Senate
File
2213
-
Introduced
SENATE
FILE
2213
BY
CHAPMAN
A
BILL
FOR
An
Act
prohibiting
the
performance
of
certain
practices
on
a
1
minor
related
to
the
minor’s
sex,
and
providing
penalties.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
NEW
SECTION
.
147.163
Prohibited
practices
——
1
change
of
minor’s
sex
——
penalties.
2
1.
As
used
in
this
chapter,
unless
the
context
otherwise
3
requires:
4
a.
“Health
care
professional”
means
a
physician
or
other
5
health
care
practitioner
licensed,
accredited,
registered,
or
6
certified
to
perform
specified
health
care
services
consistent
7
with
state
law.
8
b.
“Minor”
means
an
unemancipated
individual
under
eighteen
9
years
of
age.
10
c.
“Parent”
means
a
parent,
custodian,
or
guardian
as
11
defined
in
section
232.2.
12
d.
“Sex”
means
the
biological
state
of
being
female
or
13
male,
based
on
sex
organs,
chromosomes,
and
endogenous
hormone
14
profiles.
15
2.
A
health
care
professional
who
engages
in
any
of
the
16
following
practices
upon
a
minor
or
who
causes
such
practices
17
to
be
performed
upon
a
minor,
for
the
purpose
of
attempting
18
to
change
the
minor’s
sex
or
for
the
purpose
of
affirming
the
19
minor’s
perception
of
the
minor’s
sex
if
that
perception
is
20
inconsistent
with
the
minor’s
sex,
commits
a
class
“B”
felony:
21
a.
Performing
a
surgery
that
sterilizes,
including
22
castration,
vasectomy,
hysterectomy,
oophorectomy,
23
metoidioplasty,
orchiectomy,
penectomy,
phalloplasty,
and
24
vaginoplasty.
25
b.
Performing
a
mastectomy.
26
c.
Administering,
prescribing,
or
supplying
the
following
27
medications
that
induce
transient
or
permanent
infertility:
28
(1)
Puberty-blocking
medication
to
stop
or
delay
normal
29
puberty.
30
(2)
Supraphysiologic
doses
of
testosterone
to
members
of
31
the
female
sex.
32
(3)
Supraphysiologic
doses
of
estrogen
to
members
of
the
33
male
sex.
34
d.
Removing
any
otherwise
healthy
or
nondiseased
body
part
35
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or
tissue.
1
3.
This
section
shall
not
apply
to
a
health
care
2
professional
acting
in
accordance
with
a
good-faith
medical
3
decision
of
a
parent
of
a
minor
born
with
a
medically
4
verifiable
genetic
disorder
of
sexual
development,
including
5
any
of
the
following:
6
a.
A
minor
with
external
biological
sex
characteristics
that
7
are
irresolvably
ambiguous,
such
as
a
minor
born
with
forty-six
8
XX
chromosomes
with
virilization,
forty-six
XY
chromosomes
with
9
undervirilization,
or
with
both
ovarian
and
testicular
tissue.
10
b.
A
sexual
development
disorder
whereby
a
physician
has
11
determined
through
genetic
testing
that
the
minor
does
not
have
12
the
normal
sex
chromosome
structure
for
a
male
or
female.
13
EXPLANATION
14
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
15
the
explanation’s
substance
by
the
members
of
the
general
assembly.
16
This
bill
prohibits
a
health
care
professional
from
engaging
17
in
certain
practices
upon
a
minor
and
from
causing
such
18
practices
to
be
performed
upon
a
minor,
for
the
purpose
of
19
attempting
to
change
the
minor’s
sex
or
for
the
purpose
of
20
affirming
the
minor’s
perception
of
the
minor’s
sex
if
that
21
perception
is
inconsistent
with
the
minor’s
sex.
A
health
22
care
professional
who
violates
the
bill
commits
a
class
“B”
23
felony.
A
class
“B”
felony
is
punishable
by
confinement
for
no
24
more
than
25
years.
The
bill’s
prohibitions
do
not
apply
to
a
25
health
care
professional
acting
in
accordance
with
a
good-faith
26
medical
decision
of
a
parent
of
a
minor
born
with
a
medically
27
verifiable
genetic
disorder
of
sexual
development.
28
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