I 
119TH CONGRESS 
1ST SESSION H. R. 6876 
To require the imposition of visa sanctions with respect to each foreign 
person the President determines has performed or otherwise facilitated 
chemical or surgical mutilations of United States minors, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 18, 2025 
Mr. MCDOWELL (for himself, Mr. BRECHEEN, Mr. WEBER of Texas, Mr. 
STUTZMAN, Mr. TAYLOR, Mr. MOORE of North Carolina, and Mr. 
HAMADEH of Arizona) introduced the following bill; which was referred 
to the Committee on the Judiciary 
A BILL 
To require the imposition of visa sanctions with respect to 
each foreign person the President determines has per-
formed or otherwise facilitated chemical or surgical muti-
lations of United States minors, 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 ‘‘Protecting Children 
from Foreign Mutilation Act’’. 
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SEC. 2. IMPOSITION OF SANCTIONS. 
(a) IN GENERAL.—The President shall impose the 
sanction described in subsection (b) with respect to each 
person the President determines, including through infor-
mation submitted in accordance with subsection (d), is a 
foreign person who— 
(1) is a member of the World Professional As-
sociation for Transgender Health; 
(2) has, in the capacity of such individual as a 
duly licensed physician, in any way performed, pre-
scribed, or otherwise facilitated chemical or surgical 
mutilations of United States persons; or 
(3) owns or operates a clinic, hospital, phar-
macy, or other medical institution that performs, 
prescribes, or otherwise facilitates chemical or sur-
gical mutilations of United States persons. 
(b) VISA SANCTIONS.—The sanction described in this 
subsection is the following: 
(1) VISAS, ADMISSION, OR PAROLE.—A foreign 
person described in subsection (a) is— 
(A) inadmissible to the United States; 
(B) ineligible to receive a visa or other doc-
umentation to enter the United States; and 
(C) otherwise ineligible to be admitted or 
paroled into the United States or to receive any 
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other benefit under the Immigration and Na-
tionality Act (8 U.S.C. 1101 et seq.). 
(2) CURRENT VISAS REVOKED.— 
(A) IN GENERAL.—A foreign person de-
scribed in subsection (a) shall be subject to rev-
ocation of any visa or other entry documenta-
tion regardless of when the visa or other entry 
documentation is or was issued. 
(B) IMMEDIATE
EFFECT.—A revocation 
under subparagraph (A) shall take effect imme-
diately and automatically cancel any other valid 
visa or entry documentation that is in the 
alien’s possession. 
(c) INFORMATION SUBMITTED TO SECRETARY OF 
STATE.—The Secretary of State shall establish procedures 
to enable individuals to submit to the Secretary informa-
tion relating to foreign persons that may qualify for the 
imposition of sanctions under this Act. 
(d) EXCEPTION; WAIVER.— 
(1) EXCEPTION
TO
COMPLY
WITH
INTER-
NATIONAL OBLIGATIONS.—Sanctions under this sec-
tion shall not apply with respect to the admission of 
an alien if admitting or paroling the alien into the 
United States is necessary to permit the United 
States to comply with— 
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(A) the Agreement regarding the Head-
quarters of the United Nations, signed at Lake 
Success June 26, 1947, and entered into force 
November 21, 1947, between the United Na-
tions and the United States; or 
(B) other applicable international obliga-
tions. 
(2) EXCEPTION WITH RESPECT TO WHISTLE-
BLOWERS.—Sanctions under this section shall not be 
imposed with respect to a foreign person described 
in subsection (a)(2) if the Secretary of State deter-
mines that such foreign person— 
(A) no longer works for an entity per-
forming any of the acts described in subsection 
(c); and 
(B)(i) has provided information to the Sec-
retary of State sufficient to identify at least one 
other foreign person meeting the criteria for the 
imposition of sanctions under this section; or 
(ii) has provided information to any other 
Federal official relating to a violation of law or 
regulation in the practices of the entity de-
scribed in subparagraph (A). 
(3) WAIVER.—The President may waive the ap-
plication of sanctions under this section with respect 
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to a foreign person if the President determines that 
such a waiver is in the national security interests of 
the United States. 
(e) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of State shall 
submit to Congress a report that includes— 
(1) a description of the actions taken to carry 
out this Act; 
(2) the number of people who have been sanc-
tioned pursuant to the authorities provided by this 
Act; and 
(3) any additional measures the Secretary 
would recommend to be taken to discourage foreign 
persons from providing gender transitions to United 
States persons. 
(f) DEFINITIONS.—In this section: 
(1) ADMISSION; ADMITTED; ALIEN.—The terms 
‘‘admission’’, ‘‘admitted’’, and ‘‘alien’’ have the 
meanings given such terms in section 101 of the Im-
migration and Nationality Act (8 U.S.C. 1101). 
(2) CHEMICAL OR SURGICAL MUTILATION.— 
(A) IN GENERAL.—The term ‘‘chemical or 
surgical mutilation’’ means engaging in any one 
or more of the following for the purpose of in-
tentionally halting the natural development of 
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the individual’s body so that it no longer cor-
responds to the individual’s sex or intentionally 
changing the individual’s body, including the in-
dividual’s external appearance or biological 
functions, to no longer correspond to the indi-
vidual’s sex: 
(i) The use of puberty blockers, in-
cluding gonadotropin releasing hormone 
agonists and other interventions, to delay 
the onset or progression of normally timed 
puberty in an individual. 
(ii) The use of sex hormones, such as 
androgen blockers, estrogen, progesterone, 
or testosterone. 
(iii) Surgical procedures that attempt 
to transform an individual’s physical ap-
pearance or that attempt to alter or re-
move an individual’s sexual organs. 
(B) EXCLUSIONS.—Such term does not in-
clude any of the following: 
(i) Appropriate and medically nec-
essary procedures to treat a verifiable dis-
order of sexual development, including an 
individual born with 46 XX chromosomes 
with virilization, with 46 XY chromosomes 
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with undervirilization, or having both ovar-
ian and testicular tissue. 
(ii) The treatment of any infection, in-
jury, disease, or disorder that has been 
caused or exacerbated by the performance 
of an intervention described in subpara-
graph (A) without regard to whether the 
intervention was performed in accordance 
with State or Federal law or whether the 
intervention is covered by the private right 
of action under section 4. 
(iii) Any intervention undertaken be-
cause the individual suffers from any diag-
nosed and verifiable condition of the body’s 
organ systems, including the following: 
(I) Traumatic bodily injuries 
(such as fractures, organ rupture, or 
penetrating trauma). 
(II) Congenital structural anoma-
lies of major organs or systems, in-
cluding 
the 
cardiovascular, 
res-
piratory, renal, hepatic, neurological, 
or musculoskeletal systems. 
(III) Acute illnesses with a high 
probability of rapid mortality. 
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(iv) Detransition treatment. 
(3) DETRANSITION
TREATMENT.—The term 
‘‘detransition treatment’’ means any treatment, in-
cluding a mental health treatment, medical interven-
tion, or surgery, that does either or both of the fol-
lowing: 
(A) Stops or reverses the effects of a prior 
chemical or surgical mutilation. 
(B) Helps an individual cope with the ef-
fects of a prior chemical or surgical mutilation. 
(4) FOREIGN PERSON.—The term ‘‘foreign per-
son’’ means an individual who is not a citizen or na-
tional of the United States. 
(5) SEX.—The term ‘‘sex’’ means a person’s 
immutable biological classification, determined at the 
moment of conception, as either male or female. 
(6) 
UNITED
STATES
PERSON.—The 
term 
‘‘United States person’’ means an individual who— 
(A) is a United States citizen or national, 
or an alien lawfully admitted for permanent res-
idence to the United States; and 
(B) has not attained the age of 18 years. 
SEC. 3. SEVERABILITY. 
If any provision of this Act or the application of such 
provision to any person, entity, government, or cir-
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cumstance, is held to be unconstitutional, the remainder 
of this Act, or the application of such provision to all other 
persons, entities, governments, or circumstances, shall not 
be affected thereby. 
Æ 
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