NEGATIVE LGBTQ+ Rights 119th Congress

H.R.3492 Protect Childrens Innocence Act

Criminalizes gender-affirming healthcare for minors, making it a felony for doctors to provide puberty blockers or hormones (119th Congress)

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Legal & Constitutional Grounding

AAP, Endocrine Society, and AMA support evidence-based gender-affirming care for minors; criminalization contradicts medical consensus.

AAP Policy Statement (2018): gender-affirming care for minors is evidence-based and medically necessary

Endocrine Society Clinical Practice Guideline (2017): puberty blockers are reversible and well-studied
AMA: criminalizing evidence-based care contradicts medical consensus

Who Lobbied on This Bill

$320K combined quarterly activity

5 lobbying firms

5 clients represented

2025-fourth_quarter–2026-first_quarter filing period

⚠ 4 lobbyists who worked this bill previously held government positions

Show all 4

AMY FRIEDRICH-KARNIK — Director of Federal Policy
ANN NOLI VEGA — Senior Digital Communications Manager
ANNA BERNSTEIN — Principal Policy Advisor
SAMIRA DAMAVANDI — Senior Federal Policy Associate

Policy Areas Covered

Civil Rights/Civil Liberties Family issues/Abortion/Adoption Health Issues

Government Entities Lobbied

Administration for Children & Families (ACF)
Agriculture, Dept of (USDA)
Centers For Disease Control & Prevention (CDC)
Centers For Medicare and Medicaid Services (CMS)
Consumer Product Safety Commission (CPSC)
Drug Enforcement Administration (DEA)
Environmental Protection Agency (EPA)
Food & Drug Administration (FDA)
HOUSE OF REPRESENTATIVES
Health & Human Services, Dept of (HHS)
Health Resources & Services Administration (HRSA)
Homeland Security, Dept of (DHS)
Housing & Urban Development, Dept of (HUD)
Indian Health Service
Interior, Dept of (DOI)
Natl Institutes of Health (NIH)
Office of the Comptroller of the Currency (OCC)
SENATE
Social Security Administration (SSA)
State, Dept of (DOS)
U.S. Agency for International Development (USAID)
U.S. Commission on International Religious Freedom
White House Office

Who Hired the Lobbyists

ALLIANCE DEFENDING FREEDOM Religious Liberty, Life, Parental Rights, Free Speech
REPRODUCTIVE FREEDOM FOR ALL
AMERICAN CIVIL LIBERTIES UNION Protecting civil liberties
AMERICAN ACADEMY OF PEDIATRICS
GUTTMACHER INSTITUTE

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

Criminalizes gender-affirming care for minors. Every major medical association (AMA, AAP, Endocrine Society) supports evidence-based gender-affirming care for minors.