In committee
Protect Children’s Innocence Act
This bill makes it a federal crime punishable by up to 10 years in prison for healthcare providers to perform gender-affirming surgeries or prescribe puberty blockers and cross-sex hormones to minors under 18. It also reinforces federal criminal bans on performing, consenting to, or transporting a minor for female genital mutilation. Minors who receive these medical procedures are explicitly shielded from arrest or prosecution. The legislation includes exceptions for treating intersex conditions, precocious puberty, prior surgical complications, or serious physical illnesses, but it excludes mental health conditions as a justification.
People affected—The bill establishes criminal prohibitions affecting medical practitioners, minors seeking specific medical procedures or treatments, and certain facilitators, but does not provide demographic or population counts.
Fiscal magnitude—CBO cost estimate published (H.R. 3492, Protect Children’s Innocence Act, 2026-01-29); dollar figure pending review extraction — see receipt
Reach70provisional · pending reviewrigor: heuristic llm
What this bill touches.
LGBTQ+ policy−70Sentencing & corrections−30
Who it helps · who it burdens.
Who it helps
- Minors undergoing covered surgical or chemical proceduresExplicitly protected under Section 2(a) from being arrested or prosecuted for undergoing covered surgeries, chemical castration, or female genital mutilation.
Who it burdens
- Medical practitioners and healthcare providersFaces federal criminal fines, up to 10 years in prison, or both under Section 2(a) for performing gender-transition surgeries or female genital mutilation, or for prescribing, administering, or dispensing puberty blockers and cross-sex hormones to minors for gender transition.
- Individuals facilitating or transporting minors for female genital mutilationFaces federal criminal liability under Section 2(a) punishable by fines and up to 10 years in prison for knowingly facilitating, consenting to, or transporting a minor to undergo female genital mutilation.
- Defendants in female genital mutilation prosecutionsBarred under Section 2(a) from asserting religion, custom, tradition, ritual, or standard practice as a legal defense against federal criminal charges.