I 
118TH CONGRESS 
2D SESSION H. R. 10497 
To amend title 18, United States Code, to provide for certain rules for 
housing or transportation based on gender and to provide for a limitation 
on gender-related medical treatment. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 18, 2024 
Ms. MACE introduced the following bill; which was referred to the Committee 
on the Judiciary 
A BILL 
To amend title 18, United States Code, to provide for certain 
rules for housing or transportation based on gender and 
to provide for a limitation on gender-related medical 
treatment. 
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 ‘‘Prison Rape Preven-
tion Act of 2024’’. 
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SEC. 2. RULES FOR HOUSING OR TRANSPORTATION BASED 
ON GENDER; LIMITATION ON GENDER-AF-
FIRMING CARE. 
Section 3621 of title 18, United States Code, is 
amended by adding at the end the following: 
‘‘(j) RULES
FOR HOUSING
OR TRANSPORTATION 
BASED ON GENDER; LIMITATION ON GENDER-AFFIRMING 
CARE.—Notwithstanding any other provision of law, the 
Bureau of Prisons— 
‘‘(1) shall ensure that a prisoner is placed, dur-
ing that prisoner’s term of imprisonment, only 
among prisoners of the same biological sex as the 
prisoner; 
‘‘(2) shall ensure that a prisoner, when trans-
ported in the company of other prisoners, is only 
transported among prisoners of the same biological 
sex as the prisoner; and 
‘‘(3) may not furnish or pay for any gender-re-
lated medical treatment. 
‘‘(k) DEFINITIONS.—For purposes of subsection (j): 
‘‘(1) BIOLOGICAL
SEX.—The term ‘biological 
sex’ means the biological determination as to wheth-
er an individual is male or female. 
‘‘(2) FEMALE.—The term ‘female’ means an in-
dividual who naturally has, had, will have, or would 
have, but for a developmental or genetic anomaly or 
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historical accident, the reproductive system that at 
some point produces, transports, and utilizes eggs 
for fertilization. 
‘‘(3) MALE.—The term ‘male’ means an indi-
vidual who naturally has, had, will have, or would 
have, but for a developmental or genetic anomaly or 
historical accident, the reproductive system that at 
some point produces, transports, and utilizes sperm 
for fertilization. 
‘‘(4) GENDER.—The term ‘gender’— 
‘‘(A) means— 
‘‘(i) males, females, or the natural dif-
ferences between males and females, unless 
such term is otherwise specified or used 
alone (rather than with or as an adjective 
modifying other words); and 
‘‘(ii) a synonym for sex; and 
‘‘(B) does not mean a synonym for terms 
or ideas such as gender identity, experienced 
gender, gender expression, or gender roles 
‘‘(5) 
GENDER-RELATED
MEDICAL
TREAT-
MENT.—The term ‘gender-related medical treat-
ment’— 
‘‘(A) means— 
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‘‘(i) with respect to a female indi-
vidual, medical treatments provided for 
purposes of addressing the perception of 
such individual that the gender or sex of 
such individual is not female, including— 
‘‘(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 
transplan-
tation; 
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‘‘(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-
gen and progesterone or delay or 
suppress pubertal development in 
female individuals; and 
‘‘(IV) such other medical treat-
ment, identified by the Director of the 
Federal Bureau of Prisons, that may 
be provided for purposes of addressing 
the perception of such individual that 
the gender or sex of such individual is 
not female; and 
‘‘(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; 
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‘‘(IV) such other medical treat-
ment, identified by the Director of the 
Federal Bureau of Prisons, that may 
be provided for purposes of addressing 
the perception of such individual that 
the gender or sex of such individual is 
not male; and 
‘‘(B) 
does 
not 
include 
any 
medical 
treament performed on an individual for the 
purposes 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 
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‘‘(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.’’. 
Æ 
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