1     
JOINT RESOLUTION FOR GENDER REASSIGNMENT

2     
SURGICAL HEALTH BENEFITS

3     
2024 GENERAL SESSION

4     
STATE OF UTAH

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Chief Sponsor: Sahara Hayes

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Senate Sponsor: ____________

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8     LONG TITLE
9     General Description:
10          This resolution directs the Public Employees' Benefit and Insurance Program (PEHP) to
11     provide gender reassignment surgical benefits to state employees and beneficiaries.
12     Highlighted Provisions:
13          This resolution:
14          ▸     directs PEHP to provide gender reassignment surgical benefits to state employees
15     and beneficiaries under certain circumstances.
16     Special Clauses:
17          None
18     

19     Be it resolved by the Legislature of the state of Utah:
20          WHEREAS, in accordance with Utah Code Section 49-20-201, the state participates in
21     the Public Employees' Benefit and Insurance Program (PEHP);
22          WHEREAS, the Legislature may determine what benefits to offer Utah's state
23     employees;
24          WHEREAS, medical professionals have found gender reassignment surgery for adults
25     medically necessary to treat persistent and extended gender dysphoria;
26          WHEREAS, many insurance plans and employers in Utah offer gender reassignment
27     surgical benefits;

28          WHEREAS, for male to female transition, the following procedures may be included in
29     the gender reassignment surgical benefit: clitoroplasty, labiaplasty, orchiectomy, penectomy,
30     vaginoplasty including hair removal procedures to treat tissue donor sites, and breast
31     implantation/augmentation; and
32          WHEREAS, for male to female transition, the following procedures may be included in
33     the gender reassignment surgical benefit: hysterectomy, mastectomy, metoidioplasty,
34     nipple/areola reconstruction related to mastectomy, penile prostheses implantation, phallic
35     reconstruction/phalloplasty including hair removal procedures to treat tissue donor sites,
36     salpingo-oophorectomy, scrotoplasty, testicular prostheses implantation, urethroplasty,
37     vaginectomy, and vulvectomy:
38          NOW, THEREFORE, BE IT RESOLVED that the Legislature of the state of Utah
39     directs PEHP to offer gender reassignment surgical benefits to state employees and employee
40     beneficiaries for an individual who:
41          ▸     is at least 18 years old;
42          ▸     has capacity to make fully informed decisions and to consent to medical
43     decisions;
44          ▸     has been diagnosed with gender dysphoria by a mental health professional for at
45     least 12 months;
46          ▸     has undergone any necessary hormone treatment;
47          ▸     has legally changed the individual's name;
48          ▸     has, for at least 12 months, continuously presented as the individual's desired
49     gender; and
50          ▸     has completed any other requirements PEHP determines are necessary.