HB0193 • 2026

Transgender Medical Procedures Amendments

Healthcare Labor

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Rep. Peck, Nicholeen P.
Last action: 2026-03-06
Official status: House/ filed
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.

Transgender Medical Procedures Amendments

This bill addresses the use of public employee insurance for certain transgender medical treatments and procedures.

What This Bill Does

This bill addresses the use of public employee insurance for certain transgender medical treatments and procedures.

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

2026-03-06 House file for bills not passed
House/ filed
2026-03-06 Clerk of the House
House/ received from Senate
2026-03-06 Senate Secretary
Senate/ strike enacting clause
2026-03-06 Clerk of the House
Senate/ to House
2026-03-03 Senate Rules Committee
Senate/ comm rpt/ sent to Rules/ substituted
2026-03-02 Senate Business and Labor Committee
Senate Comm - Recommends Returned to Rules
2026-02-25 Released
LFA/ fiscal note publicly available for HB0193S03
2026-02-25 Released
LFA/ fiscal note publicly available for HB0193S04
2026-02-24 Version Sponsor
LFA/ fiscal note sent to sponsor for HB0193S04
2026-02-23 Version Sponsor
LFA/ fiscal note sent to sponsor for HB0193S03
2026-02-19 Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for HB0193S04
2026-02-19 Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for HB0193S04
2026-02-19 Senate Business and Labor Committee
Senate Comm - Motion to Recommend Failed
2026-02-19 Senate Business and Labor Committee
Senate Comm - Substitute Recommendation
2026-02-18 Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for HB0193S03
2026-02-18 Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for HB0193S03
2026-02-09 Senate Business and Labor Committee
Senate/ to standing committee
2026-02-07 Released
LFA/ fiscal note publicly available for HB0193S02
2026-02-07 Version Sponsor
LFA/ fiscal note sent to sponsor for HB0193S02
2026-02-06 Senate Rules Committee
Senate/ 1st reading (Introduced)
2026-02-05 House 3rd Reading Calendar for House bills
House/ 3rd reading
2026-02-05 Senate Secretary
House/ passed 3rd reading
2026-02-05 House 3rd Reading Calendar for House bills
House/ substitute adoption failed
2026-02-05 Senate Secretary
House/ to Senate
2026-02-05 Waiting for Introduction in the Senate
Senate/ received from House
2026-02-04 Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for HB0193S02
2026-02-04 Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for HB0193S02
2026-02-02 Released
LFA/ fiscal note publicly available for HB0193S01
2026-01-30 Version Sponsor
LFA/ fiscal note sent to sponsor for HB0193S01
2026-01-28 House 3rd Reading Calendar for House bills
House/ 2nd reading
2026-01-28 House Health and Human Services Committee
House/ comm rpt/ substituted
2026-01-27 House Health and Human Services Committee
House Comm - Favorable Recommendation
2026-01-27 House Health and Human Services Committee
House Comm - Substitute Recommendation
2026-01-27 Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for HB0193S01
2026-01-27 Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for HB0193S01
2026-01-26 House Health and Human Services Committee
House/ to standing committee
2026-01-22 House Rules Committee
House/ received fiscal note from Fiscal Analyst
2026-01-21 Released
LFA/ fiscal note publicly available for HB0193
2026-01-20 House Rules Committee
House/ 1st reading (Introduced)
2026-01-16 Version Sponsor
LFA/ fiscal note sent to sponsor for HB0193
2026-01-14 Clerk of the House
House/ received bill from Legislative Research
2026-01-08 Legislative Research and General Counsel
Bill Numbered but not Distributed
2026-01-08 Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for HB0193
2026-01-08 Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for HB0193
2026-01-08 Legislative Research and General Counsel
Numbered Bill Publicly Distributed

Official Summary Text

This bill addresses the use of public employee insurance for certain transgender medical treatments and procedures.

Current Bill Text

Read the full stored bill text

8
49-20-423
0
Transgender Medical Procedures Amendments
2026 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Nicholeen P. Peck
Senate Sponsor: Daniel McCay
LONG TITLE
General Description:
This bill addresses the use of public employee insurance for certain transgender medical
treatments and procedures.
Highlighted Provisions:
This bill:
subject to a limited exception, prohibits public employee insurance from covering, or
paying or reimbursing for the performance of, certain transgender medical treatments or
procedures;
provides that if, before May 6, 2026, public employee insurance paid or reimbursed for a
procedure to transition an individual from the individual's biological sex, public
employee insurance must offer the same type and amount of insurance coverage for a
procedure to restore that individual, to the extent possible, to that individual's biological
sex; and
makes technical changes.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
ENACTS:
49-20-423
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section
49-20-423
is enacted to read:
49-20-423
. Payment for transgender treatment or procedure using public
employee insurance prohibited -- Exception -- Coverage for detransitioning.
(1)
As used in this section:
(a)
"Hormonal transgender treatment" means the same as that term is defined in Section
58-1-603.
(b)
"Public employee insurance" means the Public Employees' Benefit Insurance
Program created in Section 49-20-103.
(2)
Public employee insurance may not, either directly or indirectly, offer coverage, or be
used to pay or otherwise reimburse, for the performance of:
(a)
except as provided in Subsection (3), hormonal transgender treatment;
(b)
a primary sex characteristic surgical procedure as defined in Section
58-67-102
; or
(c)
a secondary sex change characteristic surgical procedure as defined in Section
58-67-102
.
(3)
If, on May 5, 2026, an individual was undergoing hormonal transgender treatment that
was, as of that date, payable or reimbursable under public employee insurance, the
individual may complete that course of treatment on the same terms of payment or
reimbursement that were available for that course of treatment on May 5, 2026, until that
course of treatment ends, if the physician overseeing that course of treatment determines
that it is medically necessary to continue the course of treatment.
(4)
If, before May 6, 2026, public employee insurance paid or otherwise reimbursed a
person, either directly or indirectly, for the treatment or a surgical procedure described in
Subsection (2) that was performed before May 6, 2026, to transition an individual from
the individual's biological sex, public employee insurance shall offer the same type and
amount of coverage for treatment or a surgical procedure to restore that individual, to
the extent possible, to that individual's biological sex.
Section 2.
Effective Date.
This bill takes effect on
May 6, 2026
.
2-18-26 12:17 PM