I 
119TH CONGRESS 
1ST SESSION H. R. 4618 
To establish a Federal tort against pediatric gender clinics and other entities 
pushing gender-transition procedures that cause bodily injury to children 
or harm the mental health of children. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 22, 2025 
Mr. STEUBE (for himself and Mrs. MILLER of Illinois) introduced the fol-
lowing bill; which was referred to the Committee on the Judiciary, and 
in addition to the Committees on Energy and Commerce, and Education 
and Workforce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To establish a Federal tort against pediatric gender clinics 
and other entities pushing gender-transition procedures 
that cause bodily injury to children or harm the mental 
health of children. 
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 ‘‘Jamie Reed Protecting 
Our Kids from Child Abuse Act’’. 
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SEC. 2. FEDERAL TORT FOR HARM TO CHILDREN CAUSED 
BY GENDER-TRANSITION PROCEDURES. 
(a) DEFINITIONS.—In this section: 
(1) GENDER TRANSITION PROCEDURE.— 
(A) IN GENERAL.—Except as provided in 
subparagraph (B), the term ‘‘gender-transition 
procedure’’ means— 
(i) the prescription or administration 
of gonadotropin-releasing hormone agonists 
or any other puberty-blocking drugs for 
the purpose of changing the body of an in-
dividual so that it conforms to the subjec-
tive sense of identity of the individual, in 
the case such identity is at odds with the 
individual’s biological sex of male or fe-
male; 
(ii) the prescription or administration 
of testosterone (when prescribed to a fe-
male) or estrogen (when prescribed to a 
male) for the purpose of changing the body 
of an individual so that it conforms to the 
subjective sense of identity of the indi-
vidual, in the case such identity is at odds 
with the individual’s biological sex of male 
or female; or 
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(iii) a surgery to change the body of 
an individual so that it conforms to the 
subjective sense of identity of the indi-
vidual, in the case such identity is at odds 
with the individual’s biological sex of male 
or female. 
(B) EXCEPTION.—The term ‘‘gender-tran-
sition procedure’’ does not include— 
(i) an intervention described in sub-
paragraph (A) that is performed on— 
(I) an individual with biological 
sex characteristics that are inherently 
ambiguous, such as those born with 
46 XX chromosomes with virilization, 
XY 
chromosomes 
with 
undervirilization, or having both ovar-
ian and testicular tissue; or 
(II) an individual with respect to 
whom a physician has determined 
through genetic or biochemical testing 
that the individual does not have nor-
mal sex chromosome structure, sex 
steroid hormone production, or sex 
steroid hormone action, for a biologi-
cal male or biological female; 
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(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 subsection (c); or 
(iii) any procedure undertaken be-
cause the individual suffers from a physical 
disorder, physical injury, or physical illness 
that would, as certified by a physician, 
place the individual in imminent danger of 
death or impairment of major bodily func-
tion unless the procedure is performed. 
(2) HOSPITAL.—The term ‘‘hospital’’ has the 
meaning given such term in section 1861(e) of the 
Social Security Act (42 U.S.C. 1395x(e)). 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
(4) MEDICAL PRACTITIONER.—The term ‘‘med-
ical practitioner’’ means a person who is licensed, 
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certified, or otherwise authorized by the laws of a 
State to administer health care in the ordinary 
course of the practice of the person’s profession. 
(5) MINOR.—The term ‘‘minor’’ means an indi-
vidual who has not yet reached 18 years of age. 
(6) PEDIATRIC
GENDER
CLINIC.—The term 
‘‘pediatric gender clinic’’ means a medical facility 
that specializes in the diagnosis or treatment of gen-
der discordance and gender dysphoria in minors, in-
cluding medical interventions such as therapeutic di-
agnosis of gender dysphoria and performance of (or 
referral for) gender-transition procedures on minors. 
(b) LIABILITY.—The following individuals and enti-
ties shall be liable in accordance with this section to any 
individual who suffers bodily injury or harm to mental 
health (including any physical, psychological, emotional, or 
physiological harm) that is attributable, in whole or in 
part, to a gender-transition procedure performed on the 
individual when the individual was a minor: 
(1) A pediatric gender clinic where the gender- 
transition procedure was provided. 
(2) Any medical practitioner who administered 
health care, at the time of the particular procedure, 
at the pediatric gender clinic where the gender-tran-
sition procedure was provided. 
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(3) An institution of higher education that 
hosts, operates, partners with, provides funding to, 
or is otherwise affiliated with the pediatric gender 
clinic where the gender-transition procedure was 
provided. 
(4) A hospital that hosts, operates, partners 
with, provides funding to, or is otherwise affiliated 
with the pediatric gender clinic where the gender- 
transition procedure was provided. 
(5) Any medical practitioner who performed the 
gender-transition procedure on the individual. 
(c) PRIVATE RIGHT OF ACTION.—An individual who 
suffers bodily injury or harm to mental health that is at-
tributable, in whole or in part, to a gender-transition pro-
cedure provided to the individual when the individual was 
a minor may, not later than 30 years after the date on 
which the individual turns 18 years of age, bring a civil 
action against an individual or entity described in sub-
section (b), in an appropriate district court of the United 
States or a State court of competent jurisdiction for— 
(1) compensatory damages; 
(2) punitive damages; and 
(3) attorney’s fees and costs. 
(d) AFFIRMATIVE DEFENSE.—It shall be an affirma-
tive defense to an action brought by or on behalf of an 
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individual upon whom a gender-transition procedure was 
performed under subsection (c) that the pediatric gender 
clinic or medical practitioner who performed the gender- 
transition procedure on the individual, at all relevant 
times, did not know and had no reason to know that the 
individual in question was a minor. 
SEC. 3. PROHIBITION ON FUNDING. 
No Federal funds may be made available— 
(1) to a pediatric gender clinic; 
(2) to an institution of higher education or hos-
pital that hosts, operates, partners with, provides 
funding to, or is otherwise affiliated with, a pediatric 
gender clinic; or 
(3) for any gender-transition procedure per-
formed on a minor. 
SEC. 4. EFFECTIVE DATE AND RETROACTIVE APPLICATION. 
This Act shall— 
(1) take effect on the date of enactment of this 
Act; and 
(2) apply to any gender-transition procedure 
that took place before, on, or after the effective date 
under paragraph (1). 
SEC. 5. SEVERABILITY. 
If any provision of this Act, or the application of such 
provision to any person or circumstance, is held to be un-
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constitutional, the remainder of this Act, and the applica-
tion of the remaining provisions of this Act, to any person 
or circumstance, shall not be affected. 
Æ 
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