[Congressional Record Volume 172, Number 48 (Tuesday, March 17, 2026)]
[Senate]
[Pages S1132-S1133]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 4425. Mrs. BLACKBURN (for herself and Mr. Tuberville) submitted an 
amendment intended to be proposed to amendment SA 4420 proposed by Mr. 
Thune (for Mr. Schmitt) to the bill S. 1383, to establish the Veterans 
Advisory Committee on Equal Access, and for other purposes; which was 
ordered to lie on the table; as follows:

        Strike title III and insert the following:

                   TITLE III--SAVE AMERICAN CHILDREN

     SEC. 301. GENITAL AND BODILY MUTILATION OF A MINOR; CHEMICAL 
                   CASTRATION OF A MINOR.

       (a) In General.--Section 116 of title 18, United States 
     Code, is amended to read as follows:

     ``Sec. 116. Genital and bodily mutilation of a minor; 
       chemical castration of a minor

       ``(a) Genital or Bodily Mutilation.--Except as provided in 
     subsection (g), whoever, in any circumstance described in 
     subsection (d), knowingly performs, or attempts to perform, 
     genital or bodily mutilation on another person who is a 
     minor, shall be fined under this title, imprisoned not more 
     than 10 years, or both.
       ``(b) Chemical Castration of a Minor.--Except as provided 
     in subsection (g), whoever, in any circumstance described in 
     subsection (d), knowingly chemically castrates a minor shall 
     be fined under this title, imprisoned not more than 10 years, 
     or both.
       ``(c) Certain Offense Related to Female Genital 
     Mutilation.--Except as provided in subsection (g), whoever, 
     in any circumstance described in subsection (d), knowingly--
       ``(1) facilitates or consents to female genital mutilation 
     of a minor; or
       ``(2) transports a minor for the purpose of the performance 
     of female genital mutilation on such minor,
     shall be fined under this title, imprisoned not more than 10 
     years, or both.
       ``(d) Circumstances Described.--For the purposes of 
     subsections (a) and (b), the circumstances described in this 
     subsection are that--
       ``(1) the defendant or victim traveled in interstate or 
     foreign commerce, or traveled using a means, channel, 
     facility, or instrumentality of interstate or foreign 
     commerce, in furtherance of or in connection with the conduct 
     described in subsection (a) or (b);
       ``(2) the defendant used a means, channel, facility, or 
     instrumentality of interstate or foreign commerce in 
     furtherance of or in connection with the conduct described in 
     subsection (a) or (b);
       ``(3) any payment of any kind was made, directly or 
     indirectly, in furtherance of or in connection with the 
     conduct described in subsection (a) or (b) using any means, 
     channel, facility, or instrumentality of interstate or 
     foreign commerce or in interstate or foreign commerce;
       ``(4) the defendant transmitted in interstate or foreign 
     commerce any communication relating to or in furtherance of 
     the conduct described in subsection (a) or (b) using any 
     means, channel, facility, or instrumentality of interstate or 
     foreign commerce or in interstate or foreign commerce by any 
     means or in manner, including by computer, mail, wire, or 
     electromagnetic transmission;
       ``(5) any instrument, item, substance, or other object that 
     has traveled in interstate or foreign commerce was used to 
     perform the conduct described in subsection (a) or (b);
       ``(6) the conduct described in subsection (a) or (b) 
     occurred within the special maritime and territorial 
     jurisdiction of the United States, or any territory or 
     possession of the United States; or
       ``(7) the conduct described in subsection (a) or (b) 
     otherwise occurred in interstate or foreign commerce.
       ``(e) Prohibition on Certain Defense.--It shall not be a 
     defense to a prosecution under subsection (a) that female 
     genital mutilation is required as a matter of religion, 
     custom, tradition, ritual, or standard practice.
       ``(f) Prohibition on Prosecution of Victim.--No person who 
     is chemically castrated or on whom genital or bodily 
     mutilation is performed may be arrested or prosecuted for an 
     offense under this section.
       ``(g) Exceptions.--
       ``(1) Procedures.--
       ``(A) In general.--Genital or bodily mutilation or chemical 
     castration is not a violation of this section if such genital 
     or bodily mutilation or chemical castration is--
       ``(i) necessary to the health of the minor on whom it is 
     conducted, and is conducted by a person licensed in the place 
     of such conduct as a medical practitioner; or
       ``(ii) in the case of female genital mutilation, performed 
     on a minor in labor or who has just given birth and is 
     performed for medical purposes connected with that labor or 
     birth by a person licensed in the place it is performed as a 
     medical practitioner, midwife, or person in training to 
     become such a practitioner or midwife.
       ``(B) Health of a minor.--For the purposes of subparagraph 
     (A), the health of a minor does not include--
       ``(i) mental, behavioral, or emotional distress; or
       ``(ii) a mental, behavioral, or emotional disorder.
       ``(2) Exemption.--Genital or bodily mutilation or chemical 
     castration is not a violation of this section if such genital 
     or bodily mutilation or chemical castration is conducted with 
     respect to any of the following individuals:
       ``(A) An individual with both ovarian and testicular 
     tissue.
       ``(B) An individual with respect to whom a physician has 
     determined through genetic or biochemical testing that the 
     individual does not have normal sex chromosome structure, sex 
     steroid hormone production, or sex steroid hormone action.
       ``(C) An individual experiencing infection, disease, 
     injury, or disorder caused or exacerbated by a previous 
     genital or bodily mutilation procedure or chemical 
     castration.
       ``(D) An individual suffering from a physical disorder, 
     physical injury, or physical illness that would, as certified 
     by a physician, place the individual in imminent danger of 
     impairment of a major bodily function unless the procedure is 
     performed.
       ``(E) An individual diagnosed with precocious puberty, to 
     the extent such genital or bodily mutilation or chemical 
     castration is for the purpose of normalizing puberty.
       ``(h) Civil Action.--
       ``(1) In general.--Any individual on whom a genital or 
     bodily mutilation was performed in violation of this section 
     may bring a civil action in an appropriate district court of 
     the United States against the person who performed, 
     facilitated, or otherwise caused the violation.
       ``(2) Relief.--In a civil action brought under this 
     subsection, the court may award--
       ``(A) compensatory damages;
       ``(B) punitive damages;
       ``(C) reasonable attorney's fees and costs; and
       ``(D) any other appropriate relief.
       ``(3) Limitation period.--An action under this subsection 
     may be brought not later than 20 years after the date on 
     which the individual reaches 18 years of age.
       ``(i) Definitions.--In this section:
       ``(1) Chemical castration.-- The term `chemical castration' 
     means administering, supplying, prescribing, dispensing, 
     distributing, or otherwise conveying to an individual 
     medications for the purposes described in paragraph (1)(B), 
     including--
       ``(A) gonadotropin-releasing hormone (GnRH) analogues or 
     other puberty-blocking drugs to stop or delay normal puberty; 
     and
       ``(B) testosterone, estrogen, or other androgens to an 
     individual at doses that are higher than would normally be 
     produced endogenously in a healthy individual of the same age 
     and sex.
       ``(2) Female.--The term `female' means a person who 
     naturally has, had, will have, or would have, but for a 
     congenital anomaly, historical accident, or intentional or 
     unintentional disruption, the reproductive system that at 
     some point produces, transports, and utilizes eggs for 
     fertilization.
       ``(3) Female genital mutilation.--The term `female genital 
     mutilation' means any procedure performed for non-medical 
     reasons that involves partial or total removal of, or other 
     injury to, the external female genitalia, and includes--

[[Page S1133]]

       ``(A) a clitoridectomy or the partial or total removal of 
     the clitoris or the prepuce or clitoral hood;
       ``(B) excision or the partial or total removal (with or 
     without excision of the clitoris) of the labia minora or the 
     labia majora, or both;
       ``(C) infibulation or the narrowing of the vaginal opening 
     (with or without excision of the clitoris); or
       ``(D) other procedures that are harmful to the external 
     female genitalia, including pricking, incising, scraping, or 
     cauterizing the genital area.
       ``(4) Genital or bodily mutilation.--The term `genital or 
     bodily mutilation' means, with respect to an individual, any 
     of the following:
       ``(A) Female genital mutilation.
       ``(B) Any surgery performed for the purpose of 
     intentionally changing the body of such individual (including 
     by disrupting the body's development, inhibiting its natural 
     functions, or modifying its appearance) to no longer 
     correspond to the individual's sex, including--
       ``(i) castration;
       ``(ii) orchiectomy;
       ``(iii) scrotoplasty;
       ``(iv) vasectomy;
       ``(v) hysterectomy;
       ``(vi) oophorectomy;
       ``(vii) ovariectomy;
       ``(viii) metoidioplasty;
       ``(ix) penectomy;
       ``(x) phalloplasty;
       ``(xi) vaginoplasty;
       ``(xii) vaginectomy;
       ``(xiii) vulvoplasty;
       ``(xiv) reduction thyrochondroplasty;
       ``(xv) chondrolaryngoplasty; and
       ``(xvi) mastectomy.
       ``(C) Any plastic surgery that feminizes or masculinizes 
     the facial or other physiological features for the purposes 
     described in subparagraph (B).
       ``(D) Any placement of chest implants to create feminine 
     breasts for the purposes described in subparagraph (B).
       ``(E) Any placement of fat or artificial implants in the 
     gluteal region for the purposes described in subparagraph 
     (B).
       ``(F) Any surgery to reconstruct the fixed part of the 
     urethra, whether or not such surgery includes a 
     metoidioplasty or a phalloplasty, for the purposes described 
     in subparagraph (B).
       ``(5) Male.--The term `male' means a person who naturally 
     has, had, will have, or would have, but for a congenital 
     anomaly, historical accident, or intentional or unintentional 
     disruption, the reproductive system that at some point 
     produces, transports, and utilizes sperm for fertilization.
       ``(6) Minor.--The term `minor' means any person under the 
     age of eighteen years.
       ``(7) Sex.--The term `sex' means the immutable biological 
     classification of an individual as either male or female.''.
       (b) Clerical Amendment.--The table of sections for chapter 
     7 of title 18, United States Code, is amended by striking the 
     item related to section 116 and inserting the following:

``116. Genital and bodily mutilation of a minor; chemical castration of 
              a minor.''.

     SEC. 302. EFFECTIVE DATE.

       This title takes effect 1 day after the date of enactment 
     of this Act.
                                 ______