,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bijg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah          
7legislative day1 ,septemb] #af71       
#bjbe,mrs4 ,blackburn 7= h]self1 ,mr4   
,s*mitt1 ,mr4 ,%eehy1 & ,mr4 ,scott (   
,florida7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to prohibit heal? c>e       
pr(essionals1 hospitals1 or cl9ics f    
p>ticipat+ 9 ! *emical or surgical      
mutilation ( a *ild & to provide a      
private "r ( action = *ildr5 & ! p>5ts (
 *ildr5 ^: heal?y body p>ts h be5 damag$
 by m$ical pr(essionals practic+ *emical
 & surgical mutilation4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,*loe ,cole  
,act4  #b4 ,def9itions ,9 ?is ,act3 7#a7
 ,*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#b7 ,*ild ,! t]m *ild means an       
individual "u #ah ye>s ( age4  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 ,heal? c>e pr(essional ,! t]m heal?
 c>e pr(essional means a p]son1 includ+ 
a physician1 :o is lic5s$1 c]tifi$1 or  
o!rwise au?oriz$ by ! laws ( a ,/ate to 
adm9i/] heal? c>e 9 ! ord9>y c\rse ( !  
practice ( 8 or h] pr(ession or p]=m+   
su* acts :i* require su* lic5sure4  7#e7
 ,m5tal heal? pr(essional ,! t]m m5tal  
heal? pr(essional means a p]son :o is   
lic5s$ to diagnose & treat m5tal heal?  
conditions 9 a ,/ate4  7#f7 ,p>ticipate 
,! t]m p>ticipate1 ) respect to acts    
con/itut+ *emical or surgical mutilation
 z def9$ 9 p>agraph 7#a71 means directly
 engag+ 9 ! plann+1 au?orization1       
prescription1 adm9i/ration1 or p]=mance 
( any su* act1 includ+ any ( ! foll[+3  
7,a7 ,prescrib+ pub]ty block]s1 sex     
hormones1 or relat$ m$ications ) ! int5t
 to alt] an individual's physical       

appe>ance or reproductive function to   
align ) an id5tity diff]+ f 8 or h] sex4
  7,b7 ,adm9i/]+ m$ications or treatm5ts
 describ$ 9 subp>agraph 7,a7 ) su*      
int5t1 :e!r by injection1 oral deliv]y1 
or o!r means4  7,c7 ,p]=m+ surgical     
proc$ures t attempt to trans=m an       
individual's physical appe>ance to      
confirm a pati5t's physical appe>ance to
 be ( ! alt]nate sex1 or t alt] or      
remove sexual organs z "p ( *emical or  
surgical mutilation4  7,d7 ,au?oriz+ or 
direct+ su* *emical or surgical         
mutilation proc$ures z a sup]vis+ heal? 
c>e pr(essional or in/itutional         
repres5tative4  7,e7 ,kn[+ly plann+ or  
coord9at+ ! provision ( treatm5ts or    
proc$ures describ$ above 9 subp>agraph  
7,a71 7,c71 or 7,d7 ) ! int5t to        
facilitate *emical or surgical          
mutilation4  7#g7 ,sex ,! t]m sex means 
a p]son's immutable biological          
classification1 det]m9$ at ! mom5t (    
conception1 z ei!r male or female1 z    
foll[s3 7,a7 ,! t]m female is a p]son :o

 naturally has1 _h1 w h1 or w\ld h b = a
 cong5ital anomaly or int5tional or     
un9t5tional disruption1 ! reproductive  
sy/em t produces1 transports1 & utilizes
 ! l>ge gamete 7ova7 = f]tilization4    
7,b7 ,! t]m male is a p]son :o naturally
 has1 _h1 w h1 or w\ld h b = a cong5ital
 anomaly or int5tional or un9t5tional   
disruption1 ! reproductive sy/em t      
produces1 transports1 & utilizes ! small
 gamete 7sp]m7 = f]tilization4  #c4     
,prohibition on *emical or surgical     
mutilation  7a7 ,9 g5]al ,no heal? c>e  
pr(essional1 hospital1 or cl9ic %all1 9 
a circum/ance describ$ 9 subsection 7b71
 p>ticipate 9 ! *emical or surgical     
mutilation ( a *ild1 & a heal? c>e      
pr(essional1 hospital1 or cl9ic may     
comm5ce p>ticipation 9 a treatm5t t     
qualifies z an exception specifi$ 9     
clauses 7i7 ?r\gh 7iv7 ( section        
#b7a77;,b7 only aft] det]m9+ t cle> &   
conv9c+ evid5ce supports a det]m9ation t
 ! treatm5t s qualifies4  7b7           
,circum/ances describ$ ,! circum/ances  

describ$ 9 ?is subsection are t-- 7#a7 !
 def5dant or *ild travel$ 9 int]/ate or 
=eign comm]ce1 or travel$ us+ a means1  
*annel1 facility1 or in/rum5tality (    
int]/ate or =eign comm]ce1 9 fur!rance (
 or 9 connection ) ! p>ticipation 9 !   
*emical or surgical mutilation2  7#b7 ! 
def5dant us$ a means1 *annel1 facility1 
or in/rum5tality ( int]/ate or =eign    
comm]ce 9 fur!rance ( or 9 connection ) 
! p>ticipation 9 ! *emical or surgical  
mutilation2  7#c7 any paym5t ( any k9d 0
 made1 directly or indirectly1 9        
fur!rance ( or 9 connection ) !         
p>ticipation 9 ! *emical or surgical    
mutilation us+ any means1 *annel1       
facility1 or in/rum5tality ( int]/ate or
 =eign comm]ce or 9 or affect+ int]/ate 
or =eign comm]ce2  7#d7 ! def5dant      
transmitt$ 9 int]/ate or =eign comm]ce  
any communication relat+ to or 9        
fur!rance ( ! p>ticipation 9 ! *emical  
or surgical mutilation us+ any means1   
*annel1 facility1 or in/rum5tality (    
int]/ate or =eign comm]ce or 9 or       

affect+ int]/ate or =eign comm]ce by any
 means or 9 any mann]1 includ+ by       
comput]1 mail1 wire1 or electromagnetic 
transmission2  7#e7 any in/rum5t1 item1 
sub/ance1 or o!r object t has travel$ 9 
int]/ate or =eign comm]ce 0 us$ to p]=m 
! *emical or surgical mutilation2  7#f7 
! *emical or surgical mutilation occurr$
 )9 ! ,di/rict ( ,columbia1 ! special   
m>itime & t]ritorial jurisdiction ( !   
,unit$ ,/ates1 or any t]ritory or       
possession ( ! ,unit$ ,/ates2 or  7#g7 !
 *emical or surgical mutilation o!rwise 
occurr$ 9 or affect$ int]/ate or =eign  
comm]ce4  #d4 ,private "r ( action  7a7 
,9 g5]al ,an individual subject$ z a    
*ild to *emical or surgical mutilation  
prohibit$ by section #c1 or ! p>5ts or  
legal gu>dians ( su* individual1 may br+
 a civil action 9 an appropriate di/rict
 c\rt ( ! ,unit$ ,/ates = damages aga9/ 
any heal? c>e pr(essional1 hospital1 or 
cl9ic1 :o p>ticipates 9 ! *emical or    
surgical mutilation ( t *ild4 ,su* a    
cause ( action %all be available        

reg>dless ( :e!r ! alleg$ *emical or    
surgical mutilation occurr$ be=e1 on1 or
 aft] ! date ( enactm5t ( ?is ,act4  7b7
 ,damages ,damages available pursuant to
 su* an action may include-- 7#a7       
comp5satory damages1 includ+ all        
economic damages associat$ ) undo+1     
correct+1 or ameliorat+ ! effects or    
results ( any *emical or surgical       
mutilation proc$ures2  7#b7 non-economic
 damages = emotional di/ress & pa9 &    
suff]+2 &  7#c7 punitive damages1 if !  
claimant proves by cle> & conv9c+       
evid5ce t ! def5dant aga9/ :om punitive 
damages are s\ght act$ malici\sly1      
int5tionally1 fraudul5tly1 or           
recklessly4  7c7 ,/rict liability ,any  
heal? c>e pr(essional1 hospital1 or     
cl9ic ^: p>ticipation 9 ! *emical or    
surgical mutilation ( a *ild aft] ! date
 ( enactm5t ( ?is ,act is prov5 by cle> 
& conv9c+ evid5ce %all be /rictly liable
 = damages = any su* act ( mutilation4  
,if a treatm5t qualifies "u an exception
 specifi$ 9 clauses 7i7 ?r\gh 7iv7 (    

section #b7a77;,b71 & t is rais$ z an   
affirmative def5se to a violation ( ?is 
,act1 ! heal? c>e pr(essional1 hospital1
 or cl9ic %all be> ! burd5 ( prov+ by   
cle> & conv9c+ evid5ce t su* exception  
applies4  #e4 ,rules ( con/ruction ,9   
?is ,act3 7#a7 ,no private "r ( action  
is e/abli%$ bas$ on c\nsel+1 ref]rals to
 m5tal heal? pr(essionals1 or           
discussions ( treatm5t options1 includ+ 
c\nsel+1 ref]rals1 or options available 
^u rea*+ adul?ood1 or 9 circum/ances n  
describ$ 9 section #c7;b71 provid$ by   
heal? c>e pr(essionals1 or m5tal heal?  
pr(essionals1 provid$ t su* actions d n 
con/itute p>ticipation 9 *emical or     
surgical mutilation1 z def9$ 9 section  
#b4  7#b7 ,no liability = a heal? c>e   
pr(essional "u ^! provisions may be     
waiv$4  7#c7 ,any ambiguities %all be   
resolv$ aga9/ any p>ty f\nd to h engag$ 
9 p>ticipation1 z def9$ 9 section #b7f71
 9 ! *emical or surgical mutilation ( a 
*ild4  7#d7 ,9 any cases 9 :i* *emical  
or surgical mutilation ( a *ild is %[n  

to h occurr$ be=e ! date ( enactm5t (   
?is ,act1 !re is limit$ def]5ce to      
prevail+ /&>ds ( c>e to ! ext5t t su*   
/&>ds contradict ! int5t ( ?is ,act & x 
is %[n t ! heal? c>e pr(essional knew or
 %\ld h kn[n t su* /&>ds ( c>e 7 9      
s]i\s1 sci5tific1 & m$ical dispute at ! 
"t ( ! *emical or surgical mutilation4  
7#e7 ,no?+ 9 ?is ,act %all be con/ru$ to
 prohibit a heal? c>e pr(essional or    
m5tal heal? pr(essional f provid+       
in=mation ab\t all available treatm5t   
options1 discuss+ risks & b5efits1 or   
express+ pr(essional m$ical op9ions1 s  
long z su* actions d n con/itute        
p>ticipation 9 *emical or surgical      
mutilation4  #f4 ,/atute ( limitations  
,an action "u section #d may be br\ght  
)9 #be ye>s f ! date ( ! eighte5?       
bir?day ( an individual subject$ to     
*emical or surgical mutilation z a *ild 
or )9 #d ye>s f ! "t ! co/ ( a          
detransition treatm5t is incurr$1 :i*ev]
 date is lat]4  #g4 ,sev]ability ,if any
 provision ( ?is ,act1 or ! application 

( su* a provision to any p]son or       
circum/ance1 is held to be              
uncon/itutional1 ! rema9d] ( ?is ,act1 &
 ! application ( ! provision held to be 
uncon/itutional to any o!r p]son or     
circum/ance1 %all n be affect$4