; (2) providing, promoting, referring to, or otherwise assisting in the use of devices, medical and otherwise, such as binders, packers, or padding, that promote changes to the minor’s physical appearance so that it aligns with the opposite biological sex for the purpose of recognizing or promoting a self-professed identity that is incongruent with their biological sex, without the consent of a custodial parent or legal guardian; and (3) carrying out any other action designed to assist a minor in the promotion or adoption of their self-professed gender identity and denial of their biological sex, without the consent of a custodial parent or legal guardian. (b) Definitions In this section: (1) Biological sex The term biological sex means the biological indicators of male or female in the context of reproductive potential or capacity, such as sex chromosomes, naturally occurring sex hormones, gonads, and non-ambiguous internal and external genitalia present at birth, without regard to an individual’s psychological, chosen, or subjective experience of gender. (2) Gender The term gender means the psychological, behavioral, social, and cultural aspects of being male or female. (3) School employee The term school employee includes— (A) a teacher, substitute teacher, school administrator, school superintendent, guidance counselor, psychologist, social worker, nurse, physician, school paraprofessional or coach employed by a public elementary or secondary school or local educational agency in a State; (B) an individual associated with the administration or financing of an extracurricular activity hosted by or at a public elementary or secondary school