This bill federally prohibits gender transition procedures for individuals under the age of 18, defining such procedures broadly to include various hormonal, pharmaceutical, and surgical interventions. It explicitly excludes treatments for diagnosed disorders of sex development, life-threatening physical conditions, and procedures aimed at reversing prior gender transitions. The legislation establishes federal jurisdiction over these prohibitions through interstate commerce clauses. Any person who knowingly performs, attempts, conspires to perform, or aids in a gender transition procedure on a minor faces substantial civil monetary penalties of not less than $100,000 per violation . Employers are held jointly and severally liable for violations by their employees. These penalties are directed into a "Victims of Gender Transition Procedures Compensation Fund," though minors or their parents/guardians are exempt from liability. The bill also creates a private civil action , allowing individuals who underwent prohibited procedures as minors, or their parents/guardians, to sue for compensatory, non-economic, and punitive damages. This right of action has a lengthy statute of limitations. Importantly, the bill clarifies that providing counseling or discussing treatment options does not constitute a violation unless it directly involves participation in a prohibited procedure. Finally, the legislation mandates the Secretary of Health and Human Services to establish a grant program . This program will fund private nonprofit entities that provide information, referrals, and direct services to individuals seeking to reverse gender transition procedures, including medical advice, education, employment assistance, and mental health support. Entities involved in gender transition procedures or most abortions are ineligible for these grants.