HR5592119th CongressWALLET

Childhood Genital Mutilation Prevention Act

Sponsored By: Representative Mace

Introduced

Summary

Bans federal funding and makes certain gender-related medical treatments for minors a federal crime. The bill would also bar Medicare payments for those treatments and remove providers from federal programs, with narrow medical exceptions.

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  • Families and minors: Performing or attempting gender-related medical treatment on a minor would be a federal crime punishable by fines, up to 10 years in prison, or both. The bill excludes specific medical conditions such as disorders of sex development and treatments for infection, injury, or disease, and it does not criminalize a minor seeking or receiving care.
  • Health care providers: Providers who furnish the covered treatments would be excluded from Medicare participation and could not enroll as new providers. Medicare payments for those services would be barred beginning 90 days after enactment.
  • Federal programs and funding: No federal funds or trust fund dollars could be obligated or spent for these treatments or for health coverage that includes them.

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 0 benefits, 4 costs, 0 mixed.

Medicare ban on minors' gender care

Starting 90 days after enactment, Medicare would not pay for gender-related surgeries, hormones, or puberty blockers for people under 18. Limited medical exceptions would remain, like some disorders of sex development or treatment of complications. On the same date, any provider who gives this care to minors would lose Medicare enrollment and could not enroll again. Families could face higher out-of-pocket costs and fewer Medicare-participating providers.

Defines what counts as gender treatment

The bill would define gender-related treatment and list surgeries, hormones, and puberty blockers for males and females. It would define a minor as under age 18. It would say gender does not mean gender identity or expression. These rules would set who and what the bans and funding limits cover.

Creates federal crime for minors’ gender care

It would be a federal crime to knowingly perform gender-related medical treatment on someone under 18 in covered interstate commerce situations. Penalties could include fines or up to 10 years in prison. The bill lists medical exceptions, such as certain disorders of sex development and treatment of complications. Minors who seek or receive care would not face criminal charges.

Blocks federal funds for minors’ gender care

The bill would bar any federal money from paying for gender-related care for people under 18. It would also block federal funds for health plans that cover this care. Federal trust funds that receive federal dollars would also be blocked. This could end coverage for this care in some government-backed programs.

Sponsors & CoSponsors

Sponsor

Mace

SC • R

Cosponsors

  • Burchett

    TN • R

    Sponsored 9/26/2025

  • Weber (TX)

    TX • R

    Sponsored 9/26/2025

  • Boebert

    CO • R

    Sponsored 9/26/2025

  • Gosar

    AZ • R

    Sponsored 9/30/2025

Roll Call Votes

No roll call votes available for this bill.

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