Sponsors (2)
The bill aims to bar many forms of gender‑affirming care for minors, create civil remedies and a victims fund, and fund detransition services with privacy and oversight—but in doing so it significantly restricts access to care, creates major legal and financial risks for providers and families, and raises conflicts with nondiscrimination and reproductive‑health protections.
Children and youth: the bill bars irreversible gender‑transition procedures performed across state lines or using interstate commerce, reducing the ability to obtain such procedures for minors.
Healthcare providers and government actors: the bill provides clearer statutory definitions (e.g., covered vs. excluded procedures; 'caretaker'; 'minor'; 'sex'), which can reduce regulatory uncertainty and create a consistent legal baseline for enforcement and administration.
Victims and families: people harmed by prohibited care can seek compensatory and non‑economic damages (including punitive damages in clear cases), and penalty funds are dedicated to a victims compensation fund to pay for remediation or related costs.
Transgender minors and patients with chronic needs: the bill's broad definitions and bans on many medical and mental‑health interventions for transition will reduce access to gender‑affirming care and related therapies, risking delayed or denied medically necessary care and worse health outcomes.
Healthcare providers and clinics: civil liability exposure (including six‑figure penalties), broad commerce triggers, ambiguous intent standards, and limits on deference to medical standards create substantial legal and financial risk that may force clinics to close or cause providers to stop offering care.
Parents, guardians, and nonparent caretakers: parents or guardians who help minors get out‑of‑state care could face civil actions and large financial judgments, and the bill's caretaker definition (excluding parents in some contexts) could create conflicts around consent and custody decisions.
Based on analysis of 4 sections of legislative text.
Bans a broad list of gender‑transition procedures for minors connected to interstate commerce and funds nonprofit detransition assistance programs.
Official title: 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 Roger Wayne Marshall · Last progress April 29, 2026
Prohibits providing or facilitating medical, surgical, hormonal, or other listed gender transition procedures to anyone under 18 when the conduct is connected to interstate or foreign commerce, and creates civil penalties (including at least $100,000 per violation) and private liability. Defines terms tightly (including definitions of sex, gender transition, and gender transition procedure) and treats employers as jointly liable for employees' covered violations. Establishes an HHS‑administered grant program to fund private nonprofits that help people seek and obtain reversal or “detransition” information and services, with eligibility rules, privacy protections, and explicit prohibitions on grantees performing or referring for gender transition procedures or most abortions.