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HB 3819

PROHIBIT SEX-REASSIGN-UNDER 18

104th Regular Session Introduced by Tom Weber

Prohibits sex-reassignment procedures for under 18; requires adult consent; authorizes license revocation for violators and sanctions on facilities; emergency rules allowed.

Referred to Rules Committee
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Bill Summary · HB 3819

Summary — HB 3819 (Introduced 2025)

Title: PROHIBIT SEX-REASSIGN-UNDER 18
Introduced by: Rep. Tom Weber
Status (most recent): Committee report filed and sent to Calendars (May 6, 2025). Originally referred to Rules Committee on Feb. 18, 2025.

Purpose

HB 3819 would prohibit sex‑reassignment procedures for persons under 18, establish consent requirements for such procedures for adults, and create administrative enforcement tools (including license sanctions and facility licensing penalties) to ensure compliance. It also authorizes emergency rulemaking to implement the new requirements.

Key provisions

  • Prohibition on minors: Adds a new Section 67 to the Medical Practice Act of 1987 (225 ILCS 60/67 new) that expressly prohibits providing sex‑reassignment procedures to patients younger than 18 years of age.
  • Consent for adults: Requires that sex‑reassignment procedures administered to patients 18 years of age or older be performed only with consent as specified by the statute (the introduced text references consent requirements but does not include detailed consent language in the excerpt).
  • Professional discipline: Directs the Department of Financial and Professional Regulation (DFPR) to revoke the license of any physician who willfully or actively violates the prohibition on sex‑reassignment procedures for minors.
  • Facility enforcement: Amends the Ambulatory Surgical Treatment Center Act (210 ILCS 5/10f) and the Hospital Licensing Act (210 ILCS 85/7) to make failure to comply with Section 67 (the Medical Practice Act provision) a grounds for denial, suspension, revocation, or refusal to renew a facility license, and for other administrative actions (including emergency summary suspension where public health/safety imperatively requires).
  • Emergency rulemaking: Adds Section 5-45.65 to the Illinois Administrative Procedure Act (5 ILCS 100/5-45.65 new) authorizing DFPR and the Department of Public Health to adopt emergency rules to implement Section 67. Those emergency rule provisions are repealed one year after the amendatory Act’s effective date.

Enforcement and penalties

  • Physician license revocation for willful/active violations.
  • Hospital and ambulatory surgical center sanctions, including fines, license denial, suspension, revocation, refusal to renew, and emergency service suspension consistent with existing licensing statutes.

Who would be affected

  • Minors: would be barred from receiving sex‑reassignment procedures in Illinois.
  • Adult patients (18+): subject to the statute’s consent requirements.
  • Physicians and other clinicians who perform gender‑affirming surgical procedures: subject to license revocation for violations.
  • Hospitals and ambulatory surgical treatment centers: may face licensing actions or fines for noncompliance.

Procedural/timeline notes

  • Introduced Feb. 18, 2025; filed with Clerk Mar. 5, 2025.
  • Committee hearings and subcommittee actions occurred April–May 2025; committee report filed and distributed May 6, 2025 and sent to Calendars.
  • Emergency rulemaking authority in the bill is temporary (repealed one year after the Act’s effective date).
  • The bill text excerpt does not include the detailed language of the adult consent requirements; implementation detail would be shaped by statute and any administrative rules adopted under the bill.

Compiled from official sources — confirm details with the bill’s official record.

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