HR2387119th CongressWALLET

No Harm Act

Sponsored By: Representative Onder

Introduced

Summary

Blocks federal funding for sex‑trait altering treatments for minors. The bill would set a federal framework that forbids federal money from paying for, promoting, or supporting these treatments and adds parental‑consent rules and civil remedies to enforce that ban.

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  • Families and minors: Parents could decline these treatments and providers would need written parental consent plus a 72‑hour prior consultation and a printed list of fertility and other risks before any treatment is furnished. Minors or parents harmed by violations could sue with a 30‑year statute of limitations after the child reaches adulthood.
  • Medical providers and institutions: Federal funding could be withheld from medical institutions that provide these treatments to minors. The bill would create medical malpractice liability for harms from such treatments including attorney fees and treble damages and a 30‑year statute of limitations.
  • Schools and federal programs: Federal funds would be barred to elementary and secondary schools that let staff provide or support these treatments without notifying parents and getting written approval, and covered federal funds are defined to include Medicaid (Title XIX) and Part A of Title IV. The bill also authorizes civil actions by any person, including taxpayers, against the United States or federal agencies for violations and changes the criminal health‑necessity standard in a provision related to female genital mutilation.

Bill Overview

Analyzed Economic Effects

7 provisions identified: 3 benefits, 1 costs, 3 mixed.

Sue providers for harm to minors

If enacted, a person harmed by a sex-trait altering treatment received as a minor could sue the provider in federal court. If they win, they could receive attorney fees, litigation costs, and treble damages. They would have up to 30 years after turning 18 to file.

Federal money limits on minors' treatments

If enacted, federal money could not pay for sex-trait altering treatments for minors. Medical institutions that provide these treatments to minors could lose federal funds. States could lose Medicaid (title XIX) or TANF (part A of title IV) funds if they allow treatment without consent of both parents or separate a child only because a parent refused consent. If a State requires providers to give such treatments, any HHS funds could be withheld. Anyone, including a taxpayer, could sue the U.S. or the paying agency for violations.

Parental consent and right to decline

If enacted, providers could not treat a minor unless they meet with parents at least 72 hours before treatment, give a printed list of side effects (including fertility and sexual function risks), and get written parental consent. A parent or minor harmed by a violation could sue in federal court, with up to 30 years after the child turns 18 to file. Parents would also have the right to decline these treatments for their minor. If a State’s policy violates that right, a parent or minor could sue the U.S. and the State.

Schools need parent OK for treatments

If enacted, K–12 schools that let staff provide or support these treatments without telling parents and getting written approval could lose federal funds. Schools would need to notify parents and receive written permission before school personnel help provide the treatment.

Protections for providers who decline

If enacted, health care providers who refuse to perform, refer for, pay for, or help arrange these treatments could not be punished for that refusal. A harmed provider could sue for an injunction, a court statement of rights, or money damages.

Limits health defense in FGM cases

If enacted, the bill would say that "necessary to health" does not include gender change or affirmation in federal female genital mutilation cases. This would narrow a legal defense in prosecutions.

Defines which treatments are covered

If enacted, the bill would define sex-trait altering treatment, puberty blockers, and excepted services. It would define a minor as under 18. Some emergency care and disorders-of-sex-development services would be excepted.

Sponsors & CoSponsors

Sponsor

Onder

MO • R

Cosponsors

  • Harris (MD)

    MD • R

    Sponsored 3/26/2025

  • Miller (IL)

    IL • R

    Sponsored 3/26/2025

  • Biggs (SC)

    SC • R

    Sponsored 3/26/2025

  • Messmer

    IN • R

    Sponsored 3/27/2025

  • Fry

    SC • R

    Sponsored 5/7/2025

  • Franklin, Scott

    FL • R

    Sponsored 5/7/2025

  • Clyde

    GA • R

    Sponsored 5/8/2025

  • Steube

    FL • R

    Sponsored 8/15/2025

Roll Call Votes

No roll call votes available for this bill.

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