House passes bill to criminalize gender-transition care for minors, 216–211
The U.S. House of Representatives on December 17, 2025 passed the Protect Children's Innocence Act, H.R. 3492, by a vote of 216 to 211, sending the measure to the Senate. Six members did not vote.
The bill, introduced by Representative Marjorie Taylor Greene of Georgia, would establish federal criminal offenses for providing gender-affirming care to minors. It would make it a federal crime to knowingly perform or attempt certain procedures, or to provide medications such as hormonal treatments, to a person under 18 for the purpose of changing their body to correspond to a sex that differs from their biological sex. A violation would be punishable by a fine, imprisonment for up to 10 years, or both. The bill specifies that a minor who undergoes such a procedure or receives such medication may not be arrested or prosecuted, and it provides exceptions for certain conditions, including treatment for individuals with both ovarian and testicular tissue or abnormal sex chromosomes, and treatment of infections or other harms resulting from a previous gender-transition procedure. The measure also amends the existing federal prohibition on female genital mutilation.
Supporters framed the bill as protecting children from irreversible harm. Representative Barry Moore of Alabama, who managed the debate for the majority, said the nation faces "one of the greatest crises of our time: Child abuse disguised as medical intervention," and argued the bill would hold accountable those who "perform or attempt to perform genital mutilation and chemical castration on our children." Greene said the legislation "will criminalize gender-affirming care on minors, not adults," and told the House it was "a direct legislative reflection of President Trump's executive order." Representative Nancy Mace of South Carolina rose "in strong support," calling the procedures the bill targets "obscene."
Opponents said the bill would jail doctors and parents and override medical judgment. Representative Jamie Raskin of Maryland, who led the debate for the minority, said the bill would subject "doctors, nurses, other medical providers, and even parents to up to 10 years' incarceration in Federal prison" for providing care such as hormone therapy, and read a letter of opposition signed by medical organizations including the American Academy of Pediatrics and the American Psychiatric Association. Representative Mark Takano of California said gender-affirming surgery "is never performed on young children" and "extremely rare" for adolescents, arguing that Republicans "keep bringing up surgeries to shift attention away from how extreme this bill is."
How your representative voted
See how your representative voted
Use your Google, Microsoft, or Apple sign-in to get to your Project Euthyna account. If you don’t have one yet, we’ll create it. We store the census block you live in, and use it to work out who represents you. We do not store your address. We do not sell anything about you, and you can delete your account, and everything in it, whenever you want.
Continuing means you accept our terms of service and privacy policy.