A person is guilty of a class A felony if: (a) The person physically or chemically mutilates or alters the sexual or reproductive system of a minor, in a manner that permanently nullifies or restricts the systems natural sexual or reproductive functionality. (b) The person knowingly promotes or permits the treatment of a minor with chemicals or hormones to boost or reduce the minors hormone levels outside the normal range for their age and biological birth-gender leading to permanent physical changes that nullify or restrict their natural sexual or reproductive system functionality. (c) The person knowingly removes or causes or permits the removal of a minor from this state for the purpose of allowing the physical or chemical mutilation or alteration of the reproductive system of the minor, or the treatment of the minor with chemicals or hormones to boost or reduce the minor's hormone levels outside the normal range for their age and biological birth-gender, that permanently nullify the individual's natural sexual or reproductive system functionality.