Protecting Children from Foreign Mutilation Act

The President shall impose the sanction described in subsection (b) with respect to each person the President determines, including through information submitted in accordance with subsection (d), is a foreign person who—

(1) is a member of the World Professional Association for Transgender Health;

(2) has, in the capacity of such individual as a duly licensed physician, in any way performed, prescribed, or otherwise facilitated chemical or surgical mutilations of United States persons; or

(3) owns or operates a clinic, hospital, pharmacy, or other medical institution that performs, prescribes, or otherwise facilitates chemical or surgical mutilations of United States persons.

The sanction described in this subsection is the following:

A foreign person described in subsection (a) is—

(A) inadmissible to the United States;

(B) ineligible to receive a visa or other documentation to enter the United States; and

(C) otherwise ineligible to be admitted or paroled into the United States or to receive any other benefit under the Immigration and Nationality Act (8 U.S.C. 1101 et seq.).

A foreign person described in subsection (a) shall be subject to revocation of any visa or other entry documentation regardless of when the visa or other entry documentation is or was issued.

A revocation under subparagraph (A) shall take effect immediately and automatically cancel any other valid visa or entry documentation that is in the alien’s possession.

The Secretary of State shall establish procedures to enable individuals to submit to the Secretary information relating to foreign persons that may qualify for the imposition of sanctions under this Act.

Sanctions under this section shall not apply with respect to the admission of an alien if admitting or paroling the alien into the United States is necessary to permit the United States to comply with—

(A) the Agreement regarding the Headquarters of the United Nations, signed at Lake Success June 26, 1947, and entered into force November 21, 1947, between the United Nations and the United States; or

(B) other applicable international obligations.

Sanctions under this section shall not be imposed with respect to a foreign person described in subsection (a)(2) if the Secretary of State determines that such foreign person—

(A) no longer works for an entity performing any of the acts described in subsection (c); and

(i) has provided information to the Secretary of State sufficient to identify at least one other foreign person meeting the criteria for the imposition of sanctions under this section; or

(ii) has provided information to any other Federal official relating to a violation of law or regulation in the practices of the entity described in subparagraph (A).

The President may waive the application of sanctions under this section with respect to a foreign person if the President determines that such a waiver is in the national security interests of the United States.

Not later than 180 days after the date of the enactment of this Act, the Secretary of State shall submit to Congress a report that includes—

(1) a description of the actions taken to carry out this Act;

(2) the number of people who have been sanctioned pursuant to the authorities provided by this Act; and

(3) any additional measures the Secretary would recommend to be taken to discourage foreign persons from providing gender transitions to United States persons.

In this section:

The terms admission, admitted, and alien have the meanings given such terms in section 101 of the Immigration and Nationality Act (8 U.S.C. 1101).

The term chemical or surgical mutilation means engaging in any one or more of the following for the purpose of intentionally halting the natural development of the individual’s body so that it no longer corresponds to the individual’s sex or intentionally changing the individual’s body, including the individual’s external appearance or biological functions, to no longer correspond to the individual’s sex:

(i) The use of puberty blockers, including gonadotropin releasing hormone agonists and other interventions, to delay the onset or progression of normally timed puberty in an individual.

(ii) The use of sex hormones, such as androgen blockers, estrogen, progesterone, or testosterone.

(iii) Surgical procedures that attempt to transform an individual’s physical appearance or that attempt to alter or remove an individual’s sexual organs.

Such term does not include any of the following:

(i) Appropriate and medically necessary procedures to treat a verifiable disorder of sexual development, including an individual born with 46 XX chromosomes with virilization, with 46 XY chromosomes with undervirilization, or having both ovarian and testicular tissue.

(ii) The treatment of any infection, injury, disease, or disorder that has been caused or exacerbated by the performance of an intervention described in subparagraph (A) without regard to whether the intervention was performed in accordance with State or Federal law or whether the intervention is covered by the private right of action under section 4.

(iii) Any intervention undertaken because the individual suffers from any diagnosed and verifiable condition of the body’s organ systems, including the following:

(I) Traumatic bodily injuries (such as fractures, organ rupture, or penetrating trauma).

(II) Congenital structural anomalies of major organs or systems, including the cardiovascular, respiratory, renal, hepatic, neurological, or musculoskeletal systems.

(III) Acute illnesses with a high probability of rapid mortality.

(iv) Detransition treatment.

The term detransition treatment means any treatment, including a mental health treatment, medical intervention, or surgery, that does either or both of the following:

(A) Stops or reverses the effects of a prior chemical or surgical mutilation.

(B) Helps an individual cope with the effects of a prior chemical or surgical mutilation.

The term foreign person means an individual who is not a citizen or national of the United States.

The term sex means a person’s immutable biological classification, determined at the moment of conception, as either male or female.

The term United States person means an individual who—

(A) is a United States citizen or national, or an alien lawfully admitted for permanent residence to the United States; and

(B) has not attained the age of 18 years.