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House Approves Federal Ban on Gender-Affirming Care for Minors

The bill now moves to the Senate, where analysts say it is unlikely to advance.

Overview

  • The House passed H.R. 3492 on a 216–211 vote, with three Democrats in support and four Republicans opposed.
  • The measure creates federal felonies carrying up to 10 years in prison and fines for providing puberty blockers, cross-sex hormones, or certain surgeries to people under 18, and it exposes parents and others who facilitate such care to criminal liability.
  • Bill language brands some treatments as “chemical castration” or “genital or bodily mutilation,” includes only narrow exceptions that exclude mental or emotional distress, and allows nonconsensual surgeries on intersex infants.
  • Republicans also advanced a separate Dan Crenshaw bill to bar Medicaid coverage for gender-affirming care for minors, with a House vote expected next.
  • Major medical associations and civil-rights groups denounced the legislation as harmful and chilling to care access; sponsor Marjorie Taylor Greene secured the floor vote through an NDAA deal as she prepares to resign in early January.