I 119THCONGRESS 1 STSESSION H. R. 742 To prohibit Federal funds from being used to provide certain gender transition procedures to minors. IN THE HOUSE OF REPRESENTATIVES JANUARY28, 2025 Mr. M CCORMICK(for himself, Mr. CLYDE, Mrs. LUNA, Mr. SCOTTFRANKLIN of Florida, Ms. V ANDUYNE, Mr. FALLON, Mr. COLLINS, Mr. WEBERof Texas, Mr. H ARRISof Maryland, Mr. GROTHMAN, Mr. GUEST, Mr. Z INKE, Mr. BABIN, Mr. MOOREof West Virginia, Mr. ELLZEY, Mr. NOR- MAN, Mr. WEBSTERof Florida, Mr. ARRINGTON, Mr. WIED, Mr. ROSE, Mr. A USTINSCOTTof Georgia, Mr. HAMADEHof Arizona, Mr. BAIRD, Mr. O WENS, Mr. GOODEN, Mr. JACKSONof Texas, Mr. FINSTAD, Mr. M CGUIRE, Mr. JOHNSONof South Dakota, Mr. OGLES, and Mr. GOSAR) introduced the following bill; which was referred to the Committee on En- ergy and Commerce A BILL To prohibit Federal funds from being used to provide certain gender transition procedures to minors. 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 Resources 4 Of Taxpayers to Eliminate Childhood Transgender Sur-5 geries Act of 2025’’ or the ‘‘PROTECTS Act of 2025’’. 6 VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 742 IH SEC. 2. PROHIBITING FEDERAL FUNDS FROM BEING USED 1 TO PROVIDE CERTAIN GENDER TRANSITION 2 PROCEDURES TO MINORS. 3 (a) I NGENERAL.—Notwithstanding any other provi-4 sion of law, no Federal funds may be used or otherwise 5 made available to provide or refer for a specified gender 6 transition procedure to an individual under the age of 18 7 or to reimburse any entity for providing such a procedure 8 to such an individual. 9 (b) S PECIFIEDGENDERTRANSITIONPROCEDURE 10 D EFINED.— 11 (1) I N GENERAL.—For purposes of this para-12 graph, except as provided in paragraph (2), the term 13 ‘‘specified gender transition procedure’’ means, with 14 respect to an individual, any of the following when 15 performed for the purpose of intentionally changing 16 the body of such individual to no longer correspond 17 to their sex: 18 (A) Performing any surgery, including— 19 (i) castration; 20 (ii) orchiectomy; 21 (iii) scrotoplasty; 22 (iv) vasectomy; 23 (v) hysterectomy; 24 (vi) oophorectomy; 25 (vii) ovariectomy; 26 VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 742 IH (viii) metoidioplasty; 1 (ix) penectomy; 2 (x) phalloplasty; 3 (xi) vaginoplasty; 4 (xii) vaginectomy; 5 (xiii) vulvoplasty; 6 (xiv) reduction thyrochondroplasty; 7 (xv) chondrolaryngoplasty; 8 (xvi) mastectomy; and 9 (xvii) any plastic, cosmetic, or aes-10 thetic surgery that feminizes or 11 masculinizes the facial or other body fea-12 tures of an individual. 13 (B) Any placement of chest implants to 14 create feminine breasts. 15 (C) Any placement of fat or artificial im-16 plants in the gluteal region. 17 (D) Administering, supplying, prescribing, 18 dispensing, distributing, or otherwise conveying 19 to an individual medications, including— 20 (i) gonadotropin-releasing hormone 21 (GnRH) analogues or other puberty-block-22 ing drugs to stop or delay normal puberty; 23 and 24 VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •HR 742 IH (ii) testosterone, estrogen, or other 1 androgens to an individual at doses that 2 are supraphysiologic than would normally 3 be produced endogenously in a healthy in-4 dividual of the same age and sex. 5 (2) E XCEPTION.—Paragraph (1) shall not 6 apply to the following when furnished to an indi-7 vidual by a health care provider with the consent of 8 such individual’s parent or legal guardian: 9 (A) Puberty suppression or blocking pre-10 scription drugs for the purpose of normalizing 11 puberty for an individual experiencing pre-12 cocious puberty. 13 (B) Appropriate and medically necessary 14 procedures or treatments to correct for— 15 (i) a medically verifiable genetic dis-16 order of sex development, including— 17 (I) 46,XX chromosomes with 18 virilization; 19 (II) 46,XY chromosomes with 20 undervirilization; and 21 (III) both ovarian and testicular 22 tissue; 23 (ii) sex chromosome structure, sex 24 steroid hormone production, or sex hor-25 VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •HR 742 IH mone action, if determined to be abnormal 1 by a physician through genetic or bio-2 chemical testing; or 3 (iii) infection, disease, injury, or dis-4 order caused or exacerbated by a previous 5 procedure described in paragraph (1), or a 6 physical disorder, physical injury, or phys-7 ical illness that would, as certified by a 8 physician, place the individual in imminent 9 danger of death or impairment of a major 10 bodily function unless the procedure is per-11 formed, not including procedures per-12 formed for the alleviation of mental dis-13 tress. 14 (3) C ERTAIN TERMS.—For purposes of this sec-15 tion: 16 (A) S EX.—The term ‘‘sex’’, when referring 17 to individual’s sex, shall be understood to refer 18 to either male or female, as biologically deter-19 mined. 20 (B) F EMALE.—The term ‘‘female’’, when 21 referring to a natural person, means an indi-22 vidual who naturally has, had, will have, or 23 would have, but for a developmental or genetic 24 anomaly or historical accident, the reproductive 25 VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •HR 742 IH system that at some point produces, transports, 1 and utilizes eggs for fertilization. 2 (C) M ALE.—The term ‘‘male’’, when refer-3 ring to a natural person, means an individual 4 who naturally has, had, will have, or would 5 have, but for a developmental or genetic anom-6 aly or historical accident, the reproductive sys-7 tem that at some point produces, transports, 8 and utilizes sperm for fertilization. 9 Æ VerDate Sep 11 2014 04:07 Feb 21, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6301 E:\BILLS\H742.IH H742 kjohnson on DSK7ZCZBW3PROD with $$_JOB