House Bill 1254

Relating to the prohibition of gender-affirming care for minors


What will this bill do?

  • Prohibit a health care provider from engaging in any of the following practices for the purpose of changing or affirming the minor's perception of his/her own sex:

    • Perform castration, vasectomy, hysterectomy, oophorectomy, metoidioplasty, orchiectomy, penectomy, phalloplasty, or vaginoplasty;

    • Perform a mastectomy

    • Prescribe, dispense, administer, or otherwise supply any drug that has the purpose of aligning the minor's sex with the minor's perception of the minor's sex when the perception is inconsistent with the minor's sex, including:

      • Puberty-blocking medication to stop normal puberty

      • Doses of testosterone to females or doses of estrogen to males

    • Remove any healthy body part or tissue, except for a male circumcision.

  • Provide a penalty of a class B misdemeanor for any healthcare provider who willfully violates this section

    Read the bill.

Why is this bill needed?

  • Children and teens are being actively groomed into the cult-like ideology of transgenderism. They are being purposefully confused about their identity which inevitably leads them down a destructive and irreversible path of sterilization and bodily mutilation.

  • Sanford Health, the largest healthcare provider in the Dakotas, is actively promoting gender-affirming care. Sanford follows the guidelines of the World Professional Association for Transgender Health (WPATH), which is led by ideologically and financially-motivated activists who seek to circumvent parental authority if needed and to medically transition as many children as possible. WPATH recently released their Standards of Care guidelines, which removed the minimum age recommendations for medical intervention, removed a chapter on ethics, and introduced a new Eunuch gender identity.

  • Hormonal intervention for gender dysphoria is not healthcare. Instead it introduces disease and creates a life-long medical patient:

    • Blocks normal breast development

    • Causes sexual dysfunction

    • Prevents ovulation = infertility

    • Stunts penile & testicular growth = infertility

    • Disrupts normal bone development = Osteoporosis as young adults

    • Disrupts normal brain development

    • Causes memory loss

    • Causes decreased IQ

    • Increased risk for serious health problems, including heart attack, stroke, and cancer

  • “Gender-affirming” surgical intervention is irreversible and leads to a lifetime of suffering and devastation. Children and teens do not have the capacity to understand the life-long ramifications of their decision.

    • Double mastectomies

    • Hysterectomies

    • Creation of a faux penile appendage using the skin of the forearm

    • Facial/Adam’s apple mutilation

    • Castration

    • Penectomy

    • Creation of genital pouch/wound

  • The transgender movement is predatory in nature and funded by powerful individuals and institutions who stand to gain financially from the creation of life-long medical patients. We must protect minors from the unethical, pseudo-scientific medical experimentation that is being done in the name of compassionate care.


What is the current status of the bill?

HB 1254 was signed into law on April 20th, 2023.