1 | 1 | | II |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION S. 209 |
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5 | 5 | | To protect children from medical malpractice in the form of gender-transition |
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6 | 6 | | procedures. |
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7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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8 | 8 | | JANUARY23, 2025 |
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9 | 9 | | Mr. C |
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10 | 10 | | OTTON(for himself, Mr. BANKS, Mr. SHEEHY, and Mr. MULLIN) intro- |
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11 | 11 | | duced the following bill; which was read twice and referred to the Com- |
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12 | 12 | | mittee on the Judiciary |
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13 | 13 | | A BILL |
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14 | 14 | | To protect children from medical malpractice in the form |
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15 | 15 | | of gender-transition procedures. |
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16 | 16 | | Be it enacted by the Senate and House of Representa-1 |
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17 | 17 | | tives of the United States of America in Congress assembled, 2 |
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18 | 18 | | SECTION 1. SHORT TITLE. 3 |
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19 | 19 | | This Act may be cited as the ‘‘Protecting Minors 4 |
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20 | 20 | | from Medical Malpractice Act of 2025’’. 5 |
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21 | 21 | | SEC. 2. PRIVATE RIGHT OF ACTION FOR A GENDER-TRANSI-6 |
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22 | 22 | | TION PROCEDURE PERFORMED ON A MINOR. 7 |
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23 | 23 | | (a) I |
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24 | 24 | | NGENERAL.—A medical practitioner, in any cir-8 |
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25 | 25 | | cumstance described in subsection (c), who performs a 9 |
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26 | 26 | | gender-transition procedure on an individual who is less 10 |
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28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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29 | 29 | | •S 209 IS |
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30 | 30 | | than 18 years of age shall, as described in subsection (b), 1 |
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31 | 31 | | be liable to the individual if injured (including any phys-2 |
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32 | 32 | | ical, psychological, emotional, or physiological harms) by 3 |
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33 | 33 | | such procedure, related treatment, or the aftereffects of 4 |
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34 | 34 | | the procedure or treatment. 5 |
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35 | 35 | | (b) P |
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36 | 36 | | RIVATERIGHT OFACTION.—An individual cov-6 |
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37 | 37 | | ered by subsection (a) who receives a gender-transition 7 |
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38 | 38 | | procedure from a medical practitioner (or a representative, 8 |
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39 | 39 | | including a legal guardian, on behalf of such individual) 9 |
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40 | 40 | | may, not later than the day that is 30 years after the date 10 |
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41 | 41 | | on which the individual turns 18 years of age, bring a civil 11 |
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42 | 42 | | action against such medical practitioner in a court of com-12 |
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43 | 43 | | petent jurisdiction for— 13 |
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44 | 44 | | (1) declaratory or injunctive relief; 14 |
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45 | 45 | | (2) compensatory damages; 15 |
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46 | 46 | | (3) punitive damages; and 16 |
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47 | 47 | | (4) attorney’s fees and costs. 17 |
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48 | 48 | | (c) C |
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49 | 49 | | IRCUMSTANCES.—For the purposes of sub-18 |
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50 | 50 | | section (a), the circumstances described in this subsection 19 |
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51 | 51 | | are that— 20 |
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52 | 52 | | (1) the medical practitioner or the individual re-21 |
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53 | 53 | | ceiving the gender-transition procedure traveled in 22 |
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54 | 54 | | interstate or foreign commerce, or traveled using a 23 |
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55 | 55 | | means, channel, facility, or instrumentality of inter-24 |
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56 | 56 | | state or foreign commerce, in furtherance of or in 25 |
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58 | 58 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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59 | 59 | | •S 209 IS |
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60 | 60 | | connection with the conduct described in subsection 1 |
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61 | 61 | | (a); 2 |
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62 | 62 | | (2) the medical practitioner used a means, 3 |
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63 | 63 | | channel, facility, or instrumentality of interstate or 4 |
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64 | 64 | | foreign commerce in furtherance of or in connection 5 |
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65 | 65 | | with the conduct described in subsection (a); 6 |
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66 | 66 | | (3) any payment of any kind was made, directly 7 |
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67 | 67 | | or indirectly, in furtherance of or in connection with 8 |
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68 | 68 | | the conduct described in subsection (a) using any 9 |
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69 | 69 | | means, channel, facility, or instrumentality of inter-10 |
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70 | 70 | | state or foreign commerce or in or affecting inter-11 |
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71 | 71 | | state or foreign commerce; 12 |
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72 | 72 | | (4) the medical practitioner transmitted in 13 |
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73 | 73 | | interstate or foreign commerce any communication 14 |
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74 | 74 | | relating to or in furtherance of the conduct de-15 |
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75 | 75 | | scribed in subsection (a) using any means, channel, 16 |
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76 | 76 | | facility, or instrumentality of interstate or foreign 17 |
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77 | 77 | | commerce or in or affecting interstate or foreign 18 |
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78 | 78 | | commerce by any means or in any manner, including 19 |
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79 | 79 | | by computer, mail, wire, or electromagnetic trans-20 |
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80 | 80 | | mission; 21 |
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81 | 81 | | (5) any instrument, item, substance, or other 22 |
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82 | 82 | | object that has traveled in interstate or foreign com-23 |
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83 | 83 | | merce was used to perform the conduct described in 24 |
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84 | 84 | | subsection (a); 25 |
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86 | 86 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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87 | 87 | | •S 209 IS |
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88 | 88 | | (6) the conduct described in subsection (a) oc-1 |
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89 | 89 | | curred within the special maritime and territorial ju-2 |
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90 | 90 | | risdiction of the United States, or any territory or 3 |
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91 | 91 | | possession of the United States; or 4 |
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92 | 92 | | (7) the conduct described in subsection (a) oth-5 |
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93 | 93 | | erwise occurred in or affected interstate or foreign 6 |
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94 | 94 | | commerce. 7 |
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95 | 95 | | SEC. 3. PRESERVING FREEDOM OF CONSCIENCE AND MED-8 |
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96 | 96 | | ICAL JUDGEMENT FOR MEDICAL PROVIDERS. 9 |
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97 | 97 | | Notwithstanding any other provision of law, no provi-10 |
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98 | 98 | | sion of Federal law shall require, or be construed to re-11 |
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99 | 99 | | quire, a medical practitioner to perform a gender-transi-12 |
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100 | 100 | | tion procedure. 13 |
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101 | 101 | | SEC. 4. PROHIBITION ON FUNDING FOR CERTAIN STATES. 14 |
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102 | 102 | | Notwithstanding any other provision of law, any 15 |
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103 | 103 | | State that requires medical practitioners to perform any 16 |
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104 | 104 | | gender-transition procedure on an individual in the State 17 |
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105 | 105 | | shall be ineligible to receive any Federal funding from the 18 |
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106 | 106 | | Department of Health and Human Services. 19 |
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107 | 107 | | SEC. 5. DEFINITIONS. 20 |
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108 | 108 | | In this Act: 21 |
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109 | 109 | | (1) B |
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110 | 110 | | IOLOGICAL SEX.—The term ‘‘biological 22 |
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111 | 111 | | sex’’ means the genetic classification of an individual 23 |
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112 | 112 | | as male or female, as reflected in the organization 24 |
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113 | 113 | | of the body of such individual for a reproductive role 25 |
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115 | 115 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 |
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116 | 116 | | •S 209 IS |
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117 | 117 | | or capacity, such as through sex chromosomes, natu-1 |
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118 | 118 | | rally occurring sex hormones, and internal and ex-2 |
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119 | 119 | | ternal genitalia present at birth, without regard to 3 |
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120 | 120 | | the subjective sense of identity of the individual. 4 |
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121 | 121 | | (2) G |
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122 | 122 | | ENDER-TRANSITION PROCEDURE .— 5 |
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123 | 123 | | (A) I |
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124 | 124 | | N GENERAL.—Except as provided in 6 |
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125 | 125 | | subparagraph (B), the term ‘‘gender-transition 7 |
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126 | 126 | | procedure’’ means— 8 |
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127 | 127 | | (i) the prescription or administration 9 |
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128 | 128 | | of puberty-blocking drugs for the purpose 10 |
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129 | 129 | | of changing the body of an individual so 11 |
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130 | 130 | | that it conforms to the subjective sense of 12 |
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131 | 131 | | identity of the individual, in the case such 13 |
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132 | 132 | | identity is at odds with the individual’s bi-14 |
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133 | 133 | | ological sex; 15 |
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134 | 134 | | (ii) the prescription or administration 16 |
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135 | 135 | | of cross-sex hormones for the purpose of 17 |
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136 | 136 | | changing the body of an individual so that 18 |
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137 | 137 | | it conforms to the subjective sense of iden-19 |
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138 | 138 | | tity of the individual, in the case such 20 |
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139 | 139 | | identity is at odds with the individual’s bi-21 |
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140 | 140 | | ological sex; or 22 |
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141 | 141 | | (iii) a surgery to change the body of 23 |
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142 | 142 | | an individual so that it conforms to the 24 |
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143 | 143 | | subjective sense of identity of the indi-25 |
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146 | 146 | | •S 209 IS |
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147 | 147 | | vidual, in the case such identity is at odds 1 |
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148 | 148 | | with the individual’s biological sex. 2 |
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149 | 149 | | (B) E |
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150 | 150 | | XCEPTION.—The term ‘‘gender-tran-3 |
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151 | 151 | | sition procedure’’ does not include— 4 |
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152 | 152 | | (i) an intervention described in sub-5 |
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153 | 153 | | paragraph (A) that is performed on— 6 |
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154 | 154 | | (I) an individual with biological 7 |
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155 | 155 | | sex characteristics that are inherently 8 |
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156 | 156 | | ambiguous, such as those born with 9 |
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157 | 157 | | 46 XX chromosomes with virilization, 10 |
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158 | 158 | | 46 XY chromosomes with 11 |
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159 | 159 | | undervirilization, or having both ovar-12 |
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160 | 160 | | ian and testicular tissue; or 13 |
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161 | 161 | | (II) an individual with respect to 14 |
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162 | 162 | | whom a physician has determined 15 |
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163 | 163 | | through genetic or biochemical testing 16 |
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164 | 164 | | that the individual does not have nor-17 |
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165 | 165 | | mal sex chromosome structure, sex 18 |
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166 | 166 | | steroid hormone production, or sex 19 |
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167 | 167 | | steroid hormone action, for a biologi-20 |
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168 | 168 | | cal male or biological female; 21 |
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169 | 169 | | (ii) the treatment of any infection, in-22 |
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170 | 170 | | jury, disease, or disorder that has been 23 |
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171 | 171 | | caused or exacerbated by the performance 24 |
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172 | 172 | | of an intervention described in subpara-25 |
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175 | 175 | | •S 209 IS |
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176 | 176 | | graph (A) without regard to whether the 1 |
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177 | 177 | | intervention was performed in accordance 2 |
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178 | 178 | | with State or Federal law or whether the 3 |
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179 | 179 | | intervention is covered by the private right 4 |
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180 | 180 | | of action under section 2; or 5 |
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181 | 181 | | (iii) any procedure undertaken be-6 |
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182 | 182 | | cause the individual suffers from a physical 7 |
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183 | 183 | | disorder, physical injury, or physical illness 8 |
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184 | 184 | | that would, as certified by a physician, 9 |
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185 | 185 | | place the individual in imminent danger of 10 |
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186 | 186 | | death or impairment of major bodily func-11 |
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187 | 187 | | tion unless the procedure is performed. 12 |
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188 | 188 | | (3) M |
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189 | 189 | | EDICAL PRACTITIONER.—The term ‘‘med-13 |
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190 | 190 | | ical practitioner’’ means a person who is licensed, 14 |
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191 | 191 | | certified, or otherwise authorized by the laws of a 15 |
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192 | 192 | | State to administer health care in the ordinary 16 |
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193 | 193 | | course of the practice of the person’s profession. 17 |
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194 | 194 | | SEC. 6. EFFECTIVE DATE. 18 |
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195 | 195 | | This Act shall take effect on the date of enactment 19 |
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196 | 196 | | of this Act. 20 |
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197 | 197 | | Æ |
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