I 
119TH CONGRESS 
1ST SESSION H. R. 1866 
To amend the Child Abuse Prevention and Treatment Act to disqualify 
any State that discriminates against parents or guardians who oppose 
medical, surgical, pharmacological, psychological treatment, or clothing 
and social changes related to affirming the subjective claims of gender 
identity expressed by any minor if such claimed identity is inconsistent 
with such minor’s biological sex from receiving funding under such Act. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 5, 2025 
Ms. HAGEMAN (for herself, Mrs. MILLER of Illinois, Mr. GROTHMAN, Mrs. 
BIGGS of South Carolina, Mr. BRECHEEN, Mr. GILL of Texas, and Mr. 
MOORE of Alabama) introduced the following bill; which was referred to 
the Committee on Education and Workforce 
A BILL 
To amend the Child Abuse Prevention and Treatment Act 
to disqualify any State that discriminates against parents 
or guardians who oppose medical, surgical, pharma-
cological, psychological treatment, or clothing and social 
changes related to affirming the subjective claims of gen-
der identity expressed by any minor if such claimed 
identity is inconsistent with such minor’s biological sex 
from receiving funding under such Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Guaranteeing 
Unalienable and Anatomical Rights for Dependents Act’’ 
or the ‘‘GUARD Act’’. 
SEC. 2. STATE GRANT REQUIREMENTS. 
The Child Abuse Prevention and Treatment Act (42 
U.S.C. 5101 et seq.) is amended by inserting after section 
3 the following: 
‘‘SEC. 4. STATE GRANT REQUIREMENTS. 
‘‘(a) IN GENERAL.—Notwithstanding any other pro-
vision of law, no State may receive funding under this Act 
if such State takes any adverse action or otherwise dis-
criminates against parents, guardians, or legal representa-
tives who oppose medical, surgical, pharmacological, psy-
chological treatment, or other medical intervention, or 
clothing, name or pronoun use, or other social changes or 
practices related to transitioning to or affirming the 
claims or expressions of gender identity of any minor 
under the charge, care, or supervision of the parent, 
guardian, or legal representative, if such gender identity 
is inconsistent, in such parent’s, guardian’s, or legal rep-
resentative’s estimation, with such minor’s biological sex, 
as determined definitively at or before birth, regardless of 
any medical diagnosis or indication of gender dysphoria, 
body dysphoria, dissociative identity disorder, or social 
anxiety disorder. 
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‘‘(b) ENFORCEMENT.—In the case of an award made 
by the Secretary under this Act in violation of subsection 
(a), any parent, guardian, or legal representative who ex-
perienced an adverse action or other discrimination de-
scribed in subsection (a) by a State receiving funding 
under this Act may bring an action, in an appropriate 
Federal district court of the United States or State court, 
against the Department of Health and Human Services, 
seeking to enjoin the Secretary from continuing such 
award to such State and to require the State awarded 
amounts in violation of subsection (a) to return such funds 
to the Treasury.’’. 
Æ 
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