,,iv  #aai? ,,congress  #a/ ,session    
,h4 ,,res4 #hbg  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,octob] #bd1 #bjbe,ms4
 ,bal9t 7= h]self1 ,mr4 ,takano1 ,mr4   
,pocan1 ,ms4 ,bonamici1 ,mrs4 ,f\%ee1   
,mr4 ,fro/1 ,mr4 ,mull91 ,mr4 ,pet]s1   
,ms4 ,tlaib1 ,ms4 ,norton1 ,mr4 ,torres 
( ,new ,york1 ,mrs4 ,watson ,coleman1   
,ms4 ,jayapal1 ,mrs4 ,ramirez1 ,mr4     
,johnson ( ,georgia1 ,mr4 ,c>son1 ,ms4  
,g>cia ( ,texas1 ,ms4 ,jacobs1 ,mr4     
,evans ( ,p5nsylvania1 ,ms4 ,r&all1 &   
,mr4 ,huffman7 submitt$ ! foll[+        
resolution2 :i* 0 ref]r$ to ! ,committee
 on ,en]gy & ,comm]ce1 & 9 addition to !
 ,committee on ,education & ,work=ce1 = 
a p]iod to be subsequ5tly det]m9$ by !  
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,,resolution        
,express+ support = ! recognition (     
,octob] #bf1 #bjbe1 z ,int]sex ,aw>5ess 
,day1 & support+ ! goals & ideals (     
,int]sex ,aw>5ess ,day4  ,:]eas ,int]sex
 ,aw>5ess ,day honors ! fir/ public     

demon/ration by int]sex p 9 ! ,unit$    
,/ates1 :i* took place at ! annual      
conf]5ce ( ! ,am]ican ,academy (        
,p$iatrics on ,octob] #bf1 #aiif2       
,:]eas1 s9ce t hi/oric demon/ration 9   
#aiif1 ,octob] #bf has become a day dur+
 :i* int]sex p & allies come toge!r to  
celebrate & uplift ! int]sex community2 
,:]eas int]sex ref]s to individuals )   
innate v>iations 9 _! physical sex      
*>act]i/ics1 includ+ ext]nal anatomy1   
reproductive organs1 hormonal function1 
or *romosomal patt]ns t diff] f         
/]eotypes ab\t male or female bodies2   
,:]eas be+ int]sex is n ! same ?+ z be+ 
transg5d]1 b bo? transg5d] & int]sex p  
hold %>$ int]e/s 9 bodily autonomy1     
self-det]m9ation1 & ! recognition ( _!  
exi/5ce & rights2 ,:]eas policies1      
ord]s1 & gov]nm5tal actions t esp\se an 
unsci5tific def9ition ( biological sex z
 a rigid b9>y erase & demean ! exi/5ce (
 p ) int]sex v>iations2 ,:]eas int]sex  
is n g5]ally consid]$ to be a ?ird sex1 
b r repres5ts ! wide range ( biological 

v>iation obs]v$ 9 bodily developm5t1 )  
ov] #dj diff]5t int]sex traits hav+ be5 
discov]$2 ,:]eas ! mo/ widely cit$      
e/imate ( ! frequ5cy ( int]sex traits 9 
! population is #a4g p]c5t1 yet ! true  
preval5ce is likely high]2 ,:]eas !     
rights1 heal?1 & well-be+ ( int]sex p   
are und]m9$ by erasure & by patt]ns (   
/igmatization & discrim9ation on ! basis
 ( v>iations 9 sex *>act]i/ics1 int]sex 
/atus1 & p]ceiv$ g5d] noncon=mity2      
,:]eas babies & "y *ildr5 ) int]sex     
v>iations are (t5 subject$1 )\t _! own  
in=m$ cons5t or ass5t1 to irrev]sible   
g5ital surg]ies1 /]ilizations1 & o!r    
int]v5tions to make _! bodies con=m to  
/]eotypical expectations ( :at x means  
to appe>1 behave z1 or be male or       
female1 mo/ commonly be=e ! age ( two2  
,:]eas x is exce$+ly r>e t a *ild's     
int]sex v>iation w\ld necessitate surg]y
 on an urg5t basis 9 infancy or e>ly    
*ildhood1 & decisions ab\t su* surg]ies 
c\ld !re=e be safely po/pon$ 9 ! va/    
majority ( cases until su* "t z ! *ild  

becomes able to provide in=m$ cons5t or 
ass5t1 or su* "t z a m$ically urg5t     
indication = surg]y may o!rwise arise2  
,:]eas !re is evid5ce t p]=m+ ^!        
irrev]sible surg]ies 9 infancy & e>ly   
*ildhood 9 ! abs5ce ( ! int]sex         
individual's cons5t c result 9 sev]e    
la/+ physical & psy*ological h>m1       
includ+ loss ( bodily function1 !       
de/ruction ( reproductive capacity1 & ! 
imposition ( a sex assignm5t ) :i* !    
individual w n id5tify1 lead+ _m int]sex
 advocates to describe ^! noncons5sual  
surg]ies z ,int]sex ,g5ital ,mutilation 
7,,igm72 ,:]eas #c =m] ,surgeons ,g5]al 
( ! ,unit$ ,/ates h agre$ t su* e>ly1   
noncons5sual surg]ies on int]sex *ildr5 
c cause sev]e & irrev]sible physical h>m
 & emotional di/ress & violate an       
individual's "r to p]sonal autonomy ov] 
_! own future1 cle>ly infr++ on ! *ild's
 "r to physical integrity1 pres]vation (
 sexual & g5d] id5tity1 & procreative   
fre$om2 ,:]eas ! ,dep>tm5t ( ,/ate has  
commemorat$ ,int]sex ,aw>5ess ,day by   

recogniz+ ! h>m ( ^! noncons5sual       
surg]ies1 /at+ t at a "y age1 int]sex   
p]sons r\t9ely face =c$ m$ical surg]ies 
)\t free or in=m$ cons5t4 ,^!           
int]v5tions jeop>dize _! physical       
integrity & ability to live freely2     
,:]eas ! ,am]ican ,academy ( ,family    
,physicians 7,,aafp7 opposes m$ically   
unnecess>y g5ital surg]ies p]=m$ on     
int]sex *ildr5 & /ates t ,g5ital        
surg]ies %\ld only be recomm5d$ z       
m$ically necess>y = int]sex infants &   
*ildr5 = ! purpose ( resolv+ significant
 functional impairm5t or r$uc+ imm95t & 
sub/antial risk ( develop+ a heal?- or  
life-?reat5+ condition2 ,:]eas ! ,_w    
,pr(essional ,association = ,transg5d]  
,heal?1 9 its ,/&>ds ( ,c>e ,v]sion #h1 
recomm5ds t provid]s treat+ int]sex     
infants & "y *ildr5 delay g5ital surg]y1
 gonadal surg]y1 or bo?1 s z to optimize
 ! *ildr5's self-det]m9ation & ability  
to p>ticipate 9 ! decision bas$ on in=m$
 cons5t2 ,:]eas ! ,am]ican ,b>          
,association 9 a #bjbc resolution took a

 position ,oppos+ all ''' policy t      
attempts to impose m$ical or surgical   
int]v5tion on m9ors ) int]sex traits    
7also kn[n z v>iations 9 sex            
*>act]i/ics7 )\t ! m9or's in=m$ cons5t  
or ass5t1 & urg+ lic5s$ pr(essionals n  
to conduct or propose m$ical or surgical
 int]v5tion on m9ors ) int]sex traits   
until ! m9or reque/s ! propos$ c>e1     
und]/&s ! impact ( ! propos$ c>e z well 
z alt]natives1 is provid$ ) affirm+     
psy*osocial supports1 & gives in=m$     
cons5t or ass5t1 except :5 imm$iate     
life-?reat5+ circum/ances require       
em]g5cy int]v5tion2 ,:]eas !            
,presid5tial ,memor&um ( ,febru>y #d1   
#bjba1 on ,advanc+ ! ,human ,rights (   
,lesbian1 ,gay1 ,bisexual1 ,transg5d]1  
,que]1 & ,int]sex ,p]sons ,ar\nd ! ,_w  
makes x ! policy ( ! ,unit$ ,/ates to   
pursue an end to viol5ce & discrim9ation
 on ! basis ( sexual ori5tation1 g5d]   
id5tity or expression1 or sex           
*>act]i/ics2 ,:]eas ,presid5t ,bid5     
conv5$ ! fir/ ,:ite ,h\se ,r\ndtable on 

int]sex issues on ,octob] #bf1 #bjba1 9 
celebration ( ,int]sex ,aw>5ess ,day1   
decl>+ t ! adm9i/ration is committ$ to  
advanc+ ju/ice1 opportunity1 & safety = 
int]sex ,am]icans2 ,:]eas ,executive    
,ord] #adjge ( ,june #ae1 #bjbb1 /ates t
 x is ! policy ( ! ,unit$ ,/ates        
,gov]nm5t to combat unlawful            
discrim9ation & elim9ate disp>ities     
affect+ lesbian1 gay1 bisexual1         
transg5d]1 que]1 & int]sex 7,,lgbtqi7   
,am]icans1 includ+ discrim9ation on !   
basis ( sex *>act]i/ics2 ,:]eas1 9      
#bjbd1 ! ,bid5-,h>ris adm9i/ration      
releas$ _! f9al rules on                
,nondiscrim9ation 9 ,heal? ,programs &  
,activities & ,nondiscrim9ation on !    
,basis ( ,sex 9 ,education ,programs or 
,activities ,receiv+ ,f$]al ,f9ancial   
,assi/ance1 explicitly cl>ify+ t section
 #aeeg ( ! ,af=dable ,c>e ,act & title  
,,ix ( ! ,education ,am5dm5ts ( #aigb1  
respectively1 prohibit discrim9ation on 
! basis ( sex *>act]i/ics 7includ+      
int]sex traits72 ,:]eas1 on ,april #d1  

#bjbd1 ! ,unit$ ,nations ,human ,rights 
,c\ncil adopt$ a l&m>k resolution       
entitl$ ,combat+ discrim9ation1 viol5ce 
& h>mful practices aga9/ int]sex p]sons 
) #bd c\ntries1 includ+ ! ,unit$ ,/ates1
 vot+ 9 favor2 ,:]eas1 9 ,janu>y #bjbe1 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
releas$ ! fir/ 9-dep? report on int]sex 
heal? by a ,unit$ ,/ates ,f$]al ag5cy1  
recogniz+ ! well-docum5t$ m$ical h>ms to
 int]sex p across _! lifespan result+ f 
*ildhood m$ical int]v5tions p]=m$ :5 !  
*ild 0 too "y to p>ticipate 9           
decision-mak+1 & conclud+ t ?is d5ial ( 
bodily autonomy1 9 addition to          
discrim9ation & lack ( access to        
compet5t & affirm+ m$ical provid]s1 is a
 key b>ri] t mu/ be address$ to a*ieve  
heal? equity = ! int]sex community2     
,:]eas rec5t legislative proposals &    
ag5cy actions attack+ heal? c>e =       
transg5d] y\? h simultane\sly h>m$      
int]sex p1 incorrectly label+ necess>y  
g5d]-affirm+ m$ical c>e z mutilation    
:ile r\t9ely exempt+ ! actual           

noncons5sual mutilation ( "y int]sex    
*ildr5 f scrut9y2 ,:]eas m$ical         
practices %\ld respect ! human rights & 
bodily autonomy ( all p1 & gov]nm5t     
in/itutions %\ld implem5t policies t    
protect & support int]sex p2 ,:]eas !   
,h\se ( ,repres5tatives has vot$ twice  
to explicitly codify nondiscrim9ation   
protections = p ) int]sex v>iations 9   
its passage ( ! ,equality ,act1 & v>i\s 
,f$]al ag5cies1 includ+ ! ,dep>tm5t (   
,ju/ice1 h recogniz$ t1 consi/5t ) !    
legal reason+ ( ,bo/ock v4 ,clayton     
,c\nty1 discrim9ation on ! basis ( a    
p]son's sex *>act]i/ics is prohibit$ sex
 discrim9ation2 & ,:]eas int]sex p are  
an important "p ( ! div]sity ( ! ,nation
 to be celebrat$ & %\ld be af=d$        
respect1 dignity1 & ! univ]sal human "r 
to bodily autonomy3 ,n[1 !re=e1 be x ,t 
! ,h\se ( ,repres5tatives-- 7#a7        
supports ! goals & ideals ( ,int]sex    
,aw>5ess ,day2  7#b7 enc\rages ! ,f$]al 
,gov]nm5t1 ,/ates1 localities1 nonpr(it 
organizations1 s*ools1 & community      

organizations to obs]ve ! day )         
appropriate programs & activities1 ) !  
goal ( increas+ public k ( ! int]sex    
community & emp[]+ individuals to       
celebrate & respect _! div]sity2  7#c7  
enc\rages heal? c>e provid]s to (f]     
culturally & cl9ically compet5t c>e to !
 int]sex community t respects bodily    
autonomy & self-det]m9ation1 & enc\rages
 s*ools to support education reg>d+ !   
int]sex community & connect individuals 
to res\rces = "y p ) int]sex v>iations &
 _! families2 &  7#d7 enc\rages ! ,f$]al
 ,gov]nm5t1 ,/ates1 int]national fund+  
organizations1 & ,unit$ ,/ates bilat]al 
& multilat]al aid ef=ts to prioritize ! 
heal? & human rights ( int]sex p4