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119-hr-4953119th CongressWALLET

Gender-Affirming Child Abuse Prevention Act

Sponsored By: Representative Mace, Nancy [R-SC-1]

Introduced

Summary

Creates a federal civil right of action allowing people who received gender-affirming medical care as minors to sue providers. This bill would define the covered treatments, who may bring suit, and the damages available.

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  • People who received gender-affirming care as minors would be able to seek actual damages or a liquidated award of $250,000 per instance, plus reasonable attorney's fees and litigation costs.
  • Doctors, clinics, and others who performed listed treatments — including certain surgeries, puberty blockers, and cross-sex hormones — could face lawsuits if their conduct connects to interstate commerce.
  • Parents, legal guardians, estate representatives, or other court-appointed persons could bring claims on behalf of minors, incapacitated people, or deceased individuals.
  • The bill sets statutory definitions. It defines “sex” and “gender” in biological terms and excludes gender identity, and it excludes care for disorders of sex development and certain other conditions from the covered treatments.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

$250K per treatment for minors' gender care

If enacted, a winning plaintiff could get actual damages or $250,000 for each instance of care done while they were a minor. The court could also award the costs of the case, including reasonable attorney’s fees and other litigation costs.

Federal lawsuits over minors' gender care

If enacted, people who got gender-related care as minors could sue in federal court. A guardian, estate representative, family member, or court‑appointed person could sue for someone under 18, incompetent, incapacitated, or deceased. The suit would be allowed only if there is a link to interstate or foreign commerce, like travel, payments, communications, items crossing state lines, conduct in U.S. maritime or territorial areas, or other effects on interstate commerce. The bill would define what counts as gender-related care, listing many surgeries, hormones, and puberty blockers, and letting the Health and Human Services Secretary add more. It would exclude care for diagnosed disorders of sex development, certain ambiguous sex traits, and care to treat problems caused by prior gender-related care. A minor would mean under age 18.

Sponsors & CoSponsors

Sponsor

Mace, Nancy [R-SC-1]

SC • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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