; (2) by striking the period at the end of paragraph (8) and inserting ; and ; and (3) by adding at the end the following: (9) such agency or association does not accredit any institution that offers instruction in gender-affirming care (as defined in section 2260B of title 18, United States Code). . 402. Immigration consequences with respect to providing gender-affirming care (a) Definition of gender-Affirming care Section 101(a) of the Immigration and Nationality Act (8 U.S.C. 1101(a)) is amended by adding at the end the following: (53) The term gender-affirming care shall have the meaning given such term in section 2260B of title 18, United States Code. . (b) Classes of aliens ineligible for visas or admission Section 212(a)(1)(A) of the Immigration and Nationality Act (8 U.S.C. 1182(a)(1)(A)) is amended— (1) in clause (iii)(II), by striking or at the end; (2) in clause (iv), by striking the comma at the end and inserting , or ; and (3) by inserting after clause (iv) the following: (v) who is determined to have performed gender-affirming care on a child that has not attained the age of 18 years old, . (c) Classes of deportable aliens Section 237(a) of the Immigration and Nationality Act (8 U.S.C. 1227(a)) is amended by adding at the end the following: (8) Gender-affirming care Any alien who has performed gender-affirming care on a child who has not attained the age of 18 years old is deportable. .