HB 174: Sex Characteristic Change Treatment Amendments - Utah

Substitute #1 → Substitute #2 · 5 edits

MODERATE

The bill was amended to clarify the effective date and add specific conditions for minors receiving hormonal transgender treatment. The most significant change is the addition of a new eligibility criterion in Subsection (3), which now prohibits treatment for minors who would be younger than 16 years old as of the bill's effective date or who have not yet received cross-sex hormones by that date. The bill also added a new definition for 'Cross-sex hormone treatment' and modified the definition of 'Hormonal transgender treatment' to explicitly reference the new term. Additionally, the effective date section was expanded to include provisions for special approval scenarios, and a revisor instruction was added to ensure the final code reflects the actual effective date.

Scope change

The bill's scope was narrowed for younger minors by adding an age threshold (under 16) and a prior treatment history requirement as conditions for the prohibition on providing hormonal transgender treatment.

ELIGIBILITY

Added a new condition prohibiting treatment for minors who would be under 16 years old as of the effective date or who have not received cross-sex hormones by that date.

DEFINITION

Added a specific definition for 'Cross-sex hormone treatment' detailing the administration of testosterone to females and estrogen to males.

Modified the definition of 'Hormonal transgender treatment' to reference the newly defined 'Cross-sex hormone treatment' term.

TIMELINE

Expanded the effective date section to include provisions for special approval scenarios, such as gubernatorial approval or veto override.

TECHNICAL

Added a revisor instruction to replace the placeholder 'effective date of this bill' with the actual date in the final code.

Amended 2/19/2026 10:02:899 → Substitute #1 · 4 edits

MODERATE

This bill amends Utah Code 58-1-603.1 to prohibit health care providers from administering cross-sex hormones and puberty blockers to minors starting January 28, 2028. The amendment clarifies that this ban applies to minors who were not diagnosed with gender dysphoria before January 28, 2023, while allowing providers to discontinue treatment for those already on it. Additionally, the bill repeals a previous section regarding a systematic medical evidence review of these treatments.

Scope change

The bill maintains the existing prohibition on treatment for minors but updates the effective date of the ban to January 28, 2028, and explicitly ties eligibility for new treatment to a pre-2023 diagnosis of gender dysphoria.

TIMELINE

The effective date for the prohibition of hormonal transgender treatment for minors was changed from January 28, 2027, to January 28, 2028.

ELIGIBILITY

The bill clarifies that hormonal transgender treatment is prohibited for minors who were not diagnosed with gender dysphoria before January 28, 2023.

REQUIREMENT

The repeal of Section 26B-1-239 removes the requirement for a systematic medical evidence review of hormonal transgender treatments.

TECHNICAL

The bill text was reformatted and renumbered to align with the 'Substitute #1' version, including changes to section numbering and the structure of the repealer section.

Amended 1/28/2026 10:01:762 → Amended 2/19/2026 10:02:899 · 3 edits

MINOR

This bill amends Utah's restrictions on hormonal transgender treatment for minors by extending the ban's effective date from January 28, 2027, to January 28, 2028. It also clarifies that providers can continue treating minors diagnosed with gender dysphoria before January 28, 2023, without needing a specific certification to discontinue treatment before the new ban date.

Scope change

The bill's scope remains focused on prohibiting cross-sex hormones and puberty blockers for minors, but the applicability date is delayed by one year.

TIMELINE

The effective date for the prohibition on providing hormonal transgender treatment to minors was changed from January 28, 2027, to January 28, 2028.

REQUIREMENT

The exemption allowing providers to discontinue treatment before the ban date was updated to reference the new 2028 deadline instead of the original 2027 date.

TECHNICAL

Minor formatting adjustments were made to the bill text, including the addition of bracketed placeholders for deleted text and updated page headers.

Amended Excerpts 2/19/2026 10:02:899 → Amended 1/28/2026 10:01:762 · 4 edits

MODERATE

The bill text was reformatted to include a full title page and standard legislative structure, replacing the previous excerpt-only format. The core policy provisions regarding the prohibition of hormonal transgender treatment for minors remain substantively unchanged, retaining the same eligibility criteria, effective dates, and enforcement mechanisms.

Scope change

The scope of the bill's applicability remains unchanged; the text now includes full header information and section numbering previously omitted.

TECHNICAL

Replaced the 'Amended Excerpts' header with a complete title page including sponsors, general description, and Utah Code sections affected.

Added standard legislative sections for repeals and effective dates that were previously missing from the excerpt.

Standardized line numbering and formatting, removing manual markup symbols (like arrows and brackets) used to indicate edits.

Deleted the specific line-by-line edit instructions (e.g., 'Line 31 through 37') that described how the previous version was altered.

Amended Excerpts 1/28/2026 10:01:762 → Amended Excerpts 2/19/2026 10:02:899 · 2 edits

MINOR

The bill was amended to clarify that the restrictions on hormonal transgender treatment apply specifically to minors who were not diagnosed with gender dysphoria before January 28, 2023. Additionally, the effective date for the prohibition on providing such treatment to minors was extended from January 28, 2027, to January 28, 2028.

Scope change

The scope of the prohibition was narrowed to apply only to minors without a pre-existing diagnosis of gender dysphoria made before 2023, rather than all minors.

ELIGIBILITY

Added specific eligibility criteria stating the ban applies only to minors not diagnosed with gender dysphoria before January 28, 2023.

TIMELINE

Extended the start date for the prohibition on providing hormonal transgender treatment to minors from January 28, 2027, to January 28, 2028.

Enrolled → Amended Excerpts 1/28/2026 10:01:762 · 1 edit

MINOR

The bill text was updated to reflect House amendments, primarily renumbering subsections to fix a numbering error where a new provision was inserted between existing sections. No substantive policy changes, such as new dates, eligibility criteria, or funding, were introduced in this specific excerpt.

TECHNICAL

Subsection (3) was renumbered to (4) and Subsection (4) was renumbered to (5) to accommodate a newly inserted provision regarding the discontinuation of treatment.

Introduced → Enrolled · 4 edits · Mar 18, 2026

MODERATE

The bill was reformatted from a draft version to an official enrolled copy, which standardized the layout and corrected a numbering error in the main prohibition section. The core policy regarding the ban on cross-sex hormones for minors remains substantively the same, though the specific age thresholds and effective dates were adjusted in the enrolled version to clarify that the ban applies to minors under 16 who have not yet received treatment, with a specific sunset date of January 28, 2027, for discontinuing treatment.

Scope change

The bill's scope regarding the prohibition of cross-sex hormones for minors remains consistent, but the enrolled version clarifies the specific age threshold (under 16) and establishes a firm deadline for discontinuing treatment.

TECHNICAL

The document was converted from a draft to an official enrolled copy, resulting in standardized formatting, page numbering, and the removal of internal markup symbols like brackets and numbers.

TIMELINE

The text was updated to include a specific sunset date of January 28, 2027, for the discontinuation of treatment plans, replacing the generic 'six months after the effective date' language found in the draft.

REQUIREMENT

The eligibility criteria for the ban were clarified to explicitly state that the prohibition applies to minors who would be younger than 16 years old as of the effective date and have not received cross-sex hormones.

The section numbering was corrected in the final version, renumbering the violation clause from subsection (3) to subsection (5) to align with the new structure of the bill.

Sex Characteristic Change Treatment Amendments

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