During his 2018 campaign, Cramer sought and received the support of the Public Advocate of the United States, an anti-LGBT group that advocates conversion therapy and ties homosexuality to pedophilia. In an eight-question survey for the group, Cramer said he would oppose "'Transgender Bathrooms' legislation and regulations—which have the effect of encouraging and protecting pedophiles". He also agreed with the organization that "public schools should be 'prevented from brainwashing elementary school children with the Homosexual Agenda.'" Cramer supported requiring schools to teach that there are only two genders and granting Christian businesses the right to not service same-sex weddings. A spokesman for him said: "Let's be clear. Congressman Cramer doesn't support the teaching of history with any special emphasis on any particular group. History is history and should be taught as such. Additionally, Kevin does not think transgender people are at all comparable to pedophiles—this a gross misinterpretation of the survey question."