Prohibition on chemical or surgical mutilation

(a) In general No health care professional, hospital, or clinic shall, in a circumstance described in subsection (b), participate in the chemical or surgical mutilation of a child, and a health care professional, hospital, or clinic may commence participation in a treatment that qualifies as an exception specified in clauses (i) through (iv) of section 2(1)(B) only after determining that clear and convincing evidence supports a determination that the treatment so qualifies. (b) Circumstances described The circumstances described in this subsection are that— (1) the defendant or child traveled in interstate or foreign commerce, or traveled using a means, channel, facility, or instrumentality of interstate or foreign commerce, in furtherance of or in connection with the participation in the chemical or surgical mutilation; (2) the defendant used a means, channel, facility, or instrumentality of interstate or foreign commerce in furtherance of or in connection with the participation in the chemical or surgical mutilation; (3) any payment of any kind was made, directly or indirectly, in furtherance of or in connection with the participation in the chemical or surgical mutilation using any means, channel, facility, or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce; (4) the defendant transmitted in interstate or foreign commerce any communication relating to or in furtherance of the participation in the chemical or surgical mutilation using any means, channel, facility, or instrumentality of interstate or foreign commerce or in or affecting interstate or foreign commerce by any means or in any manner, including by computer, mail, wire, or electromagnetic transmission; (5) any instrument, item, substance, or other object that has traveled in interstate or foreign commerce was used to perform the chemical or surgical mutilation; (6) the chemical or surgical mutilation occurred within the District of Columbia, the special maritime and territorial jurisdiction of the United States, or any territory or possession of the United States; or (7) the chemical or surgical mutilation otherwise occurred in or affected interstate or foreign commerce.