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The House passed the Protect Children’s Innocence Act, which would make it a federal crime to provide gender-affirming medical care, including surgeries and puberty blockers, to minors.
H.R. 3492, the Protect Children’s Innocence Act, aims to criminalize medical gender-affirming care for individuals under 18. It would impose federal prison sentences of up to 10 years for doctors who perform gender-transition surgeries or prescribe puberty-blocking drugs and hormones to minors. The bill includes narrow exceptions for treatments related to physical health emergencies or intersex conditions. This was a vote "On Passage," which is the final step for a bill in the House of Representatives. In Congress, a bill must be approved by a majority of members in both the House and the Senate before it can be sent to the President to be signed into law. This vote confirms the House's approval of the bill's specific language. The bill passed narrowly on a party-line vote, reflecting deep divisions between Republicans and Democrats on healthcare and social issues. Having passed the House, the bill now moves to the Senate for consideration. If the Senate does not pass it, the bill will not become law.
The bill moves to the Senate, where it has been referred to the Committee on the Judiciary for further review.
OPEN BILL →Why it matters. This bill addresses the national debate over gender-affirming care and would establish federal control over medical practices currently regulated by states.
Who’s affected. Transgender and gender-diverse minors: Would lose access to medical treatments like puberty blockers and hormone therapy under federal law. · Healthcare providers: Would face up to 10 years in federal prison and significant fines for performing prohibited procedures. · Parents of transgender youth: Would be legally barred from seeking certain medical treatments for their children's gender transitions.
Democrats. The Democratic caucus almost unanimously opposed the bill, viewing it as an infringement on medical autonomy and civil rights.
Republicans. The Republican caucus almost unanimously supported the bill, framing it as a measure to protect children from irreversible medical procedures.
On Passage
Dec 17, 2025
The House passed the Protect Children’s Innocence Act, which would make it a federal crime to provide gender-affirming medical care, including surgeries and puberty blockers, to minors.
This is a final vote on whether the House of Representatives approves the bill. Since it passed, the bill is now officially approved by this chamber and is sent to the Senate for their consideration.
The bill moves to the Senate, where it has been referred to the Committee on the Judiciary for further review.
This bill addresses the national debate over gender-affirming care and would establish federal control over medical practices currently regulated by states.
The vote followed strict party lines, with nearly all Republicans in favor and nearly all Democrats opposed.
The Democratic caucus almost unanimously opposed the bill, viewing it as an infringement on medical autonomy and civil rights.
The Republican caucus almost unanimously supported the bill, framing it as a measure to protect children from irreversible medical procedures.
The sole independent member voted in favor of the bill.