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-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Childhood Genital Mu-
tilation Prevention Act’’. 
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 $$_JOB
‘‘(c) EXCEPTIONS.— 
‘‘(1) IN GENERAL.—An individual who provides 
gender-related medical treatment to a minor shall 
not be considered to have violated the prohibition in 
subsection (a) if such medical treatment is provided 
to such minor for purposes of treating— 
‘‘(A) a disorder of sex development, diag-
nosed by a physician after such physician has 
determined through genetic or biochemical test-
ing that such minor does not have normal sex 
chromosome structure, sex steroid hormone pro-
duction, or sex steroid hormone action; 
‘‘(B) irresolvably ambiguous biological sex 
characteristics of such minor, including the 
presence of— 
‘‘(i) 
XX 
chromosomes 
with 
virilization; 
‘‘(ii) 
XY 
chromosomes 
with 
undervirilization; or 
‘‘(iii) both ovarian and testicular tis-
sue; or 
‘‘(C) an infection, injury, disease, or dis-
order caused or exacerbated by gender-related 
medical treatment that was furnished to such 
minor. 
VerDate Sep 11 2014 
23:43 Oct 01, 2025
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H5592.IH
H5592
kjohnson on DSK7ZCZBW3PROD with $$_JOB
‘‘(2) EXCEPTION FOR MINORS.—A minor who 
seeks gender-related medical treatment, or on whom 
gender-related medical treatment was performed, 
shall not be considered to have violated the prohibi-
tion in subsection (a). 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) 
GENDER-RELATED
MEDICAL
TREAT-
MENT.—The term ‘gender-related medical treatment’ 
means— 
‘‘(A) with respect to a female individual, 
medical treatments provided for purposes of ad-
dressing the perception of such individual that 
the gender or sex of such individual is not fe-
male, including— 
‘‘(i) surgical procedures, including— 
‘‘(I) vaginectomy; 
‘‘(II) hysterectomy; 
‘‘(III) oophorectomy; 
‘‘(IV) reconstruction of the ure-
thra; 
‘‘(V) metoidioplasty; 
‘‘(VI) phalloplasty; 
‘‘(VII) salpingo-oophorectomy; 
‘‘(VIII) scrotoplasty; 
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 $$_JOB
‘‘(IX) implantation of erection or 
testicular protheses; 
‘‘(X) subcutaneous mastectomy; 
‘‘(XI) vocal cord surgery; 
‘‘(XII) pectoral implants; and 
‘‘(XIII) penile transplantation; 
‘‘(ii) exogenous doses of testosterone 
or other androgens; and 
‘‘(iii) puberty blockers, including— 
‘‘(I) GnRH agonists; and 
‘‘(II) synthetic drugs that sup-
press the production of estrogen and 
progesterone or delay or suppress pu-
bertal development in female individ-
uals; and 
‘‘(B) with respect to a male individual, 
medical treatments provided for purposes of ad-
dressing the perception of such individual that 
the gender or sex of such individual is not male, 
including— 
‘‘(i) surgical procedures, including— 
‘‘(I) penectomy; 
‘‘(II) orchiectomy; 
‘‘(III) vaginoplasty; 
‘‘(IV) clitoroplasty; 
VerDate Sep 11 2014 
23:43 Oct 01, 2025
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H5592.IH
H5592
kjohnson on DSK7ZCZBW3PROD with $$_JOB
‘‘(V) vulvoplasty; 
‘‘(VI) 
augmentation 
mammoplasty; 
‘‘(VII) facial feminization sur-
gery; 
‘‘(VIII) vocal cord surgery; 
‘‘(IX) chondrolaryngoplasty; 
‘‘(X) gluteal augmentation; and 
‘‘(XI) uterine transplantation; 
‘‘(ii) exogenous doses of estrogen; and 
‘‘(iii) puberty blockers, including— 
‘‘(I) GnRH agonists; and 
‘‘(II) synthetic drugs that sup-
press the production of testosterone or 
delay or suppress pubertal develop-
ment in male individuals. 
‘‘(2) FEMALE.—The term ‘female’ means an in-
dividual who naturally has, had, will have, or would 
have, but for a developmental or genetic anomaly or 
historical accident, the reproductive system that at 
some point produces, transports, and utilizes eggs 
for fertilization. 
‘‘(3) GENDER.—The term ‘gender’— 
‘‘(A) means— 
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 $$_JOB
‘‘(i) males, females, or the natural dif-
ferences between males and females, unless 
such term is otherwise specified or used 
alone, rather than with or as an adjective 
modifying other words; and 
‘‘(ii) a synonym for sex; and 
‘‘(B) does not mean gender identity, expe-
rienced gender, gender expression, or gender 
roles. 
‘‘(4) MALE.—The term ‘male’ means an indi-
vidual who naturally has, had, will have, or would 
have, but for a developmental or genetic anomaly or 
historical accident, the reproductive system that at 
some point produces, transports, and utilizes sperm 
for fertilization. 
‘‘(5) MINOR.—The term ‘minor’ means an indi-
vidual under 18 years of age. 
‘‘(6) SEX.—The term ‘sex’ means the biological 
determination as to whether an individual is male or 
female.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
for such chapter is amended by inserting after the item 
relating to section 116 the following new item: 
‘‘116A. Gender-related medical treatment for minors.’’. 
VerDate Sep 11 2014 
23:43 Oct 01, 2025
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6211
E:\BILLS\H5592.IH
H5592
kjohnson on DSK7ZCZBW3PROD with $$_JOB
SEC. 
3. 
PROHIBITING 
PAYMENT 
AND 
PARTICIPATION 
UNDER MEDICARE WITH RESPECT TO GEN-
DER-RELATED MEDICAL TREATMENT FOR MI-
NORS. 
(a) EXCLUDING FROM COVERAGE GENDER-RELATED 
MEDICAL TREATMENT FOR MINORS.—Section 1862(a) of 
the Social Security Act (42 U.S.C. 1395y(a)) is amend-
ed— 
(1) in paragraph (24), by striking ‘‘or’’ at the 
end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by inserting after paragraph (25) the fol-
lowing new paragraph: 
‘‘(26) beginning on the date that is 90 days 
after the date of the enactment of the Childhood 
Genital Mutilation Prevention Act, which constitute 
gender-related medical treatment for minors de-
scribed in section 116A of chapter 7 of title 18, 
United States Code, and are not provided for the 
purposes described in subsection (c)(1) of such sec-
tion.’’. 
(b) EXCLUDING FROM PARTICIPATION PROVIDERS 
FURNISHING GENDER-RELATED MEDICAL TREATMENT 
FOR MINORS.—Section 1866 of the Social Security Act 
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 $$_JOB
(42 U.S.C. 1395cc) is amended by adding at the end the 
following new subsection: 
‘‘(l) EXCLUSION OF PROVIDERS FURNISHING GEN-
DER-RELATED MEDICAL TREATMENT FOR MINORS.—Be-
ginning on the date that is 90 days after the date of the 
enactment of the Childhood Genital Mutilation Prevention 
Act, with respect to a provider of services or supplier that, 
on or after the date that is 90 days after such date of 
enactment, furnishes gender-related medical treatment for 
minors, as described in section 116A of chapter 7 of title 
18, United States Code to any individual (other than such 
a treatment that is furnished for the purposes described 
in subsection (c)(1) of such section), regardless of whether 
such individual is entitled to benefits under part A or en-
rolled under part B— 
‘‘(1) if such provider of services or supplier is 
enrolled in the program under this title, the Sec-
retary shall terminate such enrollment; and 
‘‘(2) the Secretary may not enroll such provider 
of services or supplier as a new provider of services 
or supplier in the program under this title.’’. 
VerDate Sep 11 2014 
23:43 Oct 01, 2025
Jkt 059200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H5592.IH
H5592
kjohnson on DSK7ZCZBW3PROD with $$_JOB
SEC. 4. PROHIBITION ON FEDERAL FUNDING FOR GENDER- 
RELATED MEDICAL TREATMENT FOR MI-
NORS. 
No funds authorized or appropriated by Federal law, 
and none of the funds in any trust fund to which funds 
are authorized or appropriated by Federal law, shall be 
obligated or expended for any gender-related medical 
treatment furnished to a minor (as such terms are used 
for purposes of section 116A of chapter 7 of title 18, 
United States Code) or for any health benefits coverage 
that includes coverage for gender-related medical treat-
ment furnished to a minor. 
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