H.R. 3492

Protect Children’s Innocence Act

Official summary

Written by the Congressional Research Service.

Protect Children’s Innocence Act of 2025

This bill establishes federal criminal offenses for providing gender-affirming care to minors. The bill also changes the existing federal criminal offense that prohibits female genital mutilation (FGM) and related conduct. 

Specifically, the bill makes it a federal crime to knowingly perform or attempt to perform procedures or provide medications (e.g., hormonal treatments) to a minor for the purpose of changing their body to correspond to a sex that differs from their biological sex. The bill provides exceptions for specified types of surgeries or procedures, including those for treating (1) individuals who have both ovarian and testicular tissue or abnormal sex chromosome structure or hormones, or (2) infections or other harms that result from a previous gender-transition procedure. A violation is punishable by a fine, a prison term of up to 10 years, or both. The bill prohibits the arrest or prosecution of an individual who undergoes gender-affirming procedures or medications. 

Additionally, the bill makes changes to the existing federal criminal prohibition on performing FGM on a minor and related conduct. Among the changes, the bill broadens the scope of prohibited conduct to include the facilitation or consent to FGM by any person (currently, prohibited facilitation or consent applies only to a parent, guardian, or caretaker of the minor). The bill also prohibits the arrest or prosecution of an individual who undergoes FGM. The bill does not change the applicable criminal penalty of a fine, a prison term of up to 10 years, or both. 

Text of the bill

Expand all
Sec. 2. Genital and bodily mutilation of a minor; chemical castration of a minor Changed · Sep 26

Where this section came from

  1. May 19, 2025 · Introduced in House Referred to House Committee on the Judiciary, May 19
  2. Sep 26, 2025 · Reported in House Marked up by House Committee on the Judiciary, Jun 10 Reported by House Committee on the Judiciary, Sep 26 Committee members' individual votes aren't in our records.
What changed in the text

… 23 unchanged passages …

(B) Health of a minor. For the purposes of subparagraph (A), the health of a minor does not include — (i) mental, behavioral, or emotional distress; or (ii) a mental , health behavioral, or emotional disorder.

… 3 unchanged passages …

(C) An individual experiencing infection, disease, injury, or disorder caused or exacerbated by a previous gender genital transition or procedures bodily mutilation procedure or chemical castration .

… 1 unchanged passage …

(E) An individual diagnosed with precocious puberty, to the extent such genital or bodily mutilation or chemical castration is for the purpose of normalizing puberty.

… 20 unchanged passages …

(C) Any plastic surgery that feminizes or masculinizes the facial or other physiological features for the purposes described in subparagraph (B).

… 2 unchanged passages …

(F) Any surgery to reconstruct the fixed part of the urethra, whether or not such surgery includes a metoidioplasty or a phalloplasty, for the purposes described in subparagraph (B).

… 4 unchanged passages …

(3) Biological sex. The term biological sex means , the with indication respect of to male a or female sex by reproductive potential or capacity person , sex the chromosomes, classification naturally of occurring the sex person hormones, as gonads, male or internal female or external genitalia present at birth.

… 6 unchanged passages …

(6) Male. The term male means a person who naturally has, had, will have, or would have, but for a congenital anomaly, historical accident, or intentional or unintentional disruption, the reproductive system that at some point produces, transports, and utilizes sperm for fertilization.

(7) Female. The term female means a person who naturally has, had, will have, or would have, but for a congenital anomaly, historical accident, or intentional or unintentional disruption, the reproductive system that at some point produces, transports, and utilizes eggs for fertilization.

… 5 unchanged passages …

What is a markup?

A markup is a committee meeting where members go through a bill and vote on changes before sending it to the full chamber.

(a) In general. Section 116 of title 18, United States Code, is amended to read as follows:

Text this section adds to the law

116. Genital and bodily mutilation of a minor; chemical castration of a minor

(a) Genital or bodily mutilation. Except as provided in subsection (g), whoever, in any circumstance described in subsection (d), knowingly performs, or attempts to perform, genital or bodily mutilation on another person who is a minor, shall be fined under this title, imprisoned not more than 10 years, or both.

(b) Chemical castration of a minor. Except as provided in subsection (g), whoever, in any circumstance described in subsection (d), knowingly chemically castrates a minor shall be fined under this title, imprisoned not more than 10 years, or both.

(c) Certain offense related to female genital mutilation. Except as provided in subsection (g), whoever, in any circumstance described in subsection (d), knowingly— shall be fined under this title, imprisoned not more than 10 years, or both.

(1) facilitates or consents to female genital mutilation of a minor; or

(2) transports a minor for the purpose of the performance of female genital mutilation on such minor,

(d) Circumstances described. For the purposes of subsections (a) and (b), the circumstances described in this subsection are that—

(1) the defendant or victim traveled in interstate or foreign commerce, or traveled using a means, channel, facility, or instrumentality of interstate or foreign commerce, in furtherance of or in connection with the conduct described in subsection (a) or (b);

(2) the defendant used a means, channel, facility, or instrumentality of interstate or foreign commerce in furtherance of or in connection with the conduct described in subsection (a) or (b);

(3) any payment of any kind was made, directly or indirectly, in furtherance of or in connection with the conduct described in subsection (a) or (b) using any means, channel, facility, or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce;

(4) the defendant transmitted in interstate or foreign commerce any communication relating to or in furtherance of the conduct described in subsection (a) or (b) using any means, channel, facility, or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce by any means or in manner, including by computer, mail, wire, or electromagnetic transmission;

(5) any instrument, item, substance, or other object that has traveled in interstate or foreign commerce was used to perform the conduct described in subsection (a) or (b);

(6) the conduct described in subsection (a) or (b) occurred within the special maritime and territorial jurisdiction of the United States, or any territory or possession of the United States; or

(7) the conduct described in subsection (a) or (b) otherwise occurred in or affected interstate or foreign commerce.

(e) Prohibition on certain defense. It shall not be a defense to a prosecution under subsection (a) that female genital mutilation is required as a matter of religion, custom, tradition, ritual, or standard practice.

(f) Prohibition on prosecution of victim. No person who is chemically castrated or on whom genital or bodily mutilation is performed may be arrested or prosecuted for an offense under this section.

(g) Exceptions

(1) Procedures

(A) In general. Genital or bodily mutilation or chemical castration is not a violation of this section if such genital or bodily mutilation or chemical castration is—

(i) necessary to the health of the minor on whom it is conducted, and is conducted by a person licensed in the place of such conduct as a medical practitioner; or

(ii) in the case of female genital mutilation, performed on a minor in labor or who has just given birth and is performed for medical purposes connected with that labor or birth by a person licensed in the place it is performed as a medical practitioner, midwife, or person in training to become such a practitioner or midwife.

(B) Health of a minor. For the purposes of subparagraph (A), the health of a minor does not include—

(i) mental, behavioral, or emotional distress; or

(ii) a mental, behavioral, or emotional disorder.

(2) Exemption. Genital or bodily mutilation or chemical castration is not a violation of this section if such genital or bodily mutilation or chemical castration is conducted with respect to any of the following individuals:

(A) An individual with both ovarian and testicular tissue.

(B) An individual with respect to whom a physician has determined through genetic or biochemical testing that the individual does not have normal sex chromosome structure, sex steroid hormone production, or sex steroid hormone action.

(C) An individual experiencing infection, disease, injury, or disorder caused or exacerbated by a previous genital or bodily mutilation procedure or chemical castration.

(D) An individual suffering from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the individual in imminent danger of impairment of a major bodily function unless the procedure is performed.

(E) An individual diagnosed with precocious puberty, to the extent such genital or bodily mutilation or chemical castration is for the purpose of normalizing puberty.

(h) Definitions. In this section:

(1) Genital or bodily mutilation. The term genital or bodily mutilation means, with respect to an individual, any of the following:

(A) Female genital mutilation.

(B) Any surgery performed for the purpose of changing the body of such individual to correspond to a sex that differs from their biological sex, including—

(i) castration;

(ii) orchiectomy;

(iii) scrotoplasty;

(iv) vasectomy;

(v) hysterectomy;

(vi) oophorectomy;

(vii) ovariectomy;

(viii) metoidioplasty;

(ix) penectomy;

(x) phalloplasty;

(xi) vaginoplasty;

(xii) vaginectomy;

(xiii) vulvoplasty;

(xiv) reduction thyrochondroplasty;

(xv) chondrolaryngoplasty; and

(xvi) mastectomy.

(C) Any plastic surgery that feminizes or masculinizes the facial or other physiological features for the purposes described in subparagraph (B).

(D) Any placement of chest implants to create feminine breasts for the purposes described in subparagraph (B).

(E) Any placement of fat or artificial implants in the gluteal region for the purposes described in subparagraph (B).

(F) Any surgery to reconstruct the fixed part of the urethra, whether or not such surgery includes a metoidioplasty or a phalloplasty, for the purposes described in subparagraph (B).

(2) Chemical castration. The term chemical castration means administering, supplying, prescribing, dispensing, distributing, or otherwise conveying to an individual medications for the purposes described in paragraph (1)(B), including—

(A) gonadotropin-releasing hormone (GnRH) analogues or other puberty-blocking drugs to stop or delay normal puberty;

(B) testosterone or other androgens to biological females at doses that are supraphysiologic to the female sex; and

(C) estrogen to biological males at doses that are supraphysiologic to the male sex.

(3) Biological sex. The term biological sex means, with respect to a person, the classification of the person as male or female at birth.

(4) Female genital mutilation. The term female genital mutilation means any procedure performed for non-medical reasons that involves partial or total removal of, or other injury to, the external female genitalia, and includes—

(A) a clitoridectomy or the partial or total removal of the clitoris or the prepuce or clitoral hood;

(B) excision or the partial or total removal (with or without excision of the clitoris) of the labia minora or the labia majora, or both;

(C) infibulation or the narrowing of the vaginal opening (with or without excision of the clitoris); or

(D) other procedures that are harmful to the external female genitalia, including pricking, incising, scraping, or cauterizing the genital area.

(5) Minor. The term minor means any person under the age of eighteen years.

(6) Male. The term male means a person who naturally has, had, will have, or would have, but for a congenital anomaly, historical accident, or intentional or unintentional disruption, the reproductive system that at some point produces, transports, and utilizes sperm for fertilization.

(7) Female. The term female means a person who naturally has, had, will have, or would have, but for a congenital anomaly, historical accident, or intentional or unintentional disruption, the reproductive system that at some point produces, transports, and utilizes eggs for fertilization.

(b) Clerical amendment. The table of sections for chapter 7 of title 18, United States Code, is amended by striking the item related to section 116 and inserting the following:

Text this section adds to the law

116. Genital and bodily mutilation of a minor; chemical castration of a minor.