Twelve Democrats joined nearly all Republicans to pass House Bill 619 by a vote of 199-175 on Jan. 5, in a move that came amid a series of other transgender-related bills that the House voted on earlier in the day.

The bill that passed was a watered-down version of the original proposal, which, if passed as introduced, would have banned giving puberty blockers and cross-sex hormones to children and would have prohibited the surgical removal of breasts in girls who identify as boys.

The current version of the bill prohibits the carrying out of "genital gender reassignment surgery" on anyone under 18 while also banning health care workers from referring minors for such producers to out-of-state facilities.

Genital gender reassignment surgeries are defined in the bill as surgical procedures to alter the genitalia of children who have no sex development disorders or whose genitals are not "malignant," meaning cancerous or otherwise dangerous to their physical health.

Banned procedures include removal of the penis and testicles or surgically creating a penis from other parts of the body, with the exception of reconstructive surgery to restore normal form and function to tissue affected by physical pathologies like malformation or trauma.

Male circumcision is also exempt from the ban.

The bill now heads to the GOP-controlled Senate and, if it passes there, then to the desk of New Hampshire Gov. Chris Sununu, a Republican.