Parental Right to Protect Act

“(9) Biological sex—The term biological sex means the genetic classification of an individual as male or female, as reflected in the organization of the body of such individual for a reproductive role or capacity, such as through sex chromosomes, naturally occurring sex hormones, and internal and external genitalia present at birth, without regard to the subjective sense of identity of the individual.

“(10) Gender-transition intervention

“(A) In general—Except as provided in subparagraph (B), the term gender-transition intervention means—

“(i) the changing of an individual’s social presentation (including pronouns, first name, hairstyle, or clothing) to conform to the subjective sense of identity of the individual, which is incongruent with the biological sex of the individual;

“(ii) the prescription or administration of GnRH agonists or other puberty-blocking drugs to stop or delay normal puberty in order to prevent bodily changes that do not conform to the subjective sense of identity of the individual, which is incongruent with the biological sex of the individual;

“(iii) the prescription or administration of medications for the purpose of changing the body of an individual so that the individual’s body conforms to the subjective sense of identity of the individual, which is incongruent with the biological sex of the individual, including prescribing or administering—

“(I) testosterone or other androgens to biological females at doses that are supraphysiologic to the female sex; or

“(II) estrogen to biological males at doses that are supraphysiologic to the male sex;

“(iv) performing a surgery that sterilizes an individual (including castration, vasectomy, hysterectomy, oophorectomy, metoidioplasty, penectomy, phalloplasty, and vaginoplasty) for the purpose of changing the body of the individual so that the individual’s body conforms to the subjective sense of identity of the individual, which is incongruent with the biological sex of the individual; or

“(v) performing a mastectomy on an individual for the purpose of changing the body of the individual so that the individual’s body conforms to the subjective sense of identity of the individual, which is incongruent with the biological sex of the individual.

“(B) Exception—The term gender-transition intervention does not include—

“(i) an intervention described in subparagraph (A) that is performed on—

“(I) an individual with biological sex characteristics that are inherently ambiguous, such as those born with 46 XX chromosomes with virilization, 46 XY chromosomes with undervirilization, or having both ovarian and testicular tissue; or

“(II) an individual with respect to whom a physician has determined through genetic or biochemical testing that the individual does not have normal sex chromosome structure, sex steroid hormone production, or sex steroid hormone action, for a biological male or biological female;

“(ii) the treatment of any infection, injury, disease, or disorder that has been caused or exacerbated by the performance of an intervention described in subparagraph (A); or

“(iii) any procedure undertaken because the individual suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the individual in imminent danger of death or impairment of major bodily function unless the procedure is performed.”

“115. Ineligibility for funding

“(a) In general—A State shall be ineligible to receive funds under this title if the laws of the State permit the child protective services system of the State—

“(1) to remove a child from the custody of the parent or legal guardian of the child due to the parent’s or legal guardian’s reluctance or refusal to consent to a gender-transition intervention for such child; or

“(2) to use such reluctance or refusal as evidence of abuse or neglect by such parent or legal guardian.

“(b) Child defined—In this section, the term child means a person who has not attained the age of 18.”