PolicyBrief
S. 312
119th CongressJan 29th 2025
Jamie Reed Protecting Our Kids from Child Abuse Act
IN COMMITTEE

This bill establishes a federal tort allowing individuals who underwent gender-transition procedures as minors to sue those responsible for damages, and it prohibits federal funding for pediatric gender clinics and gender-transition procedures for minors.

Joshua "Josh" Hawley
R

Joshua "Josh" Hawley

Senator

MO

LEGISLATION

New Bill Allows Suits Against Pediatric Gender Clinics, Bans Federal Funding: Retroactive Clause Opens Floodgates

The "Jamie Reed Protecting Our Kids from Child Abuse Act" establishes a new federal law allowing individuals who underwent gender-transition procedures as minors to sue medical providers and facilities, and it completely blocks federal funding for pediatric gender clinics and related institutions. The law applies retroactively, meaning it covers procedures performed anytime in the past, not just after the law's enactment. This is a huge deal, and here's how it breaks down:

Suing Over Past Procedures

This bill creates a federal "tort" – a civil wrong – specifically for harm caused by gender-transition procedures on minors (anyone under 18). The definition of "gender-transition procedure" (SEC. 2) includes prescribing puberty blockers or hormones (testosterone or estrogen) and performing surgeries to align a person's body with their gender identity when it differs from their biological sex. It does not include treatments for individuals with ambiguous sex characteristics, or for conditions caused by a prior gender-transition procedure.

  • Who can be sued? Pretty much anyone involved: the clinic, the doctors, even hospitals or universities connected to the clinic (SEC. 2). So, if a university hospital hosted a clinic, they're on the hook, too.
  • What can people sue for? Compensatory damages (to cover losses), punitive damages (to punish the wrongdoer), and attorney's fees (SEC. 2).
  • How long do they have to sue? 30 years from the date they turned 18 (SEC. 2). That's a long time, and it applies retroactively (SEC. 4). The only defense for clinics and doctors is proving they didn't know, and had no reason to know, the person was a minor (SEC. 2).
  • Real-World Example: Imagine someone who received puberty blockers at 14 and later regretted it. Even if that happened 20 years ago, they could now sue the clinic, the doctor who prescribed the blockers, and potentially even the hospital where the clinic was located. This opens the door to a lot of potential lawsuits.

The Funding Freeze

This bill doesn't just create a way to sue; it also cuts off the money. No federal funds can go to (SEC. 3):

  • Pediatric gender clinics.

  • Hospitals or universities connected to those clinics (through hosting, operating, funding, etc.).

  • Any gender-transition procedure performed on a minor. This means no federal money, period, for these procedures on anyone under 18.

  • Real-World Example: A university with a gender clinic that receives federal research grants? That funding is gone. A hospital that performs gender-affirming surgeries on minors and accepts federal insurance programs? That's out, too.

Challenges and Long-Term Implications

The retroactive nature of this bill (SEC. 4) is a major point. It essentially reopens past cases, potentially creating legal chaos for clinics and medical professionals who followed previous standards of care. The 30-year statute of limitations also creates an unusually long period of potential liability. The broad definition of "gender-transition procedure" (SEC. 2), while excluding certain necessary medical treatments, could still be interpreted in ways that limit access to care for transgender youth. The funding ban (SEC. 3) could have a chilling effect, making it harder for young people to access any gender-affirming care, even counseling, by defunding institutions that provide it. The bill's severability clause (SEC. 5) means that even if parts are struck down in court, the rest could still stand, potentially leading to a patchwork of legal challenges and uncertainties across the country. This bill makes big changes, and the fallout could be significant and long-lasting, especially for those who need this kind of care and the places that provide it.