Rule of construction

Section 113(a) of the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106i(a)) is amended— (1) in paragraph (1), by striking; and and inserting a semicolon; (2) in paragraph (2), by striking the period and inserting a semicolon; and (3) by adding at the end the following: (3) as establishing a Federal requirement that a parent, legal guardian or caregiver provide a child any medical service or treatment against the religious beliefs of the parent or legal guardian; or (4) as establishing that affirmation of a child’s sex by a parent, legal guardian, caregiver, foster parent, or prospective foster or adoptive parent is child abuse, emotional abuse, neglect, maltreatment, abandonment, contrary to the child’s best interests, contrary to a child’s health, safety or welfare, or indication of parental unfitness or incapacity..