1. Short title This Act may be cited as the Protect Children’s Innocence Act . I Gender-affirming care on minors prohibited 101. Gender-affirming care on minors prohibited Chapter 110 of title 18, United States Code, is amended— (1) by adding at the end the following: 2260B. Gender-affirming care on minors (a) Definitions In this section: (1) Biological sex The term biological sex means the indication of male or female sex by reproductive potential or capacity, sex chromosomes, naturally occurring sex hormones, gonads, or internal or external genitalia present at birth. (2) Gender-affirming care (A) In general Except as provided in subparagraph (B), the term gender-affirming care means, with respect to an individual, any of the following: (i) Performing any surgery for the purpose of changing the body of the individual to correspond to a sex that differs from the individual's biological 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. (ii) Any plastic surgery that feminizes or masculinizes the facial features of the individual for the purposes described in clause (i). (iii) Any placement of chest implants in the individual to create feminine breasts for the purposes described in clause (i). (iv) Any placement of fat or artificial implants in the gluteal region of the individual for the purposes described in clause (i). (v) Administering, supplying, prescribing, dispensing, distributing, or otherwise conveying to the individual medications for the purposes described in clause (i), including— (I) gonadotropin-releasing hormone (commonly known as GnRH ) analogues or other puberty-blocking drugs to stop or delay normal puberty