Revision: May 21, 2025, 4:15 p.m.
Senate Health and Human Services
May 21, 2025
2025-2354s
11/09
Amendment to HB 377-FN
Amend the bill by replacing all after section 1 with the following:
2 New Chapter; Prohibiting Medical Procedures and Treatments Intended to Alter a Minor's Gender. Amend RSA by inserting after chapter 332-M the following new chapter:
CHAPTER 332-N
PROHIBITING MEDICAL PROCEDURES AND TREATMENTS
INTENDED TO ALTER A MINOR'S GENDER
332-N:1 Definitions. As used in this chapter:
I. "Biological sex" shall mean the male and female biological sexes.
II. "Minor" means a person under 18 years of age.
III. "Person" includes any of the following:
(a) Any individual.
(b) Any agent, employee, official, or contractor of any legal entity.
(c) Any agent, employee, official, or contractor of a school district or the state or any of its political subdivisions or agencies.
332-N:2 Prohibitions for Health Care Providers.
I. Except as provided in paragraphs II and III, a person shall not knowingly perform or offer to perform on a minor, or administer or offer to administer to a minor, a medical procedure, including but not limited to a puberty-blocking or cross-sex hormone medication, if the performance or administration of the procedure or medication is for the purpose of altering or attempting to alter the appearance of or affirm the minor's perception of his or her gender or sex, if that perception is inconsistent with the minor's biological sex as defined in this chapter:
(a) Enabling a minor to identify with, or live as, a purported identity inconsistent with the minor's biological sex; or
(b) Treating purported discomfort or distress from a discordance between the minor's biological sex and asserted identity.
II. Paragraph I shall not apply to a procedure undertaken to treat a minor born with a medically verifiable disorder of sex development as defined in RSA 332-M:2, II.
III. Paragraph I shall not apply to health care providers who, prior to January 1, 2026, performed a procedure or prescribed a medication or treatment consistent with paragraph I, and whose further direction or administration of medication or treatment to the minor after January 1, 2026 is related to the original procedure, prescription, or treatment.
IV. A person who is found to have violated this section by the board of medicine shall be subject to administrative disciplinary action under RSA 310 and shall not be subject to criminal liability.
3 Effective Date. This act shall take effect January 1, 2026.
2025-2354s
AMENDED ANALYSIS
This bill prohibits the performance of a medical procedure or the prescription or issuance of medication, upon or to a minor child, that is intended to alter the minor child's gender.