; and (III) estrogen to a biological male at doses that are supraphysiologic to the male sex. (B) Exception Subparagraph (A) shall not apply to conduct with respect to the following individuals: (i) An individual with both ovarian and testicular tissue. (ii) An individual who does not have normal sex chromosome structure, sex steroid hormone production, or sex steroid hormone action, as determined by a physician through genetic or biochemical testing. (iii) An individual experiencing infection, disease, injury, or disorder caused or exacerbated by previous gender transition procedures. (iv) 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 death or impairment of a major bodily function unless a procedure described in that subparagraph is performed. (3) Minor The term minor means any individual under the age of 18 years. (b) Prohibition on performing gender-affirming care on minors (1) Offense It shall be unlawful, in any circumstance described in subsection (e), to knowingly perform any gender-affirming care on a minor. (2) Penalty Any person who violates paragraph (1) shall be fined under this title, imprisoned for not more than 12 years, or both. (c) Prohibition on prosecution of person on whom intervention is performed A person on whom gender-affirming care is performed may not be arrested or prosecuted for an offense under subsection (b). (d) Civil action A person on whom gender-affirming care is performed in violation of subsection (b) may bring a civil action in an appropriate district court of the United States for appropriate relief, including compensatory and punitive damages, against each person who performed the gender-affirming care. (e) Circumstances described The circumstances referred to in subsection (b) 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