North Carolina HB 1000: Detransitioners Bill of Rights.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 1
HOUSE BILL 1000

Short Title: Detransitioners Bill of Rights. (Public)
Sponsors: Representatives Johnson, N. Jackson, and Almond (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Referred to: Rules, Calendar, and Operations of the House
April 14, 2025
*H1000-v-1*
A BILL TO BE ENTITLED 1
AN ACT TO ESTABLISH THE DETRANSITIONER BILL OF RIGHTS. 2
The General Assembly of North Carolina enacts: 3
SECTION 1. Article 1N of Chapter 90 of the General Statutes reads as rewritten: 4
"Article 1N. 5
"Gender Transition Procedures on Minors.Minors and Detransitioner Bill of Rights. 6
"§ 90-21.150. Definitions. 7
The following definitions apply in this Article: 8
... 9
(2a) Department. – The Department of Health and Human Services. 10
(2b) Detransitioner. – An individual who (i) began or completed a gender transition 11
procedure but later sought treatment to reverse the effects of the surgical 12
gender transition procedure or regimen of cross-sex hormones or 13
puberty-blocking drugs due to the resolution of any inconsistency between the 14
individual's sex and individual's perceived sex or perceived gender or (ii) has 15
ceased the surgical gender transition procedure or regimen of cross-sex 16
hormones or puberty-blocking drugs due to the resolution of any 17
inconsistency between the individual's sex and the individual's perceived sex 18
or perceived gender. 19
(2c) Detransition procedure. – Any treatment, including mental health treatment, 20
medical interventions, and surgeries that (i) stop or reverse the effects of a 21
prior surgical gender transition procedure or regimen of cross-sex hormones 22
or puberty-blocking drugs due to the resolution of any inconsistency between 23
the individual's sex and the individual's perceived sex or perceived gender or 24
(ii) help an individual cope with the effects of a prior surgical gender transition 25
procedure or regimen of cross-sex hormones or puberty-blocking drugs after 26
the resolution of any inconsistency between the individual's sex and the 27
individual's perceived sex or perceived gender. 28
(2d) Female. – An individual who has, had, will have, or would have but for a 29
developmental or genetic anomaly or historical accident, the reproductive 30
system that at some point produces, transports, and utilizes eggs for 31
fertilization. 32
(3) Gender. – The psychological, behavioral, social, and cultural aspects of being 33
male or female. 34

General Assembly Of North Carolina Session 2025
Page 2 House Bill 1000-First Edition
(3a) Gender clinic. – A health care entity that provides or prescribes gender 1
transition procedures or refers individuals for surgical gender transition 2
procedures or the dispensing of puberty-blocking drugs or cross-sex 3
hormones. 4
... 5
(6a) Male. – An individual who has, had, will have, or would have but for a 6
developmental or genetic anomaly or historical accident, the reproductive 7
system that at some point produces, transports, and utilizes sperm for 8
fertilization. 9
... 10
"§ 90-21.151. Limitations on detransition procedures and gender transition procedures. 11
It shall be unlawful for a medical professional to perform a detransition procedure, surgical 12
gender transition procedure on a minor or to prescribe, provide, or dispense puberty-blocking 13
drugs or cross-sex hormones to a minor. 14
"§ 90-21.152. When certain procedures are permitted. 15
(a) Notwithstanding G.S. 90-21.151, and provided the minor's parents or guardians give 16
informed consent, a medical professional shall not be prohibited from providing any of the 17
following procedures to a minor: 18
... 19
(7) A detransition procedure. 20
... 21
"§ 90-21.153. Penalties. 22
(a) A violation of any of the provisions of this Article by a medical professional shall be 23
considered unprofessional conduct and shall result in the revocation of the medical professional's 24
license to practice.practice for a minimum of one year. 25
(b) An entity that employs or contracts with a medical professional who violates any of 26
the provisions of this Article shall be liable for a civil penalty not to exceed two hundred fifty 27
thousand dollars ($250,000). 28
"§ 90-21.154. Civil remedies. 29
(a) Any (i) medical professional who performs a surgical gender transition procedure on 30
a minor or who prescribes, provides, or dispenses puberty-blocking drugs or cross-sex hormones 31
to a minor and (ii) entity that employs or contracts with a medical professional who performs a 32
surgical gender transition procedure on a minor or who prescribes, provides, or dispenses 33
puberty-blocking drugs or cross-sex hormones to a minor shall be strictly liable to the minor for 34
any physical, psychological, emotional, or physiological harms the minor suffers as a result of 35
the surgical gender transition procedure, puberty-blocking drugs, or cross-sex hormones. 36
(a1) Any individua