The House on Wednesday approved a bill that would prohibit doctors across the country from performing transgender surgeries on minors or giving gender-confused kids puberty blockers or cross-sex hormones.
The legislation, introduced by outgoing Rep. Marjorie Taylor Greene (R-GA), passed 216-211. Under Greene’s proposal, doctors who provide transgender procedures to children could face steep fines or up to 10 years in prison.
“One of the most serious responsibilities we have is adults and particularly those of us who are elected and hold power when it comes to legislating and making laws is to protect children. Today, the House is delivering on what the American people voted for,” Greene said from the House floor. “Most Americans agree that kids just need to grow up before they do anything radical, like a mastectomy on a 15-year-old girl, castrate themselves through surgery, or even take dangerous drugs that have lifelong effects.”
Democrat Reps. Henry Cuellar (Texas), Donald Davis (North Carolina), and Vicente Gonzalez (Texas) joined 213 Republicans in backing the measure. Four Republicans, including Reps. Gabe Evans (Colorado), Brian Fitzpatrick (Pennsylvania), Mike Kennedy (Utah), and Mike Lawler (New York) voted against the bill.
More than three dozen Republicans co-sponsored the proposal, known as the “Protect Children’s Innocence Act.”
The procedures prohibited in the bill include giving males who identify as girls estrogen and females who identify as boys testosterone. Cross-sex hormones given to children can have profound impacts on fertility, sexual function, and heart health. The law also blocks doctors from giving kids puberty blockers, which can significantly harm bone development.
It would also ban genital surgeries and the removal of the breasts of girls who identify as boys.
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American Principles Project President Terry Schilling praised the bill’s passage.
“Republicans showed today that they are as committed to protecting children as Democrats are to disfiguring them,” he told The Daily Wire. “Bipartisan supermajorities support commonsense protections for at-risk children, and yet only three Democrats had the moral courage to stand up to a multi-billion-dollar industry that profits off of the misery of American kids. Democrats have been captured by an ideology that is as poisonous as it is profitable.”
The legislation now heads to the Senate, where Republicans have previously introduced similar proposals. In September, Sen. Marsha Blackburn (R-TN) introduced legislation to ban transgender procedures nationwide, a measure the Trump administration quickly endorsed. The bill has not advanced since its introduction and has not yet received a committee hearing or vote.
More than two dozen states have moved to enact similar bans on transgender procedures over the last few years.

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