I 
119TH CONGRESS 
1ST SESSION H. R. 4953 
To authorize a civil right of action for individuals on whom gender-related 
medical treatment was performed while such individual was a minor, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 12, 2025 
Ms. MACE introduced the following bill; which was referred to the Committee 
on the Judiciary 
A BILL 
To authorize a civil right of action for individuals on whom 
gender-related medical treatment was performed while 
such individual was a minor, and for other purposes. 
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 ‘‘Gender-Affirming 
Child Abuse Prevention Act’’. 
SEC. 2. CIVIL RIGHT OF ACTION RELATED TO GENDER-RE-
LATED MEDICAL TREATMENT. 
(a) CIVIL ACTION.— 
(1) RIGHT OF ACTION.— 
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(A) Except as provided in paragraph (4), 
an individual on whom gender-affirming care 
was performed while such individual was a 
minor, in a circumstance described in para-
graph (3) may bring a civil action in an appro-
priate district court of the United States 
against each person who performed the gender- 
affirming care for relief set forth in paragraph 
(2). 
(B) RIGHTS ON BEHALF OF CERTAIN INDI-
VIDUALS.—In the case of an individual who is 
under 18 years of age, incompetent, incapaci-
tated, or deceased, the legal guardian of the in-
dividual or representative of the individual’s es-
tate, another family member, or any other per-
son appointed as suitable by the court, may as-
sume the individual’s rights under this section. 
(2) RELIEF.—An individual may recover the ac-
tual damages sustained by the individual or liq-
uidated damages in the amount of $250,000 for 
each instance of gender affirming care being per-
formed on the individual while such individual was 
a minor, and the cost of the action, including rea-
sonable attorney’s fees and other litigation costs rea-
sonably incurred. 
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(3) CIRCUMSTANCES DESCRIBED.—For the pur-
poses of paragraph (1), the circumstances described 
in this paragraph are that— 
(A) the defendant or victim traveled in 
interstate or foreign commerce, or traveled 
using a means, channel, facility, or instrumen-
tality of interstate or foreign commerce, in fur-
therance of or in connection with the conduct 
described in paragraph (1); 
(B) the defendant used a means, channel, 
facility, or instrumentality of interstate or for-
eign commerce in furtherance of or in connec-
tion with the conduct described in paragraph 
(1); 
(C) any payment of any kind was made, 
directly or indirectly, in furtherance of or in 
connection with the conduct described in para-
graph (1) using any means, channel, facility, or 
instrumentality of interstate or foreign com-
merce or in or affecting interstate or foreign 
commerce; 
(D) the defendant transmitted in interstate 
or foreign commerce any communication relat-
ing to or in furtherance of the conduct de-
scribed in paragraph (1) using any means, 
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channel, facility, or instrumentality of interstate 
or foreign commerce or in or affecting inter-
state or foreign commerce by any means or in 
manner, including by computer, mail, wire, or 
electromagnetic transmission; 
(E) any instrument, item, substance, or 
other object that has traveled in interstate or 
foreign commerce was used to perform the con-
duct described in paragraph (1); 
(F) the conduct described in paragraph (1) 
occurred within the special maritime and terri-
torial jurisdiction of the United States, or any 
territory or possession of the United States; or 
(G) the conduct described in paragraph (1) 
otherwise occurred in or affected interstate or 
foreign commerce. 
(b) DEFINITIONS.—In this section— 
(1) GENDER-RELATED MEDICAL TREATMENT.— 
The term ‘‘gender-related medical treatment’’— 
(A) means— 
(i) with respect to a female individual, 
medical treatments provided for purposes 
of addressing the perception of such indi-
vidual that the gender or sex of such indi-
vidual is not female, including— 
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(I) surgical procedures, includ-
ing— 
(aa) vaginectomy; 
(bb) hysterectomy; 
(cc) oophorectomy; 
(dd) reconstruction of the 
urethra; 
(ee) metoidioplasty; 
(ff) phalloplasty; 
(gg) salpingo-oophorectomy; 
(hh) scrotoplasty; 
(ii) implantation of erection 
or testicular protheses; 
(jj) subcutaneous mastec-
tomy; 
(kk) vocal cord surgery; 
(ll) pectoral implants; and 
(mm) penile transplantation; 
(II) exogenous doses of testos-
terone or other androgens; 
(III) puberty blockers, includ-
ing— 
(aa) GnRH agonists; and 
(bb) synthetic drugs that 
suppress the production of estro-
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gen and progesterone or delay or 
suppress pubertal development in 
female individuals; and 
(IV) such other medical treat-
ment, identified by the Secretary of 
Health and Human Services, that 
may be provided for purposes of ad-
dressing the perception of such indi-
vidual that the gender or sex of such 
individual is not male. 
(ii) with respect to a male individual, 
medical treatments provided for purposes 
of addressing the perception of such indi-
vidual that the gender or sex of such indi-
vidual is not male, including— 
(I) surgical procedures, includ-
ing— 
(aa) penectomy; 
(bb) orchiectomy; 
(cc) vaginoplasty; 
(dd) clitoroplasty; 
(ee) vulvoplasty; 
(ff) 
augmentation 
mammoplasty; 
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(gg) facial feminization sur-
gery; 
(hh) vocal cord surgery; 
(ii) chondrolaryngoplasty; 
(jj) gluteal augmentation; 
and 
(kk) uterine transplantation; 
(II) exogenous doses of estrogen; 
(III) puberty blockers, includ-
ing— 
(aa) GnRH agonists; and 
(bb) synthetic drugs that 
suppress the production of testos-
terone or delay or suppress pu-
bertal development in male indi-
viduals; and 
(IV) such other medical treat-
ment, identified by the Secretary of 
Health and Human Services, that 
may be provided for purposes of ad-
dressing the perception of such indi-
vidual that the gender or sex of such 
individual is not male. 
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(B) does not include any medical treat-
ment performed on an individual for the pur-
poses of treating— 
(i) a disorder of sex development, di-
agnosed by a physician after such physi-
cian has determined through genetic or 
biochemical testing that such individual 
does not have normal sex chromosome 
structure, sex steroid hormone production, 
or sex steroid hormone action; 
(ii) irresolvably ambiguous biological 
sex characteristics of such individual, in-
cluding the presence of— 
(I) 46 XX chromosomes with 
virilization; 
(II) 46 XY chromosomes with 
undervirilization; or 
(III) both ovarian and testicular 
tissue; or 
(iii) an infection, injury, disease, or 
disorder caused or exacerbated by gender- 
related medical treatment that was fur-
nished to an individual. 
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some point produces, transports, and utilizes sperm 
for fertilization. 
(6) MINOR.—The term ‘‘minor’’ means an indi-
vidual under the age of 18. 
Æ 
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