I 
119TH CONGRESS 
1ST SESSION H. R. 2387 
To prohibit Federal funds from being used for sex-trait altering treatments 
for minors, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 26, 2025 
Mr. ONDER (for himself, Mr. HARRIS of Maryland, Mrs. MILLER of Illinois, 
and Mrs. BIGGS of South Carolina) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committees on the Judiciary, Education and Workforce, and Ways 
and Means, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To prohibit Federal funds from being used for sex-trait 
altering treatments for minors, 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 ‘‘No Harm Act’’. 
SEC. 2. PROHIBITION ON USE OF FEDERAL FUNDS FOR 
CERTAIN TREATMENTS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, no Federal funds may be made available for 
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purposes of paying for, sponsoring, promoting, assisting, 
or supporting the furnishing of a sex-trait altering treat-
ment to a minor. 
(b) CIVIL ACTION.—Any person, including a tax-
payer, may bring a civil action for violation of subsection 
(a) for legal damages and equitable relief against the 
United States, or the appropriate Department or Agency 
disbursing federal funds in violation of subsection (a), in 
an appropriate district court of the United States. 
SEC. 3. PROHIBITION ON USE OF FEDERAL FUNDS FOR 
CERTAIN ACTIONS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, no Federal funds may be made available for 
purposes of taking any regulatory or subregulatory action 
to promote sex-trait altering treatments to minors. 
(b) CIVIL ACTION.—Any person, including a tax-
payer, may bring a civil action for violation of subsection 
(a) for legal damages and equitable relief against the 
United States, or the appropriate Department or Agency 
disbursing federal funds in violation of subsection (a), in 
an appropriate district court of the United States. 
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SEC. 4. FEMALE GENITAL MUTILATION TO INCLUDE PROVI-
SION OF SEX-TRAIT ALTERING TREATMENT 
TO MINORS. 
Section 116 of title 18, United States Code, is 
amended by adding at the end the following: ‘‘For the pur-
pose of subsection (b)(1), the phrase ‘‘necessary to the 
health of the person’’ shall not include change of gender 
or sex, or affirmation of gender or sex.’’. 
SEC. 5. PROHIBITION ON FUNDING CERTAIN INSTITU-
TIONS. 
Notwithstanding any other provision of law, no Fed-
eral funds may be made available to a medical institution 
(including a hospital, medical school, clinic, public health 
organization, federally qualified health center, rural health 
center, or medical practice) if such institution provides 
sex-trait altering treatments to minors. 
SEC. 6. RIGHT TO DECLINE TREATMENTS. 
(a) IN GENERAL.—The parent of a minor shall have 
the right to decline any sex-trait altering treatment for 
such minor. Likewise, no specified Federal funds shall be 
made available to a State that has in place a policy to 
provide sex-trait altering treatment for a minor without 
the consent of both parents. 
(b) STATE REQUIREMENT.— 
(1) IN GENERAL.—No specified Federal funds 
may be made available to a State that has in place 
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a policy to separate a minor from such minor’s par-
ent based solely on such parent’s refusal to consent 
to a sex-trait altering treatment for such minor. 
(2) SPECIFIED
FEDERAL
FUNDS
DEFINED.— 
For purposes of this section, the term ‘‘specified 
Federal funds’’ means Federal funds made available 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) or under part A of title IV of 
such Act (42 U.S.C. 601 et seq.). 
(c) CIVIL ACTION.— 
(1) IN GENERAL.—A minor or a parent of a 
minor who is harmed by a violation of this section 
may bring a civil action against the United States 
and against any State with a policy in place in viola-
tion of this section in an appropriate district court 
of the United States to obtain appropriate relief. 
(2) STATUTE
OF
LIMITATIONS.—An action 
under this subsection may be brought at any time 
prior to 30 years after the date on which the minor 
attains the age of majority. 
SEC. 7. REQUIREMENT TO RECEIVE INFORMED CONSENT. 
(a) IN GENERAL.—No health care provider may fur-
nish any sex-trait altering treatment to a minor unless, 
at least 72 hours prior to furnishing such treatment, such 
provider— 
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