HB 377-FN - AS INTRODUCED 2025 SESSION 25-0436 11/05 HOUSE BILL377-FN AN ACTrelative to health care professionals administering hormone treatments and puberty blockers. SPONSORS:Rep. Mazur, Hills. 44; Rep. Kofalt, Hills. 32; Rep. Layon, Rock. 13; Rep. Reinfurt, Hills. 29; Rep. Seidel, Hills. 29; Rep. Litchfield, Rock. 32; Rep. J. Aron, Sull. 4; Rep. DeVito, Rock. 8; Rep. Peternel, Carr. 6; Sen. Murphy, Dist 16 COMMITTEE:Health, Human Services and Elderly Affairs ----------------------------------------------------------------- ANALYSIS This bill prohibits the performance of a medical procedure or the prescription or issuance of medication, upon or to a minor child, that is intended to alter the minor child's gender or delay puberty. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation:Matter added to current law appears in bold italics. Matter removed from current law appears [in brackets and struckthrough.] Matter which is either (a) all new or (b) repealed and reenacted appears in regular type. 25-0436 11/05 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty Five AN ACTrelative to health care professionals administering hormone treatments and puberty blockers. Be it Enacted by the Senate and House of Representatives in General Court convened: 1 Short Title. This act shall be known as the Vulnerable Child Compassion and Protection Act. 2 New Chapter; Prohibiting Medical Procedures and Treatments Intended to Alter a Minor's Gender or Puberty. Amend RSA by inserting after chapter 332-M the following new chapter: CHAPTER 332-N PROHIBITING MEDICAL PROCEDURES AND TREATMENTS INTENDED TO ALTER A MINOR'S GENDER OR PUBERTY 332-N:1 Definitions. As used in this chapter: I. "Minor" means a person under 18 years of age. II. "Person" includes any of the following: (a) Any individual. (b) Any agent, employee, official, or contractor of any legal entity. (c) Any agent, employee, official, or contractor of a school district or the state or any of its political subdivisions or agencies. III. "Sex" means the biological state of being male or female, based on the individual's sex organs, chromosomes, and endogenous hormone profiles. 332-N:2 Prohibitions for Health Care Providers. I. Except as provided in paragraph II, no person shall engage in, counsel, make a referral for, or cause any of the following practices to be performed upon a minor if the practice is performed for the purpose of altering or attempting to alter the appearance of or affirm the minor's perception of his or her gender or sex, if that perception is inconsistent with the minor's biological sex as defined in this chapter: (a) Prescribing, dispensing, administering, or otherwise supplying puberty blocking medication to stop or delay normal puberty. (b) Prescribing, dispensing, administering, or otherwise supplying supraphysiologic doses of testosterone or other androgens to females. (c) Prescribing, dispensing, administering, or otherwise supplying supraphysiologic doses of estrogen to males. II. Paragraph I of this section shall not apply to a procedure undertaken to treat a minor born with a medically verifiable disorder of sex development as defined in RSA 332-M:2, II. III. A violation of this section is a class B felony. 2 Effective Date. This act shall take effect January 1, 2026. LBA 25-0436 12/11/24 HB 377-FN- FISCAL NOTE AS INTRODUCED AN ACTrelative to health care professionals administering hormone treatments and puberty blockers, and school personnel attempting to influence a minor's perception of his or her gender or sex. FISCAL IMPACT: Estimated State Impact FY 2025 FY 026 FY 2027 FY 2028 Revenue $0 $0 $0 $0 Revenue Fund None Expenditures* Indeterminable Funding Source General Fund Appropriations* $0 $0 $0 $0 Funding Source None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill Estimated Political Subdivision Impact FY 2025 FY 2026 FY 2027 FY 2028 County Revenue $0 $0 $0 $0 County Expenditures Indeterminable Local Revenue $0 $0 $0 $0 Local Expenditures Indeterminable Estimated State Impact FY 2025 FY 026 FY 2027 FY 2028 Revenue $0 $0 $0 $0 Revenue Fund None Expenditures* Indeterminable Funding Source General Fund Appropriations* $0 $0 $0 $0 Funding Source None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill Estimated Political Subdivision Impact FY 2025 FY 2026 FY 2027 FY 2028 County Revenue $0 $0 $0 $0 County Expenditures Indeterminable Local Revenue $0 $0 $0 $0 Local Expenditures Indeterminable METHODOLOGY: This bill adds, deletes, or modifies a criminal penalty, or changes statute to which there is a penalty for violation. Therefore, this bill may have an impact on the judicial and correctional systems, which could affect prosecution, incarceration, probation, and parole costs, for the state, as well as county and local governments. A summary of such costs can be found at: https://gencourt.state.nh.us/lba/Budget/Fiscal_Notes/JudicialCorrectionalCosts.pdf AGENCIES CONTACTED: Judicial Branch, Judicial Council, Department of Justice, Department of Corrections, New Hampshire Association of Counties, and New Hampshire Municipal Association