# 119-hr-4953: Gender-Affirming Child Abuse Prevention Act

119-hr-4953, Gender-Affirming Child Abuse Prevention Act, is a 119th Congress bill sponsored by Rep. Mace, Nancy [R-SC-1] (R-SC); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4953
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4953
- Congress: 119
- Title: Gender-Affirming Child Abuse Prevention Act
- Status: introduced
- Introduced: 2025-08-12
- Sponsor: Rep. Mace, Nancy [R-SC-1] (R-SC)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Provisions PRIA read

- $250K per treatment for minors' gender care: benefit, high. 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: mixed, high. 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 o…

## Related bills

- 119-hr-4706: Protecting Our Farms and Homes from China Act
- 119-hr-3756: FISH Act of 2025
- 119-hr-833: Educational Choice for Children Act of 2025
- 119-hr-5457: Strengthening Agency Management and Oversight of Software Assets Act
- 119-hr-9298: Stopping Harmful and Outrageous Torts Act
- 119-hr-740: Veterans’ ACCESS Act of 2025

## Sources
- [119-hr-4953 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4953)

## Related
- [119-hr-4706: Protecting Our Farms and Homes from China Act](https://policyrisk.com/legislation/119-hr-4706)
- [119-hr-3756: FISH Act of 2025](https://policyrisk.com/legislation/119-hr-3756)
- [119-hr-833: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-hr-833)
- [119-hr-5457: Strengthening Agency Management and Oversight of Software Assets Act](https://policyrisk.com/legislation/119-hr-5457)
- [119-hr-9298: Stopping Harmful and Outrageous Torts Act](https://policyrisk.com/legislation/119-hr-9298)
- [119-hr-740: Veterans’ ACCESS Act of 2025](https://policyrisk.com/legislation/119-hr-740)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4953 (as of 2026-04-21).