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119-s-4426119th CongressWALLET

STOP Act

Sponsored By: Senator Marshall, Roger [R-KS]

Introduced

Summary

Bans gender transition procedures for minors nationwide. It also creates civil penalties for violations, a private right of action for affected individuals or their guardians, and a federal compensation fund plus a grant program for detransition services.

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  • Minors and families: Minors are barred from a broad list of hormonal, pharmaceutical, surgical, and implant-based gender transition procedures. The law lists specific exclusions, including treatment for disorders of sex development, emergency care, restoration surgery after prior procedures, and puberty suppression for true precocious puberty.
  • Providers and enforcement: Any person who violates the prohibition faces civil penalties with a minimum of $100,000 per violation and potential civil suits. Parents or individuals can sue for compensatory, non-economic, and punitive damages, with actions allowed up to 25 years after the person turns 18 or within 4 years after incurring detransition treatment costs, whichever is later.
  • Victim support and funding: Penalties are deposited into a Victims of Gender Transition Procedures Compensation Fund available beginning in fiscal year 2026 without further appropriation. The Secretary will run a grants program that funds nonprofit-provided detransition medical care, counseling, education, and employment assistance; grant recipients must meet privacy rules and may not perform or refer for gender transition procedures or most abortions except in narrow circumstances.

*Penalties collected are directed to a Victims of Gender Transition Procedures Compensation Fund that is available beginning in fiscal year 2026 without further appropriation.*

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Bill Overview

Analyzed Economic Effects

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

Ban on gender procedures for minors

This bill would ban most gender transition procedures for anyone under 18 when interstate commerce is involved. It would cover hormones, puberty blockers, implants, and many listed surgeries. The bill would still exempt care for disorders of sex development, genetic or hormone abnormalities, treatment for related infections or injuries, life-saving or imminent-danger care, puberty suppression for precocious puberty, reconstructive care after prior procedures, and male circumcision. The ban would apply when travel, payments, communications, or items cross state lines and would require the actor to have known the facts giving rise to the violation.

Big fines and private lawsuits

This bill would let the Secretary impose civil fines of at least $100,000 per violation after notice and a hearing. The Attorney General could sue to collect fines and interest. Employers would be jointly liable if employees acted in the scope of employment. The bill would also let victims or their parents sue for compensatory and non-economic damages, and permit punitive damages only with clear and convincing proof of malicious or reckless conduct. For procedures done as minors, claims could be filed within 25 years after the person turns 18, or within 4 years after paying for detransition care, whichever is later.

Grants for detransition and victim help

This bill would create a Department grant program to fund private nonprofits that help people reverse gender transition procedures. Grants would pay for free information, referrals, medical advice to reverse procedures, education and job help, help finishing high school, and voluntary mental health and substance use services. Grant applicants must not charge individuals for services paid by the grant and must protect privacy; groups that perform or refer for gender transition procedures or most abortions would be ineligible. The bill would also create a Victims of Gender Transition Procedures Compensation Fund from collected penalties, with money available beginning in fiscal year 2026.

Protections for counseling and speech

This bill would clarify that counseling, referrals, and treatment discussions alone would not create a lawsuit so long as they do not amount to participating in a gender transition procedure. Health professionals could provide information, discuss risks and benefits, and express opinions without automatically creating liability. For conduct before enactment, old standards of care would get limited deference only when those standards were shown to be in serious scientific or medical dispute at the time.

Sponsors & CoSponsors

Sponsor

Marshall, Roger [R-KS]

KS • R

Cosponsors

  • Sen. Lee, Mike [R-UT]

    UT • R

    Sponsored 4/29/2026

Roll Call Votes

No roll call votes available for this bill.

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