Gender-Affirming Care: Federal Ban for Minors
This bill passed the House of Representatives in December 2025 but has not moved forward since then. It is now waiting for the Senate to take action, though no progress has been made in the last six months. Because the Senate rarely schedules bills that pass the House, this proposal is currently stalled.
216–211
No action since December 2025
The bill passed the House on a party-line vote but faces strong opposition in the Senate, where it is unlikely to get the 60 votes needed to pass.
This bill’s path across every version that has carried it.
Reintroduced
Reintroduced from H.R. 1399 (118th), which died when its Congress ended.
H.R. 1399 (118th) →Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
The bill makes it a federal crime, punishable by up to 10 years in prison, for doctors to provide gender transition surgeries or hormone treatments to anyone under 18, regardless of state law allowing such care. This directly ends legal access to these specific medical treatments for transgender minors nationwide by criminalizing the providers who deliver them.
“Any surgery performed for the purpose of changing the body of such individual to correspond to a sex that differs from their biological sex”
Received in the Senate and Read twice and referred to the Committee on the Judiciary.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 351). (text of amendment in the nature of a substitute: CR H5992-5993)
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 351).
The House of Representatives voted to approve this bill. It now goes to the Senate.
On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 350).
On Motion to Recommit
Following a House vote to criminalize gender-affirming care for minors, the Trump administration unveiled regulatory actions to block access. The Protect Children's Innocence Act, which passed the House, would subject providers to prison time for treating patients under the age of 18.
Advocates have filed suit against a multifaceted federal effort to limit gender-affirming health care for children. This includes the House-passed Protect Children's Innocence Act and new HHS rules that label puberty blockers and surgeries as 'unsafe and ineffective' for minors.
The U.S. government is employing criminal investigations and funding threats to restrict gender-affirming care. This follows the 2025 passage of the Protect Children's Innocence Act in the House, which sought to redefine such care as a form of mutilation under federal law.
Document Type
Congressional Bill
Official Title
Protect Children’s Innocence Act
Analysis generated by AI. Always verify with official sources.