This bill establishes a federal cause of action allowing individuals to sue for harm caused by gender-transition procedures received as minors and prohibits federal funding for pediatric gender clinics and related institutions.
Joshua "Josh" Hawley
Senator
MO
The Jamie Reed Protecting Our Kids from Child Abuse Act establishes a federal cause of action allowing individuals to sue for injuries resulting from gender-transition procedures received as minors. The bill permits lawsuits against clinics, practitioners, and affiliated institutions up to age 48 and prohibits federal funding for pediatric gender clinics and gender-transition procedures for minors. These provisions apply retroactively to procedures performed before or after the Act's enactment.
The Jamie Reed Protecting Our Kids from Child Abuse Act introduces a federal right for individuals to sue medical providers for any bodily or mental harm resulting from gender-transition procedures received as a minor. Under Section 2, the bill defines these procedures as the use of puberty blockers, cross-sex hormones, or surgeries intended to align a minor’s body with a gender identity different from their biological sex. Crucially, the bill allows these lawsuits to be filed up until the individual turns 48 years old—a 30-year window after reaching adulthood—and applies retroactively to procedures performed even before the law is officially signed.
This isn't just about the surgeon in the operating room. The bill casts a wide net for who can be held financially responsible. According to Section 2, liability extends to the pediatric gender clinics, the individual doctors or practitioners involved, and even the hospitals or universities that partner with or fund those clinics. For a local university hospital or a specialized clinic, this means a single procedure performed today could result in a massive lawsuit decades down the road. If a court finds in favor of the plaintiff, the defendants could be on the hook for compensatory damages, punitive damages, and the plaintiff’s legal fees. There is one specific out: a provider has a defense if they truly didn't know, and had no reason to know, the patient was under 18.
The bill moves beyond the courtroom by targeting the bank accounts of medical institutions. Section 3 explicitly prohibits any federal funds from going to pediatric gender clinics or any hospital or university affiliated with one. For a large teaching hospital that relies on federal grants for research or Medicare/Medicaid reimbursements, this provision creates a high-stakes choice: continue offering these specific transition services to minors or risk losing a vital stream of federal tax dollars. This funding ban also applies directly to the procedures themselves, ensuring no federal money supports gender-transition care for anyone under 18.
While the bill is broad, it does draw some lines in the sand. It excludes procedures for individuals born with ambiguous biological sex characteristics (intersex conditions) and treatments for infections or injuries caused by previous transitions. It also allows for procedures certified by a doctor as necessary to prevent 'imminent danger of death' or major bodily impairment. However, the retroactive nature of the law (Section 4) means that doctors who followed the legal and medical standards of ten years ago could suddenly find themselves facing federal litigation today. For parents and families, this could mean a rapid shift in the healthcare landscape as providers weigh the risk of a 30-year liability window against the benefits of offering these services.