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This bill would stop federal money from paying for or promoting “sex-trait altering treatments” for anyone under 18, including puberty blockers, hormone therapy, and surgeries for gender transition. It would also cut off federal funds to medical institutions that provide these treatments to minors, and let anyone sue the federal government if federal money is used in ways the bill forbids .
It sets strict parent-consent rules. Parents have the right to say no, and states could lose certain funds (like Medicaid and TANF) if they allow treatment without consent from both parents or separate a family just because a parent refuses consent. Parents or the young person can sue, with up to 30 years after the child becomes an adult to file. Before any such care is given, doctors must meet with the parents at least 72 hours in advance, give a printed list of possible risks (including fertility and sexual function), and get written consent; violations can be sued over for up to 30 years after adulthood . The bill also protects health workers who refuse to take part in these treatments and threatens loss of certain federal funds for states that require providers to offer them; providers can sue if punished for refusing. Schools would lose federal funds if staff help a student get these treatments without telling parents and getting written approval. The bill also updates federal law on female genital mutilation to say the health exception does not include gender change or affirmation. Definitions in the bill detail what counts as treatment, including puberty blockers, hormone therapy, and surgeries .