The civic record
Read. Follow. Verify.The STOP Act (S. 4426)
Last action · April 29, 2026: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Sponsors: Roger Marshall and 1 other
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What This Bill Would Do
This bill proposes a federal ban on s for individuals under the age of 18. It authorizes the Secretary of Health and Human Services to impose civil penalties on any person who performs these procedures on minors.
If passed, this bill would establish a nationwide prohibition on specific medical and surgical interventions for minors, overriding state-level policies and creating federal financial penalties for healthcare providers who perform these procedures.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Minors under 18
The bill restricts the availability of specific medical and surgical procedures for this age group.
Healthcare providers
Providers are subject to federal civil penalties if they perform the defined gender transition procedures on minors.
Department of Health and Human Services
The agency is tasked with the authority to enforce the prohibition and impose civil penalties.
Key Facts
- The bill prohibits any person from performing gender transition procedures on individuals under 18 years of age.
- The Secretary of Health and Human Services is authorized to impose civil penalties on those who perform these procedures on minors.
- The bill defines 'gender transition procedure' to include a wide range of hormonal, pharmaceutical, and surgical interventions, including puberty blockers, hormone therapy, and various surgeries.
- The bill provides specific exclusions for individuals with diagnosed disorders of sex development, such as those with ambiguous external sex characteristics or chromosomal variations.
Show all 10 facts
- The bill excludes treatments for infections, injuries, or diseases caused by prior gender transition procedures.
- The bill excludes procedures necessary to treat physical disorders or injuries that place a minor in imminent danger of death or impairment of major bodily function.
- The bill excludes puberty suppression drugs used to treat precocious puberty.
- The bill excludes male circumcision.
- The bill defines 'sex' as an immutable biological classification based on reproductive system function.
- The bill defines 'minor' as any individual under the age of 18.
Frequently Asked Questions
Does this bill ban all medical care for minors?
What happens to a doctor who performs these procedures if the bill passes?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Apr 29, 2026SenateCommitteeRead twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Apr 29, 2026SenateIntroducedIntroduced in Senate
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
AARP
2026
“P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2026
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
60 Plus Association
2026
“Signed a coalition letter opposing any efforts to raise the corporate tax rate above the 21% level set in the 2017 Tax Cuts and Jobs Act (TCJA). Signed a coalition in support of the Family Business Legacy Act, H.R. 6329. This legislation creates parity in the tax code between the estate and gift taxes by allowing an estate tax deduction for contributions to 501(c)(4), (c)(5), and (c)(6) organizations. Signed a coalition letter urging opposition to proposals that would raise taxes on carried interest investment income.The letter is urging Congress to reject the misnamed Carried Interest Fairness Act, legislation recently reintroduced by Senators Tammy Baldwin, Elizabeth Warren, Bernie Sanders, and other progressive members of Congress. This legislation that would increase the tax rate on carried interest investment by 70%, from 23.8% to 40.8%. Signed a coalition letter in support of H.R.574 - ALIGN Act and highlight the 100% bonus depreciation provision's importance as the tax cut reauthorization efforts continue. Signed a coalition to support of repealing IRA's green new deal subsidies in reconciliation to pay for tax cuts. Signed a coalition letter regarding digital services taxes (DST) in an effort to stop Canadas imposition of a discriminatory digital services tax (DST) on U.S. firms and your efforts to include restrictions on the imposition of DSTs and other unfair digital policies in recently announced trade agreements-providing a model for future trade negotiations. Signed a coalition letter urging the President to index capital gains for inflation.”
162 STRATEGIES
on behalf of National Organization of Social Security Claimants' Representatives
2026
“Issues related to Social Security Administration disability claims due process (generally, no specific legislation); Issues related to Social Security Administration customer service (generally, no specific legislation); Issues related to Social Security Administration engagement with appointed representatives on disability claims (generally, no specific legislation); Issues related to Health and Human Services interpretation of standards for digital health information exchange (generally, no specific legislation); SSI Savings Penalty Elimination Act (S 1234 and HR 2540); SSI Restoration Act (S 4001 and HR 7828); Ticket to Work Advertisement Act (HR 7253); Phased-in SSDI during waiting period for terminally ill claimants (S 4255); Stop the Wait Act (HR 930); We Can't Wait Act (S 3924); Immediate Access for the Terminally Ill Act (S 3648 and HR 7104); Social Security Enhancement and Protection Act (HR 3517); Social Security Overpayment Relief Act (HR 2142); Social Security Expansion Act (S 770 and HR 1700)”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2026
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
162 STRATEGIES
on behalf of National Organization of Social Security Claimants' Representatives
2026
“Issues related to Social Security Administration disability claims due process (generally, no specific legislation); Issues related to Social Security Administration customer service (generally, no specific legislation); Issues related to Social Security Administration engagement with appointed representatives on disability claims (generally, no specific legislation); Issues related to Health and Human Services interpretation of standards for digital health information exchange (generally, no specific legislation); SSI Savings Penalty Elimination Act (S 1234 and HR 2540); SSI Restoration Act (S 4001 and HR 7828); Ticket to Work Advertisement Act (HR 7253); Phased-in SSDI during waiting period for terminally ill claimants (S 4255); Stop the Wait Act (HR 930); We Can't Wait Act (S 3924); Immediate Access for the Terminally Ill Act (S 3648 and HR 7104); Social Security Enhancement and Protection Act (HR 3517); Social Security Overpayment Relief Act (HR 2142); Social Security Expansion Act (S 770 and HR 1700)”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2025
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2025
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2025
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
1607 STRATEGIES, LLC
on behalf of inspHIRE IO Corp. DBA Candidly
2025
“Student loan and retirement security issues. Implementation of SECURE 2.0 of 2022 Act. Access to student loan payment data to allow employees to match student loan payments with retirement savings payments. Issues related to Stop Student Debt Relief Scams Act of 2019.”
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Federalization of Medical Standards
The bill represents a move to establish a uniform federal standard for gender-related medical care for minors, potentially preempting varying state-level regulations.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance90How much this matters to a regular citizen
- Controversy95Intensity of disagreement among stakeholders
- Entertainment40Compellingness for a non-policy-wonk reader
- Buzz85Current news / social attention level
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