Federal law makes gender-transition medical care for minors a crime.

What it does

The bill makes it a federal crime to give certain medical care to minors. This care includes drugs that pause puberty and surgery for gender transition. Doctors who give this care can go to prison for up to 10 years. The law has narrow exceptions for care that fixes health problems. It also has exceptions for some intersex cases.

Who it affects

Minors who want this care and their families cannot get it. Doctors who prescribe these drugs or do this surgery face prison time. The law applies when money, messages, or tools cross state lines.

One thing to notice

The law treats drugs that pause puberty as a crime. These drugs can be reversed and the FDA approved them. The law says doctors cannot use mental health reasons to give these drugs. Yet the main mental health handbook lists gender transition concerns.

From the analysis of the bill text, linked under Primary records below.

Where it stands

44 cosponsors: 44 Republicans.

• May 19, 2025 — Introduced · Congress.gov: “Introduced in House”
• May 19, 2025 — Referred to House Committee on the Judiciary and Senate Committee on the Judiciary · Congress.gov: “Referred to the House Committee on the Judiciary”
• Jun 10, 2025 — Markup held in committee · Congress.gov: “Committee Consideration and Mark-up Session Held”
• Jun 10, 2025 — Reported out of committee · Congress.gov: “Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 17 - 10”
• Dec 17, 2025 — Passed the House · Congress.gov: “On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 351).”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

Money around this bill

5 groups reported lobbying about this bill. They filed 7 reports from Dec 2025 to Jun 2026.

Those reports show $1,203,908 in lobbying spending. Each report lists about 97 bills. So that money was not all for this bill.

More groups named this bill than 78% of bills with any report.

• American Federation of State County and Municipal Employees — $690,000 in 1 report
• Human Rights Campaign — $439,908 in 2 reports
• Alliance Defending Freedom — $40,000 in 2 reports
• National Association of Pediatric Nurse Practitioners — $24,000 in 1 report
• National Council of Jewish Women — $10,000 in 1 report

Lobbying is legal. These reports show who lobbied about this bill, not what changed.

Words to know

• gender transition — Medical treatment that helps a person's body match their gender identity.
• intersex — A person born with sex traits that do not fit typical male or female.
• lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.