H.R. 5636, the Protect Children's Innocence Act, would make it a federal felony to provide gender-affirming medical care to minors under age eighteen. The bill defines gender-affirming care broadly to include surgical procedures such as mastectomies and genital surgeries, as well as medications like puberty blockers and hormone treatments at certain doses. Medical providers who perform such care would face Class C felony charges, though the minor receiving the care cannot be prosecuted. The bill includes narrow exceptions for individuals with certain intersex conditions, chromosomal differences, or those treating complications from previous transition procedures, as well as care unrelated to gender transition for legitimate health conditions like cancer. The bill would apply only when interstate commerce is involved, such as when the provider or patient travels across state lines or uses interstate payment methods.
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