SB 676

RIGHT TO EFFECTIVE CARE This bill prohibits a county or municipality from (i) prohibiting the provision of mental health therapy to help a minor address an inconsistency between the minor's sex and the minor's perceived gender or perceived sex, and (ii) prohibiting a parent or legal guardian from consenting to, or withholding consent from, the provision of mental health therapy to help a minor address an inconsistency between the minor's sex and the minor's perceived gender or perceived sex. A gender clinic that uses funds pro vi ded by this state to directly or indirectly provide or pay for gender transition procedures must, as a condition of receiving such funds, agree to provide or pay for the performance of detransition procedures. Reporting This bill requires a gender clinic operating in this state to report statistics regarding all gender transition procedures to the department of health on a form provided by the department. The department must develop a form for so reporting and determin e the statistics to be reported, which must include all of the following:  The date on which the gender transition procedure was prescribed or the referral was made for the gender transition procedure.  The age and sex of the person for whom the gender transition procedure was prescribed or the gender transition procedure referral was made.  For a drug prescribed as part of a gender transition procedure, the name of the drug, the dosage of the drug, the dosage frequency and duration, and the method by which the drug will be administered.  For a surgical intervention provided or a referral made for a surgical intervention as part of a gender transition procedure, the type of surgical procedure identified by the current procedural terminology (CPT) code.  The state and county of residence of the person receiving the gender transition procedure.  The name, contact information, and medical specialty of the healthcare professional who prescribed the gender transition procedure or made the referral for the gender transition procedure.  A list of any diagnoses that the person receiving or referred for a gender transition procedure has received of neurological, behavioral, or mental health conditions. This bill requires the form to be (i) completed by each gender clinic at which a gender transition procedure is prescribed or a referral is made for a gender transition procedure; (ii) signed by the healthcare professional who prescribes the gender transi tion procedure or makes a referral for a gender transition procedure; and (iii) transmitted by the gender clinic to the department no later than 15 days after the end of the calendar month during which the gender transition procedure was prescribed or the r eferral was made. Forms must not contain individually identifiable health information. Annual Statistical Report This bill requires the department to submit a comprehensive annual statistical report by December 31 of each year, to the speaker of the senate, the speaker of the house of representatives, and the legislative librarian based on all data obtained from fo rms required by this bill. The department must make the statistical report available to the public on the department's public website in a downloadable format. Enforcement If a healthcare professional fails to comply with this bill, then (i) the healthcare professional has engaged in unprofessional conduct and is subject to discipline by the appropriate licensing entity or disciplinary review board with competent jurisdict ion in this state. Disciplinary action must include suspension of the ability to administer health care or practice medicine for at least six months and (ii) the gender clinic where the healthcare professional is employed must pay a civil fine not to exc ee d $150,000. The attorney general may investigate a potential violation, seek production of documents or testimony through a civil investigative demand, and bring an action to enforce compliance. INSURANCE COVERAGE FOR DETRANSITION PROCEDURES If an insurance policy issued, renewed, or amended in this state on or after the effective date of this bill, includes coverage for gender transition procedures, then this bill requires the policy to also include coverage for detransition procedures. Reporting This bill requires an entity providing such coverage for detransition procedures to provide statistics regarding insurance claims for detransition procedures in this state to the department of health on a form provided by the department. The department must develop a form for the reporting and determine the statistics to be reported, which must include (i) the number of insurance claims made for detransition procedures; (ii) the age and sex of an individual receiving a detransition procedure; (iii) if k no wn, the date that the individual initially began a gender transition procedure; and (iv) the state and county of residence of the person receiving the gender transition procedure. Reporting forms must not contain individually identifiable health informat ion. This bill requires the entity providing such coverage to transmit the form to the department no later than 15 days after the end of the calendar month during which a claim for the gender transition procedure was approved. Annual Statistical Report This bill requires the department to submit a comprehensive annual statistical report by December 31 of each year, to the speaker of the senate, the speaker of the house of representatives, and the legislative librarian based on all data obtained from fo rms required by this bill. The department must make the statistical report available to the public on the department's public website in a downloadable format. Enforcement This bill authorizes the attorney general to investigate a potential violation, seek production of documents or testimony through a civil investigative demand, and bring an action to enforce compliance with the provisions under this heading. ON MARCH 26, 2026, THE HOUSE ADOPTED AMENDMENTS #1 AND #2 AND PASSED HOUSE BILL 754, AS AMENDED. AMENDMENT #1 m akes the following changes and additions to this bill: (1) Removes healthcare entities that provide referrals for gender transition procedures but do not provide or prescribe such procedures from regulation as a gender clinic under this bill; (2) Removes reporting requirements concerning referrals; (3) Specifies that the annual statistical reports to the speaker of the senate, the speaker of the house of representatives, and the legislative librarian must not identify individual gender clinics but must aggregate such data and the statistical repor ts published on the department's website must not include aggregated data. AMENDMENT #2 a dds a requirement that t he department of commerce and insurance, within 90 days of the date that this bill becomes a law , apply to the federal centers for medicare and medicaid services for a waiver to allow the department to add detransition procedures to the state's essential health benefits for qualified health plans offered on the marketplace exchange. Upon approval and implementation of the waiver, if an insurance policy that is offered on the marketplace exchange and that is issued, re newed, or amended in this state on or after the effective date of the approved change to the state's EHB, includes coverage for gender transition procedures, then this amendment requires that the policy must also include coverage for detransition procedures . If an insurance policy that is offered outside of the marketplace exchange and that is issued, renewed, or amended in this state on or after the date that this bill becomes a law , includes coverage for gender transition procedures, then this amendment requires that the policy must also include coverage for detransition procedures. This amendment changes the deadline for submission of the initial statistical reports required by this bill from December 31, 2025 , to December 31, 2026.