No Harm Act

In general— Notwithstanding any other provision of law, no Federal funds may be made available for purposes of paying for, sponsoring, promoting, assisting, or supporting the furnishing of a sex-trait altering treatment to a minor.

Civil action— Any person, including a taxpayer, 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.

In general— Notwithstanding any other provision 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.

Civil action— Any person, including a taxpayer, 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.

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.

In general— No health care provider may furnish any sex-trait altering treatment to a minor unless, at least 72 hours prior to furnishing such treatment, such provider—

In general— An individual may bring a civil action in an appropriate district court of the United States to obtain appropriate relief for any physical, psychological, or physiological harm caused by a sex-trait altering treatment performed on the individual when the individual was a minor against a medical practitioner, hospital, clinic, surgery center or other provider that performed or prescribed such treatment. If said civil action is successful, the individual will be awarded attorney’s fees and litigation costs, and treble damages.

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.

In general— A health care provider may not be penalized, retaliated against, or otherwise discriminated against on the basis that the provider does not or declines to—

Civil action— A health care provider who is harmed by a violation of subsection (a) may, in a civil action, obtain all appropriate relief, including injunctive relief, declaratory relief, and compensatory damages to prevent the occurrence, continuance, or repetition of such violation and to compensate for losses resulting from the violation.

Definition— The term “health care provider” includes—

In general— Notwithstanding any other provision of law, no Federal funds may be provided to an elementary school or secondary school that allows school personnel to provide, assist in providing, or otherwise support the provision of sex-trait altering treatment to a student without notifying the parents of the student and receiving written approval from such parents.

Definitions— In this section:

Sex-trait altering treatment— The term “sex-trait altering treatment” means any medical or surgical service, including physician’s services, practitioner’s services, inpatient and outpatient hospital services, or prescribed drugs related to gender transition, other than an excepted service, that seeks to:

Sex— The term “sex” means the biological indication of being male or female, including sex chromosomes, and naturally occurring sex hormones, gonads, and nonambiguous internal and external genitalia present at birth.

Gender transition hormone therapy— The term “gender transition hormone therapy” means testosterone, estrogen, or progesterone given to an individual in an amount greater than would normally be produced endogenously in a healthy individual of that individual’s age and sex.

Gender— The term “gender” means the psychological, behavioral, social, and cultural aspects of being male or female.

Gender reassignment surgery— The term “gender reassignment surgery” means any medical or surgical service that seeks to surgically alter or remove healthy physical or anatomical characteristics or features that are typical for the individual’s sex, in order to instill or create physiological or anatomical characteristics that resemble a sex different from the individual’s sex, including genital gender reassignment surgery or nongenital gender reassignment surgery knowingly performed for the purpose of assisting an individual with a gender transition.

Gender transition— The term “gender transition” means the process in which an individual shifts from identifying with and living as a gender that corresponds to his or her sex to identifying with and living as a gender different from his or her sex, and may involve social, legal, or physical changes.

Genital gender reassignment surgery— The term “genital gender reassignment surgery” means a medical procedure knowingly performed for the purpose of assisting an individual with a gender transition, including the following:

Nongenital gender reassignment surgery— The term “nongenital gender reassignment surgery” means medical procedures knowingly performed for the purpose of assisting an individual with a gender transition, including the following:

Puberty blocking drugs— The term “puberty blocking drugs” means the following when used for the purpose of assisting an individual with a gender transition.

Excepted service— The term “excepted service” means any of the following:

Minor— The term “minor” means an individual under 18 years of age.