Sponsors (6)
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
The bill sharply restricts minors' access to gender‑affirming procedures and creates federally funded detransition support and enforcement mechanisms — but it also imposes extensive liability, funding bans, and regulatory uncertainty that could reduce access to gender‑affirming care, raise costs, and chill routine medical and counseling services.
Minors are explicitly protected from receiving gender‑affirming transition procedures across state lines, and the bill creates enforcement mechanisms intended to deter providers from performing prohibited procedures on minors.
Victims (minors) harmed by prohibited procedures can seek compensatory and non‑economic damages and access a federal compensation fund, providing a path to monetary relief.
The bill funds voluntary detransition support (information, referrals, optional direct medical care and behavioral‑health services) with HIPAA‑comparable privacy safeguards and federal monitoring to improve accountability of grantees.
Health care providers, employers, and contractors face extreme legal and financial exposure — including felony liability, six‑figure penalties, joint and several liability, and civil suits — which could bankrupt providers and sharply reduce the availability of care.
Insurers and federal programs could be allowed or required to deny coverage for many gender‑affirming treatments and related services, increasing out‑of‑pocket costs and reducing access for transgender and gender‑diverse people.
Broad interstate commerce and communications provisions risk criminalizing routine telehealth, deliveries, or cross‑state medical communications involving minors, chilling remote care and ordinary clinical coordination.
Based on analysis of 4 sections of legislative text.
Bans many specified gender‑affirming medical and surgical procedures for minors under federal jurisdiction, creates civil/criminal penalties, and funds nonprofits to provide no‑cost detransition services.
Prohibits performing a broad set of medically defined "gender transition procedures" on anyone under 18 when the conduct has any connection to interstate or foreign commerce or occurs in U.S. special maritime or territorial jurisdiction, and makes violations federal crimes with strict civil and monetary penalties and employer liability. Establishes a new HHS grant program to fund private nonprofit organizations to provide no‑cost information, referrals, medical care to reverse prior transition, education/employment help, and voluntary mental health and substance use services to people seeking to detransition, while excluding providers that perform or advocate for gender‑affirming care from receiving grant funds.