This bill broadly prohibits the use of federal funds for sex-trait altering treatments for minors, encompassing payment, sponsorship, promotion, assistance, or support of such services. It also bars federal funds from being used for regulatory actions that promote these treatments and withholds funding from medical institutions, including hospitals and clinics, that provide them to minors. The legislation establishes a parental right to decline sex-trait altering treatments for their minor children, stipulating that states with policies providing treatment without parental consent or separating minors based on parental refusal will lose specified federal funds. Healthcare providers are mandated to obtain written, informed consent from parents, following a 72-hour consultation and provision of a complete list of potential side effects, before furnishing any such treatment. Furthermore, the bill creates a right of conscience for healthcare providers, protecting them from penalties or discrimination if they decline to participate in sex-trait altering treatments. It also allows individuals harmed by these treatments as minors to bring medical malpractice civil actions , potentially receiving treble damages, with an extended 30-year statute of limitations. Federal funds are also prohibited for schools that allow personnel to provide or support these treatments to students without parental notification and written approval.