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.