House Passes MTG’s Bill To Outlaw Controversial Medical Practice

House lawmakers narrowly approved legislation Wednesday that would make transgender medical procedures for minors a federal crime.

The Protect Children’s Innocence Act cleared the House by a razor-thin 216 to 211 vote, advancing a proposal that would criminalize surgeries and hormonal treatments intended to alter a child’s gender, while carving out limited exceptions for rare medical conditions.

The bill would impose steep penalties on medical professionals who violate the law, including fines and prison sentences of up to 10 years.

Children who undergo the procedures would not face criminal charges under the legislation.

Rep. Marjorie Taylor Greene (R-GA), the bill’s chief sponsor, framed the vote as a moral and generational stand, warning that Congress has a responsibility to intervene when irreversible medical decisions are being made on behalf of minors.

Protecting children is not optional, it’s our duty.

Today on the House floor, I spoke for the voiceless: America’s kids.

Children are not old enough to vote, drive, or get a tattoo and they are certainly not old enough to be chemically castrated or permanently mutilated!!!… pic.twitter.com/LGR1XE1Usa

— Rep. Marjorie Taylor Greene🇺🇸 (@RepMTG) December 17, 2025

“Protecting children is not optional, it’s our duty,” Greene said ahead of the vote, arguing that minors lack the maturity to consent to life-altering medical interventions.

“Children are not old enough to vote, drive, or get a tattoo and they are certainly not old enough to be chemically castrated or permanently mutilated,” she continued. “This is common sense. This is good vs. evil.”

The legislation would charge doctors with a federal crime if they attempt to provide hormonal treatments or surgical procedures designed to make a child’s gender differ from their biological sex.

The bill targets what supporters refer to as so-called gender-affirming care, a term Greene and others reject.

🚨Exciting news!! My Protect Children’s Innocence Act just PASSED the House!!!

This is a win for children all over America!!

Thank you to the 3 Democrats that voted to protect kids: Rep. Cueller, Davis (NC), & Gonzalez!

Unfortunately, 4 Republicans decided NOT to vote to… pic.twitter.com/zn5k1k3SOA

— Rep. Marjorie Taylor Greene🇺🇸 (@RepMTG) December 18, 2025

“Children are NOT experiments. No more drugs. No more surgeries. No more permanent harm,” Greene tweeted in the lead-up to the vote.

“We need to let kids grow up without manipulation from adults to make life altering decisions! Congress must protect America’s children!!!”

The bill’s path to passage was not without internal Republican tension. Greene publicly clashed with Rep. Chip Roy of Texas after he introduced an amendment that would have altered how federal jurisdiction applied under the commerce clause.

Roy’s proposal sought to limit criminal liability in certain cases by more narrowly defining when prohibited conduct falls within federal authority.

According to the House Rules Committee, the amendment was designed to clarify jurisdictional boundaries.

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Greene blasted the move, accusing Roy of weakening the bill’s core protections.

She argued that her legislation was designed to criminalize all pediatric gender-related medical interventions, regardless of whether federal funds were involved.

“WTF is Chip Roy doing????? And this guy wants to be attorney general of Texas but refuses to protect children??!!!” Greene wrote online.

Roy responded by defending constitutional limits on federal power, saying that the Constitution still matters and warning against stretching interstate commerce to justify enforcement.

Ultimately, however, Roy backed down, announcing Wednesday that he would not offer the amendment.

He said the decision was made “to avoid any confusion about how united Republicans are in protecting children from these grotesque procedures.”

The bill was co-sponsored by 45 House Republicans, signaling broad support within the GOP conference despite the narrow margin.

Three Democrats broke with their party to vote in favor of the legislation: Reps. Vicente Gonzales and Henry Cuellar of Texas, along with Rep. Don Davis of North Carolina.

Meanwhile, four Republicans voted against the bill, including Reps. Mike Kennedy of Utah, Brian Fitzpatrick of Pennsylvania, Gabe Evans of Colorado, and Mike Lawler of New York.

During floor debate, Greene used provocative rhetoric to illustrate her position on childhood decision-making.

“If a child believes they’re a unicorn, do adults take their word for it as well?” she asked.

Greene, a high-profile conservative firebrand, is scheduled to formally resign from the House on Jan. 5, 2026, adding further weight to what could be one of her final major legislative battles.

Opposition to the bill was led by Rep. Sarah McBride of Delaware, the first openly transgender member of Congress.

McBride spoke emotionally against the measure, sharing her personal story and arguing that government officials should not intervene in medical decisions.

“I was a kid once. And my biggest regret in life is that I never got a childhood without pain,” McBride said during debate.

I was a kid once. And my biggest regret in life is that I never got a childhood without pain.

Politicians should never insert themselves into the personal health care decisions of patients, parents, and their providers—and that includes trans Americans. pic.twitter.com/nRGtRAoEew

— Congresswoman Sarah McBride (@Rep_McBride) December 17, 2025

“Politicians should never insert themselves into the personal health care decisions of patients, parents, and their providers — and that includes trans Americans,” she continued.

Despite passage in the House, the legislation faces a steep climb in the Senate, where it would likely encounter the 60-vote filibuster threshold.

At least 26 states already have laws restricting hormone therapy or gender transition surgeries for minors.

The vote came amid a busy legislative day for House Republicans, who also advanced a separate package of health care policies aimed at offering a conservative alternative to extending expiring ObamaCare subsidies.

That measure, titled the Lower Health Care Premiums for All Americans Act, passed largely along party lines and included provisions popular with Republicans, such as funding cost-sharing reductions, reforms to pharmacy benefit managers, and an expansion of association health plans.

The bill did not address the looming expiration of enhanced Affordable Care Act tax credits, a change expected to impact roughly 22 million Americans when the subsidies sunset on Dec. 31.

The GOP health care package passed 216 to 211, with Rep. Thomas Massie of Kentucky joining Democrats in opposing the legislation. Like the transgender procedures bill, it is not expected to advance in the Senate.

Across the Capitol, Senate Democrats announced a 2026 initiative aimed at lowering costs tied to health care, energy, housing, groceries, and tariffs, though few specifics were offered.

“We believe that the cost of living shouldn’t be a constant crisis. It should be something that the American people can live with and contain,” Senate Minority Leader Charles E. Schumer of New York said.

“And while we don’t know what 2026 will bring, I can promise you this: Democrats will fight making costs our highest priority,” Schumer added.

Democrats said they plan to promote their ideas during future Senate debates, even as some acknowledged difficulty working with Republicans.

Sen. Elizabeth Warren, who is expected to take the lead on housing affordability, accused House Republicans of blocking bipartisan efforts to expand affordable housing supply.

“Through tariffs and through obstruction of legislation, Republicans are directly driving up the cost of housing right now in America,” Warren stated.

“If Republicans are not going to bring down the cost of housing, then leave it to the Democrats,” she added.

“Because when we’re in charge of this place, we are going to bring down housing costs.”

The House also rejected two Democratic-led resolutions Wednesday aimed at curtailing President Donald Trump’s military actions in the Caribbean and against Venezuela.

One resolution, introduced by Rep. Gregory Meeks of New York, sought to halt U.S. strikes on suspected drug-smuggling boats unless explicitly authorized by Congress.

That measure failed 210 to 216, with Reps. Don Bacon of Nebraska and Thomas Massie voting with most Democrats, while Reps. Cuellar and Gonzales joined Republicans in opposition.

A second resolution, offered by Rep. Jim McGovern of Massachusetts, would have required the removal of U.S. Armed Forces from hostilities involving Venezuela without congressional approval.

It failed 211 to 213. Bacon, Massie, and Greene voted with most Democrats, while Cuellar voted no and Gonzales did not vote despite opposing the first resolution.