,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ddbf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bi1 #bjbf,mr4  
,m>%all 7= himself & ,mr4 ,lee7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to prohibit g5d] transition 
proc$ures on m9ors1 to au?orize !       
,secret>y ( ,heal? & ,human ,s]vices to 
impose civil p5alties on p]sons :o p]=m 
g5d] transition proc$ures on m9ors1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,safegu>d+ ,! ,ov]all  
,protection ( ,m9ors ,act or ! ,,/op    
,act4  #b4 ,def9itions ,9 ?is ,act3 7#a7
 ,c>etak] ,! t]m c>etak] means an adult1
 :o is n a p>5t ( a *ild1 ) :om a *ild  
resides & :o provides t *ild ) ! c>e1   
ma9t5ance1 & sup]vision consi/5t ) !    
duties & responsibilities ( a p>5t ( !  
*ild4  7#b7 ,detransition treatm5t ,!   
t]m detransition treatm5t means any     
treatm5t1 includ+ m5tal heal? s]vices1  
m$ical int]v5tion1 or surg]y1 t does any

 ( ! foll[+3 7,a7 ,/ops or rev]ses !    
effects ( a g5d] transition proc$ure4   
7,b7 ,helps an individual cope ) !      
effects ( a prior g5d] transition       
proc$ure4  7#c7 ,female ,! t]m female1  
:5 us$ to ref] to a natural p]son1 means
 an individual :o naturally has1 _h1 w  
h1 or w\ld h1 b = a cong5ital anomaly or
 int5tional or un9t5tional disruption1 !
 reproductive sy/em t at "s po9t        
produces1 transports1 & utilizes eggs = 
f]tilization4  7#d7 ,g5d] transition ,! 
t]m g5d] transition means ! process1 :i*
 may be accompani$ ) social1 legal1 or  
physical *anges-- 7,a7 9 :i* an         
individual-- 7i7 int5tionally halts !   
natural developm5t ( ! individual's body
 s t ! body no long] corresponds to !   
individual's sex2 or  7ii7 int5tionally 
trans=ms ! individual's physical        
appe>ance to confirm ! individual's     
physical appe>ance to be ( ! alt]nate   
sex2 or  7,b7 t alt]s or removes sexual 
organs z "p ( *emical or surgical       
mutilation4  7#e7 ,g5d] transition      

proc$ure  7,a7 ,9 g5]al ,! t]m g5d]     
transition proc$ure means any hormonal1 
ph>maceutical1 or surgical int]v5tion = 
! purpose ( g5d] transition1 includ+--  
7i7 gonadotrop9-releas+ hormone         
7,gn,r,h7 agoni/s or o!r pub]ty-block+  
or suppress+ drugs to /op or delay      
normally tim$ pub]ty2  7ii7 te/o/]one1  
e/rog51 proge/]one1 &rog5 block]s1 or   
o!r sex hormones to an individual at    
doses t are supraphysiologic to :at w\ld
 normally be produc$ endog5\sly 9 a     
heal?y individual ( ! same age & sex2   
7iii7 proc$ures t attempt to trans=m an 
individual's physical appe>ance to      
confirm ! individual's physical         
appe>ance to be ( ! alt]nate sex1 or t  
alt] or remove sexual organs z "p (     
*emical or surgical mutilation2  7iv7   
ca/ration2  7v7 or*iectomy2  7vi7       
scrotopla/y2  7vii7 implantation (      
erection or te/icul> pro/heses2  7viii7 
vasectomy2  7ix7 hy/]ectomy2  7x7       
oophorectomy2  7xi7 ov>iectomy2  7xii7  
recon/ruction ( ! fix$ "p ( ! ure?ra )  

or )\t a metoidiopla/y or a phallopla/y2
  7xiii7 metoidiopla/y2  7xiv7 p5ectomy2
  7xv7 phallopla/y2  7xvi7 vag9opla/y2  
7xvii7 clitoropla/y2  7xviii7           
vag9ectomy2  7xix7 vulvopla/y2  7xx7    
r$uction ?yro*ondropla/y2  7xxi7        
*ondrol>yngopla/y2  7xxii7 ma/ectomy2   
7xxiii7 tubal ligation2  7xxiv7         
/]ilization2  7xxv7 any pla/ic1         
cosmetic1 or ae/hetic surg]y t fem9izes 
or mascul9izes ! facial or o!r          
physiological features ( an individual2 
7xxvi7 any placem5t ( *e/ implants to   
create fem99e brea/s2  7xxvii7 any      
placem5t ( fat or artificial implants 9 
! gluteal region2  7xxviii7 augm5tation 
mammopla/y2  7xxix7 liposuction2  7xxx7 
lip(ill+2  7xxxi7 voice surg]y2  7xxxii7
 hair recon/ruction2  7xxxiii7 pectoral 
implants2 &  7xxxiv7 ! removal ( any    
o!rwise heal?y or non-diseas$ body "p or
 tissue4  7,b7 ,exclusions ,! t]m g5d]  
transition proc$ure does n include !    
foll[+ :5 furni%$ to an individual by a 
heal? c>e provid] ) ! cons5t ( su*      

individual or1 if applicable1 su*       
individual's p>5ts or legal gu>dian3 7i7
 ,s]vices to individuals :o h be5       
diagnos$ ) a disord] ( sex developm5t by
 a lic5s$ heal? c>e provid] op]at+ )9 _!
 scope ( practice1 includ+ an individual
 ) ext]nal sex *>act]i/ics t are        
irresolvably ambigu\s1 su* z an         
individual born ) #df ,,xx *romosomes ) 
virilization1 an individual born ) #df  
,,xy *romosomes ) und]virilization1 or  
an individual born hav+ bo? ov>ian &    
te/icul> tissue4  7ii7 ,s]vices provid$ 
:5 a heal? c>e pr(essional has o!rwise  
diagnos$ a disord] ( sexual developm5t 9
 :i* ! heal? c>e pr(essional has det]m9$
 ?r\gh g5etic or bio*emical te/+ t !    
individual does n h normal sex *romosome
 /ructure1 sex /]oid hormone production1
 or sex /]oid hormone action = a heal?y 
individual ( ! same sex & age4  7iii7 ,!
 treatm5t ( any infection1 injury1      
disease1 or disord] t has be5 caus$ by  
or exac]bat$ by ! p]=mance ( g5d]       
transition proc$ures1 :e!r or n ! g5d]  

transition proc$ure 0 p]=m$ 9 accordance
 ) ,/ate & ,f$]al law or :e!r or n fund+
 = ! g5d] transition proc$ure is        
p]missible "u ?is section4  7iv7 ,any   
proc$ure und]tak5 because ! individual  
suff]s f a physical disord]1 physical   
injury1 or physical illness 7b n m5tal1 
behavioral1 or emotional di/ress or a   
m5tal1 behavioral1 or emotional disord]7
 t w\ld1 z c]tifi$ by a heal? c>e       
pr(essional1 place ! individual 9 imm95t
 dang] ( dea? or impairm5t ( major      
bodily function1 unless ! proc$ure is   
p]=m$1 :i* may include ! foll[+3 7,i7   
,traumatic bodily injuries 7su* z       
fractures1 organ rupture1 or p5etrat+   
trauma74  7,,ii7 ,cong5ital /ructural   
anomalies ( major organs or sy/ems1     
includ+ ! c>diovascul>1 respiratory1    
r5al1 hepatic1 neurological1 or         
musculoskeletal sy/ems4  7,,iii7 ,acute 
illnesses ) a high probability ( imm95t 
mortality4  7v7 ,any proc$ure to re/ore 
or recon/ruct ! body ( ! individual 9   
ord] to correspond to ! individual's sex

 aft] "o or m previ\s g5d] transition   
proc$ures1 :i* may include ! removal ( a
 pseudo phallus or brea/ augm5tation4   
7vi7 ,pub]ty suppression or block+      
prescription drugs = ! purpose (        
normaliz+ pub]ty = a m9or exp]i5c+      
precoci\s pub]ty4  7vii7 ,male          
circumcision4  7#f7 ,male ,! t]m male1  
:5 us$ to ref] to a natural p]son1 means
 an individual :o naturally has1 _h1 w  
h1 or w\ld h1 b = a cong5ital anomaly or
 int5tional or un9t5tional disruption1 !
 reproductive sy/em t at "s po9t        
produces1 transports1 & utilizes sp]m = 
f]tilization4  7#g7 ,m9or ,! t]m m9or   
means an individual "u ! age ( #ah4     
7#h7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,heal? & ,human ,s]vices4   
7#i7 ,sex ,! t]m sex1 :5 ref]r+ to a    
natural p]son's sex1 means ! p]son's    
immutable biological classification z   
ei!r male or female1 z biologically     
det]m9$ & def9$ by ?is section4  #c4    
,g5d] transition proc$ures on m9ors  7a7
 ,prohibition  7#a7 ,9 g5]al ,no p]son  

may1 9 any circum/ance describ$ 9       
p>agraph 7#b71 kn[+ly p]=m1 attempt to  
p]=m1 conspire to p]=m1 or o!rwise aid  
or abet ! p]=mance ( any g5d] transition
 proc$ure on a m9or4  7#b7 ,circum/ances
 describ$ ,a circum/ance ref]r$ to 9    
p>agraph 7#a7 is any ( ! foll[+3 7,a7 ,!
 p]son1 or ! m9or on :om ! g5d]         
transition proc$ure 0 p]=m$1 attempt$ to
 be p]=m$1 or conspir$ to be p]=m$ or on
 :om ! p]=mance ( any g5d] transition   
proc$ure 0 aid$ or abett$1 travel$ 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 )
 ! conduct describ$ 9 p>agraph 7#a74    
7,b7 ,! p]son1 or ! m9or on :om ! g5d]  
transition proc$ure 0 p]=m$1 attempt$ to
 be p]=m$1 or conspir$ to be p]=m$ or on
 :om ! p]=mance ( any g5d] transition   
proc$ure 0 aid$ or abett$1 us$ a means1 
*annel1 facility1 or in/rum5tality (    
int]/ate or =eign comm]ce 9 fur!rance ( 
or 9 connection ) ! conduct describ$ 9  

p>agraph 7#a74  7,c7 ,a paym5t ( any k9d
 0 made1 directly or indirectly1 9      
fur!rance ( or 9 connection ) ! conduct 
describ$ 9 p>agraph 7#a71 us+ any means1
 *annel1 facility1 or in/rum5tality (   
int]/ate or =eign comm]ce or 9 int]/ate 
or =eign comm]ce4  7,d7 ,! p]son1 or !  
m9or on :om ! g5d] transition proc$ure 0
 p]=m$1 attempt$ to be p]=m$1 or        
conspir$ to be p]=m$ or on :om !        
p]=mance ( any g5d] transition proc$ure 
0 aid$ or abett$1 transmitt$ 9 int]/ate 
or =eign comm]ce any communication      
relat+ to or 9 fur!rance ( ! conduct    
describ$ 9 p>agraph 7#a7 us+ any means1 
*annel1 facility1 or in/rum5tality (    
int]/ate or =eign comm]ce or 9 int]/ate 
or =eign comm]ce by any means or 9      
mann]1 includ+ by comput]1 mail1 wire1  
or electromagnetic transmission4  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 ! conduct        
describ$ 9 p>agraph 7#a74  7,f7 ,!      
conduct describ$ 9 p>agraph 7#a7 occurr$

 )9 ! special m>itime & t]ritorial      
jurisdiction ( ! ,unit$ ,/ates or any   
t]ritory or possession ( ! ,unit$       
,/ates4  7,g7 ,! conduct describ$ 9     
p>agraph 7#a7 o!rwise occurr$ 9 int]/ate
 or =eign comm]ce4  7#c7 ,kn[+ly ,=     
purposes ( p>agraph 7#a71 a p]son acts  
kn[+ly :5-- 7,a7 ! p]son has actual k ( 
! facts giv+ rise to ! violation ( !    
prohibition describ$ 9 p>agraph 7#a72 or
  7,b7 a reasonable p]son act+ 9 !      
circum/ances & ex]cis+ reasonable c>e   
w\ld h t k4  7#d7 ,application to "w    
arrangem5ts  7,a7 ,9 g5]al ,a violation 
( p>agraph 7#a7-- 7i7 by an employee    
act+ 9 ! scope ( _! employm5t = an      
employ] %all also be consid]$ a         
violation ( su* p>agraph by su* employ]2
 or  7ii7 by any o!r individual :o is   
engag$ by a p]son = ! p]=mance ( labor  
or s]vices = remun]ation & :o is act+ 9 
! scope ( _! p]=mance ( su* labor or    
s]vices = su* p]son %all also be        
consid]$ a violation ( su* p>agraph by  
su* p]son4  7,b7 ,liability  7i7        

,employee violations ,9 ! case ( a      
violation t is describ$ 9 subp>agraph   
7,a77i71 ! employee & ! employ] describ$
 9 su* subp>agraph %all be jo9tly &     
sev]ally liable = any civil p5alty "u   
subsection 7b7 & any private "r ( action
 "u subsection 7c74  7ii7 ,o!r work]    
violations ,9 ! case ( a violation t is 
describ$ 9 subp>agraph 7,a77ii71 !      
individual & p]son describ$ 9 su*       
subp>agraph %all be jo9tly & sev]ally   
liable = any civil p5alty "u subsection 
7b7 & any private "r ( action "u        
subsection 7c74  7b7 ,civil monet>y     
p5alties  7#a7 ,9 g5]al ,! ,secret>y may
 impose a civil monet>y p5alty on any   
p]son ^u mak+ a det]m9ation1 aft] writt5
 notice & an opportunity = a he>+1 t !  
p]son has violat$ a requirem5t (        
subsection 7a77#a74  7#b7 ,am\nt ( civil
 monet>y p5alties  7,a7 ,9 g5]al ,!     
am\nt ( a civil monet>y p5alty "u       
p>agraph 7#a7 %all be n less ?an        
#ajj1jjj = ea* violation4  7,b7 ,p5alty 
consid]ations ,9 det]m9+ ! am\nt ( a    

civil monet>y p5alty "u ?is subsection1 
! ,secret>y %all consid]-- 7i7 ! nature1
 circum/ances1 ext5t1 & gravity ( !     
violation2 &  7ii7 ) respect to !       
violator1 ! degree ( culpability1 any   
hi/ory ( prior violations1 & any effect 
on ! ability to cont9ue to d bus9ess4   
7#c7 ,civil action to collect  7,a7 ,9  
g5]al ,! ,attorney ,g5]al may br+ a     
civil action 9 an appropriate di/rict   
c\rt ( ! ,unit$ ,/ates to collect a     
civil monet>y p5alty "u ?is subsection &
 any accru$ int]e/ on ! civil monet>y   
p5alty z assess$ by ! ,secret>y4 ,9 su* 
a civil action1 ! am\nt & appropriat5ess
 ( ! civil monet>y p5alty %all n be     
subject to review4  7,b7 ,compromise ,! 
,secret>y may compromise ! am\nt ( a    
civil monet>y p5alty impos$ "u ?is      
subsection be=e ref]ral to ! ,attorney  
,g5]al "u subp>agraph 7,a71 on !        
condition t su* am\nt %all be n less ?an
 #ajj1jjj4  7#d7 ,liability = proc$ures 
requir$ z a matt] ( /&>d practice ,x    
%all n be a def5se 9 a he>+ "u ?is      

subsection t g5d] transition proc$ures  
are requir$ z a matt] ( /&>d practice4  
7#e7 ,prohibition on imposition ( civil 
monet>y p5alty on a p]son on :om        
proc$ures are p]=m$ ,no p]son on :om a  
g5d] transition proc$ure is p]=m$1      
attempt$ to be p]=m$1 or conspir$ to be 
p]=m$ or on :om ! p]=mance ( any g5d]   
transition proc$ure 0 aid$ or abett$ 9  
violation ( subsection 7a77#a71 & no    
p>5t1 gu>dian1 or c>etak] ( su* a p]son1
 may be held liable = a civil monet>y   
p5alty "u ?is subsection4  7#f7         
,deposit+ am\nts collect$  7,a7 ,9 g5]al
 ,am\nts collect$ "u ?is subsection %all
 be deposit$ 9 ! fund e/abli%$ "u       
subp>agraph 7,b74  7,b7 ,e/abli%m5t (   
,fund  7i7 ,9 g5]al ,!re is e/abli%$ 9 !
 ,treasury ( ! ,unit$ ,/ates a fund1 to 
be kn[n z ! ,victims ( ,g5d] ,transition
 ,proc$ures ,comp5sation ,fund1 :i* %all
 consi/ ( am\nts deposit$ 9 ! fund      
pursuant to subp>agraph 7,a74  7ii7     
,availability ( funds ,am\nts 9 ! fund  
e/abli%$ "u clause 7i7 %all be made     

available = exp5diture = fiscal ye>     
#bjbf & ea* fiscal ye> !reaft]1 )\t     
fur!r appropriation or fiscal ye>       
limitation = exp5diture by ! ,secret>y  
to c>ry out section #d4  7c7 ,private   
civil action  7#a7 ,9 g5]al ,an         
individual on :om a g5d] transition     
proc$ure is p]=m$ 9 violation (         
subsection 7a77#a71 or ! p>5t1 gu>dian1 
or c>etak] ( su* an individual if su*   
individual is a m9or1 may br+ a civil   
action 9 an appropriate di/rict c\rt ( !
 ,unit$ ,/ates aga9/ any p]son 9        
violation ( subsection 7a77#a7 =        
damages1 includ+ damages describ$ 9     
p>agraph 7#c74  7#b7 ,availability ,a   
cause ( action describ$ 9 p>agraph 7#a7 
%all be available reg>dless ( :e!r !    
alleg$ violation occurr$ be=e1 on1 or   
aft] ! date ( enactm5t ( ?is ,act4  7#c7
 ,damages ,damages ref]r$ to 9 p>agraph 
7#a7 include-- 7,a7 comp5satory damages1
 includ+ all economic damages associat$ 
) undo+1 correct+1 or ameliorat+ !      
effects or results ( any g5d] transition

 proc$ure2  7,b7 non-economic damages = 
emotional di/ress & pa9 & suff]+2 &     
7,c7 punitive damages1 if ! claimant    
proves by cle> & conv9c+ evid5ce t !    
def5dant aga9/ :om punitive damages are 
s\ght act$ malici\sly1 int5tionally1    
fraudul5tly1 or recklessly4  7d7 ,p5alty
 = ob/ruction ( inve/igations  7#a7 ,9  
g5]al ,! ,secret>y may impose a civil   
p5alty on any p]son :o ob/ructs or      
prev5ts ! ,secret>y f c>ry+ out an      
inve/igation into an alleg$ violation ( 
subsection 7a77#a74  7#b7 ,def9ition (  
ob/ruct ,9 ?is subsection1 ! t]m ob/ruct
 means to take an action t 0 kn[n1 or   
reasonably %\ld h be5 kn[n1 to prev5t1  
h9d]1 or imp$e an inve/igation4  7e7    
,rules ( con/ruction  7#a7 ,9 g5]al ,9  
any proce$+ describ$ 9 subsection 7b7 or
 7c7 any ambiguities %all be resolv$    
aga9/ any p]son f\nd to be 9 violation (
 subsection 7a77#a74  7#b7 ,heal? c>e   
pr(essionals ,9 any proce$+ describ$ 9  
subsection 7b7 or 7c7 aga9/ a heal? c>e 
pr(essional1 if a g5d] transition       

proc$ure ( a m9or is %[n to h occurr$   
be=e ! date ( enactm5t ( ?is ,act1      
limit$ def]5ce %all be giv5 to prevail+ 
/&>ds ( c>e 9 effect at su* "t1 to !    
ext5t t su* /&>ds ( c>e contradict !    
int5t ( ?is ,act & x is %[n t su* heal? 
c>e pr(essional knew or %\ld h kn[n t   
su* /&>ds ( c>e 7 9 s]i\s1 sci5tific1 & 
m$ical dispute at ! "t ( ! g5d]         
transition proc$ure4  7#c7 ,no liability
 = m9ors ,no?+ 9 ?is ,act %all be       
con/ru$ to impose any liability :atsoev]
 on a m9or :o is ! individual on :om a  
g5d] transition proc$ure is p]=m$1      
attempt$ to be p]=m$1 or conspir$ to be 
p]=m$ or on :om ! p]=mance ( any g5d]   
transition proc$ure 0 aid$ or abett$4   
7f7 ,effect ,no?+ 9 ?is ,act-- 7#a7     
e/abli%es a private "r ( action bas$ on 
c\nsel+1 ref]rals to m5tal heal?        
pr(essionals1 or discussions ( treatm5t 
options 7includ+ c\nsel+1 ref]rals1 or  
options available ^u rea*+ adul?ood7    
provid$ by heal? c>e pr(essionals or    
m5tal heal? pr(essionals or aga9/ heal? 

c>e pr(essionals or m5tal heal?         
pr(essionals bas$ on circum/ances n     
describ$ 9 subsection 7a77#b71 on !     
condition t su* actions d n con/itute   
p>ticipation 9 a g5d] transition        
proc$ure2  7#b7 prohibits a heal? c>e   
pr(essional or m5tal heal? pr(essional f
 provid+ in=mation ab\t all available   
treatm5t options1 discuss+ risks &      
b5efits1 or express+ pr(essional m$ical 
op9ions1 s long z su* actions d n       
con/itute p>ticipation 9 a g5d]         
transition proc$ure2 or  7#c7 waives    
liability = a heal? c>e pr(essional4    
7g7 ,/atute ( limitations ,an action "u 
subsection 7c7 may be br\ght )9 #be ye>s
 f ! date ( ! eighte5? bir?day ( an     
individual on :om a g5d] transition     
proc$ure is p]=m$ z a m9or or )9 #d ye>s
 f ! "t ! co/ ( a detransition treatm5t 
is incurr$1 :i*ev] date is lat]4  7h7   
,sev]ability ,if any provision ( ?is    
,act1 or ! application ( su* provision  
to any p]son or circum/ance1 is held to 
be or made invalid1 ! rema9d] ( ?is     

,act1 & ! application ( ! provision to  
any o!r p]son or circum/ance1 %all n be 
affect$4  #d4 ,op5+ av5ues = victims    
7a7 ,purpose ,! purpose ( ?is section is
 to support1 enc\rage1 & assi/          
individuals 9 _! ef=ts to rev]se g5d]   
transition proc$ures4  7b7 ,e/abli%m5t (
 grant program ,! ,secret>y %all e/abli%
 a grant program "u :i* ! ,secret>y %all
 aw>d grants to eligible entities to    
c>ry out ! activities describ$ 9        
subsection 7d74  7c7 ,eligibility  7#a7 
,eligible entities ,to be eligible = a  
grant "u ?is section1 an entity-- 7,a7  
%all be a private nonpr(it entity2  7,b7
 %all submit to ! ,secret>y an          
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation & assurances z !  
,secret>y may require1 includ+ an       
assurance t su* entity w-- 7i7 submit to
 ! ,secret>y su* reports ( deid5tifi$   
data1 in=mation1 & metrics z ! ,secret>y
 may require to assess ! entity's       
p]=mance 9 c>ry+ out activities "u !    
grant & ensure ! entity is 9 compliance 

) ! t]ms & conditions ( su* grant2  7ii7
 n *>ge individuals = s]vices provid$   
?r\gh ! grant2 &  7iii7 provide ea*     
individual c\nsel$ ?r\gh ! grant )      
accurate in=mation on ! appropriate     
m$ical proc$ures to rev]se g5d]         
transition proc$ures2 &  7,c7 %all agree
 to h a privacy policy & proc$ures 9    
place to ensure t-- 7i7 ! "n1 address1  
telephone numb]1 or any o!r in=mation t 
might id5tify any individual seek+      
s]vices support$ ?r\gh ! grant is n made
 public or %>$ ) any o!r entity )\t !   
writt5 cons5t ( ! individual2 &  7ii7 ! 
grantee adh]es to requirem5ts comp>able 
to ^? applicable "u ! ,,hipaa privacy   
regulation 7z def9$ 9 section           
#aahj7;b77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 to 
cov]$ entities 7z def9$ = purposes ( su*
 regulation74  7#b7 ,ineligible entities
 ,an entity %all be ineligible to       
receive a grant "u ?is section if !     
entity or any affiliate1 subsidi>y1     
successor1 or cl9ic !re(-- 7,a7 p]=ms1  

induces1 ref]s =1 or c\nsels 9 favor (  
g5d] transition proc$ures2  7,b7 p]=ms1 
induces1 ref]s =1 or c\nsels 9 favor (  
an abortion1 except-- 7i7 if ! pregnancy
 is ! result ( an act ( rape or ince/2  
or  7ii7 9 ! case :]e a woman suff]s f a
 physical disord]1 physical injury1 or  
physical illness1 includ+ a             
life-endang]+ physical condition caus$  
by or aris+ f ! pregnancy itself1 t     
w\ld1 z c]tifi$ by a physician1 place ! 
woman 9 dang] ( dea? unless an abortion 
is p]=m$2 or  7,c7 provides f9ancial    
support to any o!r entity t conducts any
 activity describ$ 9 subp>agraph 7,a7 or
 7,b74  7d7 ,use ( grant funds  7#a7    
,requir$ in=mation & ref]ral ,= !       
purpose describ$ 9 subsection 7a71 an   
eligible entity receiv+ a grant "u ?is  
section %all use ! grant funds to       
provide to individuals :o are explor+   
detransition in=mation on1 & ref]ral to1
 #a or m ( ! foll[+ s]vices3 7,a7       
,m$ical advice & c>e to rev]se a g5d]   
transition proc$ure4  7,b7 ,education & 

employm5t assi/ance1 includ+ s]vices t  
support ! cont9uation & completion (    
high s*ool4  7,c7 ,volunt>y m5tal heal? 
& sub/ance use disord] s]vices4  7#b7   
,p]missible direct provision ( s]vices  
,= ! purpose describ$ 9 subsection 7a71 
9 addition to us+ grant funds "u ?is    
section z describ$ 9 p>agraph 7#a71 an  
eligible entity receiv+ a grant "u ?is  
section may use ! grant funds = ! direct
 provision ( "o or m s]vices describ$ 9 
p>agraph 7#a74  7e7 ,prohibit$ uses (   
funds ,none ( ! funds made available "u 
?is section %all be us$ =-- 7#a7 g5d]   
transition proc$ures2  7#b7 paym5t = an 
abortion1 except-- 7,a7 if ! pregnancy  
is ! result ( an act ( rape or ince/2 or
  7,b7 9 ! case :]e a woman suff]s f a  
physical disord]1 physical injury1 or   
physical illness1 includ+ a             
life-endang]+ physical condition caus$  
by or aris+ f ! pregnancy itself1 t     
w\ld1 z c]tifi$ by a physician1 place ! 
woman 9 dang] ( dea? unless an abortion 
is p]=m$2 or  7#c7 requir+ any p]son to 

p]=m1 or facilitate 9 any way ! p]=mance
 (1 any abortion4  7f7 ,consid]ation ,9 
select+ ! recipi5ts ( grants "u ?is     
section1 ! ,secret>y %all consid] ea*   
applicant's demon/rat$ capacity 9       
provid+ s]vices to assi/ individuals :o 
are explor+ & seek+ m$ical advice 9 _!  
ef=ts to rev]se g5d] transition         
proc$ures4  7g7 ,monitor+ & review ,!   
,secret>y %all-- 7#a7 monitor & review  
ea* program fund$ ?r\gh a grant "u ?is  
section to ensure t ! grantee c>efully  
adh]es to-- 7,a7 ! purpose describ$ 9   
subsection 7a72 &  7,b7 ! requirem5ts ( 
?is section2 &  7#b7 cease to fund a    
program "u ?is section if ! grantee     
fails to adh]e to su* purpose &         
requirem5ts4