,,ii  #aai? ,,congress  #b;d ,session   
,s4 #eeic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bi1         
#bjbf,mr4 ,s*mitt introduc$ ! foll[+    
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
prev5t ! removal ( *ildr5 = sex-reject+ 
int]v5tions4  #a4 ,%ort title2 table (  
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,yaeli ,m>t9ez ,*ild        
,protection ,act4  7b7 ,table ( cont5ts 
,! table ( cont5ts = ?is ,act is z      
foll[s3 ,sec4 #a4 ,%ort title2 table (  
cont5ts4,sec4 #b4 ,f9d+s4,sec4 #c4      
,int5t2 au?ority4,sec4 #d4 ,rules (     
,con/ruction4,sec4 #e4                  
,sev]ability4,,title ,i--,am5dm5ts to ! 
,*ild ,abuse ,prev5tion & ,treatm5t     
,act,sec4 #aja4 ,grants to ,/ates = *ild
 abuse or neglect prev5tion & treatm5t  
programs4,sec4 #ajb4 ,re/rictions on    
uses ( funds2 protection ( p>5tal       
rights4,sec4 #ajc4 ,reports4,sec4 #ajd4 
,def9itions4,sec4 #aje4 ,rule (         
con/ruction4,sec4 #ajf4 ,private "r (   

action4,,title ,,ii--,am5dm5ts to !     
,social ,security ,act,sec4 #bja4       
,am5dm5ts to "p ,b ( title ,,iv ( !     
,social ,security ,act4,sec4 #bjb4      
,am5dm5ts to "p ,e ( title ,,iv ( !     
,social ,security ,act4,sec4 #bjc4      
,am5dm5ts to ! ,john ,h4 ,*afee ,fo/]   
,c>e ,program = ,successful ,transition 
to ,adul?ood4,sec4 #bjd4 ,rules (       
con/ruction2 application to fund+       
re/rictions "u p>ts ,b & ,e ( title ,,iv
 ( ! ,social ,security ,act4,sec4 #bje4 
,am5dm5t to section #dgh ( ! ,social    
,security ,act4,,title ,,iii--,am5dm5ts 
to ! full fai? & cr$it = *ild cu/ody    
determinations,sec4 #cja4 ,full fai? &  
cr$it = *ild cu/ody det]m9ations4  #b4  
,f9d+s ,congress f9ds z foll[s3 7#a7    
,p>5ts h ! fundam5tal "r "u !           
,con/itution ( ! ,unit$ ,/ates to direct
 ! c>e1 upbr++1 education1 & welf>e ( _!
 *ildr51 includ+ rais+1 treat+1 c>+ =1 &
 ref]r+ to a *ild 9 a mann] consi/5t ) !
 *ild's sex4  7#b7 ,p>5ts h ! fundam5tal
 "r to make heal? c>e decisions = !     

purpose ( protect+ _! *ild's bodily     
integrity1 developm5t1 & emotional &    
m5tal heal?4  7#c7 ,p>5ts h a "r "u !   
,fir/ ,am5dm5t to ! ,con/itution ( !    
,unit$ ,/ates to direct ! religi\s      
upbr++ ( _! *ildr51 includ+ to inculcate
 ! belief t all humans are creat$ male  
or female & to raise _! *ild z ! *ild's 
sex 9 accordance ) _! religi\s beliefs4 
7#d7 ,no *ild %\ld be remov$ f 8 or h]  
family by ! ,/ate1 or d5i$ fo/] or      
adoptive placem5t1 = ! purpose (        
subject+ ! *ild to social1 m$ical1 or   
surgical sex-reject+ int]v5tions by !   
,/ate4  7#e7 ,rais+ a *ild accord+ to 8 
or h] sex is n abuse4  7#f7 ,congress & 
! ,supreme ,c\rt h long recogniz$ t     
p>5ts possess ! fundam5tal "r to raise  
_! *ildr5 9 accordance ) _! beliefs1    
includ+ ?r\gh ,mey] v4 ,nebraska1 #bfb  
,u4,s4 #cij 7#aibc71 ,pi]ce v4 ,society 
( ,si/]s1 #bfh ,u4,s4 #eaj 7#aibe71     
,quillo9 v4 ,walcott1 #dcd ,u4,s4 #bdf  
7#aigh71 ,p>ham v4 ,j4,r41 #ddb ,u4,s4  
#ehd 7#aigi71 ,troxel v4 ,granville1    

#ecj ,u4,s4 #eg 7#bjjj71 & ,mahm\d v4   
,taylor1 #fjf ,u4,s4 #ebb 7#bjbe74 ,!   
,supreme ,c\rt1 9 ,troxel v4 ,granville1
 #ecj ,u4,s4 #eg 7#bjjj71 held t !      
int]e/ ( p>5ts 9 ! c>e1 cu/ody1 &       
control ( _! *ildr5--is p]haps ! olde/ (
 ! fundam5tal lib]ty int]e/s recogniz$  
by ?is ,c\rt4  7#g7 ,! "r ( p>5ts to    
direct ! upbr++ & c>e ( _! *ildr51      
includ+ ! "r to make m$ical decisions on
 behalf ( _! *ildr51 is a fundam5tal    
lib]ty int]e/ protect$ by ! ,due        
,process ,clause ( ! ,f\rte5? ,am5dm5t  
to ! ,con/itution ( ! ,unit$ ,/ates1    
includ+ ?r\gh ,mey] v4 ,nebraska1 #bfb  
,u4,s4 #cij 7#aibc71 ,pi]ce v4 ,society 
( ,si/]s1 #bfh ,u4,s4 #eaj 7#aibe71     
,p>ham v4 ,j4,r41 #ddb ,u4,s4 #ehd      
7#aigi71 & ,troxel v4 ,granville1 #ecj  
,u4,s4 #eg 7#bjjj74  7#h7 ,! ,supreme   
,c\rt has recogniz$ t ^! con/itutional  
protections re/ on ! presumption t p>5ts
 love _! *ildr5 & possess :at a *ild    
lacks 9 maturity1 exp]i5ce1 & capacity =
 judgm5t4 ,! ,supreme ,c\rt1 9 ,p>ham v4

 ,j4,r41 #ddb ,u4,s4 #ehd 7#aigi71      
affirm$ t p>5ts h always be5 presum$ to 
act 9 ! be/ int]e/s ( _! *ildr5 9 mak+  
m$ical decisions4  7#i7 ,! ,supreme     
,c\rt has /at$1 9 ,quillo9 v4 ,walcott1 
#dcd ,u4,s4 #bdf 7#aigh71 t1 abs5t a    
cle> & conv9c+ f9d+ ( unfitness ( p>5tal
 abuse1 neglect1 or ab&onm5t1 ! ,/ate   
may n lawfully int]v5e 9 ! p>5t-*ild    
relation%ip4 ,! ,supreme ,c\rt has held 
t-- 7,a7 ! ,due ,process ,clause does n 
p]mit a ,/ate to infr+e on ! fundam5tal 
"r ( p>5ts to make *ild re>+ decisions  
simply because a /ate judge believes a  
bett] decision c\ld be made 7,troxel v4 
,granville1 #ecj ,u4,s4 #eg 7#bjjj772 & 
7,b7 simply because ! decision ( a p>5t 
is n agreeable to a *ild or because x   
involves risks does n automatically     
transf] ! p[] to make t decision f !    
p>5ts to "s ag5cy or (fic] ( ! /ate     
7,p>ham v4 ,j4,r41 #ddb ,u4,s4 #ehd     
7#aigi774  7#aj7 ,a p>5t's decision to  
affirm a *ild's sex & protect him or h] 
f ! h>ms ( sex-reject+ int]v5tions is an

 ex]cise ( fundam5tal p>5tal rights4    
,rais+ a *ild accord+ to 8 or h] sex is 
n abuse1 neglect1 or maltreatm5t4  7#aa7
 ,! ,supreme ,c\rt has recogniz$ 9      
,unit$ ,/ates v4 ,skrmetti1 #fje ,u4,s4 
#die 7#bjbe7 t sex-reject+ int]v5tions  
are n settl$ sci5ce1 t ! g5d] di/ress ( 
a *ild is n immutable1 & t ! /ate may   
reasonably protect a *ild f ! h>ms (    
sex-reject+ int]v5tions4 ,likewise1     
p>5ts h ! "r to make a reasonable *oice 
9 ! be/ int]e/ ( _! *ild1 to pres]ve = t
 *ild a future free f ^! h>ms4  7#ab7 ,!
 ,supreme ,c\rt has recogniz$ 9 ,mahm\d 
v4 ,taylor1 #fjf ,u4,s4 #ebb 7#bjbe71 ! 
rights ( p>5ts to direct ! religi\s     
upbr++ ( _! *ildr5 & t ^? rights are    
violat$ by gov]nm5t policies t          
sub/antially int]f]e ) ! religi\s       
developm5t ( *ildr51 includ+ :]e        
promotion ( g5d] ideology w\ld impose a 
sub/antial burd5 on _! religi\s beliefs4
  7#ac7 ,& yet1 p>5ts across ! ,unit$   
,/ates h suff]$ griev\s int]f]5ce ) _!  
con/itutional rights4 ,/ate *ild        

protection ag5cies & c\rts h int]v5$    
=cefully to remove *ildr5 f fit p>5ts & 
d5y placem5t ( *ildr5 ) fo/] & adoptive 
p>5ts simply because p>5ts refuse to    
affirm a *ild's rejection ( 8 or h] sex1
 or cons5t to social1 m$ical or surgical
 sex-reject+ int]v5tions4  7#ad7 ,/ate &
 ,f$]al policies t require p>5tal       
affirmation ( a *ild's rejection ( 8 or 
h] sex are at odds ) ! be/ available    
sci5ce1 :i* recognizes ! evid5ce =      
sex-reject+ int]v5tions is weak :ile !  
risks ( physical & psy*ological h>m are 
high4 ,?is unfavorable risk-b5efit ratio
 has be5 cle>ly e/abli%$ 9 ! #bjbe      
report ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 titl$ ,treatm5t = ,p$iatric   
,g5d] ,dysphoria3 ,review ( ,evid5ce &  
,be/ ,practices1 & ?r\gh multiple       
sy/ematic reviews conduct$ 9 ! ,unit$   
,k+dom1 ,sw$51 ,f9l&1 & o!r c\ntries4   
,risks include canc]1 loss ( bone       
d5sity1 impair$ cognitive developm5t1   
adv]se psy*iatric ev5ts1 loss ( sexual  
function1 & inf]tility & /]ility4  7#ae7

 ,! sci5tific lit]ature %[s t1 9 mo/    
*ildr51 g5d] dysphoria resolves by      
adul?ood if ! *ild is n m$icaliz$ or    
treat$ z ! opposite sex4 ,affirmation ( 
a *ild's sex is consi/5t ) bo? long-t]m 
heal? outcomes & ! *ild's natural       
developm5tal trajectory4  7#af7 ,f$]al  
funds %\ld n be us$ to m&ate1 promote1  
or implem5t protocols treat+ sex-reject+
 int]v5tions z evid5ce-bas$1 safe1 or 9 
! be/ int]e/s ( *ildr54  7#ag7 ,despite 
! lack ( evid5ce = sex-reject+          
int]v5tions1 = _m ye>s1 ,/ate *ild      
welf>e sy/ems h tra9$ p]sonnel1 f social
 work]s to judges1 to treat z unsafe or 
abusive p>5ts :o decl9e to cons5t to ^! 
int]v5tions = _! *ild4  7#ah7 ,?is tra9+
 has result$ 9 ,/ates remov+ *ildr5 f   
lov+ families & d5y+ ! placem5t ( *ildr5
 ) prospective fo/] & adoptive p>5ts1 on
 ! sole or prim>y basis t !y affirm !   
*ild's sex4  7#ai7 ,removal f fit p>5ts 
is contr>y to ! be/ int]e/s ( *ildr51   
creates trauma = ! *ild1 damages        
familial bonds1 & exposes ! *ild to     

well-docum5t$ risks 9 /ate cu/ody4      
,*ildr5 h suff]$ great h>m & ev5 h di$  
aft] be+ remov$ f lov+ families by !    
/ate = sex-reject+ int]v5tions4  7#bj7  
,:]e ,/ates h bann$ placem5t ) fo/] &   
adoptive p>5ts on ! gr\nds ( _!         
sci5tific or religi\s convictions ab\t  
sexuality1 ?\s&s ( safe & welcom+ homes 
h be5 lo/ to ! fo/] sy/em1 fur!r        
endang]+ *ildr5 9 desp]ate ne$4  7#ba7  
,*ildr5 9 fo/] c>e & ,/ate resid5tial   
sett+s are among ! mo/ vuln]able        
populations 9 ! ,nation2 _m h exp]i5c$  
prior abuse or trauma4 ,sex-sep>at$     
facilities provide an ess5tial safegu>d 
= ^! *ildr5's safety & well-be+1 & yet  
_m ,/ate fo/] facilities n[ h\se m9or   
females ) males4  7#bb7 ,_m ,/ates h    
pass$ laws or enact$ polices arrogat+   
cu/ody to !mselves if a *ild runs to or 
is tak5 by an adult to ! ,/ate =        
sex-reject+ int]v5tions 9 gross disreg>d
 ( lawful cu/ody ord]s & p>5tal rights 9
 ano!r ,/ate4  7#bc7 ,^! measures am\nt 
to ,/ate-sanction$ kidnapp+ & directly  

conflict ) ! ,full ,fai? & ,cr$it       
,clause & ! ,supremacy ,clause ( !      
,con/itution ( ! ,unit$ ,/ates & !      
am5dm5ts made by ! ,p>5tal ,kidnapp+    
,prev5tion ,act ( #aihj 7,public ,law   
#if-faa2 #id ,/at4 #cefh74  7#bd7 ,/ate 
policies (f]+ free sex-reject+          
int]v5tions to *ildr5 h entic$ _m *ildr5
 to run away f fit & lov+ p>5ts :o seek 
to protect !m4 ,nonpr(it entities1      
includ+ ,/ate & ,f$]al-fund$ entities1 h
 enc\rag$ & aid$ *ildr5 9 runn+ away to 
avoid ! lawful au?ority & c>e ( _!      
p>5ts4  7#be7 ,f$]al funds provid$ "u ! 
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eaja et seq47 &        
subtitles ,b & ,e ( title ,,iv ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#fja et seq47 h be5 us$1 directly or    
indirectly1 to fund inve/igations1      
removals1 tra9+s1 & programs t treat    
p>5tal affirmation ( a *ild's sex z     
evid5ce ( *ild abuse1 neglect1 emotional
 abuse1 or p>5tal unfitness or          
incapacity4  7#bf7 ,su* uses ( ,f$]al   

funds are inconsi/5t ) ,f$]al law1      
int]/ate compacts on juv5ile runaways1  
multi-,/ate laws gov]n+ c\rt            
jurisdiction ov] *ild cu/ody matt]s1 !  
con/itutional rights ( p>5ts1 & ! be/   
int]e/s ( *ildr54  7#bg7 ,! ,f$]al *ild 
welf>e sy/em is premis$ on ! pr9ciple t 
*ild removal f p>5ts is an extreme      
measure ( la/ resort1 to be employ$ only
 :5 ! *ild faces a g5u9e risk ( abuse or
 neglect t _c be rem$iat$ ?r\gh less    
dra/ic means4 ,employ+ t sy/em to remove
 *ildr5 f p>5ts :o are ex]cis+ _!       
fundam5tal con/itutional "r to raise _! 
*ildr5 9 a mann] consi/5t ) _! sex      
di/orts ! purpose ( ! sy/em1 causes     
s]i\s h>m to families1 & und]m9es public
 confid5ce 9 *ild welf>e in/itutions4   
7#bh7 ,p>5ts & *ildr5 h suff]$ unw>rant$
 b irrep>able h>m :5 _! own or ano!r    
,/ate has wrongfully ass]t$ au?ority ov]
 ! *ild 9 ord] to provide sex-reject+   
int]v5tions aga9/ ! p>5t's w4  7#bi7    
,exi/+ ,/ate rem$ies & adm9i/rative     
processes h fail$ to provide timely or  

effective relief = violations (         
fundam5tal p>5tal rights by public      
(ficials or private entities ex]cis+    
,/ate-d]iv$ au?ority4 ,*ild welf>e      
sy/ems & c\rts h comp\nd$ ^! violations 
by draw+ out proce$+s pa/ ! age (       
majority1 r5d]+ cases moot & inju/ice   
p]man5t4  7#cj7 ,congress mu/ act to    
prev5t ! ongo+ misuse ( public funds1   
h>m to *ildr5 9 ,/ate c>e1 & de/ruction 
( families by ! ideological             
weaponization *ild welf>e sy/ems4 ,cle> 
national /&>ds = ! use ( ,f$]al *ild    
welf>e funds1 public acc\ntability1 & ! 
e/abli%m5t ( a cle> cause ( action aga9/
 ,/ate *ild welf>e s]vices & _!         
employees & contractors are necess>y to 
det] h>m to *ildr5 & violations ( p>5tal
 rights & to ensure mean+ful rem$ies4   
#c4 ,int5t2 au?ority  7a7 ,int5t ,x is !
 int5t ( ,congress-- 7#a7 to reaffirm & 
protect ! fundam5tal "r ( p>5ts to      
direct ! c>e1 upbr++1 education1 &      
welf>e ( _! *ildr51 includ+ ! "r to     
raise1 c>e =1 treat1 & ref] to !m 9 a   

mann] consi/5t ) ! *ild's sex2  7#b7 to 
/op ! weaponization ( ! *ild welf>e     
sy/em aga9/ p>5ts :o affirm _! *ild's   
sex or decl9e to cons5t to sex-reject+  
int]v5tions2  7#c7 to det] violations ( 
p>5tal rights by ,/ate actors1 nonpr(it 
entities or o!r entities & p]sons       
ex]cis+ ,/ate-delegat$ au?ority ov] *ild
 cu/ody1 placem5t1 or c>e2  7#d7 to     
protect *ildr5 9 fo/] c>e1 resid5tial   
placem5ts1 & o!r out-(-home sett+s f be+
 subject$ to sex-reject+ int]v5tions or 
endang]$ by failure to provide          
sex-sep>at$ sleep+1 toilet+1 ba?+1 & o!r
 facilities 9 :i* a *ild may be 9 a /ate
 ( undress2  7#e7 to provide cle> notice
 & tra9+ ( con/itutional obligations )9 
*ild welf>e sy/ems2  7#f7 to ensure t   
,f$]al funds are n us$ by ,/ates or by  
private ,/ate-designat$ or ,/ate-fund$  
entities to violate ! fundam5tal rights 
( p>5ts or to en=ce or fur!r ! provision
 ( sex-reject+ int]v5tions to m9ors2    
7#g7 to ensure t pr(essional tra9+1     
cl9ical protocols1 & adm9i/rative       

guidance fund$ ) ,f$]al monies d n      
*>act]ize p>5tal affirmation ( a *ild's 
sex z *ild abuse1 neglect1 emotional    
abuse1 or evid5ce ( p>5tal unfitness or 
incapacity2  7#h7 to ensure t ,f$]al    
funds are sp5t 9 accordance )           
evid5ce-bas$ practices t support *ild   
safety1 family pres]vation1 & *ild      
well-be+1 & n on programs1 tra9+s1 or   
protocols t promote sex-reject+         
int]v5tions = *ildr5 or t treat p>5tal  
affirmation ( a *ild's sex z h>mful to !
 *ild2  7#i7 to ensure t *ildr5 9 ,/ate 
c>e are h\s$ on ! basis ( _! immutable  
sex2  7#aj7 to provide p>5ts1 legal     
gu>dians1 c>egiv]s1 & *ildr5 ) access to
 mean+ful & timely judicial relief :5   
rights recogniz$ & e/abli%$ by ?is ,act1
 includ+ ! am5dm5ts made by ?is ,act1   
are infr+$ ?r\gh ! express provision ( a
 "r ( action2  7#aa7 to affirm t ref]r+ 
to ! *ild by pron\ns or titles consi/5t 
) ! *ild's sex1 decl9+ to cons5t to     
pub]ty-block+ drugs or cross-sex        
hormones1 & decl9+ to facilitate social1

 m$ical1 or surgical sex-reject+        
int]v5tions d n con/itute *ild abuse1   
neglect1 emotional abuse1 or maltreatm5t
 "u ,f$]al law2 &  7#ab7 to pres]ve !   
integrity ( int]/ate cu/ody proce$+s &  
prohibit c\rts ( ano!r ,/ate f assum+   
jurisdiction ov] *ild cu/ody or         
visitation on ! basis ( a p>5t's or     
*ild's desire to obta9 sex-reject+      
int]v5tions4  7b7 ,au?ority ,?is ,act is
 enact$ pursuant to ! foll[+ au?orities 
( ,congress3 7#a7 ,section #e ( !       
,f\rte5? ,am5dm5t to ! ,con/itution ( ! 
,unit$ ,/ates1 to en=ce ! gu>antees (   
due process & equal protection =        
fundam5tal rights1 specifically !       
fundam5tal p>5tal "r to cu/ody & c>e (  
_! *ild & to direct ! upbr++1 c>e1 &    
control ( _! *ild4  7#b7 ,! ,sp5d+      
,clause "u section #h ( article ,i ( !  
,con/itution ( ! ,unit$ ,/ates1 by :i*  
,congress may condition ! receipt (     
,f$]al funds on ,/ates' agreem5t to     
comply ) specific requirem5ts relat$ to 
! purposes ( ! fund$ programs 7,s\?     

,dakota v4 ,dole1 #dhc ,u4,s4 #bjc      
7#aihg774 ,! conditions e/abli%$ by ?is 
,act1 includ+ ! am5dm5ts made by ?is    
,act relate to ! ,f$]al int]e/ 9 *ild   
welf>e1 *ild safety1 family pres]vation1
 & ! protection ( p>5tal rights4  7#c7  
,! ,full ,fai? & ,cr$it ,clause (       
section #a ( article ,,iv ( !           
,con/itution ( ! ,unit$ ,/ates1 :i*     
grants ,congress ! p[] to prescribe !   
mann] 9 :i* full fai? & cr$it %all be   
giv5 to ! public acts1 records1 &       
judicial proce$+s ( ea* ,/ate4  7#d7 ,! 
,comm]ce ,clause ( section #h ( article 
,i ( ! ,con/itution ( ! ,unit$ ,/ates1  
to ! ext5t t ! activities regulat$      
sub/antially affect int]/ate comm]ce1   
includ+ ! int]/ate movem5t ( *ildr5     
across ,/ate l9es 9 ! context ( cu/ody  
proce$+s1 fo/] c>e placem5ts1 & !       
adm9i/ration ( f$]ally fund$ *ild welf>e
 programs4  #d4 ,rules ( ,con/ruction   
7a7 ,9 g5]al ,?is ,act %all be con/ru$--
 7#a7 broadly1 ) respect to ! protection
 ( con/itutional p>5tal rights2 &  7#b7 

n>r[ly1 ) respect to any ass]t$         
ju/ification = gov]nm5t int]f]5ce )     
con/itutional p>5tal rights4  7b7       
,effect on o!r laws ,no?+ 9 ?is ,act    
%all-- 7#a7 limit ! au?ority ( *ild     
protective s]vices ag5cies to inve/igate
 or respond to g5u9e reports ( physical 
abuse1 sexual abuse1 or neglect (       
*ildr52 or  7#b7 preempt any ,/ate law t
 provides great] protection to p>5ts1   
legal gu>dians1 or *ildr5 ?an ! rights  
e/abli%$ by ?is ,act1 includ+ ! am5dm5ts
 made by ?is ,act4  7c7 ,con/ruction (  
t]ms relat+ to *ild welf>e & affirmation
 ( a *ild's sex ,= purposes ( ?is ,act1 
includ+ ! am5dm5ts made by ?is ,act1 !  
t]ms *ild abuse1 emotional abuse1       
neglect1 maltreatm5t1 mi/reatm5t1 p>5tal
 unfitness or incapacity1 & ab&onm5t    
%all n be con/ru$ to include affirm+ a  
*ild's sex1 nor %all affirm+ a *ild's   
sex be con/ru$ z contr>y to ! be/ int]e/
 ( ! *ild1 or z contr>y to a *ild's     
safety1 heal?1 well-be+1 or welf>e4  #e4
 ,sev]ability ,if any provision ( ?is   

,act1 an am5dm5t made by ?is ,act1 or ! 
application ( su* provision or am5dm5t  
to any p]son or circum/ance is held to  
be invalid or un5=ceable by any c\rt (  
compet5t jurisdiction1 ! rema9d] ( ?is  
,act1 ! am5dm5ts made by ?is ,act1 & !  
application ( su* provision or am5dm5t  
to any o!r p]son or circum/ance %all n  
be affect$ !reby4  ,i ,am5dm5ts to !    
,*ild ,abuse ,prev5tion & ,treatm5t ,act
  #aja4 ,grants to ,/ates = *ild abuse  
or neglect prev5tion & treatm5t programs
 ,section #ajf ( ! ,*ild ,abuse         
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eajf;a7 is am5d$-- 7#a7 9    
subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 
7i7 9 subp>agraph 7,b7-- 7,i7 9 clause  
7vii71 by ins]t+ 1 except to ! ext5t t  
su* report relates to a claim or        
suspicion ( *ild abuse bas$ on a p>5t or
 gu>dian affirm+ a *ild's sex be=e !    
semicolon at ! end2  7,,ii7 9 clause    
7xxiv71 by /rik+ 2 & & ins]t+ a         
semicolon2 &  7,,iii7 by add+ at ! end !
 foll[+3  7xxvi7 provisions & proc$ures 

=-- 7,i7 protect+ & promot+ *ildr5's "r 
to be free f sex-reject+ int]v5tions2 & 
7,,ii7 protect+ *ildr5 f ! use1 )\t     
express p>5tal cons5t1 ( pron\ns or     
titles t d n correspond to ! *ild's sex2
  7xxvii7 provisions & proc$ures = tra9+
 *ild protective s]vice work]s1 gu>dians
 ad litem1 m9or's c\nsel1 c\rt appo9t$  
special advocates1 judges1 & o!r        
individuals provid+ s]vices to *ildr5 & 
families on-- 7,i7 ! m$ical1            
psy*ological1 & developm5tal h>ms (     
sex-reject+ int]v5tions to *ildr5 & !   
h>ms ( us+ pron\ns or titles t d n      
correspond to a *ild's sex2  7,,ii7 ! "r
 ( a p>5t or legal gu>dian to affirm a  
*ild's sex & ( a p>5t1 legal gu>dian1   
c>egiv]1 fo/] p>5t1 or prospective fo/] 
or adoptive p>5t to be free f           
discrim9ation or adv]se ,/ate actions = 
affirm+ a *ild's sex2  7,,iii7 !        
pr9ciple t affirmation ( a *ild's sex by
 a p>5t1 legal gu>dian1 c>egiv]1 fo/]   
p>5t1 or prospective fo/] or adoptive   
p>5t is n *ild abuse1 emotional abuse1  

neglect1 maltreatm5t1 ab&onm5t1 contr>y 
to ! *ild's be/ int]e/1 contr>y to !    
*ild's heal?1 safety1 or welf>e1 or an  
indication ( p>5tal unfitness or        
incapacity2 &  7,,iv7 ! pr9ciple t      
affirmation ( a *ild's sex is consi/5t )
 ! *ild's be/ int]e/s1 heal?1 safety1 & 
welf>e2 &  7xxviii7 provisions &        
proc$ures requir+ any cov]$ entity      
describ$ 9 section #aaa7;a77#e77;,a7 to 
h 9 effect policies & proc$ures t       
protect & promote ! "r ( a p>5t1 legal  
gu>dian1 or c>egiv] to be free f any    
adv]se ,/ate action4  2  7ii7 9         
subp>agraph 7,f71 by /rik+ 2 & & ins]t+ 
a semicolon2  7iii7 9 subp>agraph 7,g71 
by /rik+ ! p]iod & ins]t+ a semicolon2 &
  7iv7 by add+ at ! end ! foll[+3  7,h7 
an assurance 9 ! =m ( a c]tification by 
! gov]nor ( ! ,/ate t ! programs1       
projects1 or tra9+s conduct$ or fund$ "u
 ?is title d n violate ! limitations set
 =? 9 section #aae2 &  7,i7 an assurance
 9 ! =m ( a c]tification by ! gov]nor ( 
! ,/ate t ! programs1 projects1 or      

tra9+s conduct$ "u ?is sub*apt] comply )
 clauses 7xxvi7 ?r\gh 7xxviii7 (        
subp>agraph 7,b74  2 &  7,b7 9 p>agraph 
7#c7-- 7i7 by /rik+ su* a disclosure :]e
 a c\rt ord]s & ins]t+ 8su* a disclosure
 :]e--  7,a7 a c\rt ord]s  2  7ii7 by   
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7iii7 by add+ at ! end ! foll[+3  7,b7 a
 report includes an allegation t ! *ild 
is be+ affirm$ z 8 or h] sex2 or  7,c7 !
 *ild has express$ a desire to be treat$
 9 a mann] t does n correspond to 8 or  
h] sex or has reque/$ sex-reject+       
int]v5tions4  2  7#b7 9 subsection      
7c77#d77;,b77i77,i71 by ins]t+ 1 except 
z reque/$ by ! ,secret>y be=e !         
semicolon2  7#c7 9 subsection 7d71 by   
add+ at ! end ! foll[+3  7#ai7 ,( !     
numb] ( *ildr5 describ$ 9 p>agraph 7#a71
 ! numb] :o id5tify 9 a mann] t does n  
correspond to _! sex &-- 7,a7 :o 7      
report$ to ! ,/ate to h run away f home 
or elop$ f a placem5t2  7,b7 :o h be5   
giv5 a placem5t outside ( ! home2  7,c7 
:o 7 remov$ f p>5t1 legal gu>dian1 or   

c>egiv]2 or  7,d7 ^: p>5ts _h _! p>5tal 
rights t]m9at$4  2 &  7#d7 by add+ at ! 
end ! foll[+3  7g7 ,scope ( application 
,= purposes ( clauses 7xxvi7 ?r\gh      
7xxviii7 ( subsection 7b77#b77;,b71 if  
any cov]$ entity describ$ 9 section     
#aaa7;a77#e77;,a7 receives funds "u ?is 
title1 directly or z a recipi5t ( a     
subgrant1 ! provisions & proc$ures      
describ$ 9 su* clauses %all apply to all
 ( ! op]ations1 divisions1 facilities1  
or programs ( t cov]$ entity1 reg>dless 
( :e!r ! specific op]ation1 division1   
facility1 or program receiv$ su* funds4 
4  #ajb4 ,re/rictions on uses ( funds2  
protection ( p>5tal rights ,title ,i ( !
 ,*ild ,abuse ,prev5tion & ,treatm5t    
,act 7#db ,u4,s4,c4 #eaja et seq47 is   
am5d$ by add+ at ! end ! foll[+3  #aae4 
,re/rictions on uses ( funds2 protection
 ( p>5tal rights  7a7 ,9 g5]al ,9       
adm9i/]+1 en=c+1 or aw>d+ funds "u ?is  
title1 ! ,secret>y %all n treat         
affirmation ( a *ild's sex by a p>5t1   
legal gu>dian1 c>egiv]1 fo/] p>5t1 or   

prospective fo/] or adoptive p>5t z *ild
 abuse1 emotional abuse1 neglect1       
maltreatm5t1 ab&onm5t1 contr>y to !     
*ild's be/ int]e/s1 contr>y to a *ild's 
heal?1 safety1 or welf>e1 or an         
indication ( p>5tal unfitness or        
incapacity4  7b7 ,condition on receipt (
 funds2 rights protect$ ,z a condition (
 receiv+ funds "u ?is title1 includ+ any
 grants1 subgrants1 or o!r allocations1 
a cov]$ entity %all protect ! foll[+    
rights & %all n discrim9ate or take an  
adv]se ,/ate action aga9/ an individual 
because su* individual ex]cises1 has    
ex]cis$1 or int5ds to ex]cise any su*   
"r3 7#a7 ,a p>5t or legal gu>dian has ! 
"r to affirm a *ild's sex1 includ+ ! "r 
= ! *ild n to be subject$ by any cov]$  
entity1 ev5 if ! *ild is 9 ! legal or   
physical cu/ody ( ! cov]$ entity1 to--  
7,a7 ! provision1 facilitation1 fund+1  
au?orization1 or p]mission ( any        
sex-reject+ int]v5tion = ! *ild2  7,b7 !
 use ( pron\ns or titles t d n          
correspond to ! *ild's sex1 )\t !       

express writt5 cons5t ( ! *ild's p>5t or
 legal gu>dian2 or  7,c7 if ! *ild is #d
 ye>s ( age or old]1 be+ p]mitt$ or     
assign$ ! use ( sleep+ qu>t]s 7o!r ?an  
sleep+ qu>t]s %>$ only ) a sibl+71      
ba?rooms1 %[]s1 lock] rooms1 *ang+      
rooms1 or any o!r area 9 :i* ! *ild w\ld
 be 9 a /ate ( undress1 ) individuals ( 
! opposite sex4  7#b7 ,a p>5t or legal  
gu>dian has ! "r n to be requir$ to     
cons5t to ! *ild be+ subject$ to any ( !
 actions describ$ 9 subp>agraph 7,a71   
7,b71 or 7,c7 ( p>agraph 7#a7 z a       
condition ( cu/ody or return ( ! *ild1  
or visitation1 communication1 or        
reunification ) ! *ild4  7#c7 ,a p>5t1  
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t has a "r to be free f     
discrim9ation or adv]se ,/ate action =  
affirm+ or int5d+ to affirm a *ild's    
sex4  7#d7 ,a *ild has ! "r n to be     
subject$ by any cov]$ entity1 ev5 if !  
*ild is 9 ! legal or physical cu/ody ( !
 cov]$ entity1 to any sex-reject+       

int]v5tion4  7c7 ,prohibit$ uses ( funds
 ,! ,secret>y %all ensure t no funds    
provid$ "u ?is title1 includ+ any       
grants1 subgrants1 & o!r allocations to 
,/ates1 ,indian ,tribes or ,tribal      
organizations1 & public & private       
ag5cies & organizations1 are us$ = any (
 ! foll[+3 7#a7 ,conduct+1 support+ or  
promot+ any program1 project1           
curriculum1 guidance1 protocol1 or tra9+
 t supports or promotes a pr9ciple t--  
7,a7 sex-reject+ int]v5tions are 9 ! be/
 int]e/ ( ! *ild or consi/5t ) ! heal?1 
safety1 & welf>e ( ! *ild2  7,b7        
affirmation ( a *ild's sex by a p>5t1   
legal gu>dian1 c>egiv]1 fo/] p>5t1 or   
prospective fo/] or adoptive p>5t is    
*ild abuse1 emotional abuse1 neglect1   
maltreatm5t1 ab&onm5t1 contr>y to a     
*ild's be/ int]e/s1 contr>y to a *ild's 
heal?1 safety1 or welf>e1 or an         
indication ( p>5tal unfitness or        
incapacity2 or  7,c7 a *ild's expression
 ( psy*ological di/ress1 includ+ a      
/atem5t or report ( suicidal ideation1  

relat$ to ! affirmation ( a *ild's sex  
is gr\nds = removal ( ! *ild f ! home1  
int]v5tion by a *ild welf>e ag5cy1 or   
any o!r adv]se ,/ate action4  7#b7      
,conduct+1 support+1 or promot+ any     
adv]se ,/ate action4  7#c7 ,provid+1    
facilitat+1 fund+1 au?oriz+1 or p]mitt+ 
any sex-reject+ int]v5tion = a *ild1 or 
ref]r+ a *ild = a sex-reject+           
int]v5tion4  7#d7 ,remov+ *ildr5 f      
p>5ts1 legal gu>dians1 or c>egiv]s &    
plac+ *ildr5 into any home1 in/itution1 
or o!r placem5t sett+ t facilitates or  
provides sex-reject+ int]v5tions1 or )\t
 p>5tal cons5t1 uses pron\ns or titles t
 d n correspond to ! *ild's sex4  7d7   
,obligations on recipi5ts & subrecipi5ts
 ,a ,/ate1 ,indian ,tribe or ,tribal    
organization1 or public or private ag5cy
 or organization receiv+ an aw>d "u ?is 
title1 or a recipi5t ( a subgrant ( su* 
an aw>d1 may n use su* aw>d = programs1 
tra9+s1 or o!r activities t violate any 
( ! re/rictions on uses ( funds set =? 9
 subsection 7b7 or 7c74  7e7 ,)hold+ &  

rec\pm5t = noncompliance  7#a7 ,au?ority
 to )hold & recov] funds  7,a7 ,9 g5]al 
,if ! ,secret>y det]m9es t any ,/ate1   
,indian ,tribe or ,tribal organization1 
or public or private ag5cy or           
organization1 includ+ any recipi5t ( a  
subgrant1 has violat$ ! conditions "u   
subsection 7b7 or us$ funds 9 violation 
( subsection 7c71 ! ,secret>y %all      
disall[ ! co/s associat$ ) su*          
violation1 )hold funds z describ$ 9     
subp>agraph 7,b7 or recov] funds z      
describ$ 9 subp>agraph 7,c71 z          
applicable1 & impose ! applicable p5alty
 am\nt det]m9$ "u p>agraph 7#c74  7,b7  
,)hold+ ( funds ,9 ! case ( a violation 
describ$ 9 subp>agraph 7,a71 ! ,secret>y
 %all )hold f ! recipi5t any future     
paym5ts or fund+ tran*es n yet disburs$ 
until ! ,secret>y c]tifies t ! violation
 has be5 rem$iat$ & t ! recipi5t has    
adopt$ policies & proc$ures suffici5t to
 prev5t recurr5ce4  7,c7 ,recov]y (     
funds ,9 ! case ( a violation describ$ 9
 subp>agraph 7,a71 ! ,secret>y %all     

recov] grant funds already disburs$ to !
 recipi5t1 & su* disburs$ funds %all    
con/itute a debt to ! ,f$]al ,gov]nm5t z
 ( ! date ( ! ,secret>y's writt5        
det]m9ation ( noncompliance1 collectible
 9 accordance ) p>ts #bjj & #cjj ( title
 #b1 ,code ( ,f$]al ,regulations 7or any
 successor regulations71 includ+ ?r\gh  
adm9i/rative (fset aga9/ any o!r ,f$]al 
paym5ts ow$ to ! entity "u ?is title or 
any o!r ,f$]al program adm9i/]$ by !    
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7,d7 ,basis = det]m9ation ,9 mak+ a     
det]m9ation "u subp>agraph 7,a71 a      
violation describ$ 9 any ( clauses      
7xxvi7 ?r\gh 7xxviii7 ( section         
#ajf7;b77#b77;,b7 includes a ,/ate's    
failure to-- 7i7 include 9 its ,/ate    
plan "u section #ajf7;b71 ! c]tification
 & assurance requir$ "u su* clauses2 or 
7ii7 adequately en=ce1 or ma9ta9 9      
effect1 programs c]tifi$ "u any su*     
clause4  7#b7 ,subgrants ,! direct      
recipi5t ( an aw>d "u ?is title %all be 
responsible = ensur+ t recipi5ts (      

subgrants aw>d$ by su* direct recipi5t  
complies ) ?is section1 & any violation 
by a recipi5t ( su* a subgrant %all be  
attribut$ to ! direct recipi5t ( ! aw>d 
f ! ,secret>y4  7#c7 ,p5alties  7,a7 ,9 
g5]al ,! p5alty am\nt applicable to a   
recipi5t ( a grant "u ?is title aw>d$ by
 ! ,secret>y & :o has violat$ subsection
 7b7 or 7c7 %all be z foll[s3 7i7 ,= !  
fir/ f9d+ ( su* a violation by !        
recipi5t )9 a grant p]iod1 #e p]c5t ( ! 
total funds provid$ to ! recipi5t "u ?is
 title = ! applicable grant p]iod4  7ii7
 ,= ! second f9d+ ( su* a violation by !
 recipi5t )9 a grant p]iod1 #aj p]c5t ( 
! total funds provid$ to ! recipi5t "u  
?is title = ! applicable grant p]iod4   
7iii7 ,= ! ?ird or any subsequ5t f9d+ ( 
violation by ! recipi5t )9 a grant      
p]iod1 #ae p]c5t ( ! total funds provid$
 to ! direct recipi5t "u ?is title = !  
applicable grant p]iod4  7,b7           
,limitation ,9 no case %all ! total     
p5alty impos$ aga9/ a s+le direct       
recipi5t = all f9d+s )9 a s+le grant    

p]iod exce$ #ae p]c5t ( ! total funds   
provid$ to ! recipi5t = ! applicable    
grant p]iod4  7,c7 ,requir$ p5alty ,!   
p5alties describ$ 9 ?is p>agraph are    
m&atory & ! ,secret>y has no discretion 
to waive or r$uce su* a p5alty except   
?r\gh ! appeals process "u subp>agraph  
7,d74  7,d7 ,appeals ,a direct recipi5t 
( a grant :o is assess$ a p5alty "u ?is 
p>agraph may file an appeal ( su* p5alty
 ) ! ,secret>y4 ,appeals f any          
det]m9ation ( noncompliance or p5alty   
am\nt "u ?is subsection %all be gov]n$  
by "p #af ( title #de ,code ( ,f$]al    
,regulations 7or any successor          
regulations74 ,! fil+ ( an appeal %all n
 /ay ! )hold+ ( future paym5ts or fund+ 
tran*es p5d+ resolution ( ! appeal1 b   
any am\nts recov]$ by ! ,secret>y f     
already-disburs$ funds %all n be        
collect$ p5d+ f9al resolution ( !       
appeal4  7#d7 ,regulations ,! ,secret>y 
%all issue su* regulations z are        
necess>y & appropriate to c>ry out ?is  
subsection1 includ+ regulations e/abli%+

 proc$ures = writt5 notice (            
noncompliance1 opportunity to respond1 &
 adm9i/rative review prior to any f9al  
det]m9ation "u p>agraph 7#a74  7#e7     
,cl>ifications ,no?+ 9 ?is subsection   
%all be con/ru$ to limit ! au?ority ( ! 
,secret>y to pursue any o!r rem$y       
available "u "p #bjj or #cjj ( title #b1
 ,code ( ,f$]al ,regulations 7or any    
successor regulations7 or any o!r       
applicable ,f$]al law ) respect to      
violations ( any o!r provision ( ?is    
title1 or to limit ! ,secret>y's        
au?ority to impose rem$ies 9 addition to
 ! p5alties prescrib$ 9 p>agraph 7#c7 = 
violations ( subsection 7b7 or 7c7 :]e !
 ,secret>y det]m9es t additional rem$ies
 are necess>y to protect ,f$]al funds4  
4  #ajc4 ,reports ,section #ajg ( !     
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eajf;c7 is am5d$-- 7#a7
 9 subsection 7e77#b77;,a71 by ins]t+ 1 
provid$ ! alt]native does n violate !   
limitations set =? 9 subsection 7f7 be=e
 ! semicolon2  7#b7 by r$esignat+       

subsection 7f7 z subsection 7g72 &  7#c7
 by ins]t+ aft] subsection 7e7 ! foll[+3
  7f7 ,limitations  7#a7 ,9 g5]al ,no   
,/ate task =ce review or recomm5dation  
made pursuant to ?is section %all-- 7,a7
 recomm5d any re=m ( ,/ate law1         
ord9ance1 regulation1 protocol1 or      
proc$ure t w\ld exp& ! def9ition ( *ild 
abuse1 *ild neglect1 p>5tal unfitness or
 incapacity to encompass a p>5t's1 legal
 gu>dian's1 or c>egiv]'s affirmation ( !
 *ild's sex2 or  7,b7 recomm5d1 promote1
 facilitate or endorse ! use ( any tra9+
 program1 cl9ical protocol1 or          
pr(essional /&>d t is inconsi/5t )      
section #aae4  7#b7 ,)hold+ & rec\pm5t =
 noncompliance ,a ,/ate task =ce t      
issues any recomm5dation prohibit$ z    
describ$ 9 p>agraph 7#a7 %all be deem$  
to be 9 noncompliance ) ?is section1 & !
 ,secret>y %all-- 7,a7 )hold any fur!r  
assi/ance until su* prohibit$           
recomm5dation is =mally resc9d$ by !    
,/ate task =ce & ! ,secret>y c]tifies t 
! task =ce is 9 compliance ) p>agraph   

7#a72 &  7,b7 if ! funds h already be5  
disburs$ dur+ ! p]iod ( noncompliance1  
recov] su* funds 9 accordance ) !       
graduat$ p5alty =mula set =? 9 section  
#aae7;e77#c7 = ! total funds provid$ = t
 grant p]iod4  4  #ajd4 ,def9itions     
,subsection 7a7 ( section #aaa ( ! ,*ild
 ,abuse ,prev5tion & ,treatm5t ,act 7#db
 ,u4,s4,c4 #eajf;g7 is am5d$ to read z  
foll[s3  7a7 ,def9itions ,= purposes (  
?is title3 7#a7 7,a7 ,! t]m adv]se ,/ate
 action means any cov]$ action tak5 by a
 cov]$ entity1 if any ( ! foll[+ 0 a    
motivat+ factor1 )\t reg>d to h[ ! cov]$
 entity *>act]izes ! reason = ! cov]$   
action3 7i7 ,affirmation (1 or int5t to 
affirm1 ! *ild's sex by ! p>5t1 legal   
gu>dian1 or c>egiv]4  7ii7 ,! *ild's    
reque/ to be treat$ 9 a mann] inconsi/5t
 ) ! *ild's sex or ! *ild's reque/ =1 or
 attempt to obta91 sex-reject+          
int]v5tions4  7iii7 ,! *ild's expression
 ( psy*ological di/ress1 includ+        
suicidal ideation or ?reat ( self-h>m1  
relat$ to affirmation ( ! *ild's sex by 

! p>5t1 legal gu>dian1 or c>egiv]4  7iv7
 ,t ! *ild ran away1 ?reat5s to run     
away1 or int5ds to run away f or reque/s
 no contact ) a p>5t1 legal gu>dian1 or 
c>egiv] because ( a circum/ance describ$
 9 clause 7i71 7ii71 or 7iii74  7,b7 ,= 
purposes ( subp>agraph 7,a71 a cov]$    
action includes any ( ! foll[+3 7i7 ,!  
removal or ?reat ( removal ( a *ild f ! 
home1 or ! removal or ?reat ( removal ( 
a p>5t1 legal gu>dian1 or c>egiv] f !   
home1 includ+ removal ( ! *ild or su*   
p>5t1 legal gu>dian1 or c>egiv] pursuant
 to any safety plan or o!r              
protective-s]vices action by a cov]$    
entity4  7ii7 ,any assessm5t1           
inve/igation1 or inquiry conduct$ = !   
purpose ( det]m9+ ! exi/5ce ( *ild      
abuse1 neglect1 or p>5tal unfitness or  
incapacity4  7iii7 ,any dep5d5cy1 *ild  
welf>e1 or juv5ile c\rt proce$+1 includ+
 any inve/igation1 removal proce$+1     
proce$+ to limit or condition ! ex]cise 
( p>5tal rights1 proce$+ relat+ to      
visitation1 proce$+ to t]m9ate p>5tal   

rights1 or o!r relat$ *ild welf>e or    
c\rt proce$+4  7iv7 ,d5y+1 imp$+1       
int]f]+ ) or unreasonably delay+-- 7,i7 
! p>5t's1 legal gu>dian's1 or c>egiv]'s 
visitation1 communication1 or meet+ ) ! 
*ild2  7,,ii7 ! p>5t's1 legal gu>dian's1
 or c>egiv]'s s*$ul$ meet+1 case        
conf]5ce1 or o!r plann$ communication ) 
an employee or ag5t ( a cov]$ entity    
reg>d+ ! *ild2 or  7,,iii7 ! return ( ! 
*ild to ! p>5t1 legal gu>dian1 or       
c>egiv]4  7v7 ,! mak+ ( any f9d+ or     
sub/antiation ( *ild abuse1 neglect1 or 
p>5tal unfitness or incapacity4  7vi7   
,any case plan1 safety plan1 s]vice     
plan1 or reunification plan             
recomm5dation or requirem5t impos$ by a 
cov]$ entity z a condition ( visitation1
 communication1 or meet+ ) a *ild1      
reunification1 return ( a *ild1 or      
cont9u$ family pres]vation4  7vii7 ,!   
involunt>y t]m9ation ( p>5tal rights to 
a *ild or to a sibl+ ( a *ild4  7viii7  
,placem5t on a ,/ate *ild abuse regi/ry 
or index4  7ix7 ,! delay or d5ial (     

fo/]-c>e placem5t or adoption4  7#b7 ,! 
t]ms affirm1 affirm$1 & affirmation1 )  
respect to ! sex ( a *ild1 mean ref]r+  
to or rais+ ! *ild1 or int5d+ to ref] to
 or raise ! *ild1 z 8 or h] sex1 includ+
 refus+ to cons5t to sex-reject+        
int]v5tions = ! *ild4  7#c7 ,! t]m      
,alaska ,native has ! mean+ giv5 ! t]m  
,native 9 section #c ( ! ,alaska ,native
 ,claims ,settlem5t ,act 7#dc ,u4,s4,c4 
#afjb74  7#d7 ,! t]m c>egiv] means any  
p]son :o provides ongo+ c>e1 sup]vision1
 & decision-mak+ = a *ild on a regul>   
basis1 includ+ a lic5s$ fo/] p>5t1 k9%ip
 c>egiv]1 pre-adoptive fo/] p>5t1 or    
p]son act+ 9 loco p>5tis1 b does n      
include any p]son :o is a p>5t or legal 
gu>dian4  7#e7 ,! t]m cov]$ entity      
means-- 7,a7 an entity t has receiv$    
funds "u ?is title1 directly or z a     
recipi5t ( a subgrant1 includ+-- 7i7 any
 ,/ate1 & any ag5cy ( a ,/ate t adm9i/]s
 *ild protective s]vices1 *ild welf>e   
s]vices1 or relat$ functions2  7ii7 any 
,indian ,tribe or ,tribal organization2 

or  7iii7 any public or private ag5cy or
 organization t contracts ) any entity  
li/$ 9 clause 7i7 or 7ii72 or  7,b7 any 
individual :o is a contractor1 employee1
 or ag5t ( any ( ! entities describ$ 9  
subp>agraph 7,a74  7#f7 ,! t]m disord] (
 sex developm5t means a cong5ital       
condition involv+ atypical complem5t or 
/ructure or developm5t ( sex *romosomes1
 gonads1 int]nal g5ital ducts1 or       
ext]nal g5italia1 includ+ disord]s ( sex
 hormone syn!sis or action1 b does n    
include psy*ological or behavioral      
conditions1 nor typical male or female  
sex developm5t ) di/ress reg>d+ sex$    
anatomy4  7#g7 ,! t]m infant or toddl] )
 a disability has ! mean+ giv5 ! t]m 9  
section #fcb ( ! ,individuals )         
,disabilities ,education ,act 7#bj      
,u4,s4,c4 #adcb74  7#h7 ,! t]m ,native  
,hawaiian has ! mean+ giv5 ! t]m 9      
section #fbjg ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife4  7#i7 ,! t]m   
sex means an individual's immutable     
biological sex1 ei!r-- 7,a7 male1 :]eby 

! individual naturally has1 _h1 w h1 or 
w\ld h1 b = a disord] ( sex developm5t  
or an int5tional or un9t5tional         
disruption1 ! reproductive sy/em t      
produces1 transports1 & utilizes ! small
 gamete 7sp]m7 = f]tilization2 or  7,b7 
female1 :]eby ! individual naturally    
has1 _h1 w h1 or w\ld h1 b = a disord] (
 sex developm5t or an int5tional or     
un9t5tional disruption1 ! reproductive  
sy/em t produces1 transports1 & utilizes
 ! l>ge gamete 7ova7 = f]tilization4    
7#aj7 ,! t]m sex-reject+ int]v5tion--   
7,a7 means a psy*ological1 m$ical1 or   
surgical int]v5tion t is int5d$ to      
promote1 endorse1 or enable a *ild's    
rejection ( ! *ild's sex1 to promote1   
endorse1 or enable a *ild to adopt an   
appe>ance t does n correspond to !      
*ild's sex1 or to int5tionally *ange !  
body ( a *ild1 includ+ ! *ild's ext]nal 
appe>ance or biological functions1 to no
 long] correspond to ! *ild's sex1      
includ+-- 7i7 int5tionally delay+1      
halt+1 or disrupt+ ! natural developm5t 

( ! *ild's body1 includ+ ! onset or     
progression ( pub]ty1 s t ! *ild's body 
does n develop or halts develop+ to     
correspond to ! *ild's sex1 :i* may     
include ! use ( pub]ty block+ drugs1 su*
 z gonadotrop9 releas+ hormone agoni/s  
or antagoni/s2  7ii7 prescrib+1         
adm9i/]+1 or disp5s+ to ! *ild &rog5    
block]s or sex hormones su* z e/rog51   
proge/]one1 or te/o/]one2  7iii7        
prescrib+ or p]=m+ any surgical proc$ure
 t attempts to trans=m ! physical       
appe>ance1 or t attempts to alt] or     
remove ! tissues1 cavities1 bone1       
c>tilage1 or organs1 ( a *ild2  7iv7    
provid+ compression mat]ials or g>m5ts t
 are design$ to con/rict female brea/s1 
or t flatt5 or tuck a male's g5itals1   
pro/hetic brea/s1 g5itals1 or hips1 or  
any o!r mat]ials t enable ! *ild to     
conceal 8 or h] sex or to simulate !    
physical *>act]i/ics ( ! opposite sex2  
or  7v7 p]mitt+ or assign+ a *ild :o is 
#d ye>s ( age or old] to-- 7,i7 use     
sleep+ qu>t]s1 ba?rooms1 lock] rooms1   

*ang+ rooms1 or o!r areas 9 :i* a *ild  
may be 9 a /ate ( undress1 ) individuals
 ( ! opposite sex2 or  7,,ii7 p>ticipate
 9 sex-sep>at$ activities designat$ =   
individuals ( ! opposite sex2 &  7,b7   
does n include ! treatm5t ( a disord] ( 
sex developm5t or ! treatm5t ( any      
infection1 injury1 disease1 or disord] t
 has be5 caus$ or exac]bat$ by !        
p]=mance ( an int]v5tion describ$ 9 any 
( clauses 7i7 ?r\gh 7iv7 ( subp>agraph  
7,a74  7#aa7 ,! t]m sexual abuse        
includes-- 7,a7 ! employm5t1 use1       
p]suasion1 inducem5t1 enticem5t1 or     
co]cion ( any *ild to engage 91 or assi/
 any o!r p]son to engage 91 any sexually
 explicit conduct or simulation ( su*   
conduct = ! purpose ( produc+ a visual  
depiction ( su* conduct2 or  7,b7 !     
rape1 & 9 cases ( c>etak] or            
int]-familial relation%ips1 /atutory    
rape1 mole/ation1 pro/itution1 or o!r =m
 ( sexual exploitation ( *ildr51 or     
ince/ ) *ildr54  7#ab7 ,! t]m )hold+ (  
m$ically indicat$ treatm5t means !      

failure to respond to ! infant's        
life-?reat5+ conditions by provid+      
treatm5t 7includ+ appropriate nutrition1
 hydration1 & m$ication7 :i*1 9 ! treat+
 physician's or physicians' reasonable  
m$ical judgm5t1 w be mo/ likely to be   
effective 9 ameliorat+ or correct+ all  
su* conditions1 except t ! t]m does n   
include ! failure to provide treatm5t   
7o!r ?an appropriate nutrition1         
hydration1 or m$ication7 to an infant   
:51 9 ! treat+ physician's or           
physicians' reasonable m$ical judgm5t-- 
7,a7 ! infant is *ronically &           
irrev]sibly comatose2  7,b7 ! provision 
( su* treatm5t w\ld-- 7i7 m]ely prolong 
dy+2  7ii7 n be effective 9 ameliorat+  
or correct+ all ( ! infant's            
life-?reat5+ conditions2 or  7iii7      
o!rwise be futile 9 t]ms ( ! survival ( 
! infant2 or  7,c7 ! provision ( su*    
treatm5t w\ld be virtually futile 9 t]ms
 ( ! survival ( ! infant & ! treatm5t   
itself "u su* circum/ances w\ld be      
inhumane4  4  #aje4 ,rule ( con/ruction 

,section #aac7;a7 ( ! ,*ild ,abuse      
,prev5tion & ,treatm5t ,act 7#db        
,u4,s4,c4 #eajf;i7a77 is am5d$-- 7#a7 9 
p>agraph 7#a71 by /rik+ 2 & & ins]t+ a  
semicolon2  7#b7 9 p>agraph 7#b71 by    
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7#c7 z 
e/abli%+ a ,f$]al requirem5t t a p>5t1  
legal gu>dian or c>egiv] provide a *ild 
any m$ical s]vice or treatm5t aga9/ !   
religi\s beliefs ( ! p>5t or legal      
gu>dian2 or  7#d7 z e/abli%+ t          
affirmation ( a *ild's sex by a p>5t1   
legal gu>dian1 c>egiv]1 fo/] p>5t1 or   
prospective fo/] or adoptive p>5t is    
*ild abuse1 emotional abuse1 neglect1   
maltreatm5t1 ab&onm5t1 contr>y to !     
*ild's be/ int]e/s1 contr>y to a *ild's 
heal?1 safety or welf>e1 or indication (
 p>5tal unfitness or incapacity4  4     
#ajf4 ,private "r ( action ,title ,i (  
,*ild ,abuse ,prev5tion & ,treatm5t ,act
 7#db ,u4,s4,c4 #eaja et seq471 z am5d$ 
by section #ajc1 is fur!r am5d$ by add+ 
at ! end ! foll[+3  #aaf4 ,private "r ( 

action  7a7 ,cause ( ,action ,any p>5t1 
legal gu>dian1 c>egiv]1 or *ild :o is   
aggriev$ by an adv]se ,/ate action      
alleg$ to h be5 tak5 by a cov]$ entity1 
or any p>5t1 legal gu>dian1 or c>egiv]  
:o is aggriev$ by a violation ( section 
#aae7;b7 may br+ a civil action seek+   
relief 9 any ,unit$ ,/ates di/rict c\rt1
 reg>dless ( :e!r ! specific op]ation1  
division1 facility1 or program ( ! cov]$
 entity t 0 engag$ 9 su* adv]se ,/ate   
action 0 itself fund$1 9 :ole or 9 "p1  
by an aw>d "u ?is title4  7b7 ,liability
 ( a cov]$ entity = ! conduct ( o!rs ,= 
purposes ( subsection 7a71 a cov]$      
entity describ$ 9 section               
#aaa7;a77#e77;,a7 waives any def5se bas$
 on ! abs5ce ( respondeat sup]ior       
liability1 & %all be vic>i\sly liable "u
 ?is section = any adv]se ,/ate action1 
or any violation ( ! "r protect$ "u     
section #aae7;b71 t is committ$ by any  
employee1 contractor1 or ag5t ( su*     
cov]$ entity1 )\t reg>d to :e!r su*     
adv]se ,/ate action or violation-- 7#a7 

result$ f an (ficial policy or cu/om ( !
 cov]$ entity2  7#b7 0 kn[n to any      
sup]visory (ficial ( ! cov]$ entity2 or 
7#c7 0 )9 ! scope ( su* cov]$ entity's  
employm5t1 contract1 or ag5cy4  7c7     
,rebuttable presumption  7#a7 ,9 g5]al  
,= purposes ( any action br\ght "u ?is  
section1 !re is a rebuttable presumption
 t an adv]se ,/ate action or a violation
 ( ! "r protect$ "u section #aae7;b7 0  
because ( ! affirmation ( a *ild's sex  
if-- 7,a7 a case record1 report1        
petition1 recomm5dation1 or o!r ag5cy or
 c\rt docum5t includes ! affirmation ( !
 *ild's sex z a basis =1 contribut+     
factor 91 or conc]n relat$ to ! adv]se  
,/ate action2 or  7,b7 a recomm5dation1 
ord]1 or agreem5t has be5 made t a *ild 
be remov$ f a p>5t1 legal gu>dian1 or   
c>egiv] & be plac$ 9 a home1 in/itution1
 or o!r placem5t sett+ t-- 7i7 provides1
 p]mits or enc\rages ! *ild to und]go   
any sex-reject+ int]v5tion1 or  7ii7 )\t
 p>5tal cons5t1 uses pron\ns or titles t
 d n correspond to ! *ild's sex4  7#b7  

,rebuttal ,a cov]$ entity be>s ! burd5 (
 rebutt+ ! presumption describ$ 9       
p>agraph 7#a7 by cle> & conv9c+ evid5ce 
t ! affirmation ( ! *ild's sex 0 n a    
factor 9 ! adv]se ,/ate action or       
violation ( ! "r protect$ "u section    
#aae7;b74  7d7 ,nonapplication (        
exhau/ion ( ,rem$ies ,! exhau/ion ( any 
,/ate or adm9i/rative rem$ies is n      
requir$ z a condition ( fil+ an action  
describ$ 9 ?is section4  7e7 ,relief ,z 
a condition ( accept+ funds "u ?is      
title1 ea* ( ! rem$ies describ$ 9 ?is   
subsection is available to a prevail+   
p>5t1 legal gu>dian1 c>egiv]1 or *ild4  
,9 any su* action1 ! c\rt may aw>d--    
7#a7 decl>atory relief2  7#b7 prelim9>y 
& p]man5t injunctive relief1 includ+ an 
ord] enjo9+1 vacat+1 or prohibit+ !     
en=cem5t ( any adv]se ,/ate action or   
any violation ( ! "r protect$ "u section
 #aae7;b71 not)/&+ section #bbhc ( title
 #bh1 ,unit$ ,/ates ,code1 except :]e ! 
cov]$ entity demon/rates by cle> &      
conv9c+ evid5ce t su* relief w\ld create

 an imm95t risk ( s]i\s physical h>m to 
! *ild bas$ on conduct indep5d5t ( !    
adv]se ,/ate action or violation2  7#c7 
comp5satory damages2 &  7#d7 damages =  
emotional di/ress suff]$ by a p>5t1     
legal gu>dian1 c>egiv]1 or *ild4  7f7   
,co/s & attorney's fees ,9 any action   
br\ght "u ?is section1 ! c\rt %all aw>d 
! prevail+ p>5t1 legal gu>dian1 c>egiv]1
 or *ild co/s ( litigation & attorney's 
fees4  7g7 ,abrogation ( qualifi$       
immunity ,9 any action br\ght "u ?is    
section aga9/ an employee1 contractor1  
or ag5t ( a cov]$ entity1 qualifi$      
immunity %all n be available z a def5se4
 ,to satisfy ! requirem5t t ! law be    
cle>ly e/abli%$ at ! "t ( ! violation1 x
 is suffici5t t ! conduct con/itut$ an  
adv]se ,/ate action or violat$ ! "r     
protect$ "u section #aae7;b74 ,! abs5ce 
( an express policy1 proc$ure1 or       
protocol by ! ,/ate or a cov]$ entity   
describ$ 9 section #aaa7;a77#e77;,a7    
%all n preclude a f9d+ t ! law 0 cle>ly 
e/abli%$ or t ! employee1 contractor1 or

 ag5t ( a cov]$ entity knew or %\ld h   
kn[n t ! conduct 0 unlawful4  7h7 ,waiv]
 ( sov]eign immunity  7#a7 ,9 g5]al     
7,a7 ,/ate immunity ,by accept+ funds "u
 ?is title1 a ,/ate & any cov]$ entity  
describ$ 9 section #aaa7;a77#e77;,a77i7 
%all waive immunity "u ! ,elev5?        
,am5dm5t to ! ,con/itution ( ! ,unit$   
,/ates f suit 9 ,f$]al c\rt = any adv]se
 ,/ate action or = any violation ( ! "r 
protect$ "u section #aae7;b74  7,b7     
,tribal immunity ,by accept+ funds "u   
?is title1 a cov]$ entity describ$ 9    
section #aaa7;a77#e77;,a77ii7 %all waive
 immunity f suit 9 ,f$]al c\rt = any    
adv]se ,/ate action or = any violation (
 ! "r protect$ "u section #aae7;b74     
7#b7 ,rem$ies available  7,a7 ,/ate     
def5dants ,9 an action aga9/ a ,/ate or 
cov]$ entity describ$ 9 section         
#aaa7;a77#e77;,a77i7 = any adv]se ,/ate 
action or = any violation ( ! "r        
protect$ "u section #aae7;b71 rem$ies   
7includ+ rem$ies bo? at law & 9 equity7 
are available to ! same ext5t z su*     

rem$ies are available 9 an action aga9/ 
any public or private entity o!r ?an a  
,/ate4  7,b7 ,tribal def5dants ,9 an    
action aga9/ an ,indian ,tribe or       
,tribal organization = any adv]se ,/ate 
action or = any violation ( ! "r        
protect$ "u section #aae7;b71 rem$ies   
7includ+ rem$ies bo? at law & 9 equity7 
are available to ! same ext5t z su*     
rem$ies are available 9 an action aga9/ 
any public or private entity o!r ?an an 
,indian ,tribe or ,tribal organization4 
7i7 ,/atute ( limitations  7#a7 ,9 g5]al
 ,except z provid$ 9 p>agraph 7#c71 an  
action "u ?is section %all comm5ce n    
lat] ?an #d ye>s aft] ! date on :i* !   
cause ( action accrues4  7#b7 ,accrual  
,= purposes ( p>agraph 7#a71 a cause (  
action accrues on ! date a p>5t1 legal  
gu>dian1 c>egiv]1 or *ild knew or       
reasonably %\ld h kn[n ( ! violation    
giv+ rise to ! claim1 or1 9 ! case ( an 
ongo+ violation1 on ! date ! violation  
ceases4  7#c7 ,toll+ ,! limitations     
p]iod "u p>agraph 7#a7 %all be toll$--  

7,a7 ) respect to a claim br\ght on     
behalf ( a m9or *ild until ! lat] (--   
7i7 ! date ! *ild atta9s ! age ( #ah2 or
  7ii7 ! date t is #d ye>s aft] ! date !
 violation occurr$2 &  7,b7 dur+ !      
p5d5cy ( any ,/ate or ,indian *ild      
welf>e proce$+ aris+ f ! same facts z ! 
,f$]al claim1 & = ! #b-ye> p]iod foll[+ 
! f9al resolution ( su* proce$+4  7j7   
,relation%ip to o!r laws  7#a7          
,non-preemption ,no?+ 9 ?is section %all
 be con/ru$ to preempt any ,/ate law t  
provides great] protection ?an ! rights 
e/abli%$ "u ?is section4  7#b7 ,o!r     
applicable laws ,! rights e/abli%$ "u   
?is section are 9 addition to1 & n 9    
lieu (1 any rights available "u !       
,con/itution ( ! ,unit$ ,/ates1 section 
#aigi ( ! ,revis$ ,/atutes 7#db         
,u4,s4,c4 #aihc71 ?is ,act1 or any o!r  
,f$]al or ,/ate law4  7#c7 ,jurisdiction
 ,f$]al c\rts %all h orig9al            
jurisdiction ov] any civil action br\ght
 "u ?is section4 ,no action %all be     
dismiss$1 /ay$ or o!rwise abat$ on !    

basis (-- 7,a7 ! p5d5cy ( a ,/ate c\rt  
proce$+2  7,b7 any ,/ate c\rt judgm5t or
 ord]2  7,c7 any doctr9e ( equitable    
re/ra9t1 ab/5tion1 or comity1 includ+   
any doctr9e "u :i* a c\rt decl9es to    
ex]cise jurisdiction because ( ! p5d5cy 
or pot5tial p5d5cy ( a ,/ate judicial or
 adm9i/rative proce$+2 or  7,d7 !       
dome/ic relations exception 9 ,f$]al    
jurisdiction1 if ! action seeks en=cem5t
 ( a "r e/abli%$ "u ?is section1 & does 
n seek ! issuance ( an orig9al divorce1 
alimony or *ild cu/ody decree 9 a       
dome/ic-relations proce$+ betwe5 private
 p>ties4  7#d7 ,o!r relief ,! relief    
available "u ?is section is 9 addition  
to1 & n 9 lieu (1 any rem$y available to
 ! ,secret>y "u section #aae4  4  ,,ii  
,am5dm5ts to ! ,social ,security ,act   
#bja4 ,am5dm5ts to "p ,b ( title ,,iv ( 
! ,social ,security ,act  7a7 ,/ephanie 
,tubbs ,jones ,*ild ,welf>e ,s]vices    
,program ,/ate plan requirem5ts ,section
 #dbb7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #fbb7;b77 is am5d$-- 7#a7

 9 p>agraph 7#ae77;,a7-- 7,a7 9 clause  
7vii71 by /rik+ & aft] ! semicolon2 &   
7,b7 by ins]t+ aft] clause 7viii7 !     
foll[+ new clause3  7ix7 ! proc$ures &  
protocols ! ,/ate has e/abli%$ to ensure
 t sex-reject+ int]v5tions are n        
initiat$ or cont9u$ :5 a *ild is remov$ 
f ! cu/ody1 c>e1 or control ( ! p>5t or 
plac$ 9 fo/] c>e2 &  2  7#b7 9 p>agraph 
7#ah71 by /rik+ & aft] ! semicolon2     
7#c7 9 p>agraph 7#ai77;,b71 by /rik+ !  
p]iod at ! end & ins]t+ a semicolon2 &  
7#d7 by ins]t+ aft] p>agraph 7#ai77;,b7 
! foll[+ new p>agraphs3  7#bj7 provide t
 no placem5t ( a *ild = adoption or into
 fo/] c>e is prev5t$1 d5i$1 or delay$   
because ! fo/] p>5t1 prospective fo/]   
p>5t1 or prospective adoptive p>5t may  
affirm a *ild's sex2  7#ba7 provide t   
*ildr5 :o are #d ye>s ( age or old] 9   
fo/] c>e placem5t are h\s$ 9 accordance 
) _! sex1 includ+-- 7,a7 requirem5ts t a
 fo/] family home provide ei!r s+le     
occupancy or sex-sep>at$ multi-occupancy
 sleep+ qu>t]s 7o!r ?an sleep+ qu>t]s   

%>$ only ) a sibl+71 ba?rooms1 %[]s1    
lock] rooms1 *ang+ rooms1 or any o!r    
areas 9 :i* a *ild w\ld be 9 a /ate (   
undress :5 9 use by ! *ild2  7,b7       
requirem5ts t a *ild-c>e in/itution     
7includ+ any gr\p home1 resid5tial      
treatm5t c5t]1 %elt]1 qualifi$          
resid5tial treatm5t program1 sett+s =   
pregnant or p>5t+ fo/] y\? describ$ 9   
section #dgb7k77#b77;,b71 sett+ = sex   
traffick+ victims describ$ 9 section    
#dgb7k77#b77;,d7 or o!r congregate c>e  
sett+7 assign a *ild to & provide ei!r  
s+le occupancy or sex-sep>at$           
multi-occupancy sleep+ qu>t]s 7o!r ?an  
sleep+ qu>t]s %>$ only ) a sibl+71      
ba?rooms1 %[]s1 lock] rooms1 *ang+      
rooms1 or any o!r areas 9 :i* a *ild    
w\ld be 9 a /ate ( undress1 :5 9 use by 
! *ild2 &  7,c7 requirem5ts t lic5s+    
/&>ds = fo/] family homes1 *ild-c>e     
in/itutions1 or o!r placem5t sett+s1    
include compliance ) ?is p>agraph z a   
condition ( lic5sure = any fo/] family  
home1 *ild-c>e in/itution1 or o!r       

placem5t sett+ receiv+ funds "u ?is "p  
or "p ,e2  7#bb7 provide & h 9 effect   
policies & proc$ures1 & require any     
cov]$ entity to h 9 effect policies &   
proc$ures t-- 7,a7 protect & promote a  
*ild's "r to be free f sex-reject+      
int]v5tions2 &  7,b7 protect1 )\t       
express p>5tal cons5t1 a *ild f ! use ( 
pron\ns or titles t d n correspond to ! 
*ild's sex2  7#bc7 provide = tra9+ =    
*ild protective s]vices work]s1         
casework]s1 gu>dians ad litem1 m9or's   
c\nsel1 c\rt appo9t$ special advocates1 
judges1 o!r individuals provid+ s]vices 
to *ildr5 & families1 fo/] p>5ts1       
prospective fo/] p>5ts1 prospective     
adoptive p>5ts1 & p>5ts t includes--    
7,a7 ! m$ical1 psy*ological1 &          
developm5tal h>ms ( sex-reject+         
int]v5tions & ! h>ms ( us+ pron\ns or   
titles t d n correspond to ! *ild's sex2
  7,b7 ! "r ( a p>5t or legal gu>dian to
 affirm a *ild's sex & ( a p>5t1 legal  
gu>dian1 c>egiv]1 fo/] p>5t1 prospective
 fo/] p>5t1 or prospective adoptive p>5t

 to be free f discrim9ation or adv]se   
,/ate action = affirm+ or int5d+ to     
affirm a *ild's sex2  7,c7 ! pr9ciple t 
affirmation ( a *ild's sex by a p>5t1   
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t is n *ild abuse1 emotional
 abuse1 neglect1 maltreatm5t1 ab&onm5t1 
contr>y to ! *ild's be/ int]e/s1 contr>y
 to a *ild's heal?1 safety1 or welf>e1  
or indication ( p>5tal unfitness or     
incapacity2  7,d7 ! pr9ciple t          
affirmation ( a *ild's sex is consi/5t )
 ! *ild's be/ int]e/s1 heal?1 safety1 & 
welf>e2  7,e7 ! prohibition "u ?is "p & 
"p ,e on-- 7i7 provid+1 initiat+1 or    
cont9u+ sex-reject+ int]v5tions to      
*ildr5 9 fo/] c>e placem5ts2 &  7ii7 )\t
 p>5tal cons5t1 ! use ( pron\ns or      
titles t d n correspond to ! *ild's sex2
 &  7,f7 ! prohibition "u ?is "p & "p ,e
 on d5y+ & delay+ ! placem5t ( a *ild 9 
a fo/] or adoptive home placem5t because
 a fo/] p>5t1 prospective fo/] p>5t or  
prospective adoptive p>5t may affirm !  

*ild's sex2  7#bd7 provide t ! ,/ate    
%all h 9 effect policies & proc$ures1 & 
require any cov]$ entity to h 9 effect  
policies & proc$ures t protect & promote
 ! "r ( a p>5t1 legal gu>dian1 c>egiv]1 
fo/] p>5t1 prospective fo/] p>5t1 or    
prospective adoptive p>5t to be free f  
discrim9ation = affirm+ or int5d+ to    
affirm a *ild's sex & f any adv]se ,/ate
 action2  7#be7 provide t ! ,/ate %all h
 9 effect policies & proc$ures1 & %all  
require any cov]$ entity to h 9 effect  
policies & proc$ures1 t no *ild1 fo/]   
p>5t1 prospective fo/] p>5t1 or         
prospective adoptive p>5t may be d5i$ a 
fo/] c>e or adoptive placem5t because ! 
fo/] p>5t1 prospective fo/] p>5t1 or    
prospective adoptive p>5t may affirm a  
*ild's sex2 &  7#bf7 provide t ! ,/ate  
%all h 9 effect policies & proc$ures t  
protect & promote ! "r ( *ildr5 9 fo/]  
c>e placem5ts to be free f sex-reject+  
int]v5tions & require any cov]$ entity  
to h 9 effect policies & proc$ures t    
include-- 7,a7 requirem5ts ensur+ t no  

*ild 9 fo/] c>e "u ! sup]vision ( !     
,/ate is subject$ to sex-reject+        
int]v5tions2  7,b7 requirem5ts t no     
funds "u ?is "p or "p ,e %all be us$ to 
provide1 facilitate1 ref]1 or p]mit     
sex-reject+ int]v5tions = any *ild plac$
 9 ! cov]$ entity's c>e2  7,c7          
requirem5ts t no fo/] family home1      
*ild-c>e in/itution1 or o!r placem5t    
sett+ receiv+ funds "u ?is "p or "p ,e  
%all provide1 facilitate1 fund1 p]mit1  
aid or ref] = sex-reject+ int]v5tions = 
any *ild plac$ 9 ! fo/] family home1    
*ild-c>e in/itution1 or o!r placem5t    
sett+2  7,d7 tra9+ = *ild protective    
s]vice work]s1 fo/] c>e casework]s1     
sup]visors1 fo/] p>5ts1 gu>dians ad     
litem1 c\rt-appo9t$ special advocates1  
m9or's c\nsel1 judges1 & o!r individuals
 provid+ s]vices to *ildr5 & families1  
prospective fo/] p>5ts1 prospective     
adoptive p>5ts1 & p>5ts on-- 7i7 !      
m$ical1 psy*ological1 & developm5tal    
h>ms ( sex-reject+ int]v5tions & ! h>ms 
( us+ pron\ns or titles t d n correspond

 to ! *ild's sex2  7ii7 ! "r ( a p>5t or
 legal gu>dian to affirm a *ild's sex & 
( a p>5t1 legal gu>dian1 c>egiv]1 fo/]  
p>5t1 prospective fo/] p>5t1 or         
prospective adoptive p>5t to be free f  
discrim9ation or adv]se ,/ate action =  
affirm+ or int5d+ to affirm a *ild's    
sex2  7iii7 ! pr9ciple t affirmation ( a
 *ild's sex by a p>5t1 legal gu>dian1   
c>egiv]1 fo/] p>5t1 prospective fo/]    
p>5t1 or prospective adoptive p>5t is n 
*ild abuse1 emotional abuse1 neglect1   
maltreatm5t1 ab&onm5t1 contr>y to !     
*ild's be/ int]e/s1 contr>y to ! *ild's 
heal?1 safety1 or welf>e1 or indication 
( p>5tal unfitness or incapacity2  7iv7 
! pr9ciple t affirmation ( a *ild's sex 
is consi/5t ) ! *ild's be/ int]e/s1 & ! 
*ild's heal?1 safety1 & welf>e2  7v7 !  
prohibition on provid+ sex-reject+      
int]v5tions to *ildr5 9 fo/] c>e        
placem5ts2  7vi7 ! prohibition on ! use 
( pron\ns or titles t d n correspond to 
! *ild's sex )\t ! p>5t's express       
cons5t2 &  7vii7 ! prohibition on d5y+1 

delay+ or condition+ ! placem5t ( a *ild
 9 a fo/] or adoptive home placem5t     
because a fo/] p>5t1 prospective fo/]   
p>5t1 or prospective adoptive p>5t may  
affirm ! *ild's sex2 &  7,e7 proc$ures  
to prev5t sex m>k] *anges 7mean+ !      
designation ( ! *ild's sex on any       
(ficial record1 includ+ records ma9ta9$ 
"u ?is "p or "p ,e7 to ! *ild's records 
t diff] f ! *ild's sex :ile ! *ild is 9 
fo/] c>e4  4  7b7 ,m>ylee ,all5 ,promot+
 ,safe & ,/able ,families ,program ,/ate
 plan requirem5ts ,section #dcb7;a7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#fbi;b7a77 is am5d$-- 7#a7 9 p>agraph   
7#aj71 by /rik+ & aft] ! semicolon2     
7#b7 9 p>agraph 7#aa71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7#c7 by ins]t+
 aft] p>agraph 7#aa71 ! foll[+ new      
p>agraph3  7#ab7 complies ) !           
requirem5ts ( p>agraphs 7#bj7 ?r\gh     
7#bf7 ( section #dbb7;b71 z applicable  
to ! s]vices fund$ "u ?is subp>t4  4    
7c7 ,common provisions ,subp>t #c ( "p  
,b ( title ,,iv ( ! ,social ,security   

,act 7#db ,u4,s4,c4 #fbik et seq47 is   
am5d$ by add+ at ! end ! foll[+ new     
sections3  #ddd4 ,limitations on !      
,secret>y2 obligations on recipi5ts &   
subrecipi5ts2 noncompliance  7a7        
,limitations on ! ,secret>y ,! ,secret>y
 %all ensure t no funds provid$ "u ?is  
"p1 includ+ any grants1 subgrants & o!r 
allocations ( fund+ made pursuant to ?is
 "p to ,/ates1 ,indian tribes1 or tribal
 organizations1 & public & private      
ag5cies & organizations1 includ+        
subrecipi5ts1 are us$ to fund any ( !   
foll[+3 7#a7 ,conduct+1 support+1 or    
promot+ any program1 project1           
curriculum1 guidance1 protocol or tra9+ 
t-- 7,a7 sex-reject+ int]v5tions are 9 !
 be/ int]e/s ( ! *ild or consi/5t ) !   
heal?1 safety1 & welf>e ( ! *ild2  7,b7 
affirmation ( a *ild's sex by a p>5t1   
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t is *ild abuse1 emotional  
abuse1 neglect1 maltreatm5t1 ab&onm5t1  
contr>y to ! *ild's be/ int]e/s1 contr>y

 to ! *ild's heal?1 safety or welf>e1 or
 indication ( p>5tal unfitness or       
incapacity2 or  7,c7 a *ild's expression
 ( psy*ological di/ress1 includ+ a      
/atem5t or report ( suicidal ideation1  
relat$ to ! affirmation ( a *ild's sex  
is gr\nds = removal ( ! *ild f ! home1  
int]v5tion by a welf>e ag5cy1 or any o!r
 adv]se ,/ate action4  7#b7 ,discrim9at+
 aga9/1 or tak+ an adv]se ,/ate action  
aga9/1 a p>5t1 legal gu>dian1 c>egiv]1  
fo/] p>5t1 prospective fo/] p>5t1 or    
prospective adoptive p>5t because su*   
individual affirms1 has affirm$1 or     
int5ds to affirm a *ild's sex4  7#c7    
,conduct+1 support+1 or promot+ any     
adv]se ,/ate action4  7#d7 ,provid+1    
facilitat+1 fund+1 au?oriz+1 p]mitt+ = a
 *ild1 or ref]r+ a *ild = any           
sex-reject+ int]v5tion4  7#e7 ,remov+ a 
*ild f a p>5t1 legal gu>dian1 or c>egiv]
 & plac+ ! *ild 9 a fo/] family home1   
*ild-c>e in/itution1 or o!r placem5t    
sett+ t-- 7,a7 provides1 p]mits1 or     
enc\rages ! *ild to und]go any          

sex-reject+ int]v5tion2 or  7,b7 )\t    
p>5tal cons5t1 uses pron\ns or titles t 
d n correspond to ! *ild's sex4  7#f7   
,plac+ a *ild 9 a fo/] c>e placem5t t   
fails to provide ei!r s+le occupancy or 
sex-sep>at$ multi-occupancy spaces 9    
compliance ) section #dbb7;b77#ba74  7b7
 ,obligations on recipi5ts &            
subrecipi5ts ,any ,/ate1 ,indian tribe  
or tribal organization1 or public &     
private ag5cy or organization1 includ+  
any subrecipi5t t receives funds "u ?is 
"p1 %all n use su* funds = any program1 
tra9+1 or o!r activity t violates any ( 
! limitations set =? 9 subsection 7a74  
7c7 ,)hold+ & rec\pm5t = noncompliance  
7#a7 ,9 g5]al ,if ! ,secret>y det]m9es t
 any ,/ate1 ,indian tribe1 tribal       
organization1 or public or private ag5cy
 or organization1 includ+ any           
subrecipi5t1 has us$ funds 9 violation (
 ! limitations or obligations set =? 9  
subsection 7a7 or 7b71 p>agraphs 7#bj7  
?r\gh 7#bf7 ( section #dbb7;b71 or      
section #dcb7;a77#ab71 or 9 violation ( 

any "r1 re/riction1 limitation1         
obligation1 or condition e/abli%$ "u    
section #dgi;,c z applicable to ?is "p  
or "p ,e1 ! ,secret>y %all disall[ !    
co/s associat$ ) su* violation & %all   
impose ! applicable p5alty am\nt det]m9$
 "u p>agraph 7#b74 ,su* )hold+ %all     
apply to any future paym5ts or fund+    
tran*es n yet disburs$ & %all rema9 9   
effect until ! ,secret>y c]tifies t !   
violation has be5 rem$iat$ & t ! direct 
recipi5t has adopt$ policies & proc$ures
 suffici5t to prev5t recurr5ce4 ,recov]y
 %all apply to funds already disburs$1  
:i* %all con/itute a debt to ! ,f$]al   
,gov]nm5t z ( ! date ( ! ,secret>y's    
writt5 det]m9ation ( noncompliance1     
collectible 9 accordance ) p>ts #bjj &  
#cjj ( title #b1 ,code ( ,f$]al         
,regulations 7or any successor          
regulation71 includ+ ?r\gh adm9i/rative 
(fset aga9/ any o!r ,f$]al paym5ts ow$  
to ! entity "u ?is or any o!r ,f$]al    
program adm9i/]$ by ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices4  7#b7 ,direct       

recipi5ts  7,a7 ,9 g5]al ,! direct      
recipi5t ( funds provid$ "u ?is "p %all 
be /rictly responsible = ensur+         
compliance ) ?is "p by all subrecipi5ts 
to :i* x passes su* funds1 & any        
violation by a subrecipi5t %all be      
attribut$ to ! direct recipi5t4 ,!      
p5alty am\nt subject to disall[ance1    
)hold+1 & recov]y "u p>agraph 7#a7 %all 
be-- 7i7 = ! fir/ f9d+ ( violation by ! 
direct recipi5t )9 a grant p]iod1 #e    
p]c5t ( ! total funds provid$ to !      
direct recipi5t = t grant p]iod2  7ii7 =
 ! second f9d+ ( violation by ! direct  
recipi5t )9 a grant p]iod1 #aj p]c5t ( !
 total funds provid$ to ! direct        
recipi5t = t grant p]iod2 &  7iii7 = !  
?ird or any subsequ5t f9d+ ( violation  
by ! direct recipi5t )9 a grant p]iod1  
#ae p]c5t ( ! total funds provid$ to !  
direct recipi5t "u ?is "p = t grant     
p]iod4  7,b7 ,maximum p5alty ,9 no case 
%all ! total p5alty impos$ aga9/ a s+le 
direct recipi5t = all f9d+s )9 a s+le   
grant p]iod exce$ #ae p]c5t ( ! total   

funds provid$ to t direct recipi5t = t  
grant p]iod4  7,c7 ,no waiv] ,a p5alty  
requir$ by ?is subsection is m&atory & !
 ,secret>y %all n h any discretion to   
waive or r$uce ! p5alty applicable      
except ?r\gh ! appeals process provid$ 9
 p>agraph 7#c74  7#c7 ,appeals ,appeals 
f any det]m9ation ( noncompliance or    
p5alty am\nt "u ?is subsection %all be  
gov]n$ by "p #af ( title #de1 ,code (   
,f$]al ,regulations 7or any successor   
regulation74 ,! fil+ ( an appeal %all n 
/ay ! )hold+ ( future paym5ts or fund+  
tran*es p5d+ resolution ( ! appeal1 b   
any am\nts recov]$ by ! ,secret>y f     
already-disburs$ funds %all n be        
collect$ p5d+ f9al resolution ( !       
appeal4  7#d7 ,regulations ,! ,secret>y 
%all issue su* regulations z are        
necess>y & appropriate to c>ry out ?is  
subsection1 includ+ regulations e/abli%+
 proc$ures = writt5 notice (            
noncompliance1 opportunity to respond1 &
 adm9i/rative review prior to any f9al  
det]m9ation "u p>agraph 7#a74  7#e7 ,o!r

 rem$ies ,no?+ 9 ?is subsection %all be 
con/ru$ to limit ! au?ority ( !         
,secret>y to pursue any o!r rem$y       
available "u p>ts #bjj & #cjj ( title   
#b1 ,code ( ,f$]al ,regulations 7or any 
successor regulation7 or any o!r        
applicable ,f$]al law ) respect to      
violations ( any o!r provision ( ?is "p1
 or to limit ! ,secret>y's au?ority to  
impose rem$ies 9 addition to ! p5alties 
prescrib$ 9 p>agraph 7#b7 = violations  
describ$ 9 p>agraph 7#a7 :]e ! ,secret>y
 det]m9es t additional rem$ies are      
necess>y to protect ,f$]al funds4  #dde4
 ,private "r ( action  7a7 ,causes (    
action  7#a7 ,9 g5]al ,any p>5t1 legal  
gu>dian1 c>egiv]1 fo/] p>5t1 prospective
 fo/] p>5t1 prospective adoptive p>5t1  
or *ild :o is aggriev$ by an adv]se     
,/ate action or1 9 ! case ( a p>5t1     
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t1 a violation ( a "r       
protect$ "u section #dgi;,c7b71 t is    
alleg$ to h be5 tak5 by a cov]$ entity  

may br+ an action seek+ relief f a cov]$
 entity 9 any ,unit$ ,/ates di/rict c\rt
 reg>dless ( :e!r ! specific op]ation1  
division1 facility1 or program ( ! cov]$
 entity t engag$ 9 su* adv]se ,/ate     
action 0 itself fund$1 9 :ole or 9 "p1  
by an aw>d or paym5t made "u ?is "p or  
"p ,e4  7#b7 ,liability ( a cov]$ entity
 = conduct ( o!rs ,= purposes ( p>agraph
 7#a71 a cov]$ entity describ$ 9        
subp>agraph 7,a71 7,b71 or 7,c7 (       
section #dge7ai7 waives any def5se bas$ 
on ! abs5ce ( respondeat sup]ior        
liability1 & %all be vic>i\sly liable "u
 ?is section = any adv]se ,/ate action  
or any violation ( ! "r protect$ "u     
section #dgi;,c7b7 t is committ$ by any 
employee1 contractor1 or ag5t ( su*     
cov]$ entity1 )\t reg>d to :e!r su*     
adv]se ,/ate action or violation-- 7,a7 
result$ f an (ficial policy or cu/om ( !
 cov]$ entity2  7,b7 0 kn[n to any      
sup]visory (ficial ( ! cov]$ entity2 or 
7,c7 0 )9 ! scope ( su* cov]$ entity's  
employm5t1 contract1 or ag5cy4  7#c7    

,rebuttable presumption ,= purposes (   
any action br\ght "u ?is section1 !re is
 a rebuttable presumption t an adv]se   
,/ate action or a violation ( ! "r      
protect$ "u section #dgi;,c7b7 0 because
 ( ! affirmation ( a *ild's sex if--    
7,a7 a case record1 report1 petition1   
recomm5dation1 or o!r ag5cy or c\rt     
docum5t includes ! affirmation ( !      
*ild's sex z a basis =1 contribut+      
factor 91 or conc]n relat$ to ! adv]se  
,/ate action2 or  7,b7 a recomm5dation1 
ord]1 or agreem5t has be5 made t a *ild 
be remov$ f a p>5t1 legal gu>dian1 or   
c>egiv] & be plac$ 9 a fo/] family home1
 *ild-c>e in/itution1 or o!r placem5t   
sett+ t-- 7i7 provides1 p]mits1 or      
enc\rages ! *ild to und]go any          
sex-reject+ int]v5tion2 or  7ii7 )\t    
p>5tal cons5t1 uses pron\ns or titles t 
d n correspond to ! *ild's sex4  7#d7   
,rebuttal ,a cov]$ entity be>s ! burd5 (
 rebutt+ ! presumption describ$ 9       
p>agraph 7#c7 by cle> & conv9c+ evid5ce 
t ! affirmation ( ! *ild's sex 0 n a    

factor 9 ! adv]se ,/ate action or       
violation ( ! rights protect$ "u section
 #dgi;,c7b74  7b7 ,nonapplication (     
exhau/ion ( rem$ies ,exhau/ion ( any    
,/ate or adm9i/rative rem$ies %all n be 
requir$ z a condition ( br++ an action  
describ$ 9 subsection 7a74  7c7 ,relief 
7#a7 ,9 g5]al ,z a condition ( accept+  
funds "u ?is "p1 ea* ( ! rem$ies        
describ$ 9 p>agraph 7#b7 is available to
 a prevail+ p>5t1 legal gu>dian1        
c>egiv]1 fo/] p>5t1 prospective fo/]    
p>5t1 prospective adoptive p>5t1 or *ild
 9 an action br\ght "u ?is section4     
7#b7 ,rem$ies ,! rem$ies describ$ 9 ?is 
p>agraph are-- 7,a7 decl>atory relief2  
7,b7 prelim9>y & p]man5t injunctive     
relief1 includ+ an ord] enjo9+1 vacat+1 
or prohibit+ ! en=cem5t ( any adv]se    
,/ate action or any violation ( ! "r    
protect$ "u section #dgi;,c7b71 not)/&+ 
section #bbhc ( title #bh1 ,unit$ ,/ates
 ,code1 except :]e ! cov]$ entity       
demon/rates by cle> & conv9c+ evid5ce t 
su* relief w\ld create an imm95t risk ( 

s]i\s physical h>m to ! *ild bas$ on    
conduct indep5d5t ( ! adv]se ,/ate      
action or violation2  7,c7 comp5satory  
damages2 &  7,d7 damages = emotional    
di/ress suff]$ by a p>5t1 legal gu>dian1
 c>egiv]1 fo/] p>5t1 prospective fo/]   
p>5t1 prospective adoptive p>5t1 or     
*ild4  7d7 ,co/s & attorney's fees ,9   
any action br\ght "u ?is section1 ! c\rt
 %all aw>d ! prevail+ p>5t1 legal       
gu>dian1 c>egiv]1 fo/] p>5t1 prospective
 fo/] p>5t1 prospective adoptive p>5t1  
or *ild1 co/s ( litigation & attorney's 
fees4  7e7 ,abrogation ( qualifi$       
immunity ,9 any action br\ght "u ?is    
section aga9/ an employee1 contractor1  
or ag5t ( a cov]$ entity describ$ 9     
subp>agraph 7,d7 ( section #dge7ai71    
qualifi$ immunity %all n be available z 
a def5se4 ,to satisfy ! requirem5t t !  
law be cle>ly e/abli%$ at ! "t ( !      
violation1 x is suffici5t t ! conduct   
con/itut$ an adv]se ,/ate action or     
violat$ ! "r protect$ "u section        
#dgi;,c7b74 ,! abs5ce ( an express      

policy1 proc$ure1 or protocol by a cov]$
 entity describ$ 9 subp>agraph 7,a71    
7,b71 or 7,c7 ( section #dge7ai7 %all n 
preclude a f9d+ t ! law 0 cle>ly        
e/abli%$ or t ! employee1 contractor1 or
 ag5t ( a cov]$ entity describ$ 9       
subp>agraph 7,d7 ( section #dge7ai7 knew
 or %\ld h kn[n t ! conduct 0 unlawful4 
7f7 ,waiv] ( sov]eign immunity  7#a7 ,9 
g5]al  7,a7 ,/ate immunity ,a cov]$     
entity describ$ 9 subp>agraph 7,a7 (    
section #dge7ai71 z a condition (       
accept+ funds "u ?is "p1 %all waive     
immunity "u ! ,elev5? ,am5dm5t to !     
,con/itution ( ! ,unit$ ,/ates f suit 9 
,f$]al c\rt = any adv]se ,/ate action or
 any violation ( ! "r protect$ "u       
section #dgi;,c7b74  7,b7 ,tribal       
immunity ,a cov]$ entity describ$ 9     
subp>agraph 7,b7 ( section #dge7ai71 z a
 condition ( accept+ funds "u ?is "p1   
%all waive immunity f suit 9 ,f$]al c\rt
 = any adv]se ,/ate action or any       
violation ( ! "r protect$ "u section    
#dgi;,c7b74  7#b7 ,rem$ies available ,9 

any action aga9/ a ,/ate or ,indian     
tribe or tribal organization = any      
adv]se ,/ate action or any violation ( !
 "r protect$ "u section #dgi;,c7b71     
rem$ies 7includ+ rem$ies bo? at law & 9 
equity7 are available 9 a suit aga9/ any
 public or private entity o!r ?an a     
,/ate or ,indian tribe1 or tribal       
organization4  7g7 ,/atute ( limitations
  7#a7 ,9 g5]al ,except z provid$ 9     
p>agraph 7#c71 an action "u ?is section 
may n be comm5c$ lat] ?an #d ye>s aft] !
 date on :i* ! cause ( action accrues4  
7#b7 ,accrual ,= purposes ( p>agraph    
7#a71 a cause ( action accrues on ! date
 a p>5t1 legal gu>dian1 c>egiv]1 fo/]   
p>5t1 prospective fo/] p>5t1 prospective
 adoptive p>5t1 or *ild knew or         
reasonably %\ld h kn[n ( ! violation    
giv+ rise to ! claim1 or1 9 ! case ( an 
ongo+ violation1 on ! date ! violation  
ceases4  7#c7 ,toll+ ,! limitations     
p]iod "u p>agraph 7#a7 %all be toll$--  
7,a7 ) respect to a claim br\ght on     
behalf ( a m9or *ild1 until ! lat] (--  

7i7 ! date ! *ild atta9s ! age ( #ah2 or
  7ii7 ! date t is #d ye>s aft] ! date !
 violation occurr$2 &  7,b7 dur+ !      
p5d5cy ( any ,/ate or ,indian *ild      
welf>e proce$+ aris+ f ! same facts z ! 
,f$]al claim1 & = ! #b-ye> p]iod foll[+ 
! f9al resolution ( su* proce$+4  7h7   
,relation%ip to o!r laws  7#a7          
,non-preemption ,no?+ 9 ?is section %all
 be con/ru$ to preempt any ,/ate law t  
provides great] protection ?an ! rights 
e/abli%$ "u ?is section4  7#b7 ,o!r     
applicable laws ,! rights e/abli%$ "u   
?is section are 9 addition to1 & n 9    
lieu (1 any rights available "u !       
,con/itution ( ! ,unit$ ,/ates1 section 
#aigi ( ! ,revis$ ,/atues 7commonly     
ref]r$ to z section #aihc7 7#db         
,u4,s4,c4 #aihc71 ! ,yaeli ,m>t9ez ,*ild
 ,protection ,act1 or any o!r ,f$]al or 
,/ate law4  7#c7 ,jurisdiction ,f$]al   
c\rts %all h orig9al jurisdiction ov]   
any civil action br\ght "u ?is section4 
,no action %all be dismiss$1 /ay$ or    
o!rwise abat$ on ! basis (-- 7,a7 !     

p5d5cy ( a ,/ate c\rt proce$+2  7,b7 any
 ,/ate c\rt judgm5t or ord]2  7,c7 any  
doctr9e ( equitable re/ra9t1 ab/5tion1  
or comity1 includ+ any doctr9e "u :i* a 
c\rt decl9es to ex]cise jurisdiction    
because ( ! p5d5cy or pot5tial p5d5cy ( 
a ,/ate judicial or adm9i/rative        
proce$+2 or  7,d7 ! dome/ic relations   
exception 9 ,f$]al jurisdiction1 if !   
action seeks en=cem5t ( a "r e/abli%$ "u
 ?is section1 & does n seek ! issuance (
 an orig9al divorce1 alimony1 or *ild   
cu/ody decree 9 a dome/ic-relations     
proce$+ betwe5 private p>ties4  4  #bjb4
 ,am5dm5ts to "p ,e ( title ,,iv ( !    
,social ,security ,act  7a7 ,/ate plan  
requirem5ts ,section #dga7;a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#fga7;a77 is am5d$-- 7#a7 9 p>agraph    
7#aj7-- 7,a7 9 subp>agraph 7,a71 by     
ins]t+ 1 & :i* d n violate p>agraphs    
7#ch7 ?r\gh 7#db7 aft] prud5t p>5t+     
/&>d2 &  7,b7 9 subp>agraph 7,d71 by    
ins]t+ 1 except t !re c be no waiv] ( ! 
requirem5ts ( p>agraphs 7#ch7 ?r\gh     

7#db7 aft] *ildr5 9 c>e2  7#b7 9        
p>agraph 7#ae7-- 7,a7 9 subp>agraph     
7,a71 by ins]t+ 1 & t1 9 det]m9+ su*    
reasonable ef=ts to be made ) respect to
 a *ild1 & 9 mak+ su* reasonable ef=ts1 
a p>5t's1 legal gu>dian's1 or c>egiv]'s 
affirmation ( a *ild's sex %all be      
consid]$ 9 fur!rance ( ! *ild's heal? & 
safety1 & affirmation ( a *ild's sex1   
%all n s]ve z a basis to limit or d5y   
reasonable ef=ts to pres]ve & reunify   
families aft] p>am\nt conc]n2 &  7,b7 9 
p>agraph 7,d77iii71 by ins]t+ 1 except  
if ! t]m9ation 0 because ! p>5t affirm$ 
! sibl+'s sex aft] involunt>ily2  7#c7 9
 p>agraph 7#ah7-- 7,a7 9 ! matt] prec$+ 
subp>agraph 7,a71 by ins]t+ 79 ! case ( 
subp>agraphs 7,a7 & 7,b71 & 9 ! case (  
subp>agraph 7,c71 n lat] ?an #a ye> aft]
 ! date ( enactm5t ( ! ,yaeli ,m>t9ez   
,*ild ,protection ,act7 aft] ,janu>y #a1
 #aiig12  7,b7 9 subp>agraph 7,a71 by   
/rik+ or aft] ! semicolon2  7,c7 9      
subp>agraph 7,b71 by add+ or aft] !     
semicolon2 &  7,d7 by ins]t+ aft]       

subp>agraph 7,b71 ! foll[+ new          
subp>agraph3  7,c7 delay or d5y to any  
p]son ! opportunity to become an        
adoptive or fo/] p>5t because ! p]son   
may affirm ! *ild's sex2  2  7#d7 9     
p>agraph 7#bb71 by ins]t+ 1 &1 n lat]   
?an #a ye> aft] ! date ( enactm5t ( !   
,yaeli ,m>t9ez ,*ild ,protection ,act1 t
 comply ) p>agraphs 7#ch7 ?r\gh 7#db71 &
 t protect aga9/ ! use ( pron\ns or     
titles1 )\t express p>5tal cons5t1 t d n
 correspond to ! *ild's sex aft] safety 
& heal? ( ! *ildr52  7#e7 9 p>agraph    
7#cf77;,d71 by /rik+ & aft] ! semicolon2
  7#f7 9 p>agraph 7#cg71 by /rik+ !     
p]iod at ! end & ins]t+ a semicolon2 &  
7#g7 by ins]t+ aft] p>agraph 7#cg71 !   
foll[+ new p>agraphs3  7#ch7 provides t 
! ,/ate %all h 9 effect policies &      
proc$ures1 & require t any cov]$ entity 
h 9 effect policies & proc$ures t       
protect & promote ! "r ( a p>5t1 legal  
gu>dian1 c>egiv]1 fo/] p>5t1 prospective
 fo/] p>5t1 or prospective adoptive p>5t
 to be free f discrim9ation = affirm+ or

 int5d+ to affirm a *ild's sex & f any  
adv]se ,/ate action2  7#ci7 has 9 effect
 policies & proc$ures1 & requires any   
cov]$ entity to h 9 effect policies &   
proc$ures1 ensur+ t fo/] c>e or adoptive
 placem5t ( a *ild %all n be d5i$ or    
delay$ because a fo/] p>5t1 prospective 
fo/] p>5t1 or prospective adoptive p>5t 
may affirm a *ild's sex2  7#dj7         
provides1 & has 9 effect policies &     
proc$ures1 & requires any cov]$ entity  
to h 9 effect policies & proc$ures t--  
7,a7 protect & promote a *ild's "r to be
 free f sex-reject+ int]v5tions1 & )\t  
express p>5tal cons5t1 protect a *ild f 
! use ( pron\ns or titles t d n         
correspond to ! *ild's sex2  7,b7       
require ensur+ t no *ild 9 fo/] c>e "u !
 sup]vision ( ! ,/ate is subject$ to    
sex-reject+ int]v5tions2  7,c7 require t
 no funds "u ?is "p %all be us$1 = any  
*ild plac$ 9 ! cov]$ entity's c>e1 to   
provide1 facilitate1 fund1 au?orize1    
p]mit = ! *ild1 or ref] ! *ild =1 any   
sex-reject+ int]v5tion2  7,d7 require t 

no fo/] family home1 *ild-c>e           
in/itution1 or o!r placem5t sett+       
receiv+ funds "u ?is "p %all provide1   
facilitate1 fund1 p]mit1 aid1 or ref]   
sex-reject+ int]v5tions = any *ild plac$
 9 ! fo/] family home1 *ild-c>e         
in/itution1 or o!r placem5t sett+2  7,e7
 require tra9+ = *ild protective s]vices
 work]s1 fo/] c>e casework]s1           
sup]visors1 fo/] p>5ts1 gu>dians ad     
litem1 c\rt-appo9t$ special advocates1  
m9or's c\nsel1 judges1 & o!r individuals
 provid+ s]vices to *ildr5 & families1  
prospective fo/] p>5ts1 prospective     
adoptive p>5ts1 & p>5ts on-- 7i7 !      
m$ical1 psy*ological1 & developm5tal    
h>ms ( sex-reject+ int]v5tions & ! h>ms 
( us+ pron\ns or titles t d n correspond
 to ! *ild's sex2  7ii7 ! "r ( a p>5t or
 legal gu>dian to affirm a *ild's sex & 
! "r ( a p>5t1 legal gu>dian1 c>egiv]1  
fo/] p>5t1 prospective fo/] p>5t1 or    
prospective adoptive p>5t to be free f  
discrim9ation or adv]se ,/ate action =  
affirm+ or int5d+ to affirm a *ild's    

sex2  7iii7 ! pr9ciple t affirmation ( a
 *ild's sex by a p>5t1 legal gu>dian1   
c>egiv]1 fo/] p>5t1 prospective fo/]    
p>5t1 or prospective adoptive p>5t is n 
*ild abuse1 emotional abuse1 neglect1   
maltreatm5t1 ab&onm5t1 contr>y to !     
*ild's be/ int]e/s1 contr>y to a *ild's 
heal?1 safety or welf>e1 or indication (
 p>5tal unfitness or incapacity2  7iv7 !
 pr9ciple t affirmation ( a *ild's sex  
is consi/5t ) ! *ild's be/ int]e/s2  7v7
 ! prohibition on provid+ sex-reject+   
int]v5tions to *ildr5 9 fo/] c>e        
placem5ts2  7vi7 ! prohibition on ! use 
( pron\ns or titles t d n correspond to 
! *ild's sex )\t ! p>5t's express       
cons5t2 &  7vii7 ! prohibition on d5y+1 
delay+ or condition+ ! placem5t ( a *ild
 9 a fo/] or adoptive home placem5t     
because a fo/] p>5t1 prospective fo/]   
p>5t1 or prospective adoptive p>5t may  
affirm ! *ild's sex2 &  7,f7 proc$ures  
to prev5t sex m>k] *anges 7mean+ !      
designation ( ! *ild's sex on any       
(ficial record1 includ+ records ma9ta9$ 

"u ?is "p or "p ,b7 to ! *ild's records 
case t diff] f ! *ild's sex1 :ile ! *ild
 is 9 fo/] c>e2  7#da7 has 9 effect     
proc$ures & requirem5ts ensur+ t *ildr5 
:o are #d ye>s ( age or old] 9 fo/] c>e 
placem5ts are h\s$ 9 accordance ) _!    
sex1 includ+-- 7,a7 requirem5ts t a fo/]
 family home provide ei!r s+le occupancy
 or sex-sep>at$ multi-occupancy sleep+  
qu>t]s 7o!r ?an sleep+ qu>t]s %>$ only )
 a sibl+71 ba?rooms1 %[]s1 lock] rooms1 
*ang+ rooms1 or any o!r areas 9 :i* a   
*ild w\ld be 9 a /ate ( undress :5 9 use
 by ! *ild2  7,b7 requirem5ts t a       
*ild-c>e in/itution 7includ+ any gr\p   
home1 resid5tial treatm5t c5t]1 %elt]1  
qualifi$ resid5tial treatm5t program1   
sett+s = pregnant or p>5t+ fo/] y\?     
describ$ 9 section #dgb7k77#b77;,b71    
sett+ = sex traffick+ victims describ$ 9
 section #dgb7k77#b77;,d7 or o!r        
congregate c>e sett+7 assign ! *ild to &
 provide ei!r s+le occupancy or         
sex-sep>at$ multi-occupancy sleep+      
qu>t]s 7o!r ?an sleep+ qu>t]s %>$ only )

 a sibl+71 ba?rooms1 %[]s1 lock] rooms1 
*ang+ rooms1 or any o!r areas 9 :i* a   
*ild w\ld be 9 a /ate ( undress1 :5 9   
use by ! *ild2 &  7,c7 requirem5ts t    
lic5s+ /&>ds = fo/] family homes1       
*ild-c>e in/itutions1 & o!r placem5t    
sett+s include compliance ) subp>agraphs
 7,a7 & 7,b7 z a condition ( lic5sure = 
any fo/] family home1 *ild-c>e          
in/itution1 or o!r placem5t sett+       
receiv+ funds "u ?is "p2 &  7#db7 has 9 
effect proc$ures & requirem5ts ensur+ t 
no sex-reject+ int]v5tions are initiat$ 
or cont9u$ :5 ! *ild is remov$ f !      
cu/ody1 c>e1 or control ( ! p>5t4  4    
7b7 ,prev5tion & family s]vices &       
programs ,section #dga7;e7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #fga7;e77 
is am5d$-- 7#a7 9 p>agraph 7#d71 by add+
 at ! end ! foll[+ new subp>agraph3     
7,f7 ,limitations ,/ate exp5ditures =   
s]vices or programs t facilitate1       
promote1 provide1 fund1 or au?orize     
sex-reject+ int]v5tions %all n be       
eligible = a ,f$]al mat*+ paym5t "u     

section #dgd7;a77#f77;,a7 & %all n be   
treat$ z meet+ ! requirem5ts (          
evid5ce-bas$ or m$ically-prov5          
practices4  2  7#b7 9 p>agraph          
7#e77;,c7-- 7,a7 9 clause 7i71 by ins]t+
 & does n include promot+1 facilitat+1  
or provid+ sex-reject+ int]v5tions1     
ref]r+ to or treat+ ! *ild 9 a mann] t  
does n correspond to ! *ild's sex1 or   
)\t express p>5tal cons5t1 us+ pron\ns  
or titles t d n correspond to ! *ild's  
sex aft] /rategy = t practice2 &  7,b7 9
 clause 7ii71 by ins]t+ 1 except = !    
requirem5t t ! practice may n include   
promot+1 facilitat+1 or provid+         
sex-reject+ int]v5tions1 ref]r+ to or   
treat+ ! *ild 9 a mann] t does n        
correspond to ! *ild's sex1 or )\t      
express p>5tal cons5t1 us+ pron\ns or   
titles t d n correspond to ! *ild's sex 
aft] ) reg>d to ! practice4  7c7 ,fo/]  
c>e ma9t5ance paym5ts ,section #dgb ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#fgb7 is am5d$-- 7#a7 9 subsection      
7a77#b77;,a7-- 7,a7 9 clause 7i71 by    

/rik+ or aft] ! semicolon2  7,b7 9      
clause 7ii71 by add+ or aft] !          
semicolon2 &  7,c7 by ins]t+ aft] clause
 7ii71 ! foll[+ new clause3  7iii7 !    
limitations & requirem5ts provid$ 9     
p>agraphs 7#ch7 ?r\gh 7#db7 ( section   
#dga7;a72  2 &  7#b7 9 subsection       
7c77#a77;,a77ii77,i71 by ins]t+ &       
capable ( h\s+ ! *ild 9 compliance ) !  
requirem5ts ( section #dga7;a77#da7 aft]
 prud5t p>5t /&>d4  7d7 ,paym5ts        
,section #dgd ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fgd7 is am5d$-- 7#a7 9 
subsection 7d7-- 7,a7 9 p>agraph 7#a71 9
 ! matt] prec$+ subp>agraph 7,a7-- 7i7  
by ins]t+ ,r$uction = violation ( plan  
requirem5t2 private "r ( action4-- be=e 
,if1 dur+2  7ii7 by /rik+ or 7#bc7 (    
section #dga7;a7 & ins]t+ 1 7#bc71      
7#ch71 7#ci71 7#dj71 7#da71 or 7#db7 (  
section #dga7;a71 or any "r1 re/riction1
 limitation1 obligation1 or condition   
e/abli%$ "u section #dgi;,c z applicable
 to ?is "p or "p ,b12 &  7iii7 by /rik+ 
su* violation & ins]t+ violations (     

p>agraphs 7#ah7 & 7#bc7 ( section       
#dga7;a71 & n to exce$ #cj days )       
respect to violations ( p>agraphs 7#ch7 
?r\gh 7#db7 ( section #dga7;a7 or ( any 
"r1 re/riction1 limitation1 obligation1 
or condition e/abli%$ "u section #dgi;,c
 z applicable to ?is "p or "p ,b2  7,b7 
9 p>agraph 7#b7-- 7i7 by ins]t+ 7,a7    
aft] 7#b72  7ii7 by /rik+ or 7#bc7 (    
section #dga7;a7 & ins]t+ 1 7#bc71      
7#ch71 7#ci71 7#dj71 7#da71 or 7#db7 (  
section #dga7;a71 or any "r1 re/riction1
 limitation1 obligation1 or condition   
e/abli%$ "u section #dgi;,c z applicable
 to ?is "p or "p ,b12 &  7iii7 by add+  
at ! end ! foll[+3  7,b7 ,= purposes (  
?is subsection1 a failure to comply     
sub/antially ) p>agraph 7#ch71 7#ci71   
7#dj71 7#da71 or 7#db7 ( section        
#dga7;a71 or ) any "r1 re/riction1      
limitation1 obligation1 or condition    
e/abli%$ "u section #dgi;,c z applicable
 to ?is "p or "p ,b1 %all be treat$ z a 
failure subject to ! r$uctions & rem$ies
 provid$ "u ?is subsection4  2 &  7,c7  

by add+ at ! end ! foll[+ new p>agraph3 
7#e7 ,private "r ( action  7,a7 ,9 g5]al
 ,by accept+ funds "u ?is "p1 ! ,/ate & 
any cov]$ entity agree to be b\nd by !  
foll[+ provisions ( ?is p>agraph4  7,b7 
,cause ( action ,any p>5t1 legal        
gu>dian1 c>egiv]1 fo/] p>5t1 prospective
 fo/] p>5t1 prospective adoptive p>5t1  
or *ild :o is aggriev$ by an adv]se     
,/ate action or1 9 ! case ( a p>5t1     
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t1 a violation ( a "r       
protect$ "u section #dgi;,c7b71 t is    
alleg$ to h be5 tak5 by a cov]$ entity  
may br+ an action seek+ relief f a cov]$
 entity 9 any ,unit$ ,/ates di/rict c\rt
 reg>dless ( :e!r ! specific op]ation1  
division1 facility1 or program ( ! cov]$
 entity t engag$ 9 su* adv]se ,/ate     
action 0 itself fund$1 9 :ole or 9 "p1  
by an aw>d or paym5t made "u ?is "p or  
"p ,b4  7,c7 ,liability ( a cov]$ entity
 = conduct ( o!rs ,= purposes (         
subp>agraph 7,b71 a cov]$ entity        

describ$ 9 subp>agraph 7,a71 7,b71 or   
7,c7 ( section #dge7ai7 waives any      
def5se bas$ on ! abs5ce ( respondeat    
sup]ior liability1 & %all be vic>i\sly  
liable "u ?is p>agraph = any adv]se     
,/ate action or any violation ( ! "r    
protect$ "u section #dgi;,c7b7 t is     
committ$ by any employee1 contractor1 or
 ag5t ( su* cov]$ entity1 )\t reg>d to  
:e!r su* adv]se ,/ate action or         
violation-- 7i7 result$ f an (ficial    
policy or cu/om ( ! cov]$ entity2  7ii7 
0 kn[n to any sup]visory (ficial ( !    
cov]$ entity2 or  7iii7 0 )9 ! scope (  
su* cov]$ entity's employm5t1 contract1 
or ag5cy4  7,d7 ,rebuttable presumption 
,= purposes ( any action br\ght "u ?is  
p>agraph1 !re is a rebuttable           
presumption t an adv]se ,/ate action or 
a violation ( ! "r protect$ "u section  
#dgi;,c7b7 0 because ( ! affirmation ( a
 *ild's sex if-- 7i7 a case record1     
report1 petition1 recomm5dation1 or o!r 
ag5cy or c\rt docum5t includes !        
affirmation ( ! *ild's sex z a basis =1 

contribut+ factor 91 or conc]n relat$ to
 ! adv]se ,/ate action2 or  7ii7 a      
recomm5dation1 ord]1 or agreem5t has be5
 made t a *ild be remov$ f a p>5t1 legal
 gu>dian1 or c>egiv] & be plac$ 9 a fo/]
 family home1 *ild-c>e in/itution1 or   
o!r placem5t sett+ t-- 7,i7 provides1   
p]mits1 or enc\rages ! *ild to und]go   
any sex-reject+ int]v5tion2 or  7,,ii7  
)\t p>5tal cons5t1 uses pron\ns or      
titles t d n correspond to ! *ild's sex4
  7,e7 ,rebuttal ,a cov]$ entity be>s ! 
burd5 ( rebutt+ ! presumption describ$ 9
 subp>agraph 7,d7 by cle> & conv9c+     
evid5ce t ! affirmation ( ! *ild's sex 0
 n a factor 9 ! adv]se ,/ate action or  
violation ( ! rights protect$ "u section
 #dgi;,c7b74  7,f7 ,nonapplication (    
exhau/ion ( rem$ies ,exhau/ion ( any    
,/ate or adm9i/rative rem$ies %all n be 
requir$ z a condition ( br++ an action  
describ$ 9 subp>agraph 7,b74  7,g7      
,relief  7i7 ,9 g5]al ,z a condition (  
accept+ funds "u ?is "p1 ea* ( ! rem$ies
 describ$ 9 clause 7ii7 is available to 

a prevail+ p>5t1 legal gu>dian1 c>egiv]1
 fo/] p>5t1 prospective fo/] p>5t1      
prospective adoptive p>5t1 or *ild 9 an 
action br\ght "u ?is p>agraph4  7ii7    
,rem$ies ,! rem$ies describ$ 9 ?is      
clause are-- 7,i7 decl>atory relief2    
7,,ii7 prelim9>y & p]man5t injunctive   
relief1 includ+ an ord] enjo9+1 vacat+1 
or prohibit+ ! en=cem5t ( any adv]se    
,/ate action or any violation ( ! "r    
protect$ "u section #dgi;,c7b71 not)/&+ 
section #bbhc ( title #bh1 ,unit$ ,/ates
 ,code1 except :]e ! cov]$ entity       
demon/rates by cle> & conv9c+ evid5ce t 
su* relief w\ld create an imm95t risk ( 
s]i\s physical h>m to ! *ild bas$ on    
conduct indep5d5t ( ! adv]se ,/ate      
action or violation2  7,,iii7           
comp5satory damages2 &  7,,iv7 damages =
 emotional di/ress suff]$ by a p>5t1    
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 prospective      
adoptive p>5t1 or *ild4  7,h7 ,co/s &   
attorney's fees ,9 any action br\ght "u 
?is p>agraph1 ! c\rt %all aw>d !        

prevail+ p>5t1 legal gu>dian1 c>egiv]1  
fo/] p>5t1 prospective fo/] p>5t1       
prospective adoptive p>5t1 or *ild co/s 
( litigation & attorney's fees4  7,i7   
,abrogation ( qualifi$ immunity ,9 any  
action br\ght "u ?is p>agraph aga9/ an  
employee1 contractor1 or ag5t ( a cov]$ 
entity describ$ 9 subp>agraph 7,d7 (    
section #dge7ai71 qualifi$ immunity %all
 n be available z a def5se4 ,to satisfy 
! requirem5t t ! law be cle>ly e/abli%$ 
at ! "t ( ! violation1 x is suffici5t t 
! conduct con/itut$ an adv]se ,/ate     
action or violat$ ! "r protect$ "u      
section #dgi;,c7b74 ,! abs5ce ( an      
express policy1 proc$ure1 or protocol by
 a cov]$ entity describ$ 9 subp>agraph  
7,a71 7,b71 or 7,c7 ( section #dge7ai7  
%all n preclude a f9d+ t ! law 0 cle>ly 
e/abli%$ or t ! employee1 contractor1 or
 ag5t ( a cov]$ entity describ$ 9       
subp>agraph 7,d7 ( section #dge7ai7 knew
 or %\ld h kn[n t ! conduct 0 unlawful4 
7,j7 ,waiv] ( sov]eign immunity  7i7    
,/ate immunity ,a cov]$ entity describ$ 

9 subp>agraph 7,a7 ( section #dge7ai71 z
 a condition ( accept+ funds "u ?is "p1 
%all waive immunity "u ! ,elev5?        
,am5dm5t to ! ,con/itution ( ! ,unit$   
,/ates f suit 9 ,f$]al c\rt = any adv]se
 ,/ate action or any violation ( ! "r   
protect$ "u section #dgi;,c7b74  7ii7   
,tribal immunity ,a cov]$ entity        
describ$ 9 subp>agraph 7,b7 ( section   
#dge 7#ai71 z a condition ( accept+     
funds "u ?is "p1 %all waive immunity f  
suit 9 ,f$]al c\rt = any adv]se ,/ate   
action or any violation ( ! "r protect$ 
"u section #dgi;,c7b74  7iii7 ,rem$ies  
available ,9 any action aga9/ a ,/ate or
 ,indian tribe or tribal organization = 
any adv]se ,/ate action or any violation
 ( ! "r protect$ "u section #dgi;,c7b71 
rem$ies 7includ+ rem$ies bo? at law & 9 
equity7 are available 9 a suit aga9/ any
 public or private entity o!r ?an a     
,/ate or ,indian tribe1 or tribal       
organization4  7,k7 ,/atute (           
limitations  7i7 ,9 g5]al ,except z     
provid$ 9 clause 7iii71 an action "u    

subp>agraph 7,b7 %all comm5ce no lat]   
?an #d ye>s aft] ! date on :i* ! cause (
 action accrues4  7ii7 ,accrual ,=      
purposes ( clause 7i71 a cause ( action 
accrues on ! date a p>5t1 legal gu>dian1
 c>egiv]1 fo/] p>5t1 prospective fo/]   
p>5t1 prospective adoptive p>5t1 or *ild
 knew or reasonably %\ld h kn[n ( !     
violation giv+ rise to ! claim1 or1 9 ! 
case ( an ongo+ violation1 on ! date !  
violation ceases4  7iii7 ,toll+ ,!      
limitations p]iod "u clause 7i7 %all be 
toll$-- 7,i7 ) respect to a claim br\ght
 on behalf ( a m9or *ild1 until ! lat]  
(-- 7aa7 ! date ! *ild atta9s ! age (   
#ah2 or  7bb7 ! date t is #d ye>s aft] !
 date ! violation occurr$2 &  7,,ii7    
dur+ ! p5d5cy ( any ,/ate or ,indian    
*ild welf>e proce$+ aris+ f ! same facts
 z ! ,f$]al claim1 & = ! #b-ye> p]iod   
foll[+ ! f9al resolution ( su* proce$+4 
7,l7 ,relation%ip to o!r laws  7i7      
,non-preemption ,no?+ 9 ?is p>agraph    
%all be con/ru$ to preempt any ,/ate law
 t provides great] protection ?an !     

rights e/abli%$ "u ?is p>agraph4  7ii7  
,o!r applicable laws ,! rights e/abli%$ 
"u ?is p>agraph are 9 addition to1 & n 9
 lieu (1 any rights available "u !      
,con/itution ( ! ,unit$ ,/ates1 section 
#aigi ( ! ,revis$ ,/atues 7commonly     
ref]r$ to z section #aihc7 7#db         
,u4,s4,c4 #aihc71 ! ,yaeli ,m>t9ez ,*ild
 ,protection ,act1 or any o!r ,f$]al or 
,/ate law4  7iii7 ,jurisdiction ,f$]al  
c\rts %all h orig9al jurisdiction ov]   
any civil action br\ght "u subp>agraph  
7,b74 ,no action %all be dismiss$1 /ay$ 
or o!rwise abat$ on ! basis (-- 7,i7 !  
p5d5cy ( a ,/ate c\rt proce$+2  7,,ii7  
any ,/ate c\rt judgm5t or ord]2  7,,iii7
 any doctr9e ( equitable re/ra9t1       
ab/5tion1 or comity1 includ+ any doctr9e
 "u :i* a c\rt decl9es to ex]cise       
jurisdiction because ( ! p5d5cy or      
pot5tial p5d5cy ( a ,/ate judicial or   
adm9i/rative proce$+2 or  7,,iv7 !      
dome/ic relations exception 9 ,f$]al    
jurisdiction1 if ! action seeks en=cem5t
 ( a "r e/abli%$ "u ?is section1 & does 

n seek ! issuance ( an orig9al divorce1 
alimony or *ild cu/ody decree 9 a       
dome/ic-relations proce$+ betwe5 private
 p>ties4  7iv7 ,o!r relief ,! relief    
available "u ?is p>agraph %all be 9     
addition to any relief p]mitt$ by !     
,secret>y "u ?is "p4  2 &  7#b7 by add+ 
at ! end ! foll[+ new subsection3  7h7  
,prohibition on ,sex-,reject+           
,int]v5tions ,not)/&+ any o!r provision 
( law1 no paym5ts %all be made to a     
,/ate "u ?is "p = any am\nts exp5d$ =   
sex-reject+ int]v5tions4  4  7e7        
,def9itions ,section #dge ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #fge7 is  
am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by  
/rik+ subp>agraph 7,a7 & ins]t+ !       
foll[+3  7,a7 ,a description (-- 7i7 !  
type ( home or in/itution 9 :i* a *ild  
is to be plac$1 includ+ a discussion ( !
 safety & appropriat5ess ( ! placem5t1  
h[ t placem5t complies ) p>agraphs 7#ch7
 ?r\gh 7#db7 ( section #dga7;a71 & h[ ! 
placem5t prohibits1 )\t ! express cons5t
 ( ! p>5t1 ! use ( pron\ns or titles t d

 n correspond to ! *ild's sex2 &  7ii7  
h[ ! ag5cy :i* is responsible = ! *ild  
plans to c>ry out ! volunt>y placem5t   
agreem5t ent]$ into or judicial         
det]m9ation made ) respect to ! *ild 9  
accordance ) section #dgb7;a77#b77;,a74 
2 &  7,b7 9 subp>agraph 7,c7-- 7i7 9    
clause 7vi71 by /rik+ & aft] !          
semicolon2  7ii7 by r$esignat+ clause   
7vii7 z clause 7viii72 &  7iii7 by      
ins]t+ aft] clause 7vi71 ! foll[+ new   
clause3  7vii7 ! *ild's sex2 &  2  7#b7 
9 p>agraph 7#b71 by /rik+ 1 z det]m9$ by
 applicable ,/ate law2  7#c7 9 p>agraph 
7#aj77;,a71 by ins]t+ & ! affirmation ( 
! *ild z 8 or h] sex aft] developm5tal  
gr[? ( ! *ild2 &  7#d7 by add+ at ! end 
! foll[+ new p>agraphs3  7#ad7 7,a7 ,!  
t]m adv]se ,/ate action means any cov]$ 
action tak5 by a cov]$ entity if any ( !
 foll[+ 0 a motiv+ factor1 & )\t reg>d  
to h[ ! cov]$ entity *>act]izes ! reason
 = ! cov]$ action3 7i7 ,affirmation (1  
or int5t to affirm1 ! *ild's sex by !   
p>5t1 legal gu>dian1 c>egiv]1 fo/] p>5t1

 prospective fo/] p>5t1 or prospective  
adoptive p>5t4  7ii7 ,! *ild's reque/ to
 be treat$ 9 a mann] inconsi/5t ) !     
*ild's sex1 or ! *ild's reque/ = or     
attempt to obta9 sex-reject+            
int]v5tions4  7iii7 ,! *ild's expression
 ( psy*ological di/ress1 includ+        
suicidal ideation or ?reat ( self-h>m1  
relat$ to affirmation ( ! *ild's sex by 
! p>5t1 legal gu>dian1 or c>egiv]4  7iv7
 ,t ! *ild ran away1 ?reat5s to run     
away1 int5ds to run away f1 or reque/s  
no contact )1 a p>5t1 legal gu>dian1 or 
c>egiv] because ( a circum/ance describ$
 9 clause 7i71 7ii71 or 7iii74  7,b7 ,= 
purposes ( subp>agraph 7,a71 a cov]$    
action includes any ( ! foll[+3 7i7 ,!  
removal or ?reat ( removal ( a *ild f ! 
home1 or ! removal or ?reat ( removal ( 
a p>5t1 legal gu>dian1 or c>egiv] f !   
home1 includ+ removal ( ! *ild or su*   
p>5t1 legal gu>dian1 or c>egiv] pursuant
 to any safety plan or o!r              
protective-s]vices action by a cov]$    
entity4  7ii7 ,any assessm5t1           

inve/igation1 or inquiry conduct$ = !   
purpose ( det]m9+ ! exi/5ce ( *ild      
abuse1 neglect1 or p>5tal unfitness or  
incapacity4  7iii7 ,any dep5d5cy1 *ild  
welf>e1 or juv5ile c\rt proce$+1 includ+
 any inve/igation1 removal proce$+1     
proce$+ to limit or condition ! ex]cise 
( p>5tal rights1 proce$+ relat+ to      
visitation1 proce$+ to t]m9ate p>5tal   
rights1 or o!r relat$ *ild welf>e or    
c\rt proce$+4  7iv7 ,d5y+1 imp$+1       
int]f]+ )1 or unreasonably delay+-- 7,i7
 ! p>5t's1 legal gu>dian's1 or c>egiv]'s
 visitation1 communication1 or meet+ ) !
 *ild2  7,,ii7 ! p>5t's1 legal          
gu>dian's1 or c>egiv]'s s*$ul$ meet+1   
case conf]5ce1 or o!r plann$            
communication ) an employee or ag5t ( a 
cov]$ entity reg>d+ ! *ild2 or  7,,iii7 
! return ( ! *ild to ! p>5t1 legal      
gu>dian1 or c>egiv]4  7v7 ,! mak+ ( any 
f9d+ or sub/antiation ( *ild abuse1     
neglect1 or p>5tal unfitness or         
incapacity4  7vi7 ,any case plan1 safety
 plan1 s]vice plan1 or reunification    

plan recomm5dation or requirem5t impos$ 
by a cov]$ entity z a condition (       
visitation1 communication1 or meet+ ) a 
*ild1 reunification1 return ( a *ild1 or
 cont9u$ family pres]vation4  7vii7 ,!  
involunt>y t]m9ation ( p>5tal rights to 
a *ild or to a sibl+ ( a *ild4  7viii7  
,placem5t on a ,/ate *ild abuse regi/ry 
or index4  7ix7 ,! delay or d5ial ( fo/]
 c>e placem5t or adoption4  7#ae7 ,!    
t]ms affirm$ z 8 or h] sex1 affirm a    
*ild's sex1 affirm ! *ild's sex1        
affirmation ( a *ild's sex1 affirmation 
( ! *ild's sex1 & affirm$ ! sibl+'s sex 
mean ref]r+ to or rais+ ! *ild1 or      
int5d+ to ref] to or raise ! *ild1 z 8  
or h] sex1 includ+ refus+ to cons5t to  
sex-reject+ int]v5tions = ! *ild4  7#af7
 ,! t]m disord] ( sex developm5t means a
 cong5ital condition involv+ atypical   
complem5t or /ructure or developm5t (   
sex *romosomes1 gonads1 int]nal g5ital  
ducts1 or ext]nal g5italia1 includ+     
disord]s ( sex hormone syn!sis or       
action1 b does n include psy*ological or

 behavioral conditions1 nor typical male
 or female sex developm5t ) di/ress     
reg>d+ sex$ anatomy4  7#ag7 ,! t]m sex  
means an individual's immutable         
biological sex1 ei!r-- 7,a7 male1 :]eby 
! individual naturally has1 _h1 w h1 or 
w\ld h1 b = a disord] ( sex developm5t  
or an int5tional or un9t5tional         
disruption1 ! reproductive sy/em t      
produces1 transports1 & utilizes ! small
 gamete 7sp]m7 = f]tilization2 or  7,b7 
female1 :]eby ! individual naturally    
has1 _h1 w h1 or w\ld h1 b = a disord] (
 sex developm5t or an int5tional or     
un9t5tional disruption1 ! reproductive  
sy/em t produces1 transports1 & utilizes
 ! l>ge gamete 7ova7 = f]tilization4    
7#ah7 ,! t]m sex-reject+ int]v5tions    
means a psy*ological1 m$ical1 or        
surgical int]v5tion t is int5d$ to      
promote1 endorse1 or enable a *ild's    
rejection ( 8 or h] sex1 to promote1    
endorse1 or enable a *ild to adopt an   
appe>ance t does n correspond to 8 or h]
 sex1 or to int5tionally *ange ! body ( 

a *ild1 includ+ ! *ild's ext]nal        
appe>ance or biological functions1 to no
 long] correspond to 8 or h] sex1       
includ+-- 7,a7 int5tionally delay+1     
halt+1 or disrupt+ ! natural developm5t 
( ! *ild's body1 includ+ ! onset or     
progression ( pub]ty1 s t x does n      
develop or halts develop+ to correspond 
to ! *ild's sex1 includ+ b n limit$ to !
 use ( pub]ty block+ drugs1 su* z       
gonadotrop9 releas+ hormone agoni/s or  
antagoni/s2  7,b7 prescrib+1 adm9i/]+1  
or disp5s+ to ! *ild &rog5 block]s or   
sex hormones su* z e/rog51 proge/]one1  
or te/o/]one2  7,c7 prescrib+ or p]=m+  
any surgical proc$ure t attempts to     
trans=m ! physical appe>ance or t       
attempts to alt] or remove ! tissues1   
cavities1 bone1 c>tilage1 or organs ( a 
*ild2  7,d7 provid+ compression mat]ials
 or g>m5ts t are design$ to con/rict    
female brea/s1 or t flatt5 or tuck a    
male's g5itals1 pro/hetic brea/s1       
g5itals1 or hips1 or any o!r mat]ials t 
enable ! *ild to conceal 8 or h] sex or 

to simulate ! physical *>act]i/ics ( !  
opposite sex2  7,e7 p]mitt+ or assign+ a
 *ild :o is #d ye>s ( age or old] to--  
7i7 use sleep+ qu>t]s1 ba?rooms1 lock]  
rooms1 *ang+ rooms1 or o!r areas 9 :i* a
 *ild may be 9 a /ate ( undress t are   
designat$ = individuals ( ! opposite    
sex2 or  7ii7 p>ticipate 9 sex-sep>at$  
activities designat$ = individuals ( !  
opposite sex4  ,no?+ 9 ?is p>agraph %all
 be con/ru$ z preclud+ ! treatm5t ( a   
disord] ( sex developm5t or ! 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,a71 7,b71 7,c71 or 7,d74  
7#ai7 ,! t]m cov]$ entity means any ( ! 
foll[+ entities t has receiv$ funds "u  
?is "p or "p ,b directly or z a         
subrecipi5t3 7,a7 ,any ,/ate & any ,/ate
 or local ag5cy4  7,b7 ,any ,indian     
tribe or tribal organization4  7,c7 ,any
 public or private ag5cy or organization
 t contracts ) any entity li/$ 9        
subp>agraph 7,a7 or 7,b74  7,d7 ,any    

individual :o is a contractor1 employee1
 or ag5t ( any ( ! entities li/$ 9      
subp>agraphs 7,a71 7,b71 or 7,c74  4    
#bjc4 ,am5dm5ts to ! ,john ,h4 ,*afee   
,fo/] ,c>e ,program = ,successful       
,transition to ,adul?ood ,section #dgg (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #fgg7 is am5d$-- 7#a7 9 subsection     
7b7-- 7,a7 9 p>agraph 7#b71 by add+ at !
 end ! foll[+ new subp>agraphs3  7,g7   
,ensure t ! programs comply )1 & require
 cov]$ entities receiv+ funds "u ?is    
section to comply )1 ! requirem5ts (    
p>agraphs 7#ch7 ?r\gh 7#db7 ( section   
#dga7;a7 = any y\? :o has n atta9$ ! age
 ( #ah receiv+ s]vices "u ?is section4  
7,h7 ,ensure t any provid] (            
transitional or indep5d5t liv+ s]vices  
%all comply ) ! h\s+ requirem5ts (      
p>agraph 7#da7 ( section #dga7;a7 )     
reg>d to any y\? receiv+ su* s]vices :o 
has n atta9$ ! age ( #ah4  2 &  7,b7 9  
p>agraph 7#c71 by add+ at ! end ! foll[+
 new subp>agraphs3  7,l7 ,a c]tification
 by ! *ief executive (fic] ( ! ,/ate t !

 ,/ate's programs "u ?is section comply 
) ! requirem5ts ( p>agraphs 7#ch7 ?r\gh 
7#db7 ( section #dga7;a7 ) respect to   
s]vices provid$ to any y\? :o has n     
atta9$ ! age ( #ah4  7,m7 ,a            
c]tification by ! *ief executive (fic] (
 ! ,/ate t ! ,/ate w ensure t any y\? :o
 has n atta9$ ! age ( #ah & :o is       
receiv+ indep5d5t liv+ s]vices fund$ "u 
?is section %all be h\s$ 9 accordance ) 
! requirem5ts ( p>agraph 7#da7 ( section
 #dga7;a74  2 &  7#b7 by add+ at ! end !
 foll[+ new subsection3  7k7            
,limitations ,no am\nt paid to a ,/ate &
 no am\nt receiv$ by a cov]$ entity )   
su* funds may be us$ to provide1        
facilitate1 fund1 au?orize1 or p]mit = a
 y\?1 or ref] a y\? =1 any sex-reject+  
int]v5tion = any y\? :o has n atta9$ !  
age ( #ah & :o is receiv+ s]vices fund$ 
"u ?is section4  4  #bjd4 ,rules (      
con/ruction2 application to fund+       
re/rictions "u p>ts ,b & ,e ( title ,,iv
 ( ! ,social ,security ,act ,"p ,e (    
title ,,iv ( ! ,social ,security ,act   

7#db ,u4,s4,c4 #fgj et seq47 is am5d$ by
 add+ at ! end ! foll[+ new section3    
#dgi;,c4 ,rules ( con/ruction2          
application to fund+ re/rictions "u p>ts
 ,b & ,e  7a7 ,affirm+ a *ild's sex is n
 abuse ,9 adm9i/]+1 en=c+1 or aw>d+     
funds "u ?is "p or "p ,b1 includ+ "u    
section #dgg1 ! ,secret>y %all n treat1 
& %all ensure t no recipi5t or          
subrecipi5t uses funds aw>d$ "u su*     
provisions to treat1 affirmation ( a    
*ild's sex by a p>5t1 legal gu>dian1    
c>egiv]1 fo/] p>5t1 prospective fo/]    
p>5t1 or prospective adoptive p>5t z    
*ild abuse1 emotional abuse1 neglect1   
maltreatm5t1 ab&onm5t1 contr>y to !     
*ild's be/ int]e/s1 contr>y to a *ild's 
heal?1 safety1 or welf>e1 or z an       
indication ( p>5tal unfitness or        
incapacity4  7b7 ,condition on receipt (
 funds2 rights protect$ ,z a condition (
 receiv+ funds1 includ+ any grants1     
subgrants1 or o!r allocations1 "u ?is "p
 or "p ,b1 includ+ "u section #dgg1 a   
cov]$ entity %all protect ! foll[+      

rights & %all n discrim9ate or take an  
adv]se ,/ate action aga9/ an individual 
because su* individual ex]cises1 has    
ex]cis$1 or int5ds to ex]cise any su*   
"r3 7#a7 ,a p>5t or legal gu>dian has ! 
"r to affirm a *ild's sex1 includ+ ! "r 
= ! *ild n to be subject$ by any cov]$  
entity1 ev5 if ! *ild is 9 ! legal or   
physical cu/ody ( ! cov]$ entity1 to--  
7,a7 ! provision1 facilitation1 fund+1  
au?orization1 or p]mission ( any        
sex-reject+ int]v5tion = ! *ild2  7,b7 !
 use ( pron\ns or titles t d n          
correspond to ! *ild's sex1 )\t !       
express writt5 cons5t ( su* p>5t or     
legal gu>dian2 or  7,c7 if ! *ild is #d 
ye>s ( age or old]1 be+ p]mitt$ or      
assign$ ! use ( sleep+ qu>t]s 7o!r ?an  
sleep+ qu>t]s %>$ only ) a sibl+71      
ba?rooms1 %[]s1 lock] rooms1 *ang+      
rooms1 or any o!r area 9 :i* ! *ild w\ld
 be 9 a /ate ( undress1 ) individuals ( 
! opposite sex4  7#b7 ,a p>5t or legal  
gu>dian has ! "r n to be requir$ to     
cons5t to ! *ild be+ subject$ to any ( !

 actions describ$ 9 subp>agraph 7,a71   
7,b71 or 7,c7 ( p>agraph 7#a7 z a       
condition ( cu/ody or return ( ! *ild1  
or visitation1 communication1 or        
reunification ) ! *ild4  7#c7 ,a p>5t1  
legal gu>dian1 c>egiv]1 fo/] p>5t1      
prospective fo/] p>5t1 or prospective   
adoptive p>5t has a "r to be free f     
discrim9ation or adv]se ,/ate action =  
affirm+ or int5d+ to affirm a *ild's    
sex4  7#d7 ,a *ild has ! "r n to be     
subject$ by any cov]$ entity1 ev5 if !  
*ild is 9 ! legal or physical cu/ody ( !
 cov]$ entity1 to any sex-reject+       
int]v5tion4  7c7 ,scope ( application ,=
 purposes ( ! re/rictions on ! use (    
aw>ds "u ?is "p or "p ,b1 includ+ "u    
section #dgg1 if any cov]$ entity       
receives funds "u ei!r su* "p or        
section1 directly or z a recipi5t ( a   
subgrant1 contract1 or o!r allocation1 !
 requirem5ts & prohibitions ( su*       
re/rictions %all apply to all ( !       
op]ations1 divisions1 facilities1 &     
programs ( t cov]$ entity1 reg>dless (  

:e!r ! specific op]ation1 division1     
facility1 or program t engages 9 !      
conduct describ$ 9 su* re/rictions      
itself receiv$ su* funds4  4  #bje4     
,am5dm5t to section #dgh ( ! ,social    
,security ,act ,section #dgh ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #fgh7 is 
am5d$-- 7#a7 by /rik+ ,no?+ 9 ?is "p &  
ins]t+ ! foll[+3  7a7 ,9 g5]al ,no?+ 9  
?is "p  2 &  7#b7 by add+ at ! end !    
foll[+3  7b7 ,compliance ) ,yaeli       
,m>t9ez ,*ild ,protection ,act ,not)/&+ 
subsection 7a71 z a condition ( receiv+ 
paym5ts "u ?is "p1 a ,/ate %all ensure t
 det]m9ations conc]n+ ! heal?1 safety1 &
 be/ int]e/s ( a *ild comply ) !        
requirem5ts (1 & ! am5dm5ts made by1 !  
,yaeli ,m>t9ez ,*ild ,protection ,act4  
4  ,,iii ,am5dm5ts to ! full fai? &     
cr$it = *ild cu/ody det]m9ations  #cja4 
,full fai? & cr$it = *ild cu/ody        
det]m9ations ,section #agch;,a ( title  
#bh1 ,unit$ ,/ates ,code1 is am5d$--    
7#a7 9 subsection 7a71 by /rik+         
subsections 7f71 7g71 & 7h7 & ins]t+    

subsections 7g7 ?r\gh 7j72  7#b7 9      
subsection 7b7-- 7,a7 by r$esignat+     
p>agraphs 7#h7 & 7#i7 z p>agraphs 7#ag7 
& 7#ah71 respectively2  7,b7 by         
r$esignat+ p>agraphs 7#e71 7#f71 & 7#g7 
z p>agraphs 7#aa71 7#ab71 & 7#ac71      
respectively2  7,c7 by r$esignat+       
p>agraph 7#d7 z p>agraph 7#i72  7,d7 by 
r$esignat+ p>agraphs 7#a71 7#b71 & 7#c7 
z p>agraphs 7#c71 7#d71 & 7#e71         
respectively2  7,e7 by ins]t+ be=e      
p>agraph 7#c71 z s r$esignat$1 ! foll[+3
  7#a7 abuse1 neglect1 mi/reatm5t1      
ab&onm5t1 endang]m5t1 p>5tal unfitness  
or incapacity1 & any o!r simil> claim   
relat+ to ! heal?1 safety1 or welf>e ( !
 *ild1 h[ev] *>act]iz$ "u ! law ( !     
,/ate ass]t+ jurisdiction %all n be     
con/ru$ to include affirm+ a *ild's sex2
  7#b7 affirm+ a *ild's sex-- 7,a7 means
 ref]r+ to & rais+ a *ild1 or int5d+ to 
ref] to or raise a *ild1 9 accordance ) 
8 or h] sex1 includ+ refus+ to cons5t to
 sex-reject+ int]v5tions = ! *ild2 &    
7,b7 %all n be con/ru$ z contr>y to !   

be/ int]e/ ( ! *ild or contr>y to !     
*ild's safety1 heal?1 well-be+1 or      
welf>e2  2  7,f7 by ins]t+ aft] p>agraph
 7#e71 z s r$esignat$1 ! foll[+3  7#f7  
disord] ( sex developm5t-- 7,a7 means a 
cong5ital condition involv+ atypical    
*romosome complem5t or /ructure or      
atypical developm5t ( sex *romosomes1   
gonads1 int]nal g5ital ducts1 or ext]nal
 g5italia1 includ+ disord]s ( sex       
hormone syn!sis or action2 &  7,b7 does 
n include psy*ological or behavioral    
conditions or typical male or female sex
 developm5t ) di/ress reg>d+ sex$       
anatomy2  7#g7 female means an          
individual :o naturally has1 _h1 w h1 or
 w\ld h b = a disord] ( sex developm5t  
or int5tional or un9t5tional disruption1
 ! reproductive sy/em t produces1       
transports1 & utilizes ! l>ge gamete    
7commonly kn[n z ova7 = f]tilization2   
7#h7 =eign ,/ate means a ,/ate t is n ! 
home ,/ate2  2  7,g7 by ins]t+ aft]     
p>agraph 7#i71 z s r$esignat$1 ! foll[+3
  7#aj7 male means an individual :o     

naturally has1 _h1 w h1 or w\ld h b = a 
disord] ( sex developm5t or int5tional  
or un9t5tional disruption1 !            
reproductive sy/em t produces1          
transports1 & utilizes ! small gamete   
7commonly kn[n z sp]m7 = f]tilization2  
2  7,h7 by ins]t+ aft] p>agraph 7#ac71 z
 s r$esignat$1 ! foll[+3  7#ad7 sex     
means a *ild's immutable biological sex1
 ei!r male or female2  7#ae7 sex-reject+
 int]v5tion-- 7,a7 means a psy*ological1
 m$ical1 or surgical int]v5tion t is    
int5d$ to promote1 endorse1 or enable a 
*ild's rejection ( 8 or h] sex1 to      
promote1 endorse1 or enable a *ild to   
adopt an appe>ance t does n align ) 8 or
 h] sex1 or to int5tionally *ange ! body
 ( a *ild1 includ+ ! *ild's ext]nal     
appe>ance or biological functions1 to no
 long] correspond to 8 or h] sex1       
includ+-- 7i7 int5tionally delay+1      
halt+1 or disrupt+ ! natural developm5t 
( ! *ild's body1 includ+ ! onset or     
progression ( pub]ty1 s t x does n      
develop or halts develop+ to correspond 

to ! *ild's sex1 includ+ ! use ( pub]ty 
block+ drugs1 su* z gonadotrop9 releas+ 
hormone agoni/s2  7ii7 prescrib+1       
adm9i/]+1 or disp5s+ to ! *ild &rog5    
block]s or sex hormones su* z e/rog51   
proge/]one1 or te/o/]one2  7iii7        
prescrib+ or p]=m+ any surgical proc$ure
 t attempts to trans=m ! physical       
appe>ance or t attempts to alt] or      
remove ! tissues1 cavities1 bone1       
c>tilage1 or organs ( a *ild2  7iv7 us+ 
pron\ns or titles t d n align ) ! *ild's
 sex2  7v7 provid+ compression mat]ials 
or g>m5ts t are design$ to con/rict     
female brea/s or t flatt5 or tuck a     
male's g5itals1 pro/hetic brea/s1       
g5itals1 or hips1 or any o!r mat]ials t 
enable a *ild to conceal 8 or h] sex or 
to simulate ! physical *>act]i/ics ( !  
opposite sex2 &  7vi7 p]mitt+ or assign+
 a *ild :o is n less ?an #d ye>s ( age  
to-- 7,i7 use sleep+ qu>t]s1 ba?rooms1  
lock] rooms1 *ang+ rooms1 or o!r areas 9
 :i* a *ild may be 9 a /ate ( undress t 
are designat$ = individuals ( ! opposite

 sex2 or  7,,ii7 p>ticipate 9           
sex-sep>at$ activities designat$ =      
individuals ( ! opposite sex2  7,b7 %all
 n be con/ru$ to include ! treatm5t ( a 
disord] ( sex developm5t2 &  7,c7 %all n
 be con/ru$ to include em]g5cy m$ical   
c>e = a *ild1 unless ! m$ical c>e is = !
 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,a72  7#af7     
sex-reject+ int]v5tion kidnapp+ law     
means a ,/ate law t p]mits a =eign ,/ate
 to take tempor>y or p]man5t            
jurisdiction ov] a *ild cu/ody or       
visitation det]m9ation because a        
conte/ant or a *ild is seek+ a          
sex-reject+ int]v5tion or a cu/odial    
p>5t is affirm+ ! *ild's sex2  2  7#c7 9
 subsection 7c77#b7-- 7,a7 9 subp>agraph
 7,a71 by ins]t+ ) ! p]mission ( ea*    
cu/odial p>5t aft] _h be5 ! *ild's home 
,/ate2  7,b7 9 subp>agraph 7,b71 by     
/rik+ tra9+ & ins]t+ education2 &  7,c7 
9 subp>agraph 7,e71 by /rik+ subsection 

7d7 & ins]t+ subsections 7d7 & 7e72     
7#d7 by r$esignat+ subsection 7g7 z     
subsection 7j7 & transf]r+ su*          
subsection1 z s r$esignat$1 s z to appe>
 aft] subsection 7h72  7#e7 by          
r$esignat+ subsections 7d71 7e71 & 7f7 z
 subsections 7e71 7f71 & 7g71           
respectively2  7#f7 by ins]t+ be=e      
subsection 7e71 z s r$esignat$1 !       
foll[+3  7d7 7#a7 ,not)/&+ any o!r      
provision ( ?is section1 a c\rt ( a     
,/ate %all n ex]cise jurisdiction to    
make a cu/ody or visitation det]m9ation 
if-- 7,a7 7i7 ! assumption (            
jurisdiction is bas$ on a conte/ant or a
 *ild seek+ a sex-reject+ int]v5tion = !
 *ild2 &  7ii7 sex-reject+ int]v5tions  
are available 9 su* ,/ate2 or  7,b7 !   
assumption ( jurisdiction is bas$ on a  
claim t a *ild has be5 subject$ to or   
?reat5$ ) abuse1 neglect1 mi/reatm5t1   
ab&onm5t1 endang]m5t1 p>5tal unfitness  
or incapacity1 or any o!r simil> claim  
relat+ to ! heal?1 safety1 or welf>e ( !
 *ild1 h[ev] *>act]iz$ "u ! law ( !     

,/ate ass]t+ jurisdiction1 if su* claim 
is bas$ on a conte/ant or a *ild seek+ a
 sex-reject+ int]v5tion = ! *ild        
available 9 ! ,/ate4  7#b7 ,= purposes (
 subp>agraph 7,b7 ( p>agraph 7#a7-- 7,a7
 not)/&+ ! laws ( ! home ,/ate or !     
applicable =eign ,/ate-- 7i7 abuse1     
neglect1 mi/reatm5t1 ab&onm5t1          
endang]m5t1 p>5tal unfitness or         
incapacity1 or any o!r simil> claim     
relat+ to ! heal?1 safety1 or welf>e ( !
 *ild1 h[ev] *>act]iz$ "u ! law ( !     
,/ate ass]t+ jurisdiction1 %all n       
include ! refusal ( a *ild's p>5t or    
legal gu>dian to cons5t to or provide a 
sex-reject+ int]v5tion2 &  7ii7 !       
refusal ( a *ild's p>5t or legal gu>dian
 to cons5t to a sex-reject+ int]v5tion  
%all n be con/ru$ z creat+ an unsafe    
environm5t = a *ild2 &  7,b7 a c\rt %all
 n det]m9e t a c\rt ( ano!r ,/ate is a m
 appropriate =um = cu/ody or visitation 
det]m9ations if a conte/ant or a *ild is
 seek+ sex reject+ int]v5tions & ^? sex 
reject+ int]v5tions are n available 9 ! 

,/ate ( ! c\rt mak+ ! jurisdictional    
det]m9ation4  7#c7 ,a cu/ody or         
visitation det]m9ation made 9 violation 
( subp>agraph 7,a7 or 7,b7 ( p>agraph   
7#a7 is n entitl$ to full fai? & cr$it1 
en=cem5t1 or recognition "u ?is section 
by any c\rt & %all n be giv5 effect z a 
cu/ody or visitation det]m9ation =      
purposes ( subsections 7a71 7e71 & 7g7  
?r\gh 7j74 ,any ,/ate law t purports to 
au?orize ! ex]cise ( jurisdiction ov] a 
cu/ody or visitation det]m9ation on a   
basis prohibit$ by subp>agraph 7,a7 or  
7,b7 ( p>agraph 7#a7 is preempt$ & )\t  
effect4  2  7#g7 9 subsection 7e71 z s  
r$esignat$1 by /rik+ ! requirem5t (     
subsection 7c77#a7 & ins]t+ !           
requirem5ts ( subsections 7c7 & 7d72    
7#h7 9 p>agraph 7#a7 ( subsection 7g71 z
 s r$esignat$1 by ins]t+ 1 unless a     
claim to su* jurisdiction arises out (1 
or is relat$ to1 su* ,/ate's sex-reject+
 int]v5tion kidnapp+ laws aft]          
det]m9ation2 &  7#i7 by ins]t+ aft]     
subsection 7h7 ! foll[+3  7i7 ,no c\rt (

 a ,/ate ) a prohibition aga9/ a        
sex-reject+ int]v5tion = *ildr5 %all    
decl9e to ex]cise jurisdiction or be    
det]m9$ to h decl9$ jurisdiction to     
det]m9e a modification ( cu/ody or      
visitation "u subsection 7g7 or 7h7 if !
 *ild has be5 provid$ or is seek+ a     
sex-reject+ int]v5tion 9 ano!r ,/ate4  4