Text of US HB 3688 (2025)

I 119TH CONGRESS 1ST SESSION H. R. 3688 To amend chapter 110 of title 18, United States Code, to prohibit gender transition procedures on minors, and for other purposes. IN THE HOUSE OF REPRESENTATIVES JUNE 3, 2025 Mr. LAMALFA (for himself, Mr. GROTHMAN, Mrs. MILLER of Illinois, Mr. GOSAR, Mr. NEHLS, Ms. TENNEY, Ms. BOEBERT, Mr. ROUZER, Mr. ARRINGTON, Mr. WEBER of Texas, Mr. PALMER, and Mr. BOST) intro- duced the following bill; which was referred to the Committee on the Ju- diciary A BILL To amend chapter 110 of title 18, United States Code, to prohibit gender transition procedures on minors, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Protecting Children 4 from Experimentation Act of 2025’’. 5 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 3688 IH SEC. 2. GENDER TRANSITION PROCEDURES ON MINORS 1 PROHIBITED. 2 Chapter 110 of title 18, United States Code, is 3 amended— 4 (1) by adding at the end the following: 5 ‘‘§ 2260B. Gender transition procedures on minors 6 ‘‘(a) IN GENERAL.—Any physical or mental health 7 care professional who, under the circumstances described 8 in subsection (d), knowingly performs or otherwise aids 9 and abets the performance of a gender transition proce- 10 dure on a minor shall be fined under this title, imprisoned 11 not more than 5 years, or both. 12 ‘‘(b) PROHIBITION ON PROSECUTION OF PERSON ON 13 WHOM PROCEDURES ARE PERFORMED.—No person on 14 whom the gender transition procedure under subsection 15 (a) is performed may be arrested or prosecuted for an of- 16 fense under this section. 17 ‘‘(c) CIVIL ACTION.—A person on whom a gender 18 transition procedure is performed under this section may 19 bring a civil action for appropriate relief against each per- 20 son who performed the gender transition procedure. 21 ‘‘(d) CIRCUMSTANCES DESCRIBED.—For purposes of 22 subsection (a), the circumstances described in this sub- 23 section are that— 24 ‘‘(1) the defendant or minor traveled in inter- 25 state or foreign commerce, or traveled using a 26 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 3688 IH means, channel, facility, or instrumentality of inter- 1 state or foreign commerce, in furtherance of or in 2 connection with the conduct described in subsection 3 (a); 4 ‘‘(2) the defendant used a means, channel, fa- 5 cility, or instrumentality of interstate or foreign 6 commerce in furtherance of or in connection with 7 the conduct described in subsection (a); 8 ‘‘(3) any payment of any kind was made, di- 9 rectly or indirectly, in furtherance of or in connec- 10 tion with the conduct described in subsection (a) 11 using any means, channel, facility, or instrumen- 12 tality of interstate or foreign commerce or in or af- 13 fecting interstate or foreign commerce; 14 ‘‘(4) the defendant transmitted in interstate or 15 foreign commerce any communication relating to or 16 in furtherance of the conduct described in subsection 17 (a) using any means, channel, facility, or instrumen- 18 tality of interstate or foreign commerce or in or af- 19 fecting interstate or foreign commerce by any means 20 or in manner, including by computer, mail, wire, or 21 electromagnetic transmission; 22 ‘‘(5) any instrument, item, substance, or other 23 object that has traveled in interstate or foreign com- 24 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •HR 3688 IH merce was used to perform the conduct described in 1 subsection (a); 2 ‘‘(6) the conduct described in subsection (a) oc- 3 curred within the special maritime and territorial ju- 4 risdiction of the United States, or any territory or 5 possession of the United States; or 6 ‘‘(7) the conduct described in subsection (a) 7 otherwise occurred in or affected interstate or for- 8 eign commerce. 9 ‘‘(e) DEFINITIONS.—In this section: 10 ‘‘(1) FEMALE.—The term ‘female’, when used 11 to refer to a natural person, means an individual 12 who naturally has, had, will have, or would have, but 13 for a congenital anomaly, historical accident, or in- 14 tentional or unintentional disruption, the reproduc- 15 tive system that at some point produces, transports, 16 and utilizes eggs for fertilization. 17 ‘‘(2) GENDER TRANSITION.—The term ‘gender 18 transition’ means the process in which an individual 19 goes from identifying with or presenting as his or 20 her sex to identifying with or presenting a self-pro- 21 claimed identity that does not correspond with or is 22 different from his or her sex, and may be accom- 23 panied with social, legal, or physical changes. 24 ‘‘(3) GENDER TRANSITION PROCEDURE.— 25 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •HR 3688 IH ‘‘(A) IN GENERAL.—The term ‘gender 1 transition procedure’ means any hormonal or 2 surgical intervention for the purpose of gender 3 transition, including— 4 ‘‘(i) gonadotropin-releasing hormone 5 (GnRH) agonists or other puberty-blocking 6 or suppressing drugs to stop or delay nor- 7 mal puberty; 8 ‘‘(ii) testosterone, estrogen, progester- 9 one, or other androgens to an individual at 10 doses that are supraphysiologic to what 11 would normally be produced endogenously 12 in a healthy individual of the same age and 13 sex; 14 ‘‘(iii) castration; 15 ‘‘(iv) orchiectomy; 16 ‘‘(v) scrotoplasty; 17 ‘‘(vi) implantation of erection or tes- 18 ticular prostheses; 19 ‘‘(vii) vasectomy; 20 ‘‘(viii) hysterectomy; 21 ‘‘(ix) oophorectomy; 22 ‘‘(x) ovariectomy; 23 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •HR 3688 IH ‘‘(xi) reconstruction of the fixed part 1 of the urethra with or without a 2 metoidioplasty or a phalloplasty; 3 ‘‘(xii) metoidioplasty; 4 ‘‘(xiii) penectomy; 5 ‘‘(xiv) phalloplasty; 6 ‘‘(xv) vaginoplasty; 7 ‘‘(xvi) clitoroplasty; 8 ‘‘(xvii) vaginectomy; 9 ‘‘(xviii) vulvoplasty; 10 ‘‘(xix) reduction thyrochondroplasty; 11 ‘‘(xx) chondrolaryngoplasty; 12 ‘‘(xxi) mastectomy; 13 ‘‘(xxii) tubal ligation; 14 ‘‘(xxiii) sterilization; 15 ‘‘(xxiv) any plastic, cosmetic, or aes- 16 thetic surgery that feminizes or 17 masculinizes the facial or other physio- 18 logical features of an individual; 19 ‘‘(xxv) any placement of chest im- 20 plants to create feminine breasts; 21 ‘‘(xxvi) any placement of fat or artifi- 22 cial implants in the gluteal region; 23 ‘‘(xxvii) augmentation mammoplasty; 24 ‘‘(xxviii) liposuction; 25 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •HR 3688 IH ‘‘(xxix) lipofilling; 1 ‘‘(xxx) voice surgery; 2 ‘‘(xxxi) hair reconstruction; 3 ‘‘(xxxii) pectoral implants; and 4 ‘‘(xxxiii) the removal of any otherwise 5 healthy or non-diseased body part or tis- 6 sue. 7 ‘‘(B) EXCLUSIONS.—The term ‘gender 8 transition procedure’ does not include the fol- 9 lowing when furnished to an individual by a 10 health care provider with the consent of such 11 individual or, if applicable, such individual’s 12 parents or legal guardian: 13 ‘‘(i) Services to individuals born with 14 a medically verifiable disorder of sex devel- 15 opment, including an individual with exter- 16 nal sex characteristics that are irresolvably 17 ambiguous, such as an individual born with 18 46 XX chromosomes with virilization, an 19 individual born with 46 XY chromosomes 20 with undervirilization, or an individual 21 born having both ovarian and testicular 22 tissue. 23 ‘‘(ii) Services provided when a physi- 24 cian has otherwise diagnosed a disorder of 25 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 •HR 3688 IH sexual development in which the physician 1 has determined through genetic or bio- 2 chemical testing that the individual does 3 not have normal sex chromosome struc- 4 ture, sex steroid hormone production, or 5 sex steroid hormone action for a healthy 6 individual of the same sex and age. 7 ‘‘(iii) The treatment of any infection, 8 injury, disease, or disorder that has been 9 caused by or exacerbated by the perform- 10 ance of gender transition procedures, 11 whether or not the gender transition proce- 12 dure was performed in accordance with 13 State and Federal law or whether or not 14 funding for the gender transition proce- 15 dure is permissible under this section. 16 ‘‘(iv) Any procedure undertaken be- 17 cause the individual suffers from a physical 18 disorder, physical injury, or physical illness 19 (but not mental, behavioral, or emotional 20 distress or a mental, behavioral, or emo- 21 tional disorder) that would, as certified by 22 a physician, place the individual in immi- 23 nent danger of death or impairment of 24 VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB 9 •HR 3688 IH major bodily function, unless the procedure 1 is performed. 2 ‘‘(v) Puberty suppression or blocking 3 prescription drugs for the purpose of nor- 4 malizing puberty for a minor experiencing 5 precocious puberty. 6 ‘‘(vi) Male circumcision. 7 ‘‘(4) MALE.—The term ‘male’, when used to 8 refer to a natural person, means an individual who 9 naturally has, had, will have, or would have, but for 10 a congenital anomaly, historical accident, or inten- 11 tional or unintentional disruption, the reproductive 12 system that at some point produces, transports, and 13 utilizes sperm for fertilization. 14 ‘‘(5) MINOR.—The term ‘minor’ means an indi- 15 vidual under the age of 18. 16 ‘‘(6) SEX.—The term ‘sex’, when referring to 17 an individual’s sex, means to refer to either male or 18 female, as biologically determined.’’; and 19 (2) by amending the table of sections for such 20 chapter by adding at the end the following: 21 ‘‘2260B. Gender transition procedures on minors.’’. Æ VerDate Sep 11 2014 02:54 Jun 04, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6301 E:\BILLS\H3688.IH H3688 kjohnson on DSK7ZCZBW3PROD with $$_JOB