HB 193 Utah House · 2026 General Session

Transgender Medical Procedures Amendments

HB 193 prohibits Utah government entities from using public funds to pay for certain surgical procedures related to transitioning from one's biological sex (defined as primary or secondary sex characteristic procedures). It requires government insurance plans that previously covered such transition procedures before May 6, 2026, to offer equivalent coverage for procedures to reverse those changes ("detransitioning"), to the extent possible. The bill takes effect on May 6, 2026, and does not appropriate new funds or affect private insurance. It directly impacts state and local government agencies, school districts, and other public entities using public money for health coverage.

Issues: ✗ Healthcare

Bill status failed 4 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House Passage

Feb 2026

Senate Passage

Feb 2026

Governor

Introduced Jan 20, 2026 Last action Mar 7, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

Substitute #3 → Substitute #4 · 5 edits

MODERATE

The bill was reorganized to move from a single code section to a new chapter within the Government Code, expanding its applicability to include state institutions of higher education and dependents. A new indemnification provision was added to protect state officials enforcing the law, and the definitions were updated to clarify who is covered under the insurance program.

Scope change

The bill's scope expanded from a standalone statute to a new chapter in the Government Code, explicitly including state universities and dependents of employees in the prohibition on coverage.

SCOPE

The bill was restructured from one section into five sections within a new chapter (63G-34) of the Government Code.

The definition of 'public employer' was updated to explicitly include state institutions of higher education.

ELIGIBILITY

The definition of 'covered individual' was expanded to include dependents of employees, not just employees themselves.

ENFORCEMENT

A new indemnification provision was added to require the state to defend and pay damages for officials enforcing the bill.

DEFINITION

The definition of 'public employee insurance' was broadened to cover group health insurance offered to dependents as well as employees.

Floor votes · House Feb 5, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 3, 2026

Upper · Passed

Senate/ comm rpt/ sent to Rules/ substituted [Senate Rules Committee]

upper

Mar 3, 2026

Upper · Passed

Senate Comm - Recommends Returned to Rules [Senate Business and Labor Committee]

upper

Feb 9, 2026

Committee

Senate/ to standing committee [Senate Business and Labor Committee]

upper

Feb 6, 2026

Introduced

Senate/ 1st reading (Introduced)

upper

Feb 5, 2026

Upper · Passed

House/ passed 3rd reading

upper

Jan 28, 2026

Lower · Passed

House/ comm rpt/ substituted [House Health and Human Services Committee]

lower

Jan 27, 2026

Lower · Passed

House Comm - Favorable Recommendation [House Health and Human Services Committee]

lower

Jan 26, 2026

Committee

House/ to standing committee [House Health and Human Services Committee]

lower

Jan 20, 2026

Introduced

House/ 1st reading (Introduced)

lower

1 primary · 1 co-sponsor