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HB4468 • 2026

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Tom Kunse (District 100), Pat Outman (District 91), Angela Rigas (District 79), Gina Johnsen (District 78), Gregory Markkanen (District 110), Joseph Pavlov (District 64), Matt Maddock (District 51), Joseph Fox (District 101), Jaime Greene (District 65), Brad Paquette (District 37), David Martin (District 68), Josh Schriver (District 66), Jason Woolford (District 50), Jennifer Wortz (District 35), Luke Meerman (District 89)
Last action
2026-06-10
Official status
REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require.

What This Bill Does

  • Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require.
  • Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec.
  • 3406ww.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-06-10 SJ 51 Pg. 613

    PASSED BY HOUSE WITH IMMEDIATE EFFECT

  2. 2026-06-10 SJ 51 Pg. 613

    REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS

  3. 2026-06-03 HJ 42 Pg. 702

    rule suspended

  4. 2026-06-03 HJ 42 Pg. 702

    motion to discharge committee approved

  5. 2026-06-03 HJ 42 Pg. 702

    placed on second reading

  6. 2026-06-03 HJ 42 Pg. 705

    read a second time

  7. 2026-06-03 HJ 42 Pg. 705

    amended

  8. 2026-06-03 HJ 42 Pg. 705

    placed on third reading

  9. 2026-06-03 HJ 42 Pg. 708

    placed on immediate passage

  10. 2026-06-03 HJ 42 Pg. 708

    read a third time

  11. 2026-06-03 HJ 42 Pg. 708

    passed; given immediate effect Roll Call #178 Yeas 58 Nays 48 Excused 0 Not Voting 4

  12. 2026-06-03 HJ 42 Pg. 708

    transmitted

  13. 2026-05-13 HJ 36 Pg. 595

    reported with recommendation for referral to Committee on Government Operations

  14. 2026-05-13 HJ 36 Pg. 595

    recommendation concurred in

  15. 2025-05-08 HJ 45 Pg. 527

    bill electronically reproduced 05/07/2025

  16. 2025-05-07 HJ 44 Pg. 521

    introduced by Representative Rep. Tom Kunse

  17. 2025-05-07 HJ 44 Pg. 521

    read a first time

  18. 2025-05-07 HJ 44 Pg. 521

    referred to Committee on Health Policy

Official Summary Text

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Current Bill Text

Read the full stored bill text 
HB-4468, As Passed House, June 3, 2026

DAW H01272'25_HB4468_APH_1 t8miy7

HOUSE BILL NO. 4468

A bill to amend 1956 PA 218, entitled
"The insurance code of 1956,"
(MCL 500.100 to 500.8302) by adding section 3406ww.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 3406ww. (1) An insurer that delivers, issues for 1
delivery, or renews in this state a health insurance policy shall 2
provide coverage for all of the following: 3
(a) All possible adverse consequences related to an enrollee's 4
gender transition procedure or treatment, including any short- or 5
May 07, 2025, Introduced by Reps. Kunse, Outman, Rigas, Johnsen, Markkanen, Pavlov,
Maddock, Fox, Greene, Paquette, Martin, Schriver, Woolford, Wortz and Meerman and
referred to Committee on Health Policy.
2
Final Page
DAW H01272'25_HB4468_APH_1 t8miy7
long-term side effects of the procedure or treatment. 1
(b) Any testing or screening necessary to monitor the mental 2
and physical health of the enrollee on at least an annual basis. 3
(c) Any procedure or treatment necessary to reverse the 4
enrollee's gender transition procedure or treatment. 5
(2) An insurer described in subsection (1) shall provide the 6
coverage described in subsection (1) to an enrollee who has 7
undergone a gender transition procedure or treatment if the 8
enrollee was an enrollee under the health insurance policy at the 9
time of the gender transition procedure or treatment. 10
(3) As used in this section: 11
(a) "Gender transition" means a medical process by which an 12
individual's anatomy, physiology, or mental state is treated or 13
altered, including the removal of otherwise healthy organs or 14
tissue, the introduction of implants or performance of other 15
plastic surgery, hormone treatment, or the use of drugs, 16
counseling, or therapy, for the purpose of furthering or assisting 17
the individual's identification as a member of the opposite 18
biological sex or group or demographic category that does not 19
correspond to the individual's biological sex. 20
(b) "Gender transition procedure or treatment" means a medical 21
procedure or treatment performed or provided for the purpose of 22
assisting an individual with gender transition. 23