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Amends the federal child abuse prevention statute to make a State ineligible for federal child abuse prevention and treatment funds if the State takes "adverse action" or discriminates against a parent, guardian, or legal representative for opposing certain medical, surgical, pharmacological, psychological, or social interventions or changes related to a minor’s gender identity (as judged by the parent/guardian and defined by biological sex at birth). The law also gives parents, guardians, or legal representatives a private right to sue HHS to stop continued awards to a noncompliant State and to require repayment of funds awarded in violation of the new rule.
The bill strengthens and enforces parental control over gender‑related interventions for minors (including a federal funding enforcement mechanism) but raises substantial risks of reduced access to gender‑affirming care, curtailed recognition of transgender youths' medical needs, and increased legal and financial pressure on state and local agencies.
Parents and guardians: preserves and affirms parents' ability to oppose certain gender‑related medical, surgical, pharmacological, psychological, or social interventions for their minor children, preventing federal CAPTA funding from being used to compel those interventions without parental consent.
Parents and guardians: creates an enforceable legal remedy allowing parents to sue to stop federal funds to states that are found to violate the parental‑consent protection, giving families a pathway to challenge state practices at the federal funding level.
Transgender and gender‑diverse minors: may face reduced or blocked access to gender‑affirming medical and mental‑health care if states or providers restrict services to avoid risking loss of federal CAPTA funds.
Parents of transgender minors and transgender minors themselves: by defining 'biological sex determined at or before birth' and making parental views dispositive, the bill can deny recognition of medical diagnoses (e.g., gender dysphoria) and limit clinicians' ability to treat minors according to accepted medical standards.
State and local agencies: face increased litigation risk and the threat of significant funding loss or repayment demands if accused by a parent of taking 'adverse action,' which could increase administrative burden and chill legitimate child‑welfare or provider actions.
Introduced March 5, 2025 by James E. Banks · Last progress March 5, 2025