/ate
 ,! ,secret>y ( ,/ate %all e/abli%      
proc$ures to enable individuals to      
submit to ! ,secret>y in=mation relat+  
to =eign p]sons t may qualify = !       
imposition ( sanctions "u ?is ,act4  7d7
 ,exception2 waiv]  7#a7 ,exception to  
comply ) int]national obligations       
,sanctions "u ?is section %all n apply )
 respect to ! admission ( an ali5 if    
admitt+ or p>ol+ ! ali5 into ! ,unit$   
,/ates is necess>y to p]mit ! ,unit$    
,/ates to comply )-- 7,a7 ! ,agreem5t   
reg>d+ ! ,headqu>t]s ( ! ,unit$         
,nations1 sign$ at ,lake ,success ,june 
#bf1 #aidg1 & ent]$ into =ce ,novemb]   
#ba1 #aidg1 betwe5 ! ,unit$ ,nations & !
 ,unit$ ,/ates2 or  7,b7 o!r applicable 
int]national obligations4  7#b7         

,exception ) respect to :i/lebl[]s      
,sanctions "u ?is section %all n be     
impos$ ) respect to a =eign p]son       
describ$ 9 subsection 7a77#b7 if !      
,secret>y ( ,/ate det]m9es t su* =eign  
p]son-- 7,a7 no long] works = an entity 
p]=m+ any ( ! acts describ$ 9 subsection
 7c72 &  7,b7 7i7 has provid$ in=mation 
to ! ,secret>y ( ,/ate suffici5t to     
id5tify at lea/ "o o!r =eign p]son meet+
 ! crit]ia = ! imposition ( sanctions "u
 ?is section2 or  7ii7 has provid$      
in=mation to any o!r ,f$]al (ficial     
relat+ to a violation ( law or          
regulation 9 ! practices ( ! entity     
describ$ 9 subp>agraph 7,a74  7#c7      
,waiv] ,! ,presid5t may waive !         
application ( sanctions "u ?is section )
 respect to a =eign p]son if ! ,presid5t
 det]m9es t su* a waiv] is 9 ! national 
security int]e/s ( ! ,unit$ ,/ates4  7e7
 ,report ,n lat] ?an #ahj days aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,/ate %all submit to        
,congress a report t includes-- 7#a7 a  

description ( ! actions tak5 to c>ry out
 ?is ,act2  7#b7 ! numb] ( p :o h be5   
sanction$ pursuant to ! au?orities      
provid$ by ?is ,act2 &  7#c7 any        
additional measures ! ,secret>y w\ld    
recomm5d to be tak5 to disc\rage =eign  
p]sons f provid+ g5d] transitions to    
,unit$ ,/ates p]sons4  7f7 ,def9itions  
,9 ?is section3 7#a7 ,admission2        
admitt$2 ali5 ,! t]ms admission1        
admitt$1 & ali5 h ! mean+s giv5 su* t]ms
 9 section #aja ( ! ,immigration &      
,nationality ,act 7#h ,u4,s4,c4 #aaja74 
7#b7 ,*emical or surgical mutilation    
7,a7 ,9 g5]al ,! t]m *emical or surgical
 mutilation means engag+ 9 any "o or m (
 ! foll[+ = ! purpose ( int5tionally    
halt+ ! natural developm5t ( !          
individual's body s t x no long]        
corresponds to ! individual's sex or    
int5tionally *ang+ ! individual's body1 
includ+ ! individual's ext]nal appe>ance
 or biological functions1 to no long]   
correspond to ! individual's sex3 7i7 ,!
 use ( pub]ty block]s1 includ+          

gonadotrop9 releas+ hormone agoni/s &   
o!r int]v5tions1 to delay ! onset or    
progression ( normally tim$ pub]ty 9 an 
individual4  7ii7 ,! use ( sex hormones1
 su* z &rog5 block]s1 e/rog51           
proge/]one1 or te/o/]one4  7iii7        
,surgical proc$ures t attempt to trans=m
 an individual's physical appe>ance or t
 attempt to alt] or remove an           
individual's sexual organs4  7,b7       
,exclusions ,su* t]m does n include any 
( ! foll[+3 7i7 ,appropriate & m$ically 
necess>y proc$ures to treat a v]ifiable 
disord] ( sexual developm5t1 includ+ an 
individual born ) #df ,,xx *romosomes ) 
virilization1 ) #df ,,xy *romosomes )   
und]virilization1 or hav+ bo? ov>ian &  
te/icul> tissue4  7ii7 ,! treatm5t ( any
 infection1 injury1 disease1 or disord] 
t has be5 caus$ or exac]bat$ by !       
p]=mance ( an int]v5tion describ$ 9     
subp>agraph 7,a7 )\t reg>d to :e!r !    
int]v5tion 0 p]=m$ 9 accordance ) ,/ate 
or ,f$]al law or :e!r ! int]v5tion is   
cov]$ by ! private "r ( action "u       

section #d4  7iii7 ,any int]v5tion      
und]tak5 because ! individual suff]s f  
any diagnos$ & v]ifiable condition ( !  
body's organ sy/ems1 includ+ ! foll[+3  
7,i7 ,traumatic bodily injuries 7su* z  
fractures1 organ rupture1 or p5etrat+   
trauma74  7,,ii7 ,cong5ital /ructural   
anomalies ( major organs or sy/ems1     
includ+ ! c>diovascul>1 respiratory1    
r5al1 hepatic1 neurological1 or         
musculoskeletal sy/ems4  7,,iii7 ,acute 
illnesses ) a high probability ( rapid  
mortality4  7iv7 ,detransition treatm5t4
  7#c7 ,detransition treatm5t ,! t]m    
detransition treatm5t means any         
treatm5t1 includ+ a m5tal heal?         
treatm5t1 m$ical int]v5tion1 or surg]y1 
t does ei!r or bo? ( ! foll[+3 7,a7     
,/ops or rev]ses ! effects ( a prior    
*emical or surgical mutilation4  7,b7   
,helps an individual cope ) ! effects ( 
a prior *emical or surgical mutilation4 
7#d7 ,=eign p]son ,! t]m =eign p]son    
means an individual :o is n a citiz5 or 
national ( ! ,unit$ ,/ates4  7#e7 ,sex  

,! t]m sex means a p]son's immutable    
biological classification1 det]m9$ at ! 
mom5t ( conception1 z ei!r male or      
female4  7#f7 ,unit$ ,/ates p]son ,! t]m
 ,unit$ ,/ates p]son means an individual
 :o-- 7,a7 is a ,unit$ ,/ates citiz5 or 
national1 or an ali5 lawfully admitt$ = 
p]man5t resid5ce to ! ,unit$ ,/ates2 &  
7,b7 has n atta9$ ! age ( #ah ye>s4  #c4
 ,sev]ability ,if any provision ( ?is   
,act or ! application ( su* provision to
 any p]son1 entity1 gov]nm5t1 or        
circum/ance1 is held to be              
uncon/itutional1 ! rema9d] ( ?is ,act1  
or ! application ( su* provision to all 
o!r p]sons1 entities1 gov]nm5ts1 or     
circum/ances1 %all n be affect$ !reby4