Requires health plans that have covered gender transition procedures to also cover all adverse effects, monitoring, reversal, and recovery from those procedures, increasing mandated coverage and costs associated with gender transition care.
A health benefit plan that provides or has ever provided coverage for an enrollee's gender transition procedure or treatment shall provide coverage for, including for any applicable diagnostic or billing code: (1) all possible adverse consequences related to the enrollee's gender transition procedure or treatment, including any short- or long-term side effects of the procedure or treatment; (2) any baseline and follow-up testing or screening necessary to monitor the mental and physical health of the enrollee on at least an annual basis without regard to the sex or gender identity designation;
Why the model tagged it this way: The bill adds a new chapter to the Insurance Code requiring health benefit plans (including Medicaid and CHIP) that cover or have covered gender transition procedures to also cover adverse effects, ongoing monitoring, and reversal/recovery treatments. This expands mandated insurance coverage specifically for transgender-related healthcare services in both directions (transition complications and detransition). No other listed topics are substantively addressed.
Related bills
HB805Relating to a task force to study the legal and societal barriers to equality for transgender persons.↑Expands transgender recognition & access↑Expands transgender recognition & access Filed
SB1257Relating to required health benefit plan coverage for gender transition adverse effects and reversals.↑Expands transgender recognition & access Law
HB3446Relating to access to a child's health records by the child's parent, managing conservator, or guardian.↑Expands rights of the paying or noncustodial parent↓Restricts transgender recognition & access Died (session ended)
HB4710Relating to traveling with a child to facilitate the provision of certain gender transitioning or gender reassignment procedures or treatmen↓Restricts transgender recognition & access↓Restricts transgender recognition & access Died (session ended)
Hearings and calendar
2025-04-02 08:00 · Hearing · House Insurance Committee Hearing E2.026