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This bill establishes federal criminal offenses for providing gender-affirming care to minors. The bill also changes the existing federal criminal offense that prohibits female genital mutilation (FGM) and related conduct.
Specifically, the bill makes it a federal crime to knowingly perform or attempt to perform procedures or provide medications (e.g., hormonal treatments) to a minor for the purpose of changing their body to correspond to a sex that differs from their biological sex. The bill provides exceptions for specified types of surgeries or procedures, including those for treating (1) individuals who have both ovarian and testicular tissue or abnormal sex chromosome structure or hormones, or (2) infections or other harms that result from a previous gender-transition procedure. A violation is punishable by a fine, a prison term of up to 10 years, or both. The bill prohibits the arrest or prosecution of an individual who undergoes gender-affirming procedures or medications.
Additionally, the bill makes changes to the existing federal criminal prohibition on performing FGM on a minor and related conduct. Among the changes, the bill broadens the scope of prohibited conduct to include the facilitation or consent to FGM by any person (currently, prohibited facilitation or consent applies only to a parent, guardian, or caretaker of the minor). The bill also prohibits the arrest or prosecution of an individual who undergoes FGM. The bill does not change the applicable criminal penalty of a fine, a prison term of up to 10 years, or both.
Written by the nonpartisan Congressional Research Service, describing H.R. 3492 as introduced in House on May 19, 2025. It is not the text of the measure; a later amendment may have changed what it does.
Dec 17, 2025Each bar: ✓ Yea from the bottom, ✕ Nay aboveDec 17, 2025
House Dec 17, 2025 · the primary vote
Protect Children’s Innocence Act
Passed
216 Yea 211 Nay 6 not voting
Party-line vote 7 of 427 voting members broke with their own party: 3 Democrats, 4 Republicans.
DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present
433 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 3492 and vote against it. 38 signed when it was filed.
Organizations that named H.R. 3492 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
42 disclosures name this measure. Retrieved from LDA.gov on 2026-10-25. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.