[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6876 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6876

   To require the imposition of visa sanctions with respect to each 
  foreign person the President determines has performed or otherwise 
 facilitated chemical or surgical mutilations of United States minors, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 18, 2025

   Mr. McDowell (for himself, Mr. Brecheen, Mr. Weber of Texas, Mr. 
 Stutzman, Mr. Taylor, Mr. Moore of North Carolina, and Mr. Hamadeh of 
   Arizona) introduced the following bill; which was referred to the 
                       Committee on the Judiciary

_______________________________________________________________________

                                 A BILL


 
   To require the imposition of visa sanctions with respect to each 
  foreign person the President determines has performed or otherwise 
 facilitated chemical or surgical mutilations of United States minors, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protecting Children from Foreign 
Mutilation Act''.

SEC. 2. IMPOSITION OF SANCTIONS.

    (a) In General.--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.
    (b) Visa Sanctions.--The sanction described in this subsection is 
the following:
            (1) Visas, admission, or parole.--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.).
            (2) Current visas revoked.--
                    (A) In general.--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.
                    (B) Immediate effect.--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.
    (c) Information Submitted to Secretary of State.--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.
    (d) Exception; Waiver.--
            (1) Exception to comply with international obligations.--
        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.
            (2) Exception with respect to whistleblowers.--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
                    (B)(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).
            (3) Waiver.--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.
    (e) Report.--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.
    (f) Definitions.--In this section:
            (1) Admission; admitted; alien.--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).
            (2) Chemical or surgical mutilation.--
                    (A) In general.--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.
                    (B) Exclusions.--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.
            (3) 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.
            (4) Foreign person.--The term ``foreign person'' means an 
        individual who is not a citizen or national of the United 
        States.
            (5) Sex.--The term ``sex'' means a person's immutable 
        biological classification, determined at the moment of 
        conception, as either male or female.
            (6) United states person.--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.

SEC. 3. SEVERABILITY.

    If any provision of this Act or the application of such provision 
to any person, entity, government, or circumstance, is held to be 
unconstitutional, the remainder of this Act, or the application of such 
provision to all other persons, entities, governments, or 
circumstances, shall not be affected thereby.
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