Text of US HB 5592 (2025)

I 119TH CONGRESS 1ST SESSION H. R. 5592 To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes. IN THE HOUSE OF REPRESENTATIVES SEPTEMBER 26, 2025 Ms. MACE (for herself, Mr. BURCHETT, Mr. WEBER of Texas, and Ms. BOEBERT) introduced the following bill; which was referred to the Com- mittee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Ways and Means, for a period to be subsequently de- termined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To prohibit the performance of gender-related medical treat- ment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, 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 ‘‘Childhood Genital Mu- 4 tilation Prevention Act’’. 5 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 5592 IH SEC. 2. PROHIBITING GENDER-RELATED MEDICAL TREAT- 1 MENT FOR MINORS. 2 (a) IN GENERAL.—Chapter 7 of title 18, United 3 States Code, is amended by inserting after section 116 the 4 following new section: 5 ‘‘§ 116A. Gender-related medical treatment furnished 6 to minors. 7 ‘‘(a) IN GENERAL.—Subject to subsection (c), who- 8 ever, in a circumstance described in subsection (b), know- 9 ingly performs or attempts to perform a gender-related 10 medical treatment on a minor, shall be fined under this 11 title, imprisoned not more than 10 years, or both. 12 ‘‘(b) CIRCUMSTANCES DESCRIBED.—For the pur- 13 poses of subsection (a), the circumstances described in this 14 subsection are that— 15 ‘‘(1) the offender or victim traveled in inter- 16 state or foreign commerce, or traveled using a 17 means, channel, facility, or instrumentality of inter- 18 state or foreign commerce, in furtherance of or in 19 connection with the conduct described in subsection 20 (a); 21 ‘‘(2) the offender used a means, channel, facil- 22 ity, or instrumentality of interstate or foreign com- 23 merce in furtherance of or in connection with the 24 conduct described in subsection (a); 25 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 5592 IH ‘‘(3) any payment of any kind was made, di- 1 rectly or indirectly, in furtherance of or in connec- 2 tion with the conduct described in subsection (a) 3 using any means, channel, facility, or instrumen- 4 tality of interstate or foreign commerce or in or af- 5 fecting interstate or foreign commerce; 6 ‘‘(4) the offender transmitted in interstate or 7 foreign commerce any communication relating to or 8 in furtherance of the conduct described in subsection 9 (a) using any means, channel, facility, or instrumen- 10 tality of interstate or foreign commerce or in or af- 11 fecting interstate or foreign commerce by any means 12 or in manner, including by computer, mail, wire, or 13 electromagnetic transmission; 14 ‘‘(5) any instrument, item, substance, or other 15 object that has traveled in interstate or foreign com- 16 merce was used to perform the conduct described in 17 subsection (a); 18 ‘‘(6) the conduct described in subsection (a) oc- 19 curred within the special maritime and territorial ju- 20 risdiction of the United States, or any territory or 21 possession of the United States; or 22 ‘‘(7) the conduct described in subsection (a) 23 otherwise occurred in or affected interstate or for- 24 eign commerce. 25 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •HR 5592 IH ‘‘(c) EXCEPTIONS.— 1 ‘‘(1) IN GENERAL.—An individual who provides 2 gender-related medical treatment to a minor shall 3 not be considered to have violated the prohibition in 4 subsection (a) if such medical treatment is provided 5 to such minor for purposes of treating— 6 ‘‘(A) a disorder of sex development, diag- 7 nosed by a physician after such physician has 8 determined through genetic or biochemical test- 9 ing that such minor does not have normal sex 10 chromosome structure, sex steroid hormone pro- 11 duction, or sex steroid hormone action; 12 ‘‘(B) irresolvably ambiguous biological sex 13 characteristics of such minor, including the 14 presence of— 15 ‘‘(i) 46 XX chromosomes with 16 virilization; 17 ‘‘(ii) 46 XY chromosomes with 18 undervirilization; or 19 ‘‘(iii) both ovarian and testicular tis- 20 sue; or 21 ‘‘(C) an infection, injury, disease, or dis- 22 order caused or exacerbated by gender-related 23 medical treatment that was furnished to such 24 minor. 25 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •HR 5592 IH ‘‘(2) EXCEPTION FOR MINORS.—A minor who 1 seeks gender-related medical treatment, or on whom 2 gender-related medical treatment was performed, 3 shall not be considered to have violated the prohibi- 4 tion in subsection (a). 5 ‘‘(d) DEFINITIONS.—In this section: 6 ‘‘(1) GENDER-RELATED MEDICAL TREAT- 7 MENT.—The term ‘gender-related medical treatment’ 8 means— 9 ‘‘(A) with respect to a female individual, 10 medical treatments provided for purposes of ad- 11 dressing the perception of such individual that 12 the gender or sex of such individual is not fe- 13 male, including— 14 ‘‘(i) surgical procedures, including— 15 ‘‘(I) vaginectomy; 16 ‘‘(II) hysterectomy; 17 ‘‘(III) oophorectomy; 18 ‘‘(IV) reconstruction of the ure- 19 thra; 20 ‘‘(V) metoidioplasty; 21 ‘‘(VI) phalloplasty; 22 ‘‘(VII) salpingo-oophorectomy; 23 ‘‘(VIII) scrotoplasty; 24 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •HR 5592 IH ‘‘(IX) implantation of erection or 1 testicular protheses; 2 ‘‘(X) subcutaneous mastectomy; 3 ‘‘(XI) vocal cord surgery; 4 ‘‘(XII) pectoral implants; and 5 ‘‘(XIII) penile transplantation; 6 ‘‘(ii) exogenous doses of testosterone 7 or other androgens; and 8 ‘‘(iii) puberty blockers, including— 9 ‘‘(I) GnRH agonists; and 10 ‘‘(II) synthetic drugs that sup- 11 press the production of estrogen and 12 progesterone or delay or suppress pu- 13 bertal development in female individ- 14 uals; and 15 ‘‘(B) with respect to a male individual, 16 medical treatments provided for purposes of ad- 17 dressing the perception of such individual that 18 the gender or sex of such individual is not male, 19 including— 20 ‘‘(i) surgical procedures, including— 21 ‘‘(I) penectomy; 22 ‘‘(II) orchiectomy; 23 ‘‘(III) vaginoplasty; 24 ‘‘(IV) clitoroplasty; 25 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •HR 5592 IH ‘‘(V) vulvoplasty; 1 ‘‘(VI) augmentation 2 mammoplasty; 3 ‘‘(VII) facial feminization sur- 4 gery; 5 ‘‘(VIII) vocal cord surgery; 6 ‘‘(IX) chondrolaryngoplasty; 7 ‘‘(X) gluteal augmentation; and 8 ‘‘(XI) uterine transplantation; 9 ‘‘(ii) exogenous doses of estrogen; and 10 ‘‘(iii) puberty blockers, including— 11 ‘‘(I) GnRH agonists; and 12 ‘‘(II) synthetic drugs that sup- 13 press the production of testosterone or 14 delay or suppress pubertal develop- 15 ment in male individuals. 16 ‘‘(2) FEMALE.—The term ‘female’ means an in- 17 dividual who naturally has, had, will have, or would 18 have, but for a developmental or genetic anomaly or 19 historical accident, the reproductive system that at 20 some point produces, transports, and utilizes eggs 21 for fertilization. 22 ‘‘(3) GENDER.—The term ‘gender’— 23 ‘‘(A) means— 24 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 •HR 5592 IH ‘‘(i) males, females, or the natural dif- 1 ferences between males and females, unless 2 such term is otherwise specified or used 3 alone, rather than with or as an adjective 4 modifying other words; and 5 ‘‘(ii) a synonym for sex; and 6 ‘‘(B) does not mean gender identity, expe- 7 rienced gender, gender expression, or gender 8 roles. 9 ‘‘(4) MALE.—The term ‘male’ means an indi- 10 vidual who naturally has, had, will have, or would 11 have, but for a developmental or genetic anomaly or 12 historical accident, the reproductive system that at 13 some point produces, transports, and utilizes sperm 14 for fertilization. 15 ‘‘(5) MINOR.—The term ‘minor’ means an indi- 16 vidual under 18 years of age. 17 ‘‘(6) SEX.—The term ‘sex’ means the biological 18 determination as to whether an individual is male or 19 female.’’. 20 (b) CLERICAL AMENDMENT.—The table of sections 21 for such chapter is amended by inserting after the item 22 relating to section 116 the following new item: 23 ‘‘116A. Gender-related medical treatment for minors.’’. VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6211 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 9 •HR 5592 IH SEC. 3. PROHIBITING PAYMENT AND PARTICIPATION 1 UNDER MEDICARE WITH RESPECT TO GEN- 2 DER-RELATED MEDICAL TREATMENT FOR MI- 3 NORS. 4 (a) EXCLUDING FROM COVERAGE GENDER-RELATED 5 MEDICAL TREATMENT FOR MINORS.—Section 1862(a) of 6 the Social Security Act (42 U.S.C. 1395y(a)) is amend- 7 ed— 8 (1) in paragraph (24), by striking ‘‘or’’ at the 9 end; 10 (2) in paragraph (25), by striking the period at 11 the end and inserting ‘‘; or’’; and 12 (3) by inserting after paragraph (25) the fol- 13 lowing new paragraph: 14 ‘‘(26) beginning on the date that is 90 days 15 after the date of the enactment of the Childhood 16 Genital Mutilation Prevention Act, which constitute 17 gender-related medical treatment for minors de- 18 scribed in section 116A of chapter 7 of title 18, 19 United States Code, and are not provided for the 20 purposes described in subsection (c)(1) of such sec- 21 tion.’’. 22 (b) EXCLUDING FROM PARTICIPATION PROVIDERS 23 FURNISHING GENDER-RELATED MEDICAL TREATMENT 24 FOR MINORS.—Section 1866 of the Social Security Act 25 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 10 •HR 5592 IH (42 U.S.C. 1395cc) is amended by adding at the end the 1 following new subsection: 2 ‘‘(l) EXCLUSION OF PROVIDERS FURNISHING GEN- 3 DER-RELATED MEDICAL TREATMENT FOR MINORS.—Be- 4 ginning on the date that is 90 days after the date of the 5 enactment of the Childhood Genital Mutilation Prevention 6 Act, with respect to a provider of services or supplier that, 7 on or after the date that is 90 days after such date of 8 enactment, furnishes gender-related medical treatment for 9 minors, as described in section 116A of chapter 7 of title 10 18, United States Code to any individual (other than such 11 a treatment that is furnished for the purposes described 12 in subsection (c)(1) of such section), regardless of whether 13 such individual is entitled to benefits under part A or en- 14 rolled under part B— 15 ‘‘(1) if such provider of services or supplier is 16 enrolled in the program under this title, the Sec- 17 retary shall terminate such enrollment; and 18 ‘‘(2) the Secretary may not enroll such provider 19 of services or supplier as a new provider of services 20 or supplier in the program under this title.’’. 21 VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB 11 •HR 5592 IH SEC. 4. PROHIBITION ON FEDERAL FUNDING FOR GENDER- 1 RELATED MEDICAL TREATMENT FOR MI- 2 NORS. 3 No funds authorized or appropriated by Federal law, 4 and none of the funds in any trust fund to which funds 5 are authorized or appropriated by Federal law, shall be 6 obligated or expended for any gender-related medical 7 treatment furnished to a minor (as such terms are used 8 for purposes of section 116A of chapter 7 of title 18, 9 United States Code) or for any health benefits coverage 10 that includes coverage for gender-related medical treat- 11 ment furnished to a minor. 12 Æ VerDate Sep 11 2014 23:43 Oct 01, 2025 Jkt 059200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6301 E:\BILLS\H5592.IH H5592 kjohnson on DSK7ZCZBW3PROD with $$_JOB