H.B. 193
FailedOpposeTransgender Medical Procedures Amendments
HB0193S03 (Substitute)
Transgender Medical Procedures Amendments
Introduction
Jan 20
House Rules
House Committee
Jan 27
House Floor Vote
Feb 5
Senate Rules
Mar 3
Senate Committee
Feb 19
Senate 2nd Reading
Senate 3rd Reading
Governor
What This Bill Does
This bill addresses the use of public employee insurance for certain transgender medical treatments and procedures.
Key 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.
Better Utah Institute's Position
Plain-Language Summary
AI-generated summary, reviewed by Better Utah staff.
Starting May 6, 2026, Utah's Public Employees' Benefit Insurance Program — the health insurance plan covering state government workers — is prohibited from covering hormone therapy or gender-affirming surgeries, with one narrow exception: employees already undergoing hormone treatment as of May 5, 2026 may continue that treatment under the same coverage terms until it ends, provided their physician certifies it is medically necessary. The bill also requires the program to cover detransition procedures at the same level it previously covered any gender-affirming care for that individual.
H.B. 193
FailedOpposeTransgender Medical Procedures Amendments
Current version: HB0193S03 (Substitute)
Introduction
Jan 20
House Rules
House Committee
Jan 27
House Floor Vote
Feb 5
Senate Rules
Mar 3
Senate Committee
Feb 19
Senate 2nd Reading
Senate 3rd Reading
Governor
IntroductionJan 20
House Rules
House CommitteeJan 27
House Floor VoteFeb 5
Senate RulesMar 3
Senate CommitteeFeb 19
Senate 2nd Reading
Senate 3rd Reading
Governor
What This Bill Does
This bill addresses the use of public employee insurance for certain transgender medical treatments and procedures.
Key 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.
Plain-Language Summary
AI-generated summary, reviewed by Better Utah staff.
Starting May 6, 2026, Utah's Public Employees' Benefit Insurance Program — the health insurance plan covering state government workers — is prohibited from covering hormone therapy or gender-affirming surgeries, with one narrow exception: employees already undergoing hormone treatment as of May 5, 2026 may continue that treatment under the same coverage terms until it ends, provided their physician certifies it is medically necessary. The bill also requires the program to cover detransition procedures at the same level it previously covered any gender-affirming care for that individual.
Better Utah Institute's Position
Votes
Motion: Favorable Recommendation
Motion: Motion for Favorable Recommendation
Documents
Floor Debates
Committee Hearings
Other Versions
Substitute #4
Original
Subjects
Action History45
House/ filed
House file for bills not passed
House/ received from Senate
Clerk of the House
Senate/ to House
Clerk of the House
Senate/ strike enacting clause
Senate Secretary
Senate/ comm rpt/ sent to Rules/ substituted
Senate Rules Committee
Last updated Mar 26, 2026, 9:39 PM