This bill, known as the SAFE Home Act, amends the Social Security Act to modify requirements for state plans under the Federal Foster Care and Adoption Assistance Program. It mandates that states prohibit any entity receiving federal assistance for adoption or foster care placements from delaying or denying a child's placement, or otherwise discriminating, under specific conditions. These conditions relate to a prospective or actual parent's decisions regarding a child's biological sex. Specifically, discrimination is prohibited if a parent raises a child in a manner consistent with their biological sex. It also prevents discrimination against parents who decline to consent to medical treatments, surgeries, or psychological services intended to alter a child's appearance or validate a perception of sex inconsistent with their biological sex. Furthermore, entities cannot discriminate if a parent declines to consent to changes in government-issued identification documents that would be inconsistent with the child's biological sex. The bill explicitly defines "sex" as biological sex , either male or female, based on specific reproductive system characteristics.