I 
119TH CONGRESS 
1ST SESSION H. R. 3688 
To amend chapter 110 of title 18, United States Code, to prohibit gender 
transition procedures on minors, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 3, 2025 
Mr. LAMALFA (for himself, Mr. GROTHMAN, Mrs. MILLER of Illinois, Mr. 
GOSAR, Mr. NEHLS, Ms. TENNEY, Ms. BOEBERT, Mr. ROUZER, Mr. 
ARRINGTON, Mr. WEBER of Texas, Mr. PALMER, and Mr. BOST) intro-
duced the following bill; which was referred to the Committee on the Ju-
diciary 
A BILL 
To amend chapter 110 of title 18, United States Code, 
to prohibit gender transition procedures on 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 Experimentation Act of 2025’’. 
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SEC. 2. GENDER TRANSITION PROCEDURES ON MINORS 
PROHIBITED. 
Chapter 110 of title 18, United States Code, is 
amended— 
(1) by adding at the end the following: 
‘‘§ 2260B. Gender transition procedures on minors 
‘‘(a) IN GENERAL.—Any physical or mental health 
care professional who, under the circumstances described 
in subsection (d), knowingly performs or otherwise aids 
and abets the performance of a gender transition proce-
dure on a minor shall be fined under this title, imprisoned 
not more than 5 years, or both. 
‘‘(b) PROHIBITION ON PROSECUTION OF PERSON ON 
WHOM PROCEDURES ARE PERFORMED.—No person on 
whom the gender transition procedure under subsection 
(a) is performed may be arrested or prosecuted for an of-
fense under this section. 
‘‘(c) CIVIL ACTION.—A person on whom a gender 
transition procedure is performed under this section may 
bring a civil action for appropriate relief against each per-
son who performed the gender transition procedure. 
‘‘(d) CIRCUMSTANCES DESCRIBED.—For purposes of 
subsection (a), the circumstances described in this sub-
section are that— 
‘‘(1) the defendant or minor traveled in inter-
state or foreign commerce, or traveled using a 
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means, channel, facility, or instrumentality of inter-
state or foreign commerce, in furtherance of or in 
connection with the conduct described in subsection 
(a); 
‘‘(2) the defendant used a means, channel, fa-
cility, or instrumentality of interstate or foreign 
commerce in furtherance of or in connection with 
the conduct described in subsection (a); 
‘‘(3) any payment of any kind was made, di-
rectly or indirectly, in furtherance of or in connec-
tion with the conduct described in subsection (a) 
using any means, channel, facility, or instrumen-
tality of interstate or foreign commerce or in or af-
fecting interstate or foreign commerce; 
‘‘(4) the defendant transmitted in interstate or 
foreign commerce any communication relating to or 
in furtherance of the conduct described in subsection 
(a) using any means, channel, facility, or instrumen-
tality of interstate or foreign commerce or in or af-
fecting interstate or foreign commerce by any means 
or in manner, including by computer, mail, wire, or 
electromagnetic transmission; 
‘‘(5) any instrument, item, substance, or other 
object that has traveled in interstate or foreign com-
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merce was used to perform the conduct described in 
subsection (a); 
‘‘(6) the conduct described in subsection (a) oc-
curred within the special maritime and territorial ju-
risdiction of the United States, or any territory or 
possession of the United States; or 
‘‘(7) the conduct described in subsection (a) 
otherwise occurred in or affected interstate or for-
eign commerce. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) FEMALE.—The term ‘female’, when used 
to refer to a natural person, means an individual 
who naturally has, had, will have, or would have, but 
for a congenital anomaly, historical accident, or in-
tentional or unintentional disruption, the reproduc-
tive system that at some point produces, transports, 
and utilizes eggs for fertilization. 
‘‘(2) GENDER TRANSITION.—The term ‘gender 
transition’ means the process in which an individual 
goes from identifying with or presenting as his or 
her sex to identifying with or presenting a self-pro-
claimed identity that does not correspond with or is 
different from his or her sex, and may be accom-
panied with social, legal, or physical changes. 
‘‘(3) GENDER TRANSITION PROCEDURE.— 
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‘‘(A) IN
GENERAL.—The term ‘gender 
transition procedure’ means any hormonal or 
surgical intervention for the purpose of gender 
transition, including— 
‘‘(i) gonadotropin-releasing hormone 
(GnRH) agonists or other puberty-blocking 
or suppressing drugs to stop or delay nor-
mal puberty; 
‘‘(ii) testosterone, estrogen, progester-
one, or other androgens to an individual at 
doses that are supraphysiologic to what 
would normally be produced endogenously 
in a healthy individual of the same age and 
sex; 
‘‘(iii) castration; 
‘‘(iv) orchiectomy; 
‘‘(v) scrotoplasty; 
‘‘(vi) implantation of erection or tes-
ticular prostheses; 
‘‘(vii) vasectomy; 
‘‘(viii) hysterectomy; 
‘‘(ix) oophorectomy; 
‘‘(x) ovariectomy; 
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‘‘(xxix) lipofilling; 
‘‘(xxx) voice surgery; 
‘‘(xxxi) hair reconstruction; 
‘‘(xxxii) pectoral implants; and 
‘‘(xxxiii) the removal of any otherwise 
healthy or non-diseased body part or tis-
sue. 
‘‘(B) EXCLUSIONS.—The term ‘gender 
transition procedure’ does not include the fol-
lowing when furnished to an individual by a 
health care provider with the consent of such 
individual or, if applicable, such individual’s 
parents or legal guardian: 
‘‘(i) Services to individuals born with 
a medically verifiable disorder of sex devel-
opment, including an individual with exter-
nal sex characteristics that are irresolvably 
ambiguous, such as an individual born with 
46 XX chromosomes with virilization, an 
individual born with 46 XY chromosomes 
with undervirilization, or an individual 
born having both ovarian and testicular 
tissue. 
‘‘(ii) Services provided when a physi-
cian has otherwise diagnosed a disorder of 
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sexual development in which the physician 
has determined through genetic or bio-
chemical testing that the individual does 
not have normal sex chromosome struc-
ture, sex steroid hormone production, or 
sex steroid hormone action for a healthy 
individual of the same sex and age. 
‘‘(iii) The treatment of any infection, 
injury, disease, or disorder that has been 
caused by or exacerbated by the perform-
ance of gender transition procedures, 
whether or not the gender transition proce-
dure was performed in accordance with 
State and Federal law or whether or not 
funding for the gender transition proce-
dure is permissible under this section. 
‘‘(iv) Any procedure undertaken be-
cause the individual suffers from a physical 
disorder, physical injury, or physical illness 
(but not mental, behavioral, or emotional 
distress or a mental, behavioral, or emo-
tional disorder) that would, as certified by 
a physician, place the individual in immi-
nent danger of death or impairment of 
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major bodily function, unless the procedure 
is performed. 
‘‘(v) Puberty suppression or blocking 
prescription drugs for the purpose of nor-
malizing puberty for a minor experiencing 
precocious puberty. 
‘‘(vi) Male circumcision. 
‘‘(4) MALE.—The term ‘male’, when used to 
refer to a natural person, means an individual who 
naturally has, had, will have, or would have, but for 
a congenital anomaly, historical accident, or inten-
tional or unintentional disruption, the reproductive 
system that at some point produces, transports, and 
utilizes sperm for fertilization. 
‘‘(5) MINOR.—The term ‘minor’ means an indi-
vidual under the age of 18. 
‘‘(6) SEX.—The term ‘sex’, when referring to 
an individual’s sex, means to refer to either male or 
female, as biologically determined.’’; and 
(2) by amending the table of sections for such 
chapter by adding at the end the following: 
‘‘2260B. Gender transition procedures on minors.’’. 
Æ 
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