HB 174

Enrolled Copy  H.B. 174
1Sex Characteristic Change Treatment Amendments
  2026 GENERAL SESSION
  STATE OF UTAH
  Chief Sponsor: Rex P. Shipp
  Senate Sponsor: Daniel McCay
2
3  LONG TITLE
4  General Description:
5      This bill amends provisions related to the provision of cross-sex hormones and puberty
6  blockers to minors.
7  Highlighted Provisions:
8      This bill:
9      ▸ prohibits providing cross-sex hormones and puberty blockers to minors after a certain
10  date.
11  Money Appropriated in this Bill:
12      None
13  Other Special Clauses:
14      This bill provides a special effective date.
15      This bill provides revisor instructions.
16  Utah Code Sections Affected:
17  AMENDS:
18      58-1-603.1, as enacted by Laws of Utah 2023, Chapter 2 and further amended by Revisor
19      Instructions, Laws of Utah 2023, Chapter 2
20  REPEALS:
21      26B-1-239, as last amended by Laws of Utah 2024, Chapter 507
22
23  Be it enacted by the Legislature of the state of Utah:
24  The following section is affected by a revisor instruction at the end of this bill.
25Section 1. Section 58-1-603.1 is amended to read:
2658-1-603.1 . Hormonal transgender treatment prohibition for minors.
27  (1) As used in this section:
28      (a) "Cross-sex hormone treatment" means administering, prescribing, or supplying for
 H.B. 174  Enrolled Copy
29effectuating or facilitating an individual's attempted sex change:
30(i) to an individual whose biological sex at birth is female, a dose of testosterone or
31other androgens at levels above those normally found in an individual whose
32biological sex at birth is female; or
33(ii) to an individual whose biological sex at birth is male, a dose of estrogen or a
34synthetic compound with estrogenic activity or effect at levels above those
35normally found in an individual whose biological sex at birth is male.
36(b) "Health care provider" means the same as that term is defined in Section 58-1-603.
37[(b)] (c) "Hormonal transgender treatment" means the same as that term is defined in
38Section 58-1-603.
39(d) "Minor" means the same as that term is defined in Section 58-1-603.
40   (2) [A] Subject to Subsection (3), a health care provider may not provide a hormonal
41transgender treatment to a patient who:
42(a) is a minor[ as defined in Section 58-1-603]; and
43(b) is not diagnosed with gender dysphoria before January 28, 2023.
44   (3) Notwithstanding Subsection 58-1-603(3)(a), beginning on January 28, 2027, a health
45care provider may not provide a hormonal transgender treatment to a patient who is a
46minor if the patient:
47(a) would be younger than 16 years old as of the effective date of this bill; or
48(b) has not received cross-sex hormones as of the effective date of this bill.
49   (4) A health care provider who provides hormonal transgender treatment to a minor for the
50purpose of discontinuing treatment before January 28, 2027, may provide the treatment
51without obtaining a transgender treatment certification described in Section 58-1-603.
52   [(3)] (5) A violation of Subsection (2) or (3) is unprofessional conduct.
53Section 2. Repealer.
54This bill repeals:
55Section 26B-1-239, Systematic medical evidence review of hormonal transgender
56   treatments.
57Section 3. Effective Date.
58   This bill takes effect:
59   (1) except as provided in Subsection (2), May 6, 2026; or
60   (2) if approved by two-thirds of all members elected to each house:
61(a) upon approval by the governor;
62(b) without the governor's signature, the day following the constitutional time limit of
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 Enrolled Copy  H.B. 174
63Utah Constitution, Article VII, Section 8; or
64      (c) in the case of a veto, the date of veto override.
65Section 4. Revisor instructions.
66  The Legislature intends that the Office of Legislative Research and General Counsel, in
67  preparing the Utah Code database for publication, to revise Section 58-1-603.1 by replacing
68  each instance of the phrase "the effective date of this bill" with the bill's actual effective date.
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