§2. Imposition of sanctions
This section requires the President to impose visa sanctions—inadmissibility to the United States, ineligibility for visas or other entry documentation, and revocation of current visas—on foreign persons determined to (1) be members of the World Professional Association for Transgender Health; (2) as duly licensed physicians, have performed, prescribed, or otherwise facilitated chemical or surgical mutilations of U.S. persons; or (3) own or operate a clinic, hospital, pharmacy, or other medical institution that performs, prescribes, or facilitates such mutilations of U.S. persons.
It directs the Secretary of State to establish procedures for individuals to submit information identifying such foreign persons and requires a report to Congress within 180 days of enactment detailing implementation actions, the number of persons sanctioned, and recommended additional measures to discourage foreign provision of gender transitions to U.S. persons.
It provides exceptions for compliance with U.S. international obligations (including the U.N. Headquarters Agreement), whistleblowers who provide identifying information and no longer perform such acts, and presidential waivers in the national security interest of the United States.
It defines "chemical or surgical mutilation" as the use of puberty blockers, cross-sex hormones, or surgeries intended to halt natural puberty or alter the body to not correspond to an individual's sex (with exclusions for treating disorders of sexual development, complications from prior interventions, or unrelated traumatic injuries, congenital anomalies, or acute illnesses).