This bill would stop any federal money from being used to provide, refer for, or pay for certain gender transition procedures for anyone under 18. The list includes surgeries (for example, mastectomy or vaginoplasty), adding implants, and medicines like puberty blockers or high-dose hormones . The bill also says “sex” means male or female, based on biology.

There are exceptions. Care is allowed for early puberty, certain medical or genetic conditions that affect sex development, or to prevent death or serious harm, when a health care provider treats the child with a parent’s or guardian’s consent. A plain-language summary from the Library of Congress describes these limits in similar terms.

• Who is affected: People under 18; health care providers; organizations that use federal funds.
• What changes: Federal funds could not be used to provide, refer for, or reimburse these procedures for minors.
• What counts: Certain surgeries, implants, puberty blockers, and high-dose hormones as listed in the bill .
• Exceptions: Early puberty treatment, specified medical conditions, and emergencies with parent or guardian consent.
• When: The provided text does not state an effective date.