,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #gdb  ,,in ,,the ,,house ,,of   
,,representatives  ,january #bh1        
#bjbe,mr4 ,mc,cormick 7for himself1 ,mr4
 ,clyde1 ,mrs4 ,luna1 ,mr4 ,scott       
,franklin of ,florida1 ,ms4 ,van ,duyne1
 ,mr4 ,fallon1 ,mr4 ,collins1 ,mr4      
,weber of ,texas1 ,mr4 ,harris of       
,maryland1 ,mr4 ,grothman1 ,mr4 ,guest1 
,mr4 ,zinke1 ,mr4 ,babin1 ,mr4 ,moore of
 ,west ,virginia1 ,mr4 ,ellzey1 ,mr4    
,norman1 ,mr4 ,webster of ,florida1 ,mr4
 ,arrington1 ,mr4 ,wied1 ,mr4 ,rose1    
,mr4 ,austin ,scott of ,georgia1 ,mr4   
,hamadeh of ,arizona1 ,mr4 ,baird1 ,mr4 
,owens1 ,mr4 ,gooden1 ,mr4 ,jackson of  
,texas1 ,mr4 ,finstad1 ,mr4 ,mc,guire1  
,mr4 ,johnson of ,south ,dakota1 ,mr4   
,ogles1 and ,mr4 ,gosar7 introduced the 
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to prohibit ,federal funds  
from being used to provide certain      
gender transition procedures to minors4 
#a4 ,short title ,this ,act may be cited

 as the ,protecting ,resources ,of      
,taxpayers to ,eliminate ,childhood     
,transgender ,surgeries ,act of #bjbe or
 the ,,protects ,act of #bjbe4  #b4     
,prohibiting ,federal funds from being  
used to provide certain gender          
transition procedures to minors  7a7 ,in
 general ,notwithstanding any other     
provision of law1 no ,federal funds may 
be used or otherwise made available to  
provide or refer for a specified gender 
transition procedure to an individual   
under the age of #ah or to reimburse any
 entity for providing such a procedure  
to such an individual4  7b7 ,specified  
gender transition procedure defined     
7#a7 ,in general ,for purposes of this  
paragraph1 except as provided in        
paragraph 7#b71 the term specified      
gender transition procedure means1 with 
respect to an individual1 any of the    
following when performed for the purpose
 of intentionally changing the body of  
such individual to no longer correspond 
to their sex3 7,a7 ,performing any      

surgery1 including--  7i7 castration2   
7ii7 orchiectomy2  7iii7 scrotoplasty2  
7iv7 vasectomy2  7v7 hysterectomy2  7vi7
 oophorectomy2  7vii7 ovariectomy2      
7viii7 metoidioplasty2  7ix7 penectomy2 
7x7 phalloplasty2  7xi7 vaginoplasty2   
7xii7 vaginectomy2  7xiii7 vulvoplasty2 
7xiv7 reduction thyrochondroplasty2     
7xv7 chondrolaryngoplasty2  7xvi7       
mastectomy2 and  7xvii7 any plastic1    
cosmetic1 or aesthetic surgery that     
feminizes or masculinizes the facial or 
other body features of an individual4   
7,b7 ,any placement of chest implants to
 create feminine breasts4  7,c7 ,any    
placement of fat or artificial implants 
in the gluteal region4  7,d7            
,administering1 supplying1 prescribing1 
dispensing1 distributing1 or otherwise  
conveying to an individual medications1 
including--  7i7 gonadotropin-releasing 
hormone 7,gn,r,h7 analogues or other    
puberty-blocking drugs to stop or delay 
normal puberty2 and  7ii7 testosterone1 
estrogen1 or other androgens to an      

individual at doses that are            
supraphysiologic than would normally be 
produced endogenously in a healthy      
individual of the same age and sex4     
7#b7 ,exception ,paragraph 7#a7 shall   
not apply to the following when         
furnished to an individual by a health  
care provider with the consent of such  
individual's parent or legal guardian3  
7,a7 ,puberty suppression or blocking   
prescription drugs for the purpose of   
normalizing puberty for an individual   
experiencing precocious puberty4  7,b7  
,appropriate and medically necessary    
procedures or treatments to correct     
for-- 7i7 a medically verifiable genetic
 disorder of sex development1           
including--  7,i7 #df1,,xx chromosomes  
with virilization2  7,,ii7 #df1,,xy     
chromosomes with undervirilization2 and 
7,,iii7 both ovarian and testicular     
tissue2  7ii7 sex chromosome structure1 
sex steroid hormone production1 or sex  
hormone action1 if determined to be     
abnormal by a physician through genetic 

or biochemical testing2 or  7iii7       
infection1 disease1 injury1 or disorder 
caused or exacerbated by a previous     
procedure described in paragraph 7#a71  
or a physical disorder1 physical injury1
 or physical illness that would1 as     
certified by a physician1 place the     
individual in imminent danger of death  
or impairment of a major bodily function
 unless the procedure is performed1 not 
including procedures performed for the  
alleviation of mental distress4  7#c7   
,certain terms ,for purposes of this    
section3  7,a7 ,sex ,the term sex1 when 
referring to individual's sex1 shall be 
understood to refer to either male or   
female1 as biologically determined4     
7,b7 ,female ,the term female1 when     
referring to a natural person1 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,c7 ,male ,the term    
male1 when referring to a natural       
person1 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