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.
House Bill 4468 amends Michigan's insurance code to require health insurers to provide specific coverage related to gender transition. The bill mandates coverage for all adverse consequences, including short- or long-term side effects, related to an enrollee's gender transition procedure or treatment. It also requires coverage for annual mental and physical health monitoring for these enrollees. Furthermore, HB 4468 requires coverage for any procedure or treatment necessary to reverse an enrollee's gender transition, even if the enrollee was not covered by the policy at the time of the original procedure.
Bill status
passed both
4 of 5 stages cleared
Introduction
May 2025
Committee Review
Jun 2026
House Passage
Jun 2026
Senate Passage
Jun 2026
Governor
Introduced May 7, 2025
Last action Jun 10, 2026
Maddy AI version diff · 1 comparison
What changed between versions
House Introduced Bill
→
As Passed by the House
·
3 edits
·
Jun 3, 2026
MINOR
The bill was reformatted for clarity, removing page headers and footers while preserving the core text. The most significant substantive change is a modification to the eligibility rule: the requirement for insurers to cover gender transition procedures now explicitly applies only if the individual was already enrolled in the policy at the time the procedure was performed, whereas the previous version did not include this specific condition.
Scope change
The scope of coverage eligibility was narrowed by adding a prerequisite that the enrollee must have been active in the policy during the time of the gender transition procedure or treatment.
ELIGIBILITY
Added a condition requiring the enrollee to be an active policyholder at the time of the gender transition procedure or treatment to qualify for coverage.
TECHNICAL
Removed page headers, footers, and date stamps that were present in the original introduction version.
Reformatted line breaks and spacing to improve readability without altering the legal text.
Floor votes · House Jun 3, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
18
Key actions
5
Committee
4
Amendments
1
Jun 10, 2026
Committee
REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS
upper
Jun 10, 2026
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
Jun 3, 2026
Lower · Passed
passed; given immediate effect Roll Call #178 Yeas 58 Nays 48 Excused 0 Not Voting 4
lower
Jun 3, 2026
Introduced
amended
lower
Jun 3, 2026
Lower · Passed
motion to discharge committee approved
lower
May 13, 2026
Lower · Passed
recommendation concurred in
lower
May 13, 2026
Lower · Passed
reported with recommendation for referral to Committee on Government Operations
lower
May 7, 2025
Committee
referred to Committee on Health Policy
lower
May 7, 2025
Introduced
introduced by Representative Rep. Tom Kunse
lower
1 primary · 14 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Tom Kunse
RRepublican
Co
Angela Rigas
RRepublican
Co
Brad Paquette
RRepublican
Co
David Martin
RRepublican
Co
Gina Johnsen
RRepublican
Co
Greg Markkanen
RRepublican
Co
Jaime Greene
RRepublican
Co
Jason Woolford
RRepublican
Co
Jennifer Wortz
RRepublican
Co
Joe Pavlov
RRepublican
Co
Joseph Fox
RRepublican
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