H.R. 6876

[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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