This bill establishes the crime of mutilation or alteration of the sexual or reproductive system of a minor. It states that a person is guilty of a class A felony if they physically or chemically mutilate or alter the sexual or reproductive system of a minor in a way that permanently nullifies or restricts its natural functionality. It also includes knowingly promoting or permitting the treatment of a minor with chemicals or hormones that lead to permanent physical changes that nullify or restrict their natural sexual or reproductive system functionality. The bill prohibits the removal of a minor from the state for the purpose of allowing the mutilation or alteration of their reproductive system or the treatment of the minor with chemicals or hormones. It specifies that it is not a defense to prosecution that the conduct is required by custom, ritual, or religious practice, or that the minor or their parent or legal guardian consented to the procedure. The bill provides exceptions for necessary surgical procedures for the physical health of the minor or for medical purposes connected with labor or birth. Any child subjected to prohibited conduct without justification is considered an abused child. The bill takes effect on January 1, 2025.

The fiscal impact of this bill is indeterminable. It may have an impact on the judicial and correctional systems, which could affect prosecution, incarceration, probation, and parole costs for the state, as well as county and local governments. The exact costs cannot be determined at this time. The bill has been reviewed by the Judicial Branch, Judicial Council, Department of Justice, Department of Corrections, New Hampshire Association of Counties, and New Hampshire Municipal Association.