Sponsors (6)
The bill aims to bar minors from gender transition procedures and fund detransition services while creating enforceable federal penalties and clearer definitions—but it also creates substantial legal and financial risks for providers and employers, threatens coverage and access to gender-affirming and reproductive care, and may shrink the pool of experienced service providers.
Minors are more protected from receiving gender transition procedures across state lines, with federal enforcement tools intended to deter providers from performing prohibited procedures on minors.
HHS and providers get clear statutory definitions of 'sex,' 'Secretary,' and which interventions qualify as 'gender transition procedures,' simplifying implementation and regulatory interpretation.
Medically necessary care for injury, disease, disorders of sex development (DSD), reconstruction, and precocious puberty is explicitly exempted, preserving access to many non-transition treatments for children and others.
Health care providers, employers, and contractors face severe legal and financial risk—felony liability, six-figure penalties, joint-and-several liability, private suits, and very long statutes of limitation—creating large potential exposure.
Broad commerce and communications hooks combined with strict-liability and vague mens rea definitions could criminalize routine interstate medical communications, deliveries, or telehealth involving minors and chill cross‑state care.
Insurers and federal programs could deny coverage for many gender-affirming treatments because of the bill's definitions and listings, shifting costs onto patients and increasing out-of-pocket spending.
Based on analysis of 4 sections of legislative text.
Bans most gender transition procedures for people under 18 with a commerce nexus, creates criminal/civil penalties, and funds nonprofits for detransition support.
Official title: To prohibit gender transition procedures on minors, to authorize the Secretary of Health and Human Services to impose civil penalties on persons who perform gender transition procedures on minors, and for other purposes.
Introduced April 29, 2026 by Diana Harshbarger · Last progress April 29, 2026
Prohibits providing a broad list of gender transition procedures to anyone under 18 whenever there is a nexus to interstate or foreign commerce or in U.S. special maritime or territorial jurisdiction, and creates criminal, civil, and employer liability for violations. It also authorizes the HHS Secretary to levy large civil monetary penalties, creates a private compensation fund for harmed individuals, and establishes a grant program to fund nonprofit organizations that provide information and services to people seeking to reverse prior gender transition procedures (detransition).