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Texas · 89th Legislature Regular Session

SB1257 Relating to required health benefit plan coverage for gender transition adverse effects and reversals.

Direction

Transgender healthcareAI label

Expands transgender recognition & access model confidence 80%

Requires health plans that have covered gender transition procedures to also cover all adverse effects, monitoring, and reversal procedures, which increases mandated insurance coverage and access to reversal-related care for transgender people.

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;

✓ Quote verified word for word in the bill text

  1. Filed (completed)
  2. Committee (completed)
  3. Passed one chamber (completed)
  4. Passed both (completed)
  5. Governor (completed)
  6. Law

Stage: Law · step 6 of 6

Last action
2025-05-24: Effective on 9/1/25
Filed
2025-02-13
Sponsor
Bryan Hughes R, Jeff Leach R + 3 cosponsors (3 R)

Why the model tagged it this way: The bill requires 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 coverage and access to reversal care for transgender individuals but is framed around negative consequences of transition and applies only to plans that cover transition, creating a mixed effect on access to transgender-related healthcare overall. No other topics are substantively addressed.

Related bills

Hearings and calendar

Votes

DateChamberMotionYea-Nay
2025-04-23SRules suspended-Regular order of business20-11Passed
2025-04-23SRead 2nd time & passed to engrossment0-1Failed
2025-04-24SRules suspended-Regular order of business20-11Passed
2025-04-24SRead 3rd time20-11Passed
2025-05-10HAmendment fails of adoption RV#209345-81Failed
2025-05-10HAmendment fails of adoption RV#209445-79Failed
2025-05-10HAmendment fails of adoption RV#209543-84Failed
2025-05-10HAmendment fails of adoption RV#209646-82Failed
2025-05-10HAmendment fails of adoption RV#209745-83Failed
2025-05-10HAmendment fails of adoption RV#209842-80Failed
2025-05-10HAmendment withdrawn RV#209982-37Passed
2025-05-12HRead 3rd time RV#215387-58Passed

Sponsors

Text versions

History (64 actions)
DateChamberAction
2025-05-24Effective on 9/1/25
2025-05-24Signed by the Governor
2025-05-13Sent to the Governor
2025-05-13HSigned in the House
2025-05-13SSigned in the Senate
2025-05-12SReported enrolled
2025-05-12SHouse passage reported
2025-05-12HStatement(s) of vote recorded in Journal
2025-05-12HRecord vote RV#2153
2025-05-12HPassed
2025-05-12HRead 3rd time
2025-05-10HStatement(s) of vote recorded in Journal
2025-05-10HRecord vote RV#2099
2025-05-10HPassed to 3rd reading
2025-05-10HAmendment withdrawn 7-Rosenthal
2025-05-10HRecord vote RV#2098
2025-05-10HAmendment fails of adoption 6-V. Jones
2025-05-10HPoint of order withdrawn Rule 8, Section 1(a)(1)
2025-05-10HRecord vote RV#2097
2025-05-10HAmendment fails of adoption 5-J. González
2025-05-10HRecord vote RV#2096
2025-05-10HAmendment fails of adoption 4-Howard
2025-05-10HRecord vote RV#2095
2025-05-10HAmendment fails of adoption 3-Hinojosa
2025-05-10HStatement(s) of vote recorded in Journal
2025-05-10HRecord vote RV#2094
2025-05-10HAmendment fails of adoption 2-Collier
2025-05-10HStatement(s) of vote recorded in Journal
2025-05-10HRecord vote RV#2093
2025-05-10HAmendment fails of adoption 1-V. Jones
2025-05-10HRead 2nd time
2025-05-10HLaid out in lieu of companion HB 778
2025-05-10HCommittee report sent to Calendars
2025-05-09HCommittee report distributed
2025-05-09HComte report filed with Committee Coordinator
2025-05-09HReported favorably w/o amendment(s)
2025-05-09HConsidered in formal meeting
2025-04-28HReferred to Insurance
2025-04-28HRead first time
2025-04-25HReceived from the Senate
2025-04-24SReported engrossed
2025-04-24SRecord vote
2025-04-24SPassed
2025-04-24SRead 3rd time
2025-04-24SRecord vote
2025-04-24SRules suspended-Regular order of business
2025-04-23SRecord vote
2025-04-23SRead 2nd time & passed to engrossment
2025-04-23SRecord vote
2025-04-23SRules suspended-Regular order of business
2025-04-22SPlaced on intent calendar
2025-04-09SCo-author authorized
2025-04-07SCommittee report printed and distributed
2025-04-07SReported favorably as substituted
2025-04-02SVote taken in committee
2025-04-02SConsidered in public hearing
2025-03-26SLeft pending in committee
2025-03-26STestimony taken in committee
2025-03-26SConsidered in public hearing
2025-03-26SScheduled for public hearing on . . .
2025-02-28SReferred to Health & Human Services
2025-02-28SRead first time
2025-02-13SFiled
2025-02-13SReceived by the Secretary of the Senate