; (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(d) of title 18, United States Code). . 402. Immigration consequences with respect to providing gender-affirming care (a) Definitions 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(d) 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), strike or at the end; (2) in clause (iv), strike the comma at the end and insert , or ; and (3) by adding at the end 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 that has not attained the age of 18 years old is deportable. .