S209-119

Introduced

To protect children from medical malpractice in the form of gender-transition procedures.

119th Congress Introduced Jan 23, 2025

Legislative Progress

Introduced
Introduced Committee Passed
Jan 23, 2025

Mr. Cotton (for himself, Mr. Banks, Mr. Sheehy, and Mr. …

Summary

What This Bill Does

This bill creates a federal right for individuals to sue medical practitioners who performed gender-transition procedures on them when they were minors (under 18). It gives plaintiffs up to 30 years after turning 18 to file suit, and protects healthcare providers who refuse to perform such procedures from being penalized.

Who Benefits and How

Individuals who received gender-transition procedures as minors gain a long window (until age 48) to bring civil lawsuits seeking compensatory damages, punitive damages, and attorney fees against the medical practitioners who treated them. Healthcare providers who decline to perform gender-transition procedures are protected from federal mandates requiring them to do so, preserving their ability to opt out based on conscience or medical judgment.

Who Bears the Burden and How

Medical practitioners who perform gender-transition procedures on minors face potential liability for up to 30 years after each patient turns 18, creating significant long-term legal exposure. States that require medical practitioners to perform gender-transition procedures would lose eligibility for all federal funding from the Department of Health and Human Services, creating a strong financial incentive to repeal any such mandates.

Key Provisions

  • Creates a private right of action allowing individuals to sue for damages if they received gender-transition procedures (puberty blockers, cross-sex hormones, or surgeries) as minors
  • Sets a 30-year statute of limitations beginning when the individual turns 18
  • Prohibits any federal law from requiring medical practitioners to perform gender-transition procedures
  • Cuts off HHS federal funding to any state that mandates medical practitioners perform these procedures
  • Excludes from the definition of "gender-transition procedure" treatments for individuals with ambiguous biological sex characteristics or procedures to address immediate danger to life
Model: claude-opus-4-5
Generated: Dec 27, 2025 21:56

Evidence Chain:

This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.

Primary Purpose

The bill aims to protect minors from medical malpractice related to gender-transition procedures by establishing a private right of action for individuals who undergo such procedures before the age of 18. It also preserves freedom of conscience and medical judgment for medical providers, prohibits federal funding for states that mandate these procedures, and defines key terms.

Policy Domains

Healthcare Law

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"medical_practitioner"
→ Licensed healthcare professionals

Key Definitions

Terms defined in this bill

3 terms
"Biological Sex" §id34148F950343488B9FAE88D2B19B16B1

The genetic classification of an individual as male or female, based on sex chromosomes, hormones, and genitalia present at birth.

"Private Right of Action" §id485D8C8BF32746DAA7C880062F8856A1

The right for individuals to bring a civil lawsuit against medical practitioners who perform gender-transition procedures on minors, seeking various forms of relief including damages and attorney's fees.

"Medical Practitioner" §idA12FD8ED4F6942A4A9FE5C69BBE9A64D

A person licensed or authorized by a state to administer healthcare in their professional capacity.

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology