This bill would significantly restrict medical care related to gender transition for minors. It makes it a felony crime for doctors to provide gender-affirming medical care—including surgeries, hormone treatments, or other procedures—to anyone under 18 years old. Minors who receive this care would be allowed to sue the doctors and medical providers who treated them.

The bill also cuts off federal funding for gender-affirming care across the board. This means Medicare and Medicaid wouldn't cover it, federal employees wouldn't have access to it through their health insurance, and it couldn't be provided at Veterans Affairs hospitals or other federal medical facilities. Private health insurance plans that cover this care would lose eligibility for federal tax subsidies, making them more expensive for consumers.

Additionally, medical schools and universities would be prohibited from teaching doctors how to provide gender-affirming care. The bill also makes it grounds for deportation if a non-U.S. citizen provides this care to a minor. There is one exception: the restrictions don't apply in rare cases where someone has an intersex condition affecting their sex chromosomes or hormone production.

In practical terms, this would prevent minors from accessing medical transition options and would make it very difficult for adults to find providers or insurance coverage for this care, since the federal restrictions would ripple through the entire healthcare system.

Protect Children’s Innocence Act

Greene, Marjorie Taylor

Protect Children's Innocence Act This bill places restrictions on the provision of gender affirming care. Gender affirming care includes performing surgery, administering medication, or performing other procedures for the purpose of changing the body of an individual to correspond to a sex that differs from the individual's biological sex. Specifically, the bill makes it a felony to perform any gender affirming care on a minor and it permits a minor on whom such care is performed to bring a civil action against each individual who provided the care. Additionally, the bill prohibits the use of federal funds for gender affirming care or for health insurance that covers such care. Such care may not be provided in a federal health care facility or by a federal employee. The bill also prohibits qualified health plans from including coverage for gender affirming care. Further, plans that include coverage for such care are not eligible for federal subsidies. Finally, the bill prohibits institutions of higher education from offering instruction in gender affirming care. It also makes any non-U.S. national (alien under federal law) who performs gender affirming care on a minor deportable and inadmissible to the United States. The restrictions under this bill do not apply to the provision of care under certain circumstances such as when an individual does not have normal sex chromosome structure, sex steroid hormone production, or sex steroid hormone action.