Prohibits any entity that receives Federal assistance and is involved in adoption or foster care placements from delaying or denying the placement of a minor child for adoption or into foster care, or otherwise discriminating in making a placement decision with a prospective or actual adoptive or foster parent, for any of the following reasons:

(i) The parent raises, cares for, and addresses a child in a manner consistent with the child's sex.

(ii) The parent declines to consent to a child receiving any medical, surgical, pharmacological, or psychological treatment or other medical or mental health service for the purpose of attempting to alter the appearance of, or to validate a child's perception of, the child's sex, if the appearance or perception is inconsistent with the child's sex.

(iii) The parent declines to consent to an amendment or alteration to a child's birth certificate, passport, driver's license, school records, or other government-issued identification document, if the amendment or alteration is inconsistent with the child's sex; For purposes of this paragraph, defines - (i) the term 'sex' as biological sex, either male or female; (ii) the term 'female' as an individual who has, had, will have, or but for a developmental or genetic anomaly or historical accident would have, a reproductive system that at some point produces, transports, and utilizes eggs for fertilization; and (iii) the term 'male' as an individual who has, had, will have, or but for a developmental or genetic anomaly or historical accident would have, a reproductive system that at some point produces, transports, and utilizes sperm for fertilization.