I 
118TH CONGRESS 
1ST SESSION H. R. 6658 
To prohibit entities receiving Federal assistance that are involved in adoption 
or foster care placements from delaying or denying placements under 
certain conditions. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 7, 2023 
Mr. BANKS (for himself, Mrs. MILLER of Illinois, Mr. GROTHMAN, and Mr. 
STEUBE) introduced the following bill; which was referred to the Com-
mittee on Ways and Means 
A BILL 
To prohibit entities receiving Federal assistance that are 
involved in adoption or foster care placements from de-
laying or denying placements under certain conditions. 
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 ‘‘Sensible Adoption For 
Every Home Act’’ or the ‘‘SAFE Home Act’’. 
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SEC. 2. STATE PLAN REQUIREMENT UNDER THE FEDERAL 
FOSTER CARE AND ADOPTION ASSISTANCE 
PROGRAM. 
(a) IN GENERAL.—Section 471(a) of the Social Secu-
rity Act (42 U.S.C. 671(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(36); 
(2) by striking the period at the end of para-
graph (37) and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(38)(A) prohibits any entity that receives Fed-
eral assistance and is involved in adoption or foster 
care placements from delaying or denying the place-
ment of a minor child for adoption or into foster 
care, or otherwise discriminating in making a place-
ment decision with a prospective or actual adoptive 
or foster parent, for any of the following reasons: 
‘‘(i) The parent raises, cares for, and ad-
dresses a child in a manner consistent with the 
child’s sex. 
‘‘(ii) The parent declines to consent to a 
child receiving any medical, surgical, pharma-
cological, or psychological treatment or other 
medical or mental health service for the purpose 
of attempting to alter the appearance of, or to 
validate a child’s perception of, the child’s sex, 
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if the appearance or perception is inconsistent 
with the child’s sex. 
‘‘(iii) The parent declines to consent to an 
amendment or alteration to a child’s birth cer-
tificate, 
passport, 
driver’s 
license, 
school 
records, or other government-issued identifica-
tion document, if the amendment or alteration 
is inconsistent with the child’s sex; and 
‘‘(B) for purposes of this paragraph, defines— 
‘‘(i) the term ‘sex’ as biological sex, either 
male or female; 
‘‘(ii) the term ‘female’ as an individual who 
has, had, will have, or but for a developmental 
or genetic anomaly or historical accident would 
have, a reproductive system that at some point 
produces, transports, and utilizes eggs for fer-
tilization; and 
‘‘(iii) the term ‘male’ as an individual who 
has, had, will have, or but for a developmental 
or genetic anomaly or historical accident would 
have, a reproductive system that at some point 
produces, transports, and utilizes sperm for fer-
tilization.’’. 
(b) EFFECTIVE DATE.— 
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(1) IN
GENERAL.—The amendment made by 
this Act shall take effect on the 1st day of the 1st 
fiscal quarter beginning on or after the date of the 
enactment of this Act, and shall apply to payments 
under part E of title IV of the Social Security Act 
for calendar quarters beginning on or after such 
date. 
(2) DELAY PERMITTED IF STATE LEGISLATION 
REQUIRED.—If the Secretary of Health and Human 
Services determines that State legislation (other 
than legislation appropriating funds) is required in 
order for a State plan developed pursuant to part E 
of title IV of the Social Security Act to meet the ad-
ditional requirements imposed by the amendments 
made by this Act, the plan shall not be regarded as 
failing to meet any of the additional requirements 
before the 1st day of the 1st calendar quarter begin-
ning after the first regular session of the State legis-
lature that begins after the date of the enactment of 
this Act. For purposes of the preceding sentence, if 
the State has a 2-year legislative session, each year 
of the session is deemed to be a separate regular 
session of the State legislature. 
Æ 
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