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<leg xml:space="preserve" billnum="HB0193" sponsor="Nicholeen P. Peck" designation="HB" otherSponsor="Daniel McCay" otherHouse="Senate" subNumber="03" subSponsor="Nicholeen P. Peck" sess="2026GS" fileno="2026FL0278" date="2/18/2026 12:02:610" printDate="02-19 18:15" subVer="3" minVer="0" office="LEGISLATIVE GENERAL COUNSEL" actionDate="" impact="code"><info><nextbuid>8</nextbuid><aminfo anum="0" effdate="05/06/2026"><seclist><sect action="E" src="code" buid="5" uid="C49-20-S423_2026050620260506" sort="49 20 04230020260506" mtype="section" effdate="05/06/2026">49-20-423</sect><sect src="uncod" untype="effdate" buid="7" uid="EF0000" sort="UZEFF" mtype="uncod" effdate="05/06/2026"/></seclist></aminfo></info><tbox><sinfo><nextpairid>0</nextpairid></sinfo><st numlevel="1" lineno="1" slineno="0-1">Transgender Medical Procedures Amendments</st><sessionhead>2026 GENERAL SESSION</sessionhead><statehead>STATE OF UTAH</statehead><sponsorhead>Chief Sponsor: Nicholeen P. Peck</sponsorhead><otherSponsorhead>Senate Sponsor: Daniel McCay</otherSponsorhead></tbox><lt numlevel="1" lineno="2" slineno="0-2"><lthead lineno="3">LONG TITLE</lthead><gdhead lineno="4">General Description:</gdhead><gd numlevel="1" lineno="5" slineno="0-5">This bill addresses the use of public employee insurance for certain transgender medical <ln numlevel="1" lineno="6" slineno="0-6"/>treatments and procedures.</gd><hphead lineno="7">Highlighted Provisions:</hphead><hp numlevel="1" lineno="8" slineno="0-8">This bill:<hl numlevel="1" lineno="9" slineno="0-9" level="1">subject to a limited exception, prohibits public employee insurance from covering, or <ln numlevel="1" lineno="10" slineno="0-10"/>paying or reimbursing for the performance of, certain transgender medical treatments or <ln numlevel="1" lineno="11" slineno="0-11"/>procedures;</hl><hl numlevel="1" lineno="12" slineno="0-12" level="1">provides that if, before May 6, 2026, public employee insurance paid or reimbursed for a <ln numlevel="1" lineno="13" slineno="0-13"/>procedure to transition an individual from the individual's biological sex, public <ln numlevel="1" lineno="14" slineno="0-14"/>employee insurance must offer the same type and amount of insurance coverage for a <ln numlevel="1" lineno="15" slineno="0-15"/>procedure to restore that individual, to the extent possible, to that individual's biological <ln numlevel="1" lineno="16" slineno="0-16"/>sex; and</hl><hl numlevel="1" lineno="17" slineno="0-17" level="1">makes technical changes.</hl></hp><moni numlevel="1" lineno="18" slineno="0-18" display="none">Money Appropriated in this Bill:</moni><moniNone lineno="19">None</moniNone><oc numlevel="1" lineno="20" slineno="0-20">Other Special Clauses:</oc><ocNone lineno="21">None</ocNone><sa numlevel="1" lineno="22" slineno="0-22">Utah Code Sections Affected:<saent numlevel="1" lineno="23" slineno="0-23"><snhead>ENACTS:</snhead><sn num="49-20-423" src="code" uid="C49-20-S423_2026050620260506" buid="5" sort="49 20 04230020260506" numlevel="1" lineno="24" slineno="0-24"><bold>49-20-423</bold>, Utah Code Annotated 1953</sn></saent></sa></lt><enacthead lineno="25"/><enact numlevel="1" lineno="26" slineno="0-26">Be it enacted by the Legislature of the state of Utah:</enact><bdy><bsec buid="5" num="49-20-423" type="enact" src="code" uid="C49-20-S423_2026050620260506" sort="49 20 04230020260506" numlevel="1" lineno="27" slineno="1-1" sn="1"><section numlevel="1" lineno="28" slineno="1-2" number="49-20-423" type="enact"><secline lineno="27">Section 1. Section <bold>49-20-423</bold> is enacted to read:</secline><catline lineno="28"><bold>49-20-423<parens/>.  Payment for transgender treatment or procedure using public <ln numlevel="1" lineno="29" slineno="1-3"/>employee insurance prohibited -- Exception -- Coverage for detransitioning.</bold></catline><subsection ssid="5-15" dnum="_-o:1-i" numlevel="1" lineno="30" slineno="1-4" ea="amend" anum="0" owner="jchristopherson" style="1" level="1" placement="noreturn"><display><amend anum="0" ea="amend" pairid="1000" style="1" owner="i" level="1" amendtag="start">(1)</amend></display><amend anum="0" ea="amend" pairid="39" groupid="29" style="1" owner="jchristopherson" level="1" amendtag="end">As used in this section:</amend><subsection ssid="5-17" dnum="_-o:a-i" numlevel="1" lineno="31" slineno="1-5" ea="amend" anum="0" owner="jchristopherson" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1001" style="1" owner="i" level="1" amendtag="start">(a)</amend></display><amend anum="0" ea="amend" pairid="48" groupid="36" style="1" owner="jchristopherson" level="1" amendtag="end">"Hormonal transgender treatment" means the same as that term is defined in Section <ln numlevel="1" lineno="32" slineno="1-6"/>58-1-603.</amend></subsection><subsection ssid="5-18" dnum="_-o:b-i" numlevel="1" lineno="33" slineno="1-7" ea="amend" anum="0" owner="jchristopherson" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1002" style="1" owner="i" level="1" amendtag="start">(b)</amend></display><amend anum="0" ea="amend" pairid="51" groupid="38" style="1" owner="jchristopherson" level="1" amendtag="end">"Public employee insurance" means the Public Employees' Benefit Insurance <ln numlevel="1" lineno="34" slineno="1-8"/>Program created in Section 49-20-103.</amend></subsection></subsection><subsection ssid="5-3-9" dnum="_-o:2-i" numlevel="1" lineno="35" slineno="1-9" ea="amend" anum="0" owner="jchristopherson" style="1" level="1"><display><amend anum="0" ea="amend" pairid="1003" style="1" owner="i" level="1" amendtag="start">(2)</amend></display><amend anum="0" ea="amend" pairid="22" groupid="17" style="1" owner="jchristopherson" level="1" amendtag="end">Public employee insurance may not, either directly or indirectly, offer coverage, or be <ln numlevel="1" lineno="36" slineno="1-10"/>used to pay or otherwise reimburse, for the performance of:</amend><subsection ssid="5-3-10" dnum="_-o:a-i" numlevel="1" lineno="37" slineno="1-11" ea="amend" anum="0" owner="jchristopherson" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1004" style="1" owner="i" level="1" amendtag="start">(a)</amend></display><amend anum="0" ea="amend" pairid="11" groupid="8" style="1" owner="jchristopherson" level="1" amendtag="end">except as provided in Subsection (3), hormonal transgender treatment;</amend></subsection><subsection ssid="5-3-11" dnum="_-o:b-i" numlevel="1" lineno="38" slineno="1-12" ea="amend" anum="0" owner="jchristopherson" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1005" style="1" owner="i" level="1" amendtag="start">(b)</amend></display><amend anum="0" ea="amend" pairid="38" groupid="28" style="1" owner="jchristopherson" level="1" amendtag="end">a primary sex characteristic surgical procedure as defined in Section <xref depth="3" refnumber="58-67-102">58-67-102</xref>; or</amend></subsection><subsection ssid="5-3-12" dnum="_-o:c-i" numlevel="1" lineno="39" slineno="1-13" ea="amend" anum="0" owner="jchristopherson" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1006" style="1" owner="i" level="1" amendtag="start">(c)</amend></display><amend anum="0" ea="amend" pairid="21" groupid="16" style="1" owner="jchristopherson" level="1" amendtag="end">a secondary sex change characteristic surgical procedure as defined in Section <xref depth="3" refnumber="58-67-102"><ln numlevel="1" lineno="40" slineno="1-14"/>58-67-102</xref>.</amend></subsection></subsection><subsection ssid="5-3-13" dnum="_-o:3-i" numlevel="1" lineno="41" slineno="1-15" ea="amend" anum="0" owner="jchristopherson" style="1" level="1"><display><amend anum="0" ea="amend" pairid="1007" style="1" owner="i" level="1" amendtag="start">(3)</amend></display><amend anum="0" ea="amend" pairid="26" groupid="19" style="1" owner="jchristopherson" level="1" amendtag="end">If, on May 5, 2026, an individual was undergoing hormonal transgender treatment that <ln numlevel="1" lineno="42" slineno="1-16"/>was, as of that date, payable or reimbursable under public employee insurance, the <ln numlevel="1" lineno="43" slineno="1-17"/>individual may complete that course of treatment on the same terms of payment or <ln numlevel="1" lineno="44" slineno="1-18"/>reimbursement that were available for that course of treatment on May 5, 2026, until that <ln numlevel="1" lineno="45" slineno="1-19"/>course of treatment ends, if the physician overseeing that course of treatment determines <ln numlevel="1" lineno="46" slineno="1-20"/>that it is medically necessary to continue the course of treatment.</amend></subsection><subsection ssid="5-3-14" dnum="_-o:4-i" numlevel="1" lineno="47" slineno="1-21" ea="amend" anum="0" owner="jchristopherson" style="1" level="1"><display><amend anum="0" ea="amend" pairid="1008" style="1" owner="i" level="1" amendtag="start">(4)</amend></display><amend anum="0" ea="amend" pairid="33" groupid="24" style="1" owner="jchristopherson" level="1" amendtag="end">If, before May 6, 2026, public employee insurance paid or otherwise reimbursed a <ln numlevel="1" lineno="48" slineno="1-22"/>person, either directly or indirectly, for the treatment or a surgical procedure described in <ln numlevel="1" lineno="49" slineno="1-23"/>Subsection (2) that was performed before May 6, 2026, to transition an individual from <ln numlevel="1" lineno="50" slineno="1-24"/>the individual's biological sex, public employee insurance shall offer the same type and <ln numlevel="1" lineno="51" slineno="1-25"/>amount of coverage for treatment or a surgical procedure to restore that individual, to <ln numlevel="1" lineno="52" slineno="1-26"/>the extent possible, to that individual's biological sex.</amend></subsection></section></bsec><bsec buid="7" type="uncod" untype="effdate" src="uncod" uid="EF0000" sort="UZEFF" langlock="true" numlevel="1" lineno="53" slineno="2-1" sn="2"><section type="uncod" untype="effdate" display="false" src="uncod"><secline lineno="53">Section 2.  <bold>Effective Date.</bold></secline><sectionText lineno="54"><amend anum="0" ea="amend" pairid="1" groupid="1" style="1" owner="jchristopherson" level="1" amendtag="both">This bill takes effect on <effdate uid="code" date="5/6/2026">May 6, 2026</effdate>.</amend></sectionText></section></bsec></bdy><foot><rev><tm>2-18-26 12:17 PM</tm></rev></foot></leg>