Summary

Blocks federal funds from being used to pay for, promote, or assist gender‑affirming medical treatments for minors and ties certain education, health, and state funding to strict parental‑consent rules. It defines covered treatments (puberty blockers, hormones, and specific surgeries), creates multiple ways to sue—including against the federal government—and adds strong protections for providers who refuse to participate. Schools risk losing federal funds if staff provide or help provide such care without prior parental notice and written approval. Medical institutions that treat minors lose eligibility for federal funds. States can lose certain federal funds if they allow treatments without both parents’ consent or separate a child from a parent solely for refusing consent. The bill imposes a 72‑hour waiting period with detailed informed‑consent steps, sets a long window to sue (up to 30 years after adulthood), authorizes treble damages, and clarifies criminal law language so gender‑affirming care is not deemed “necessary to the health” under a referenced statute.

Key Points

• Blocks federal funds for gender‑affirming care for minors and for federal actions that promote it.
• Schools risk losing federal funds if staff provide or assist with these treatments without prior parental notice and written consent.
• Medical institutions that provide such care to minors become ineligible for federal funds.
• Creates broad private rights of action, including suits against the U.S. government and agencies; taxpayers may sue on funding violations.
• Requires a 72‑hour waiting period and detailed parental informed consent before any covered treatment for a minor.
• Allows harmed former minors to sue for up to 30 years after reaching adulthood and mandates treble damages and fee‑shifting if they prevail.
• Penalizes States (via certain federal funds) that allow treatment without both parents’ consent or separate children solely for parental refusal.
• Clarifies criminal‑code language so gender‑affirming care is not considered “necessary to the health” under the referenced statute.
• Protects providers who refuse to participate or refer; bars State policies that compel participation.
• Includes detailed definitions of sex‑trait altering treatments, specific surgeries, drug classes, and key terms.

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