Whoever, in any circumstance described in subsection (e), knowingly performs any gender-affirming care on a minor is guilty of a class C felony.

No funds authorized or appropriated by Federal law, and none of the funds in any trust fund to which funds are authorized or appropriated by Federal law, including funds provided under titles XVIII, XIX, and XXI of the Social Security Act, shall be expended for any gender-affirming care.

No funds authorized or appropriated by Federal law, and none of the funds in any trust fund to which funds are authorized or appropriated by Federal law, shall be expended for health benefits coverage that includes coverage of gender-affirming care.

No health care service furnished by or in a health care facility owned or operated by the Federal Government [...] or by any physician or other individual employed by the Federal Government [...] may include gender-affirming care.