Official Summary Text
SB1014 - 572R - Senate Fact Sheet
Assigned to
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COMMITTEE
ARIZONA STATE SENATE
Fifty-Seventh
Legislature, Second Regular Session
FACT SHEET FOR
S.B. 1014
insurance; gender surgeries;
documentation; reports
Purpose
Prohibits a health insurer that offers coverage for gender transition
services from denying coverage for gender detransition services and requires
outlined health care providers that perform gender transition services to
provide gender detransition services. Outlines reporting requirements and
requirements for updating official documents that indicate name, sex and
gender.
Background
Gender affirmation surgery refers to medical procedures intended to align
an individual's physical characteristics with the opposite sex. These
procedures may include facial reconstructive surgery, vocal surgery, chest
surgery or genital surgery. For individuals who choose to transition, surgeries
can enhance or lessen physical characteristics of being a male or female, as
well as make changes to the genitals. Surgeries associated with transitioning
from female to male may include facial masculinization surgery, masculinizing
top surgery, hysterectomy, vaginectomy, metoidioplasty, phalloplasty or
scrotoplasty. Surgeries associated with transitioning from male to female
include facial feminization surgery, feminizing top surgery, orchiectomy,
penectomy, vaginoplasty or vulvoplasty (
Cleveland
Clinic
). Gender detransition refers to medical or surgical procedures
undertaken to reverse or modify prior gender transition treatments.
In statute,
gender transition
means the process in which a person
goes from identifying with and living as a gender that corresponds to the
person's biological sex to identifying with and living as a gender different
from the person's biological sex and may involve social, legal or physical
changes (
A.R.S.
� 32-3230
)
There is no anticipated fiscal impact
to the state General Fund associated with this legislation.
Provisions
1.
Prohibits,
beginning January 1, 2027, any contract that provides coverage for gender
transition procedures issued, delivered or renewed by a health insurer from
denying coverage for gender detransition procedures.
2.
Requires
a physician, health care institution or other person or entity authorized to
provide health care services in Arizona and that performs gender transition
procedures to agree to provide or pay for the performance of gender
detransition procedures.
3.
Requires
a health insurer that provides coverage for gender transition services to
submit a report to the Department of Insurance and Financial Institutions
(DIFI) within 15 days of the end of the calendar month in which the claim for a
detransition procedure was filed.
4.
Requires
the report submitted to DIFI to be on a form prescribed by DIFI that includes
the:
a)
number of insurance claims made for a gender detransition procedure;
b)
age and sex of the individual who received the detransition procedure;
c)
date the individual began a previous gender transition procedure, if
known; and
d)
state
and county of residence of the individual who received the gender detransition
procedure.
5.
Prohibits the report submitted to DIFI from including information that
would cause the individual who received a detransition procedure to be
identified.
6.
Requires DIFI to prepare an annual statistical report that compiles the
information from the report submitted by the health insurer.
7.
Requires DIFI make the statistical report available in a downloadable
format and to submit the report to the Governor, President of the Senate,
Speaker of the House of Representatives and to provide a copy to the Secretary
of State.
8.
Allows
the Attorney General to:
a)
investigate a violation of the outlined requirements and prohibitions;
b)
seek production of documents or testimony through a civil investigative
subpoena; and
c)
bring
an action to enforce compliance with the outlined requirements and
prohibitions.
9.
Requires
any state agency that issues
licenses, certificates,
permits or official documents that require a name, sex or gender designation
to adopt an expedited process to:
a)
allow an individual who is in the process of a gender detransition
procedure to update the individual's prescribed document accordingly;
b)
provide a report to the Arizona Department of Administration (ADOA) with
the current types of official outlined documents issued by the agency and the
current process for updating the name, sex or gender designation on such
documents by December 31, 2027; and
c)
identify
an expedited process for individuals in the process of a gender detransition to
update their official documents accordingly and requires the state agency to provide
a report to ADOA by June 30, 2028.
10.
Repeals
the requirements pertaining to state agencies that issue licenses,
certificates, permits or official documents that require a name, sex or gender
designation on January 1, 2029.
11.
Defines
health insurer
.
12.
Becomes
effective on the general effective date.
Prepared by Senate Research
February 13, 2026
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Current Bill Text
Read the full stored bill text
SB1014 - 572R - S Ver
Senate Engrossed
insurance; gender
surgeries; documentation; reports
State of Arizona
Senate
Fifty-seventh Legislature
Second Regular Session
2026
SENATE BILL 1014
AN
ACT
amending
title 20, chapter 2, article 1, Arizona Revised Statutes, by adding section 20-243;
relating to health insurance.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it
enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 2, article 1,
Arizona Revised Statutes, is amended by adding section 20-243, to read:
START_STATUTE
20-243.
Gender transition and detransition procedures; coverage; reports;
attorney general; definition
A. Beginning January 1, 2027, any
contract that is issued, delivered or renewed by a health insurer and that
provides coverage for gender transition procedures may not deny coverage for
gender detransition procedures.
B. A physician, health care
institution or other person or entity that is licensed or otherwise authorized
to furnish health care services in this state and that performs gender
transition procedures must agree to provide or pay for the performance of
gender detransition procedures.
C. A health insurer that provides
coverage for gender transition services shall submit a report to the department
within fifteen days after the end of the calendar month during which a claim
for a detransition procedure was filed.� The report must be on a form
prescribed by the department, and the form:
1. Shall include all of the
following:
(
a
) The number
of insurance claims made for a gender detransition procedure.
(
b
) The age and
sex of the individual who received the gender detransition procedure.
(
c
) If known,
the date that the individual initially began a prior gender transition
procedure.
(
d
) The state
and county of residence of the individual who received the gender detransition
procedure.
2. May not include:
(
a
) The name of
the individual.
(
b
) Any common
identifiers of the individual, including a social security number or driver
license number.
(
c
) Any other
information that is not required under this section and that would cause the
individual to be identified.
D. The department shall prepare an
annual statistical report that compiles the information submitted pursuant to
subsection C of this section, shall make the report available in a downloadable
format and shall submit the report to the governor, the president of the senate
and the speaker of the house of representatives and SHALL provide a copy of
this report to the secretary of state.
E. The attorney general may:
1. Investigate a potential violation
of this section.
2. Seek production of documents or
testimony through a civil investigative subpoena.
3. Bring an action to enforce
compliance with this section.
F. For the purposes of this section,
"health insurer
" means a disability
insurer, group disability insurer, blanket disability insurer, health care
services organization, hospital service corporation, medical service
corporation or hospital, medical, dental and optometric service corporation.
END_STATUTE
Sec. 2.
State agencies;
expedited process; official documents; gender; delayed repeal
A. Any state agency that
issues licenses, certificates, permits or other official documents that require
a name or sex or gender designation shall adopt an expedited procedure that
allows an individual who is in the process of a gender detransition procedure
to have the individual's license, certificate, permit or other official
document changed to the individual's new name and sex or gender designation.�
B. On or before December
31, 2027, a state agency shall identify the licenses, certificates, permits or
other official documents that the agency issues and identify the current
process of changing a name or sex or gender designation on the license,
certificate, permit or other official document and provide a report to the
department of administration.
C. On or before June 30,
2028, a state agency shall identify an expedited process for individuals who
are in the process of a gender detransition procedure to have that individual's
license, certificate, permit or other official document changed to reflect the
individual's new name or sex or gender designation and provide a report to the
department of administration.
D. This section is repealed
from and after December 31, 2028.