,,ii #aaith ,,congress #ast ,session ,s4 #bjjh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #aj1 #bjbe ,mr4 ,cornyn 7for himself and ,mr4 ,lankford7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act to prohibit ,medicaid and ,,chip funding for gender transition procedures4 #a4 ,short title ,this ,act may be cited as the ,stop ,funding ,genital ,mutilation ,act4 #b4 ,prohibiting ,federal ,medicaid and ,,chip funding for gender transition procedures 7a7 ,medicaid ,section #aijc7;i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7i77 is amended-- 7#a7 in paragraph 7#bf71 by striking 2 or and inserting a semicolon2 7#b7 in paragraph 7#bg71 by striking the period at the end and inserting 2 or2 7#c7 by inserting after paragraph 7#bg7 the following new paragraph3 7#bh7 with respect to any amount expended for specified gender transition procedures 7as defined in section #aije7kk77 furnished to an individual enrolled in a ,state plan 7or waiver of such plan74 2 and 7#d7 in the flush left matter at the end1 by striking and 7#ah71 and inserting 7#ah71 and 7#bh74 7b7 ,,chip ,section #bajg7;e77#a77,n7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77,n77 is amended by striking and 7#ag7 and inserting 7#ag71 and 7#bh74 7c7 ,specified gender transition procedures defined ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended by adding at the end the following new subsection3 7kk7 ,specified gender transition procedures 7#a7 ,in general ,for purposes of section #aijc7;i77#bh71 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 7including by disrupting the body's development1 inhibiting its natural functions1 or modifying its appearance7 to no longer correspond to the individual's sex3 7,a7 ,performing any surgery1 including-- 7i7 castration2 7ii7 sterilization2 7iii7 orchiectomy2 7iv7 scrotoplasty2 7v7 vasectomy2 7vi7 tubal ligation2 7vii7 hysterectomy2 7viii7 oophorectomy2 7ix7 ovariectomy2 7x7 metoidioplasty2 7xi7 clitoroplasty2 7xii7 reconstruction of the fixed part of the urethra with or without a metoidioplasty or a phalloplasty2 7xiii7 penectomy2 7xiv7 phalloplasty2 7xv7 vaginoplasty2 7xvi7 vaginectomy2 7xvii7 vulvoplasty2 7xviii7 reduction thyrochondroplasty2 7xix7 chondrolaryngoplasty2 7xx7 mastectomy2 and 7xxi7 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 breasts or any placement of erection or testicular prostheses4 7,c7 ,any placement of fat or artificial implants in the gluteal region4 7,d7 ,administering1 prescribing1 or dispensing 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 ,medically necessary procedures or treatments to correct for-- 7i7 a medically verifiable 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 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 distress2 or 7iv7 procedures to restore or reconstruct the body of the individual in order to correspond to the individual's sex after one or more previous procedures described in paragraph 7#a71 which may include the removal of a pseudo phallus or breast augmentation4 7#c7 ,sex ,for purposes of paragraph 7#a71 the term sex means either male or female1 as biologically determined and defined in paragraphs 7#d7 and 7#e71 respectively4 7#d7 ,female ,for purposes of paragraph 7#c71 the term female 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#e7 ,male ,for purposes of paragraph 7#c71 the term male 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 4