IV 
119TH CONGRESS 
1ST SESSION 
H. RES. 827 
Expressing support for the recognition of October 26, 2025, as Intersex 
Awareness Day, and supporting the goals and ideals of Intersex Aware-
ness Day. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 24, 2025 
Ms. BALINT (for herself, Mr. TAKANO, Mr. POCAN, Ms. BONAMICI, Mrs. 
FOUSHEE, Mr. FROST, Mr. MULLIN, Mr. PETERS, Ms. TLAIB, Ms. NOR-
TON, Mr. TORRES of New York, Mrs. WATSON COLEMAN, Ms. JAYAPAL, 
Mrs. RAMIREZ, Mr. JOHNSON of Georgia, Mr. CARSON, Ms. GARCIA of 
Texas, Ms. JACOBS, Mr. EVANS of Pennsylvania, Ms. RANDALL, and Mr. 
HUFFMAN) submitted the following resolution; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee 
on Education and Workforce, for a period to be subsequently determined 
by the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned 
RESOLUTION 
Expressing support for the recognition of October 26, 2025, 
as Intersex Awareness Day, and supporting the goals 
and ideals of Intersex Awareness Day. 
Whereas Intersex Awareness Day honors the first public dem-
onstration by intersex people in the United States, which 
took place at the annual conference of the American 
Academy of Pediatrics on October 26, 1996; 
Whereas, since that historic demonstration in 1996, October 
26 has become a day during which intersex people and 
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•HRES 827 IH 
allies come together to celebrate and uplift the intersex 
community; 
Whereas ‘‘intersex’’ refers to individuals with innate vari-
ations in their physical sex characteristics, including ex-
ternal anatomy, reproductive organs, hormonal function, 
or chromosomal patterns that differ from stereotypes 
about male or female bodies; 
Whereas being intersex is not the same thing as being 
transgender, but both transgender and intersex people 
hold shared interests in bodily autonomy, self-determina-
tion, and the recognition of their existence and rights; 
Whereas policies, orders, and governmental actions that 
espouse an unscientific definition of biological sex as a 
rigid binary erase and demean the existence of people 
with intersex variations; 
Whereas intersex is not generally considered to be a ‘‘third 
sex’’, but rather represents the wide range of biological 
variation observed in bodily development, with over 40 
different intersex traits having been discovered; 
Whereas the most widely cited estimate of the frequency of 
intersex traits in the population is 1.7 percent, yet the 
true prevalence is likely higher; 
Whereas the rights, health, and well-being of intersex people 
are undermined by erasure and by patterns of stigmatiza-
tion and discrimination on the basis of variations in sex 
characteristics, intersex status, and perceived gender non-
conformity; 
Whereas babies and young children with intersex variations 
are often subjected, without their own informed consent 
or assent, to irreversible genital surgeries, sterilizations, 
and other interventions to make their bodies conform to 
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stereotypical expectations of what it means to appear, be-
have as, or be male or female, most commonly before the 
age of two; 
Whereas it is exceedingly rare that a child’s intersex variation 
would necessitate surgery on an urgent basis in infancy 
or early childhood, and decisions about such surgeries 
could therefore be safely postponed in the vast majority 
of cases until such time as the child becomes able to pro-
vide informed consent or assent, or such time as a medi-
cally urgent indication for surgery may otherwise arise; 
Whereas there is evidence that performing these irreversible 
surgeries in infancy and early childhood in the absence 
of the intersex individual’s consent can result in severe 
lasting physical and psychological harm, including loss of 
bodily function, the destruction of reproductive capacity, 
and the imposition of a sex assignment with which the 
individual will not identify, leading many intersex advo-
cates to describe these nonconsensual surgeries as 
Intersex Genital Mutilation (IGM); 
Whereas 3 former Surgeons General of the United States 
have agreed that such early, nonconsensual surgeries on 
intersex children can cause ‘‘severe and irreversible phys-
ical harm and emotional distress’’ and ‘‘violate an indi-
vidual’s right to personal autonomy over their own fu-
ture’’, ‘‘clearly infring[ing] on the child’s right to physical 
integrity, preservation of sexual and gender identity, and 
procreative freedom’’; 
Whereas the Department of State has commemorated 
Intersex Awareness Day by recognizing the harm of these 
nonconsensual surgeries, stating that ‘‘at a young age, 
intersex persons routinely face forced medical surgeries 
without free or informed consent. These interventions 
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jeopardize their physical integrity and ability to live free-
ly’’; 
Whereas the American Academy of Family Physicians 
(AAFP) ‘‘opposes medically unnecessary genital surgeries 
performed on intersex children’’ and states that ‘‘Genital 
surgeries should only be recommended as medically nec-
essary for intersex infants and children for the purpose 
of resolving significant functional impairment or reducing 
imminent and substantial risk of developing a health- or 
life-threatening condition’’; 
Whereas the World Professional Association for Transgender 
Health, in its Standards of Care Version 8, recommends 
that providers treating intersex infants and young chil-
dren delay ‘‘genital surgery, gonadal surgery, or both, so 
as to optimize the children’s self-determination and abil-
ity to participate in the decision based on informed con-
sent’’; 
Whereas the American Bar Association in a 2023 resolution 
took a position ‘‘Oppos[ing] all . . . policy that attempts 
to impose medical or surgical intervention on minors with 
intersex traits (also known as variations in sex character-
istics) without the minor’s informed consent or assent, 
and urg[ing] licensed professionals not to conduct or pro-
pose medical or surgical intervention on minors with 
intersex traits until the minor requests the proposed care, 
understands the impact of the proposed care as well as 
alternatives, is provided with affirming psychosocial sup-
ports, and gives informed consent or assent, except when 
immediate life-threatening circumstances require emer-
gency intervention’’; 
Whereas the Presidential Memorandum of February 4, 2021, 
on ‘‘Advancing the Human Rights of Lesbian, Gay, Bi-
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sexual, Transgender, Queer, and Intersex Persons 
Around the World’’ makes it ‘‘the policy of the United 
States to pursue an end to violence and discrimination on 
the basis of sexual orientation, gender identity or expres-
sion, or sex characteristics’’; 
Whereas President Biden convened the first White House 
Roundtable on intersex issues on October 26, 2021, in 
celebration of Intersex Awareness Day, declaring that the 
administration ‘‘is committed to advancing justice, oppor-
tunity, and safety for intersex Americans’’; 
Whereas Executive Order 14075 of June 15, 2022, states 
that it is the policy of the United States Government ‘‘to 
combat unlawful discrimination and eliminate disparities’’ 
affecting ‘‘lesbian, gay, bisexual, transgender, queer, and 
intersex (LGBTQI+) Americans’’, including discrimina-
tion on the basis of sex characteristics; 
Whereas, in 2024, the Biden-Harris administration released 
their final rules on ‘‘Nondiscrimination in Health Pro-
grams and Activities’’ and ‘‘Nondiscrimination on the 
Basis of Sex in Education Programs or Activities Receiv-
ing Federal Financial Assistance’’, explicitly clarifying 
that section 1557 of the Affordable Care Act and title IX 
of the Education Amendments of 1972, respectively, pro-
hibit discrimination on the basis of sex characteristics 
(including intersex traits); 
Whereas, on April 4, 2024, the United Nations Human 
Rights Council adopted a landmark resolution entitled 
‘‘Combating discrimination, violence and harmful prac-
tices against intersex persons’’ with 24 countries, includ-
ing the United States, voting in favor; 
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Whereas, in January 2025, the Department of Health and 
Human Services released the first in-depth report on 
intersex health by a United States Federal agency, recog-
nizing the ‘‘well-documented medical harms to intersex 
people across their lifespan resulting from childhood med-
ical interventions performed when the child was too 
young to participate in decision-making’’, and concluding 
that this denial of bodily autonomy, in addition to dis-
crimination and lack of access to competent and affirm-
ing medical providers, is a key barrier that must be ad-
dressed to achieve health equity for the intersex commu-
nity; 
Whereas recent legislative proposals and agency actions at-
tacking health care for transgender youth have simulta-
neously harmed intersex people, incorrectly labeling nec-
essary gender-affirming medical care as ‘‘mutilation’’ 
while routinely exempting the actual nonconsensual muti-
lation of young intersex children from scrutiny; 
Whereas medical practices should respect the human rights 
and bodily autonomy of all people, and government insti-
tutions should implement policies that protect and sup-
port intersex people; 
Whereas the House of Representatives has voted twice to ex-
plicitly codify nondiscrimination protections for people 
with intersex variations in its passage of the Equality 
Act, and various Federal agencies, including the Depart-
ment of Justice, have recognized that, consistent with the 
legal reasoning of Bostock v. Clayton County, discrimina-
tion on the basis of a person’s sex characteristics is pro-
hibited sex discrimination; and 
Whereas intersex people are an important part of the diver-
sity of the Nation to be celebrated and should be afforded 
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respect, dignity, and the universal human right to bodily 
autonomy: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) supports the goals and ideals of Intersex 
Awareness Day; 
(2) encourages the Federal Government, States, 
localities, nonprofit organizations, schools, and com-
munity organizations to observe the day with appro-
priate programs and activities, with the goal of in-
creasing public knowledge of the intersex community 
and empowering individuals to celebrate and respect 
their diversity; 
(3) encourages health care providers to offer 
culturally and clinically competent care to the 
intersex community that respects bodily autonomy 
and self-determination, and encourages schools to 
support education regarding the intersex community 
and connect individuals to resources for young peo-
ple with intersex variations and their families; and 
(4) encourages the Federal Government, States, 
international funding organizations, and United 
States bilateral and multilateral aid efforts to 
prioritize the health and human rights of intersex 
people. 
Æ 
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