II 119THCONGRESS 1 STSESSION S. 312 To establish a Federal tort against pediatric gender clinics and other entities pushing gender-transition procedures that cause bodily injury to children or harm the mental health of children. IN THE SENATE OF THE UNITED STATES JANUARY29, 2025 Mr. H AWLEY(for himself and Mr. CRUZ) introduced the following bill; which was read twice and referred to the Committee on the Judiciary A BILL To establish a Federal tort against pediatric gender clinics and other entities pushing gender-transition procedures that cause bodily injury to children or harm the mental health of children. 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 ‘‘Jamie Reed Protecting 4 Our Kids from Child Abuse Act’’. 5 SEC. 2. FEDERAL TORT FOR HARM TO CHILDREN CAUSED 6 BY GENDER-TRANSITION PROCEDURES. 7 (a) D EFINITIONS.—In this section: 8 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •S 312 IS (1) GENDER TRANSITION PROCEDURE .— 1 (A) I N GENERAL.—Except as provided in 2 subparagraph (B), the term ‘‘gender-transition 3 procedure’’ means— 4 (i) the prescription or administration 5 of gonadotropin-releasing hormone agonists 6 or any other puberty-blocking drugs for 7 the purpose of changing the body of an in-8 dividual so that it conforms to the subjec-9 tive sense of identity of the individual, in 10 the case such identity is at odds with the 11 individual’s biological sex of male or fe-12 male; 13 (ii) the prescription or administration 14 of testosterone (when prescribed to a fe-15 male) or estrogen (when prescribed to a 16 male) for the purpose of changing the body 17 of an individual so that it conforms to the 18 subjective sense of identity of the indi-19 vidual, in the case such identity is at odds 20 with the individual’s biological sex of male 21 or female; or 22 (iii) a surgery to change the body of 23 an individual so that it conforms to the 24 subjective sense of identity of the indi-25 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •S 312 IS vidual, in the case such identity is at odds 1 with the individual’s biological sex of male 2 or female. 3 (B) E XCEPTION.—The term ‘‘gender-tran-4 sition procedure’’ does not include— 5 (i) an intervention described in sub-6 paragraph (A) that is performed on— 7 (I) an individual with biological 8 sex characteristics that are inherently 9 ambiguous, such as those born with 10 46 XX chromosomes with virilization, 11 46 XY chromosomes with 12 undervirilization, or having both ovar-13 ian and testicular tissue; or 14 (II) an individual with respect to 15 whom a physician has determined 16 through genetic or biochemical testing 17 that the individual does not have nor-18 mal sex chromosome structure, sex 19 steroid hormone production, or sex 20 steroid hormone action, for a biologi-21 cal male or biological female; 22 (ii) the treatment of any infection, in-23 jury, disease, or disorder that has been 24 caused or exacerbated by the performance 25 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •S 312 IS of an intervention described in subpara-1 graph (A) without regard to whether the 2 intervention was performed in accordance 3 with State or Federal law or whether the 4 intervention is covered by the private right 5 of action under subsection (c); or 6 (iii) any procedure undertaken be-7 cause the individual suffers from a physical 8 disorder, physical injury, or physical illness 9 that would, as certified by a physician, 10 place the individual in imminent danger of 11 death or impairment of major bodily func-12 tion unless the procedure is performed. 13 (2) H OSPITAL.—The term ‘‘hospital’’ has the 14 meaning given such term in section 1861(e) of the 15 Social Security Act (42 U.S.C. 1395x(e)). 16 (3) I NSTITUTION OF HIGHER EDUCATION .—The 17 term ‘‘institution of higher education’’ has the 18 meaning given such term in section 101 of the High-19 er Education Act of 1965 (20 U.S.C. 1001). 20 (4) M EDICAL PRACTITIONER.—The term ‘‘med-21 ical practitioner’’ means a person who is licensed, 22 certified, or otherwise authorized by the laws of a 23 State to administer health care in the ordinary 24 course of the practice of the person’s profession. 25 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •S 312 IS (5) MINOR.—The term ‘‘minor’’ means an indi-1 vidual who has not yet reached 18 years of age. 2 (6) P EDIATRIC GENDER CLINIC .—The term 3 ‘‘pediatric gender clinic’’ means a medical facility 4 that specializes in the diagnosis or treatment of gen-5 der discordance and gender dysphoria in minors, in-6 cluding medical interventions such as therapeutic di-7 agnosis of gender dysphoria and performance of (or 8 referral for) gender-transition procedures on minors. 9 (b) L IABILITY.—The following individuals and enti-10 ties shall be liable in accordance with this section to any 11 individual who suffers bodily injury or harm to mental 12 health (including any physical, psychological, emotional, or 13 physiological harm) that is attributable, in whole or in 14 part, to a gender-transition procedure performed on the 15 individual when the individual was a minor: 16 (1) A pediatric gender clinic where the gender- 17 transition procedure was provided. 18 (2) Any medical practitioner who administered 19 health care, at the time of the particular procedure, 20 at the pediatric gender clinic where the gender-tran-21 sition procedure was provided. 22 (3) An institution of higher education that 23 hosts, operates, partners with, provides funding to, 24 or is otherwise affiliated with the pediatric gender 25 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •S 312 IS clinic where the gender-transition procedure was 1 provided. 2 (4) A hospital that hosts, operates, partners 3 with, provides funding to, or is otherwise affiliated 4 with the pediatric gender clinic where the gender- 5 transition procedure was provided. 6 (5) Any medical practitioner who performed the 7 gender-transition procedure on the individual. 8 (c) P RIVATERIGHT OFACTION.—An individual who 9 suffers bodily injury or harm to mental health that is at-10 tributable, in whole or in part, to a gender-transition pro-11 cedure provided to the individual when the individual was 12 a minor may, not later than 30 years after the date on 13 which the individual turns 18 years of age, bring a civil 14 action against an individual or entity described in sub-15 section (b), in an appropriate district court of the United 16 States or a State court of competent jurisdiction for— 17 (1) compensatory damages; 18 (2) punitive damages; and 19 (3) attorney’s fees and costs. 20 (d) A FFIRMATIVEDEFENSE.—It shall be an affirma-21 tive defense to an action brought by or on behalf of an 22 individual upon whom a gender-transition procedure was 23 performed under subsection (c) that the pediatric gender 24 clinic or medical practitioner who performed the gender- 25 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •S 312 IS transition procedure on the individual, at all relevant 1 times, did not know and had no reason to know that the 2 individual in question was a minor. 3 SEC. 3. PROHIBITION ON FUNDING. 4 No Federal funds may be made available— 5 (1) to a pediatric gender clinic; 6 (2) to an institution of higher education or hos-7 pital that hosts, operates, partners with, provides 8 funding to, or is otherwise affiliated with, a pediatric 9 gender clinic; or 10 (3) for any gender-transition procedure per-11 formed on a minor. 12 SEC. 4. EFFECTIVE DATE AND RETROACTIVE APPLICATION. 13 This Act shall— 14 (1) take effect on the date of enactment of this 15 Act; and 16 (2) apply to any gender-transition procedure 17 that took place before, on, or after the effective date 18 under paragraph (1). 19 SEC. 5. SEVERABILITY. 20 If any provision of this Act, or the application of such 21 provision to any person or circumstance, is held to be un-22 constitutional, the remainder of this Act, and the applica-23 VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 •S 312 IS tion of the remaining provisions of this Act, to any person 1 or circumstance, shall not be affected. 2 Æ VerDate Sep 11 2014 23:48 Feb 25, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\S312.IS S312 kjohnson on DSK7ZCZBW3PROD with $$_JOB