The newest state to introduce legislation banning transgender minors from receiving so-called “gender-affirming” medical care in South Dakota. The proposed legislation, put forth by a group of Republican lawmakers, would bar any child under the age of 18 from receiving hormone therapy, procedures, or medications that stop puberty.

Doctors that offer this type of care are subject to serious repercussions. According to the measure, they can have their medical licenses revoked and face possible civil lawsuits. Additionally, any legal guardians who approve of the therapy risk sanctions.

The bill’s detractors contend that it sends a negative message to transgender youngsters and fails to provide them with the essential care for their mental health and reduced risk of suicide. The legislation in South Dakota is comparable to those that were passed in Alabama and Arkansas last year, albeit both were overturned by federal judges.

In a statement in opposition to the bill, the ACLU of South Dakota referred to it as “an extreme attack on transgender young people and their ability to get lifesaving medical care” and claimed that it would “put South Dakota out of step with the majority of states that have not passed similar bans.”

The proposal is a part of a nationwide trend of anti-child mutilation legislation being filed in state legislatures.

Before becoming law, the measure must pass both the South Dakota House and Senate.