The bill wants to make clear rules about what the words "male" and "female" mean, by saying there are only two types based on how people's bodies can make babies. It also talks about how to use other words like "gender" and "gender identity," mainly for making laws and rules in the United States.

The bill wants to stop doctors from giving kids special medicines and surgeries to change their gender, and it says the government won't pay for these treatments. It makes rules for when these treatments might be okay and could change which doctors can get government money if they do these kinds of treatments for kids.