<?xml version='1.0' encoding='utf-8'?>
<subtitle article="ghg" title_number="20" subtitle_number="6" title_name="Miscellaneous Health Provisions" subtitle_name="Female Genital Mutilation">
  <section article="ghg" article_name="Health - General" number="20-601" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <text>In this subtitle, “female genital mutilation” means a procedure performed for nonmedical reasons that involves partial or total removal of or other injury to the external female genitalia, including:</text>
    <level label="1">
      <text>A clitoridectomy or the partial or total removal of the clitoris, prepuce, or clitoral hood;</text>
    </level>
    <level label="2">
      <text>Excision or the partial or total removal, with or without excision of the clitoris, of the labia minora, with or without removal of the labia majora;</text>
    </level>
    <level label="3">
      <text>Infibulation or the narrowing of the vaginal opening, with or without excision of the clitoris; or</text>
    </level>
    <level label="4">
      <text>Any other procedure that is harmful to the external female genitalia, including pricking, piercing, incising, scraping, or cauterizing the genital area.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-602" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <level label="a">
      <text>Except as provided in § 20–603 of this subtitle, a person may not:</text>
      <level label="1">
        <text>Knowingly perform, attempt to perform, or conspire to perform female genital mutilation on an individual who is under the age of 18 years; or</text>
      </level>
      <level label="2">
        <text>Transport an individual who is under the age of 18 years out of the State for the purpose of performing or facilitating the performance of female genital mutilation on the individual.</text>
      </level>
    </level>
    <level label="b">
      <text>Except as provided in § 20–603 of this subtitle, a parent, guardian, or other individual is guilty of female genital mutilation if the individual:</text>
      <level label="1">
        <text>Is legally responsible and charged with the care or custody of a child under the age of 18 years; and</text>
      </level>
      <level label="2">
        <text>Knowingly consents to the performance of female genital mutilation on the child.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-603" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <level label="a">
      <text>A surgical operation is not a violation of this subtitle if the operation is necessary to the health of the individual on whom it is performed and is performed by a person licensed in the State as a medical practitioner.</text>
    </level>
    <level label="b">
      <text>In determining whether an operation is necessary to the health of the individual, no account may be taken of the belief on the part of any individual that the operation is required as a matter of custom or ritual.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-604" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <level label="a">
      <text>A person who violates the provisions of this subtitle is guilty of a felony and on conviction is subject to imprisonment not exceeding 10 years or a fine not exceeding $10,000 or both.</text>
    </level>
    <level label="b">
      <text>If an individual who holds a license issued under the Health Occupations Article is convicted of, enters a plea of guilty or of nolo contendere for, or receives probation before judgment for a violation of this subtitle, the applicable health occupations board shall revoke the license of the individual.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-605" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <level label="a">
      <text>A victim of female genital mutilation performed in violation of this subtitle may file an action in the circuit court in the county in which the violation occurred or the victim resides.</text>
    </level>
    <level label="b">
      <text>If the court finds that a person violated this subtitle, the court may award the plaintiff:</text>
      <level label="1">
        <text>Actual damages;</text>
      </level>
      <level label="2">
        <text>Compensatory damages;</text>
      </level>
      <level label="3">
        <text>Punitive damages;</text>
      </level>
      <level label="4">
        <text>Reasonable attorney’s fees, court costs, and litigation expenses, including expert witness fees and expenses; and</text>
      </level>
      <level label="5">
        <text>Any other appropriate relief.</text>
      </level>
    </level>
    <level label="c">
      <text>An action brought under subsection (a) of this section shall be filed the later of:</text>
      <level label="1">
        <text>Not more than 10 years after the date on which the violation occurred; or</text>
      </level>
      <level label="2">
        <text>The date on which the victim of the violation reaches 28 years of age.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-606" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <level label="a">
      <text>On or before December 1 each year, beginning in 2027, the Department, in consultation with the Social Services Administration, State and local law enforcement agencies, and other appropriate government agencies and public and private organizations, shall submit a report to the General Assembly, in accordance with § 2–1257 of the State Government Article, containing de–identified and disaggregated data on the number of:</text>
      <level label="1">
        <text>Reports of female genital mutilation submitted in accordance with § 5–704 of the Family Law Article;</text>
      </level>
      <level label="2">
        <text>Individuals prosecuted for a violation of this subtitle;</text>
      </level>
      <level label="3">
        <text>Individuals convicted of a violation of this subtitle;</text>
      </level>
      <level label="4">
        <text>Civil actions filed in accordance with this subtitle; and</text>
      </level>
      <level label="5">
        <text>Civil actions under this subtitle in which a judgment was entered, whether by settlement or adjudication.</text>
      </level>
    </level>
    <level label="b">
      <text>The Department shall make the report required under subsection (a) of this section available to the public.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="20-607" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="6" subtitle_name="Female Genital Mutilation">
    <text>The Department, in collaboration with community–based organizations, shall:</text>
    <level label="1">
      <text>Develop and publish culturally and linguistically appropriate educational materials on female genital mutilation, including:</text>
      <level label="i">
        <text>The signs that an individual has been subjected to female genital mutilation;</text>
      </level>
      <level label="ii">
        <text>The physical and mental health risks caused by female genital mutilation; and</text>
      </level>
      <level label="iii">
        <text>The criminal penalties for a violation of this subtitle; and</text>
      </level>
    </level>
    <level label="2">
      <text>Distribute the educational materials described under item (1) of this section to:</text>
      <level label="i">
        <text>Health care providers;</text>
      </level>
      <level label="ii">
        <text>Law enforcement agencies;</text>
      </level>
      <level label="iii">
        <text>Schools;</text>
      </level>
      <level label="iv">
        <text>The public; and</text>
      </level>
      <level label="v">
        <text>Any other professional or community–based organizations that may work or interact with individuals who are at risk of female genital mutilation.</text>
      </level>
    </level>
  </section>
</subtitle>