The House of Representatives narrowly approved legislation that would make gender transition treatments for minors a federal crime. Passed by a 216–211 vote largely along party lines, the bill would ban surgeries and hormone treatments for minors and allow penalties of up to ten years in federal prison for medical providers.

Civil rights organizations denounced the proposal as “one of the most extreme anti-transgender measures ever considered by Congress.” Despite House approval, the bill is unlikely to advance in the Senate without bipartisan backing.

The vote underscored the influence of ultraconservative Republicans and closely aligned with President Donald Trump’s agenda on gender-affirming care. Representative Marjorie Taylor Greene of Georgia pushed House Speaker Mike Johnson to bring the measure to the floor, arguing that Congress must codify Trump’s executive order restricting such care and calling the effort “fulfilling a major campaign promise.”

Supporters of the bill claimed that gender transition treatments for minors amount to “ideological indoctrination” and cause harm to children. Republican lawmakers argued the care is “not medically necessary” and accused Democrats of misleading families about its effects.

Democrats strongly opposed the legislation, warning it would replace medical judgment with political ideology. They argued the bill targets a small and vulnerable population, criminalizes doctors, infringes on parental rights, and exposes private family medical decisions to government oversight.