(ii) the permanency and placement 
outcomes and rates for those children and 
youth, as compared to their non-LGBTQ 
peers; 
(iii) the rates at which those children 
and youth are placed in family homes as 
compared to congregate or group homes; 
and 
(iv) the sexual orientation, gender 
identity, and marital status of foster and 
adoptive parents, as well as the placement 
rates and wait periods for those foster and 
adoptive parents; and 
(D) ensured that covered entities— 
(i) are in compliance with this Act; 
and 
(ii) have implemented procedures for 
children and youth involved with child wel-
fare services, or individuals or families par-
ticipating in, or seeking to participate in, 
child welfare services, to report violations 
of this Act. 
(2) REPORT
TO
THE
CONGRESS.—Not later 
than 6 months after completing the study required 
by paragraph (1), the Comptroller General shall sub-
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mit to the Committee on Ways and Means of the 
House of Representatives and the Committee on Fi-
nance of the Senate a written report that contains 
the results of the study. 
(j) RELATION TO OTHER LAWS.— 
(1) RULE OF CONSTRUCTION.—Nothing in this 
Act shall be construed to invalidate or limit rights, 
remedies, or legal standards under title VI of the 
Civil Rights Act of 1964. 
(2) CERTAIN CLAIMS.—The Religious Freedom 
Restoration Act of 1993 (42 U.S.C. 2000bb et seq.) 
shall not provide a claim concerning, or a defense to 
a claim under, this Act, or provide a basis for chal-
lenging the application or enforcement of this Act. 
(k) DEFINITIONS.—In this section: 
(1) CHILD OR YOUTH INVOLVED WITH CHILD 
WELFARE SERVICES.—The term ‘‘child or youth in-
volved with child welfare services’’ means an indi-
vidual, aged 23 or younger, who participates in child 
welfare programs or services that receive Federal fi-
nancial assistance under part A, B, or E of title IV; 
title XIX; or title XX of the Social Security Act. 
(2) CONVERSION THERAPY.— 
(A) IN GENERAL.—The term ‘‘conversion 
therapy’’ means a form of discrimination that 
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includes any practice or treatment which seeks 
to change the sexual orientation or gender iden-
tity of an individual, including efforts to change 
behaviors or gender expressions or to eliminate 
or reduce sexual or romantic attractions or feel-
ings toward individuals of the same gender. 
(B) EXCLUSIONS.—The term ‘‘conversion 
therapy’’ does not include counseling that pro-
vides assistance to an individual undergoing 
gender transition, or counseling that provides 
acceptance, support, and understanding of an 
individual or facilitates an individual with cop-
ing, social support, and identity exploration and 
development, including sexual orientation-neu-
tral interventions to prevent or address unlaw-
ful conduct or unsafe sexual practices. 
(3) COVERED ENTITY.—The term ‘‘covered en-
tity’’ means an entity that— 
(A) receives Federal financial assistance 
under part A, B, or E of title IV; title XIX; or 
title XX of the Social Security Act; and 
(B) is involved in the administration or 
provision of child welfare programs or services. 
(4) GENDER
IDENTITY.—The term ‘‘gender 
identity’’ means the gender-related identity, appear-
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ance, mannerisms, or other gender-related character-
istics of an individual, regardless of the designated 
sex of the individual at birth. 
(5) RELIGION; SEX (INCLUDING SEXUAL ORI-
ENTATION
AND
GENDER
IDENTITY), OR
MARITAL 
STATUS.—The term ‘‘religion, sex (including sexual 
orientation and gender identity), or marital status’’, 
used with respect to an individual, includes— 
(A) the religion, sex (including sexual ori-
entation and gender identity), or marital status, 
respectively, of another person with whom the 
individual is or has been associated; and 
(B) a perception or belief, even if inac-
curate, concerning the religion, sex (including 
sexual orientation and gender identity), or mar-
ital status, respectively, of the individual. 
(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(7) SEX.—The term ‘‘sex’’ includes— 
(A) a sex stereotype; 
(B) pregnancy, childbirth, or a related 
medical condition; 
(C) sexual orientation or gender identity; 
and 
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(D) sex characteristics, including intersex 
traits. 
(8) SEXUAL ORIENTATION.—The term ‘‘sexual 
orientation’’ means homosexuality, heterosexuality, 
or bisexuality. 
(9) STATE.—The term ‘‘State’’ means each of 
the 50 States of the United States, the District of 
Columbia, the Commonwealth of Puerto Rico, the 
United States Virgin Islands, Guam, the Common-
wealth of the Northern Mariana Islands, and Amer-
ican Samoa. 
Æ 
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