The bill establishes limitations on breast surgeries for individuals under the age of 18, allowing such procedures only in specific circumstances, including treatment for malignancy, injury, infection, or malformation, as well as reconstructive surgeries following these conditions. The new legal language inserted into RSA 329 includes definitions for terms such as "abnormal development," "breast surgery," and "malignant," and outlines the prohibitions against performing transgender chest surgery on minors. Additionally, it specifies that breast surgeries can only be performed under certain conditions, such as the presence of cancer or other medical necessities, and violations of these provisions are classified as unprofessional conduct, subject to disciplinary action.

Furthermore, the bill amends RSA 332-M to change the terminology from "genital gender reassignment surgery" to "gender surgery," which encompasses a broader range of procedures, including transgender chest surgery. It prohibits physicians from performing gender surgeries on minors, with exceptions for reconstructive surgeries related to malformation or malignancy. The bill also introduces a private right of action against surgeons who violate these regulations. The effective date for the provisions related to breast surgeries is set for 60 days after passage, while the remaining sections will take effect on January 1, 2026. The fiscal impact of the bill is expected to result in indeterminable increases in expenditures, primarily due to potential litigation and enforcement costs.

Statutes affected:
Introduced: 332-M:2, 332-M:3, 332-M:4
As Amended by the House: 332-M:2, 332-M:3, 332-M:4
HB712 text: 332-M:2, 332-M:3, 332-M:4